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Comparison of Effects of Mobilization With Movement and Kinesiotaping in Patellofemoral Pain Syndrome

Not Applicable
Completed
Conditions
Patellofemoral Pain Syndrome
Interventions
Other: Mulligan's Straight leg-raise with traction
Other: Kinesiotaping
Other: Mulligan's Mobilization with Movement
Other: Exercise
Registration Number
NCT02707679
Lead Sponsor
Hacettepe University
Brief Summary

Patellofemoral Pain Syndrome (PFPS), also known as the anterior knee pain, is one of the most common musculoskeletal disorders. Most of the patients suffer from knee pain for long time. The aim of this study was to investigate the short-term effects of Mobilization with movement and Kinesiotaping on pain, function and balance in patient with PFPS.

Detailed Description

Patellofemoral Pain Syndrome is one of the most common musculoskeletal problem in the world. It's incidence is also becoming higher and most people who have knee pain suffer from it for long time. In the treatment of PFPS, conservative treatment methods are preferred prior to surgical ones. When the literature was reviewed, no study in which Mobilization with movement (MWM) method was used and in which the effects of it was shown and compared with (Kinesiotaping) KT has been found so far with respect to the treatment of PFPS. Thirty-five female patients diagnosed with unilateral PFPS were randomly assigned into 2 groups. The patients in the first group (n=18) received two techniques of Mobilization with movement intervention while Kinesiotaping was applied to the other group (n=17). Both groups were treated with exercise. All patients received 4 sessions of treatment twice a week for a period of 2 weeks and followed up in accordance with a 6-week-home exercise program. Primary outcomes: pain severity, knee range of motion, hamstring flexibility, and physical performance (10-step stair climbing test, timed up and go test), Kujala Patellofemoral Pain Scoring and Y-Balance test were assessed.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
35
Inclusion Criteria
  • having knee pain at least 3 months and more than 3 points according to visual analog scale
Exclusion Criteria
  • no complying to the rehabilitation
  • if patient wants to finished and want to complete study, they were excluded
  • having meniscus, bursa, ligament, patellar tendon lesions, patellofemoral dislocation and/or recurrent subluxation, undergone lower extremity surgery

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Effects of Mulligan's MobilizationMulligan's Mobilization with MovementThe patients in this arm (n=18) received two techniques pertaining to Mulligan's Mobilization with movement approach (Mulligan's Straight Leg-Raise with Traction and Tibial Gliding) along with an exercise therapy. Patients received 4 sessions of treatment twice a week for a period of 2 weeks and followed up in accordance with a 6-week-home exercise program. Primary outcomes: pain severity, knee range of motion, hamstring flexibility, and physical performance (10-step stair climbing test, timed up and go test), Kujala Patellofemoral Pain Scoring and Y-Balance test were assessed before the treatment, 45 minutes after the initial treatment, at the end of the 4-session-treatment during 2-week period and 6 weeks later.
Effects of Mulligan's MobilizationExerciseThe patients in this arm (n=18) received two techniques pertaining to Mulligan's Mobilization with movement approach (Mulligan's Straight Leg-Raise with Traction and Tibial Gliding) along with an exercise therapy. Patients received 4 sessions of treatment twice a week for a period of 2 weeks and followed up in accordance with a 6-week-home exercise program. Primary outcomes: pain severity, knee range of motion, hamstring flexibility, and physical performance (10-step stair climbing test, timed up and go test), Kujala Patellofemoral Pain Scoring and Y-Balance test were assessed before the treatment, 45 minutes after the initial treatment, at the end of the 4-session-treatment during 2-week period and 6 weeks later.
Effects of Mulligan's MobilizationMulligan's Straight leg-raise with tractionThe patients in this arm (n=18) received two techniques pertaining to Mulligan's Mobilization with movement approach (Mulligan's Straight Leg-Raise with Traction and Tibial Gliding) along with an exercise therapy. Patients received 4 sessions of treatment twice a week for a period of 2 weeks and followed up in accordance with a 6-week-home exercise program. Primary outcomes: pain severity, knee range of motion, hamstring flexibility, and physical performance (10-step stair climbing test, timed up and go test), Kujala Patellofemoral Pain Scoring and Y-Balance test were assessed before the treatment, 45 minutes after the initial treatment, at the end of the 4-session-treatment during 2-week period and 6 weeks later.
Effects of KinesiotapingKinesiotapingPatients in this arm were applied kinesiotaping on quadriceps and hamstring muscle along with an exercise therapy. Patients received 4 sessions of treatment twice a week for a period of 2 weeks and followed up in accordance with a 6-week-home exercise program. The same assessment parameters was conducted on this arm too.
Effects of KinesiotapingExercisePatients in this arm were applied kinesiotaping on quadriceps and hamstring muscle along with an exercise therapy. Patients received 4 sessions of treatment twice a week for a period of 2 weeks and followed up in accordance with a 6-week-home exercise program. The same assessment parameters was conducted on this arm too.
Primary Outcome Measures
NameTimeMethod
Knee pain measured with Visual Analog Scale6 weeks

Patient's knee pain was measured with Visual Analog Scale

Secondary Outcome Measures
NameTimeMethod
Function was measured Kujala patellofemoral scoring system6 weeks

Patient's function was measured with Kujala patellofemoral scoring system

Balance measured with Y- Balance Test6 weeks

The dynamic balance measurements of the patients were evaluated through Y- Balance Test

Function was measured with 10-step-ascent & descent stair-climbing test.6 weeks

To evaluate the functional performances of the patients, 10-step-ascent \& descent stair-climbing test was used.

Function was measured with timed up&go test6 weeks

To evaluate the functional performances of the patients, timed up\&go test was used.

Hamstring muscle flexibility was measured Universal goniometer.6 weeks

Universal goniometer was used for evaluating the hamstring muscle flexibility.

Knee joint range of motion was measured Universal goniometer.6 weeks

Universal goniometer was used for evaluating the knee joint range of motion.

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