Muscle Energy Technique With and Without Patellar Inferior Glide in Patients With 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: Conventional Traetment, Muscle Energy Technique and Patellar Inferior Glide.
- Who it may be relevant to
- Registry conditions: Patellofemoral Pain Syndrome. Basic parameters: 20 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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Official title
Effects of Muscle Energy Technique With and Without Patellar Inferior Glide on Pain, Range of Motion and Disability in Patients With Patellofemoral Pain Syndrome
Overview
Patellofemoral pain syndrome (PFPS) is one of the most commonly diagnosed conditions among adolescents and adults with knee complaints, accounting for approximately 25% of knee disorders diagnosed in sports medical clinics. While the etiology of PFPS is suggested to be multifactorial, several contributing factors such as lower knee extensors strength, quadriceps imbalance, weak hip abductors and overuse have been identified.
Detailed description
This study will be a randomized clinical trial and will be conducted in RIMS Rehabilitation Center Multan and Hadi Physiotherapy Center Multan. Non-probability convenient sampling will be used to collect the data. Sample size of 36 subjects with age group 20-40 years will be taken. Data will be collected from the patients having patellofemoral pain syndrome. Outcome measures will be taken using Numeric pain rating scale (NPRS) for pain, Universal Goniometer (GU) for Range of motion and Kujala Anterior Knee Pain Scale (AKPS) for disability. An informed consent will be taken. Subjects will be selected on the basis of inclusion and exclusion criteria and will be equally divided into two groups by random number generator table. Group A will receive muscle energy technique and patellar inferior glide and conventional physical therapy while group B will receive muscle energy technique and conventional treatment. Outcome measures will be measured at baseline and after 4 weeks. Data analysis will be done by SPSS version 25.
Interventions
- Other Conventional Traetment
TENS applied for 10 minutes, Therapeutic ultrasound,Hip abductors and lateral rotators strengthening, Hamstring muscle passive stretching, Isometrics for quadriceps, given thrice a week for 4 weeks . - Other Muscle Energy Technique and Patellar Inferior Glide
Muscle Energy Technique for Hamstrings and Quadriceps While the patient contract muscle (Hamstring / Quadriceps) the therapist applies a gentle controlled force. After the contraction patient release and the therapist reposition the leg into a new barrier. Intensity of contraction will be 20-25-% of maximum strength. Each contraction will be held for 5-7 seconds, followed by additional passive stretching maintained for 30 and the relaxation patellar inferior glide applied at patella: the examine
Primary outcome measures
- Numerical Pain Rating Scale (NPRS) [Time frame: upto 4 weeks]
- Universal Goniometer [Time frame: upto 4 weeks]
- Kujala Anterior Knee Pain Scale (AKPS) [Time frame: upto 4 weeks]
Eligibility criteria
Inclusion criteria
- Individuals with age 20-40Years
- Pain rating > 3 and < 7 on NPRS
- Patella alta confirmed with ISI (Insall Salvati index) ratio > 1.2 on lateral knee radiograph
- Positive Ely's test for rectus femoris tightness
- Positive eccentric step test
Exclusion criteria
- History of patellofemoral dislocation
- Knee osteoarthritis
- Recently undergo to surgery to knee
- Fracture in knee region
- Positive patellar tap test for knee joint effusion
- Lateral and medial tracking of patella
- Patients taking NSAIDs and corticosteroids
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
- Rims Rehabilitation Centre — Multan Khurd
Publications
- Widhiantari NKE, Widnyana M, Jawi IM. Risk factors of the patellofemoral pain syndrome. Kinesiology and Physiotherapy Comprehensive. 2023;2(3):74-80.
- Leon-Morillas F, Garcia-Marin M, Corujo-Hernandez C, Martin Aleman M, Castellote-Caballero Y, Cahalin LP, Infante-Guedes A, Cruz-Diaz D. Evaluating the Impact of Flossing Band Integration in Conventional Physiotherapy for Patellofemoral Pain Syndrome. J Clin Med. 2024 May 17;13(10):2958. doi: 10.3390/jcm13102958. PMID 38792499
- Abd Elhady AM, Abd Elmajeed SF, Abd Allah WA, Abd Elhamed HB. Knee Alignment-Oriented Balance Exercises Versus Conventional Balance Exercises in Treating Patellofemoral Pain Syndrome. The Egyptian Journal of Hospital Medicine (January 2024).94:975-81.
- Raju A, Jayaraman K, Nuhmani S, Sebastian S, Khan M, Alghadir AH. Effects of hip abductor with external rotator strengthening versus proprioceptive training on pain and functions in patients with patellofemoral pain syndrome: A randomized controlled trial. Medicine (Baltimore). 2024 Feb 16;103(7):e37102. doi: 10.1097/MD.0000000000037102. PMID 38363950
- Mv VK, Subramanian NB, S S, Kotamraju S, Krishnan M. Physiotherapeutic interventions on quadriceps muscle architecture in patello-femoral pain syndrome. Bioinformation. 2023 Apr 30;19(4):454-459. doi: 10.6026/97320630019454. eCollection 2023. PMID 37822824
- Veeresh G, Kumar SS, Sasidharan S. MANUAL THERAPY FOR PATELLOFEMORAL PAIN SYNDROME REVIEW OF LITERATURE. EPRA International Journal of Multidisciplinary Research (IJMR). 2024;10(5):298-309.
Identifiers
NCT: NCT07064044 · REC/RCR &AHS/24/0162 Tayba