Efficacy of the Functional Mobilization Approach in Young Adults with Anterior Knee Pain: A Randomized Clinical Trial
- Conditions
- Bilateral primary osteoarthritis of knee, Patellofemoral pain syndrome due to foot hyperpronation,
- Registration Number
- CTRI/2018/02/011796
- Lead Sponsor
- Sharda University and Hospital
- Brief Summary
Foot hyperpronation is an abnormal inward rotation of the subtalar joint. Its relation to patellofemoral pain syndrome and was the focus of this study.
This study employed a three dimensional functional manual therapy approach (A combination of Functional joint mobilization, Proprioceptive Neuromuscular Facilitation, and functional soft tissue mobilization) to treat and adjust both soft and bony tissue involved and the use of full length medial wedge insoles.
**Aim and objectives**:
- To investigate the clinical efficacy of functional manual therapy approach of foot and ankle along with routine exercises with respect to pain and function in these subjects.
- To find out if there’s a significant difference in pain and function with regard to using functional manual therapy of foot and ankle as treatment for patellofemoral pain syndrome
- To improve knee pain and lower limb function in individuals with patellofemoral pain syndrome
- To compare the clinical efficacy of functional manual therapy with full flange medial raise insoles in these subjects
**Null Hypothesis:** Functional manual therapy of foot and ankle will not improve pain and function in young adults with patellofemoral pain syndrome.
**Alternate Hypothesis:** Functional manual therapy of foot and ankle will improve pain and function in young adults with patellofemoral pain syndrome.
At the end of the study, the null hypothesis was rejected.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 60
- 1.Clinically diagnosed cases of patellofemoral pain syndrome 2.
- Presence of unilateral or bilateral foot hyperpronation 3.
- Duration of PFPS must be more than three weeks (chronic).
- 1.Defined injury or pathological conditions of the knee and foot structures (bursitis, tendinopathies, ligament sprains or instability, menisci injuries, dislocations) 2.
- History of ankle and/or foot surgery 3.Severe or advanced knee osteoarthritis diagnosed based on clinical and radiological assessment 4.
- Autoimmune diseases such as rheumatoid arthritis or systemic lupus erythematosus 5.
- Leg length discrepancy of more than 1 inch 6.
- Previous physiotherapy treatment (such as exercise therapy, orthosis, mobilization) in the past 12 months 7.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method 1. Pain using the Numeric Pain Rating Scale (0 to 10. Lower scores represent better results) Scores taken on first day and on last day (after three months) 2. Foot posture using the Foot Posture Index. Positive values indicate hyperpronation Scores taken on first day and on last day (after three months) 3. Functional status of the lower extremity using the Lower Extremity Functional Scale with scores from 0 to 80. Higher scores represent better results. Scores taken on first day and on last day (after three months)
- Secondary Outcome Measures
Name Time Method Functional Tests 1. Squatting with ability to keep heels on floor
Trial Locations
- Locations (1)
Sharda Hospital
🇮🇳Nagar, UTTAR PRADESH, India
Sharda Hospital🇮🇳Nagar, UTTAR PRADESH, IndiaLili Kalumyana SilumesiiPrincipal investigator8800928706silumesiilili@gmail.com