Mulligan Technique Vs Phonophoresis With Chitosan Gel on Neuromuscular Control in Patellofemoral Pain Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 45
- 试验地点
- 1
- 主要终点
- Maximal rate of force development (RFD)
研究概览
简要总结
Patellofemoral pain syndrome (PFPS) is a common knee condition causing pain and dysfunction. This study aims to compare the effectiveness of two physical therapy treatments for PFPS: Mulligan mobilization with movement technique versus phonophoresis with chitosan gel.
Forty-five participants with patellofemoral pain syndrome will be randomly assigned to one of three groups: (1) Mulligan technique group, (2) Phonophoresis with chitosan gel group, or (3) Control group receiving standard physical therapy exercises. Each group will receive treatment 3 times per week for 4 weeks.
The researchers want to determine which treatment is more effective in improving neuromuscular control, reducing pain, and improving function in patients with patellofemoral pain syndrome. Participants will be assessed before and after the treatment period.
This study may help physical therapists and healthcare providers choose the most effective treatment approach for patients with patellofemoral pain.
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
- Double (Participant, Care Provider)
入排标准
- 年龄范围
- 18 Years 至 35 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Insidious onset of anterior knee pain
- •Retro patellar or peripatellar pain
- •Pain duration more than four weeks (chronic/subacute)
- •Pain severity ≥ 3/10 on Visual Analog Scale (VAS)
- •Pain during at least two of the following activities: stair ascent or descent, squatting, prolonged sitting (theater sign), or kneeling
- •Positive patellar compression test (pain reproduced by compressing the patella into the trochlear groove)
- •Patellar tenderness along the medial or lateral borders
- •Age between 18 and 35 years
- •Baseline Kujala score (Arabic version): approximately 67-71 (indicating moderate to severe dysfunction)
排除标准
- •Traumatic injury (e.g., dislocation, fracture, ligament or meniscus pathology)
- •Inflammatory arthritis (e.g., rheumatoid arthritis, gout)
- •Prior knee surgery
- •Current use of NSAIDs or corticosteroids
研究组 & 干预措施
Mulligan Technique Group
Participants receive hip and knee strengthening exercises combined with Mulligan mobilization with movement (MWM) technique for the patellofemoral joint. MWM is performed in three sets of 10 repetitions, with a 30-second rest interval between sets. Treatment sessions are conducted 3 times per week for 6 weeks.
干预措施: Mulligan technique (Procedure)
Phonophoresis with Chitosan Group
Phonophoresis (ultrasound with chitosan gel) is applied at 1 MHz, 1.0 W/cm², continuous mode, for 5 minutes, 3 times per week for 6 weeks before hip and knee exercises.
干预措施: Phonophoresis with Chitosan Gel (Procedure)
Control Group ( Standard Physical Therapy Group)
Participants receive standard physical therapy for patellofemoral pain consisting of hip and knee strengthening exercises, stretching, and functional training. Sessions are conducted 3 times per week for 6 weeks. Exercises include hip and knee strengthening exercises and stretches for the quadriceps, hamstring, iliotibial band, and calf muscles with weekly progression.
干预措施: Standard Physical Therapy Exercise Program (Behavioral)
结局指标
主要结局
Maximal rate of force development (RFD)
时间窗: Baseline and 6 weeks
Calculated from the slope of force- or torque-time curves obtained during rapid, explosive voluntary contractions also termed ballistic or rapid actions has become a key metric for assessing explosive strength in diverse populations, including athletes, older adults, and clinical patients
Pain at patella
时间窗: Baseline and 6 weeks
Pain measured using the Kujala Anterior Knee Pain Scale (AKPS). The scale ranges from 0 to 100 points, with 0 indicating maximum disability and 100 indicating no disability. Higher scores indicate better outcome (less pain and better function)
次要结局
未报告次要终点
研究者
Mennat Allah Aldesouky
Master's degree in biomechanics department physical therapy ,Cairo unveracity
Ahram Canadian University