Effectiveness of Diacutaneous Fibrolysis Technique on Pain, Range of Motion, Strength and Function in Patients With Patellofemoral Pain Syndrome
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 入组人数
- 60
- 试验地点
- 2
- 主要终点
- Change from baseline in pain intensity
研究概览
简要总结
The aim of the study will be to assess the effectiveness of Diacutaneous Fibrolysis technique on pain, range of motion (Patellofemoral joint mobility test and muscle length test), strength and function in patients with Patellofemoral Pain Syndrome and muscle shortening.
Muscle imbalance is one of most important factor associated with Patellofemoral Pain Syndrome. Shortening of lateral muscles of the thigh have a close relationship with patella position and tracking and patellofemoral pain. The scientific evidence for effectiveness of any soft tissue mobilization technique in patellofemoral pain syndrome patients is poor.
Diacutaneous Fibrolysis is a non-invasive physiotherapeutic technique to release adherences and fibrosis between the different musculoskeletal structures. Diacutaneous Fibrolysis is applied by a set of metallic hooks having the advantage of allowing a deeper and more precise application, which could not be achieved manually.
The present study evaluates the effectiveness of Diacutaneous Fibrolysis technique applied in the soft tissues more related with patellofemoral pain.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 16 Years 至 40 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Unilateral or bilateral patellofemoral pain longer than three months
- •Anterior or retropatellar pain of non-traumatic origin that is provoked by at least two of the following activities: prolonged sitting or kneeling, squatting, running, hopping, jumping, or stair ascending/descending.
- •The presence of pain on palpation of the patellar facets, on step down from 25 cm step, or during a double leg squat.
- •Pain over the previous week equal to or greater than 3 on a 10-cm visual analogue scale.
- •The presence of muscle shortening in rectus femoris or tensor fascia lata muscle length test and/or hypo-mobility or stiffness in the compartmental muscle play.
排除标准
- •Previous knee surgery or traumatic lesions
- •Concomitant injury or pathology of other knee structures
- •History of patella subluxation or dislocation
- •Evidence of knee joint effusion
- •Pain in and/or referred from the hip or lumbar spine
- •Currently undergoing physiotherapy treatment for Patellofemoral pain syndrome or use anti-inflammatories or corticosteroid medication at the same time of the study.
- •Subjects unable or unwilling to give informed to written consent or fulfil questionnaires.
结局指标
主要结局
Change from baseline in pain intensity
时间窗: 2 weeks
Visual analogue scale (VAS)
次要结局
- Isometric Strength of Quadriceps Muscle(2 weeks)
- Functional Status and disability(2 weeks)
- Muscle Length Test(2 weeks)
- Functional Capacity(2 weeks)
- Global Rating of Change Scale(2 weeks)
- Pressure Pain Threshold(2 weeks)
研究者
Pablo Fanlo Mazas
Unidad de Investigación en Fisioterapia
Universidad de Zaragoza