Efficacy of Adding Patellar Mobilization to Hip and Knee Exercises in Patients With Patellofemoral Pain Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 59
- 试验地点
- 1
- 主要终点
- Changes in functional disability
研究概览
简要总结
Patellofemoral pain syndrome is a common source of anterior knee pain. The causes of PFPS may be multifactorial such as biomechanical disorders, muscle weakness which affect the dynamic stability of lower limb and alter patellar tracking in trochlear groove. Moreover, the syndrome associated with muscular tightness of iliotibial band, gastrocnemius, soleus, hamstring and quadriceps. Strengthening and stretching exercises are effective in improving patient's symptoms. However, they do not sufficient in correction of kinematic changes associated with PFPS. Patellar mobilization is effective in improving patient'symptoms in cases with PFPS. However, studies that conducted patellar mobilization were either low quality studies or no study combined patellar mobilization with hip and knee exercises.
Therefore, APTA guidelines recommended for conducting high quality study to investigate the effect of adding patellar mobilization to exercise therapy to support the definite recommendation delivered to therapists.
详细描述
this is interventional study in which patients will receive stretching and strengthening exercises in control group. in addition, experimental group will receive the same exercises of control group in addition to patellar mobilization, retinacula release and deep friction message.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 35 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age ranging between 18 and 35 years
- •Tenderness of medial and lateral borders of patella
- •Retropatellar pain
- •Duration of symptoms of patellofemoral pain syndrome is greater than 4 weeks
- •Positive patellar compression test
- •Pain intensity is more than 3 at visual analogue scale
- •Had a history of insidious onset
- •Had anterior knee pain during 2 or more of provocative activities that include stair ascent or descent, kneeling, prolonged sitting, or squatting
排除标准
- •Previous patellar realignment surgery or patellar fracture
- •Had a history of traumatic patellar dislocation
- •Had a history of previous knee surgery
- •Had any form of inflammatory arthritis that include osteoarthritis or rheumatoid arthritis
- •Had a history of knee menisci, ligaments, bursae, or synovial plica syndrome dysfunction
- •Taking corticosteroids or nonsteroidal anti-inflammatory medication
- •Inability to attend treatment program to the end of sessions
结局指标
主要结局
Changes in functional disability
时间窗: It will be assessed one week before and after treatment
Functional disability will be assessed using Kujala questionnaire.The scale ranges from 0 to 100 score where 100 represents no functional limitation.
Changes in pain that felt during ascending, descending, squatting and prolonged sitting
时间窗: It will be assessed one week before and after treatment
Pain during ascending, descending, squatting and prolonged sitting will be assessed using visual analogue scale, it is a horizontal line from 0 to 10, where 0 no pain and 10 maximum pain.
次要结局
- changes in hamstring flexibility(It will be assessed one week before and after treatment)
- Changes in hip external rotators strength(It will be assessed one week before and after treatment)
- changes in quadriceps strength(It will be assessed one week before and after treatment)
- changes in functional performance(It will be assessed one week before and after treatment)
- changes in gastrocnemius flexibility(It will be assessed one week before and after treatment)
- changes in foot pronation(It will be assessed one week before and after treatment)
- Changes in hip abductors strength(It will be assessed one week before and after treatment)
- changes in knee valgus(It will be assessed one week before and after treatment)
研究者
Nadia Abdo Mohamed Abdelhafez
Assistant lecturer at orthopedic department of faculty of physical therapy
Cairo University