"Efficacy of the Functional Mobilization Approach on Subjects with Patellofemoral Pain Syndrome: A Randomized Clinical Trial"
试验速览
- 阶段
- 2/3 期
- 状态
- 已完成
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- 1. Pain using the Numeric Pain Rating Scale (0 to 10. Lower scores represent better results)
研究概览
简要总结
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:
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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.
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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
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To improve knee pain and lower limb function in individuals with patellofemoral pain syndrome
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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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Permuted block randomization, fixed
- 盲法
- Participant Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 35.00 Year(s)（—）
- 性别
- All
入选标准
- •1.Clinically diagnosed cases of patellofemoral pain syndrome
- •Presence of unilateral or bilateral foot hyperpronation
- •Duration of PFPS must be more than three weeks (chronic).
排除标准
- •1.Defined injury or pathological conditions of the knee and foot structures (bursitis, tendinopathies, ligament sprains or instability, menisci injuries, dislocations)
- •History of ankle and/or foot surgery 3.Severe or advanced knee osteoarthritis diagnosed based on clinical and radiological assessment
- •Autoimmune diseases such as rheumatoid arthritis or systemic lupus erythematosus
- •Leg length discrepancy of more than 1 inch
- •Previous physiotherapy treatment (such as exercise therapy, orthosis, mobilization) in the past 12 months 7.
结局指标
主要结局
1. Pain using the Numeric Pain Rating Scale (0 to 10. Lower scores represent better results)
时间窗: Scores taken on first day and on last day (after three months)
2. Foot posture using the Foot Posture Index. Positive values indicate hyperpronation
时间窗: 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.
时间窗: Scores taken on first day and on last day (after three months)
次要结局
- Functional Tests(1. Squatting with ability to keep heels on floor)