Comparison of Mobilization With Movement and Mulligan Knee Taping Technique on Patellofemoral Pain Syndrome.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Patellofemoral Syndrome
- Sponsor
- Riphah International University
- Enrollment
- 34
- Locations
- 1
- Primary Endpoint
- Active knee extension test
- Status
- Completed
- Last Updated
- 6 years ago
Overview
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.
Investigators
Eligibility Criteria
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
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
Outcomes
Primary Outcomes
Active knee extension test
Time Frame: 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)
Time Frame: 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)
Time Frame: 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
Time Frame: 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)
Time Frame: 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
Time Frame: 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 Outcomes
- NPRS Numeric Pain Rating Scale(Baseline)
- Numeric Pain Rating Scale (NPRS) [ 2nd week](Post 2nd week)
- Numeric Pain Rating Scale (NPRS) [ 6th week ](Post 6th Week)
- Kujala pain Rating score:(Baseline)(Baseline)
- Kujala pain Rating scale : (2nd week)(Post 2nd week)
- Kuala pain Rating Scale: (6th week)(Post 6th week)