Comparison Between the Effects of Mulligan and Maitland Mobilization on Patellofemoral Pain Syndrome
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Group A (Active Comparator) Mulligan's Mobilization With Movement (MWM), Group B(Experimental) Maitland's Patellar Mobilizations.
- Who it may be relevant to
- Registry conditions: Patellofemoral Pain Syndrome. Basic parameters: 18 years — 40 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Pakistan
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
This study is a randomised control trial and the purpose of this study is to investigate and compare the "Effects of Maitland mobilizations and Mulligan Mobilization With Movement (MWM) in patients with Patellofemoral Pain Syndrome
Detailed description
This study is a randomised control trial just used to investigate and compare the effects of maitland mobilizations and Mulligan's Mobilization With Movement ; with respect to:
1. Pain 2. Range of motion and 3. Function in patients with Patellofemoral pain syndrome All males and females with ages of 18 to 40 years having the Patellofemoral pain syndrome can be included in this study.
A total number of 40 participants are equally and randomly divided into two groups i.e. group A and group B. Group A recieves the Mulligan Mobilization With Movement (MWM) and group B receives the Maitland's Patellar mobilizations.
Outcomes are recorded at 0 weeks and at end of 2 weeks. Outcome measure used for pain is Numeric Pain Rating Scale (NPRS), for knee ROM is goniometery and for knee function is Lower Extremity Function Scale (LEFS).
Pre and post intervention reading of all 3 measures will then be compared and data will be analysed
Interventions
- Procedure Group A (Active Comparator) Mulligan's Mobilization With Movement (MWM)
This group will receive two techniques of mulligan i.e. Medial Patellar Glide relative to femoral trochlea and other is tibial internal rotation relative to femoral condyles.In Medial Patellar Glide; patient is positioned supine with 40 degree knee flexion. Stabilizing hand of therapist stabilizes the posterior aspect of tibia and fibula and with mobilizing hand, the therapist gently glides the patella medially. With that, the patient is asked to actively flex and then extend the knee. In the t - Procedure Group B(Experimental) Maitland's Patellar Mobilizations
For all the mobilizations the patient is positioned either in supine or sitting with 30-0 degree knee flexion or full knee extension. The therapist holds patella between his/her thumb and index finger and glides it cranially (Superior Patellar glide), caudally (Inferior Patellar Glide) and medially (Medial Patellar Glide). The fourth one i.e. Patellofemoral Distraction is given by grasping the patella between two fingers and lifting it above/away from underlying femoral trochlea. All 4 of these
Primary outcome measures
- Patellofemoral Pain [Time frame: 2 weeks]
- Range of Motion [Time frame: Variable will be assessed at before and after treatment for the total interval of 2 weeks.]
- Lower Extremity Function [Time frame: Variable will be assessed at before and after treatment for the total interval of 2 weeks.]
Eligibility criteria
Inclusion criteria
- Referred patients from rehabilitation, orthopedic and rheumatology department
- Both males and females of age 18-40 years
- Having pain from at least 2 months.
- Pain score ≥ 3 on NPRS.
- Pain on palpation of medial or lateral Patellar facet. (12, 13)
- Retro patellar pain in at least two of the following activities:
- Ascending , descending stairs
- Hopping / jumping
- prolonged sitting with flexed knees
- kneeling and squatting
- Patellar tilt test
- EXCLUSION CRIETERIA:
- Positive tests/findings on physical examination for knee menisci, ligaments and bursa.
- Chondromalacia patellae
- Individuals with Instability of tibiofemoral joint
- lower extremity surgery
- Rheumatoid arthritis, other connective tissue disorders and congenital deformities.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Pakistan · 1 center
- Foundation University College of Physical Therapy — Islamabad
Identifiers
NCT: NCT07004881 · FUI/CTR/2024/74