Mobilization With Movement Versus Mulligan Knee Taping Technique on Patellofemoral Pain Syndrome.

Not Applicable

Completed

• Conditions: Patellofemoral Syndrome
• Interventions: Other: Moblization with Movement; Other: Mulligan knee taping

• Registration Number: NCT04173468
• Lead Sponsor: Riphah International University

Brief Summary

This study intends to determine the effects of MWM verses Mulligan knee taping on patellofemoral pain syndrome.

Detailed Description

This is a single blinded randomized controlled trial, will be conducted at Pakistan railway general hospital Rawalpindi. Both MWM and Mulligan knee taping Techniques are used in patients with patellofemoral pain syndrome. Sample size of 34 individuals was calculated through Open Epi tool version 3 with 95 % confidence interval (CI), and power 80%. 34 individuals were screened out on the basis of inclusion and exclusion criteria. Individuals of this selected population were randomly allocated as 17 individuals in MWM (straight leg raise with traction and tibial gliding) group and 17 individuals Mulligan knee taping group by sealed envelope method. And after this Both groups will receive conventional therapy.

Assesment will be done at baseline, 2nd week and after 6 weeks Data will be analyzed on SPSS version 21.

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study Start: 2019-09-01
• Study First Submitted: 2019-11-20
• Study First Submitted QC: 2019-11-20
• Study First Posted: 2019-11-22
• Primary Completion: 2019-12-20
• Study Completion: 2019-12-31
• Status Verified: 2020-01
• Last Update Submitted: 2020-01-14
• Last Update Posted: 2020-01-18

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 34

Inclusion Criteria

• Anterior knee Pain durations lasting longer than two months,

• Pain scoring three or more according to Numeric pain Rating scale (NPRS) during at least two activities
• Age between 20 and 45 years
• Both Genders

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Exclusion Criteria

• • Past history of total knee artthroplasty

  • Intra articular steroid injection
  • Rheumatoid Arthritis
  • Use of Assistive devices e.g. canes, walkers and braces
  • Knee injury

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
MWM Group	Moblization with Movement	This group will receive Mobilization with Movement (MWM) i.e. straight leg raised with traction,Tibial Gliding
Mulligan Taping Group	Mulligan knee taping	This group will receive Mulligan knee taping

Primary Outcome Measures

Name	Time	Method
Active knee extension test	Baseline	Active knee extension test (AKE), is used to assess hamstring length. It was performed while the participant was in supine lying and involved leg was in 90 degree hip flexion. Then participant was asked to extend the knee. For hamstring tightness cut off score AKE angle is 160°. Therefore normal individuals with angle \< 160° were considered as individuals with hamstring tightness. Its reliability is 0.94.
Active knee extension test:(2nd week)	Post 2nd Week	Active knee extension test (AKE), is used to assess hamstring length. It was performed while the participant was in supine lying and involved leg was in 90 degree hip flexion. Then participant was asked to extend the knee. For hamstring tightness cut off score AKE angle is 160°. Therefore normal individuals with angle \< 160° were considered as individuals with hamstring tightness. Its reliability is 0.94.
Active knee extension test:(6 week)	Post 6th Week	Active knee extension test (AKE), is used to assess hamstring length. It was performed while the participant was in supine lying and involved leg was in 90 degree hip flexion. Then participant was asked to extend the knee. For hamstring tightness cut off score AKE angle is 160°. Therefore normal individuals with angle \< 160° were considered as individuals with hamstring tightness. Its reliability is 0.94.
Sit and reach Test	Post 2nd week	Sit and reach test (SRT) is most commonly employed test to measure hamstring flexibility. This tool is used to measure range of hamstring muscle at knee joint.Each participant was instructed to sits on a couch in long sitting position. participants were seated with elongated legs, with hip flexed to 90 degrees and knees were fully extended and the ankles were in relaxed plantar flexion. A measuring ruler/tape was placed,between the feet with 38 cm score was marked tangent to the sole of the feet. Subjects were asked to reach forward with hands one above the other and palms of the hands facing down, while attempting to touch fingertips to toes or as far beyond on measuring tape while keeping the knees straight.
Sit and reach Test( 6 week)	Post 6th Week	Sit and reach test (SRT) is most commonly employed test to measure hamstring flexibility. This tool is used to measure range of hamstring muscle at knee joint.Each participant was instructed to sits on a couch in long sitting position. participants were seated with elongated legs, with hip flexed to 90 degrees and knees were fully extended and the ankles were in relaxed plantar flexion. A measuring ruler/tape was placed,between the feet with 38 cm score was marked tangent to the sole of the feet. Subjects were asked to reach forward with hands one above the other and palms of the hands facing down, while attempting to touch fingertips to toes or as far beyond on measuring tape while keeping the knees straight.
Time up and Go test	Post 6 week	Patients were asked to perform test at usual walking speed .initial testing standardized verbal instruction given to the participant regarding procedure. For performing TUG participants were instructed to walk three meter and then walk back to sit down .Note time on stopwatch .The average of tests trail was measured as the mean of TUG.

Secondary Outcome Measures

Name	Time	Method
NPRS Numeric Pain Rating Scale	Baseline	(NPRS)is used to assess pain. It scores ranges from 0-10, 0 means No pain and 10 means Severe pain. Patient will be asked to verbally report the pain score.
Numeric Pain Rating Scale (NPRS) [ 2nd week]	Post 2nd week	Numeric Pain Rating Scale (NPRS) is used to assess pain. It scores ranges from 0-10, 0 means No pain and 10 means Severe pain. Patient will be asked to verbally report the pain score.
Numeric Pain Rating Scale (NPRS) [ 6th week ]	Post 6th Week	Numeric Pain Rating Scale (NPRS) is used to assess pain. It scores ranges from 0-10, 0 means No pain and 10 means Severe pain. Patient will be asked to verbally report the pain score.
Kujala pain Rating score:(Baseline)	Baseline	The Kujala pain rating scale is a 13-item screening instrument designed to assess patellofemoral pain in adolescents and young adults, with a variable ordinal response format. For example, a 'Limp' score would be scored as follows: none (5), slight/periodic (3), constant (0). Total scores range from 0 to 100.
Kujala pain Rating scale : (2nd week)	Post 2nd week	The Kujala pain Rating scale \[ is a 13-item screening instrument designed to assess patellofemoral pain in adolescents and young adults, with a variable ordinal response format. For example, a 'Limp' score would be scored as follows: none (5), slight/periodic (3), constant (0). Total scores range from 0 to 100
Kuala pain Rating Scale: (6th week)	Post 6th week	The kujala pain rating scale is a 13-item screening instrument designed to assess patellofemoral pain in adolescents and young adults, with a variable ordinal response format. For example, a 'Limp' score would be scored as follows: none (5), slight/periodic (3), constant (0). Total scores range from 0 to 100

Trial Locations

Locations (1)

Pakistan Railway hospital; 🇵🇰 Rawalpindi, Punjab, Pakistan