Adjunctive Effects of Heat Versus Contrast Therapy With Otago Exercises on Pain, Swelling, Range of Motion and Functional Limitations in Patients With Patellofemoral Pain Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Range Of Motion
研究概览
简要总结
The goal of this clinical trial is to determine the adjunctive effects of heat therapy and contrast therapy when combined with the Otago exercise program in individuals with patellofemoral pain syndrome aged 18 to 40 years. The study aims to assess whether these interventions can help reduce pain and swelling, improve knee range of motion, and decrease functional limitations associated with patellofemoral pain syndrome. Researchers will compare two groups one receiving heat therapy with the Otago exercise program and the other receiving contrast therapy with the Otago exercise program to see which approach provides greater improvement in outcomes. Participants will undergo regular supervised sessions that include the assigned thermal therapy and a structured set of Otago exercises targeting lower limb strength, balance, and mobility.
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
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 40 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients aged 18-40 years experiencing pain in the front of the knee, including the peripatellar or retropatellar areas.
- •Patient having pain severity a minimum value of 4-7 on the numeric pain rating scale.
- •Participants presenting with anterior knee pain persisting for three months or longer.
- •Pre- diagnosed patients with positive patellar compression and Grind tests.
- •Patients with lateral patellar tracking.
排除标准
- •Pain having a duration of less than three months or patients with previous knee surgeries.
- •Recent engagement in structured lower-limb exercise or rehabilitation interventions.
- •Patients with pregnancy, malignancy or any neurological dysfunctions.
研究组 & 干预措施
Experimental Group: Heat therapy with Otago exercises
Heat Therapy:
- Frequency: 3 sessions/week for 4 weeks
- Intensity: Mild to moderate heat (40°C)
- Time: 15 minutes/session
- Type: Passive superficial heat via electrical hot pack
Otago Exercise Program:
- Frequency: 3 sessions/week supervised + daily home exercise for 4 weeks
- Intensity: Progressively increasing strength and balance
- Time: 30 minutes/session (includes warm-up and cool-down)
- Type: Functional, strength, and balance exercises for lower limbs
Routine Physical Therapy (Medial Patellar Mobilization):
- Frequency: 3 sessions/week for 4 weeks
- Intensity: Gentle grade I/II mobilization
- Time: 3 sets of 10 repetitions
- Type: Passive sustained medial glides of patella
干预措施: Heat therapy+Otago exercise program (Other)
Experimental Group: Heat therapy with Otago exercises
Heat Therapy:
- Frequency: 3 sessions/week for 4 weeks
- Intensity: Mild to moderate heat (40°C)
- Time: 15 minutes/session
- Type: Passive superficial heat via electrical hot pack
Otago Exercise Program:
- Frequency: 3 sessions/week supervised + daily home exercise for 4 weeks
- Intensity: Progressively increasing strength and balance
- Time: 30 minutes/session (includes warm-up and cool-down)
- Type: Functional, strength, and balance exercises for lower limbs
Routine Physical Therapy (Medial Patellar Mobilization):
- Frequency: 3 sessions/week for 4 weeks
- Intensity: Gentle grade I/II mobilization
- Time: 3 sets of 10 repetitions
- Type: Passive sustained medial glides of patella
干预措施: Contrast therapy+ Otago exercise program (Other)
Active Experimental Group: Contrast therapy with Otago exercises
Contrast Therapy:
- Frequency: 3 sessions/week for 4 weeks
- Intensity: Heat (38-40°C) and cold (12-14°C)
- Time: 15 minutes/session (4 min heat + 1 min cold cycles)
- Type: Alternating hot/cold packs
Otago Exercise Program:
- Frequency: 3 sessions/week supervised + daily home exercise for 4 weeks
- Intensity: Progressively increasing strength and balance
- Time: 30 minutes/session (includes warm-up and cool-down)
- Type: Functional, strength, and balance exercises for lower limbs
Routine Physical Therapy (Medial Patellar Mobilization):
- Frequency: 3 sessions/week for 4 weeks
- Intensity: Gentle grade I/II mobilization
- Time: 3 sets of 10 repetitions
- Type: Passive sustained medial glides of patella
干预措施: Heat therapy+Otago exercise program (Other)
结局指标
主要结局
Range Of Motion
时间窗: 4 Weeks
Measured by a universal goniometer.
Pain Intensity
时间窗: 4 Weeks
Assessed by using the NPRS scale. 0-4 scored as No pain to mild pain 5-7 scored as Moderate pain 8-10 scored as Severe pain
Swelling
时间窗: 4 Weeks
Measured by a inelastic tape (Girth measurement)
次要结局
- Functional limtations(4 Weeks)
研究者
Umber Nawaz
Assistant Professor
Lahore University of Biological and Applied Sciences