Набор скоро начнётся NCT07445607

"Mulligan Technique vs Phonophoresis With Chitosan for Patellofemoral Pain"

Без фазы С лечением Patellofemoral Pain Syndrome

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают: В протоколе указаны: Mulligan technique, Phonophoresis with Chitosan Gel, Standard Physical Therapy Exercise Program.
Кому может быть актуально: Состояния в реестре: Patellofemoral Pain Syndrome. Базовые параметры: 18 лет — 35 лет · Все.
Что важно проверить: Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится: Египет
Следующий шаг: Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →

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Официальное название

Mulligan Technique Vs Phonophoresis With Chitosan Gel on Neuromuscular Control in Patellofemoral Pain Syndrome

Обзор

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.

Вмешательства

Процедура Mulligan technique
Each mobilization with movement (MWM) is performed in three sets of 10 repetitions, with a 30-second rest interval between sets, 3 times per week for 6 weeks, before hip and knee strengthening exercises.
Процедура Phonophoresis with Chitosan Gel
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.
Поведенческое Standard Physical Therapy Exercise Program
Participants attend 3 sessions per week for 6 weeks. Each session includes stretching and hip and knee focused exercises. Progression involves weekly increases in repetitions and resistance based on pain levels (less than 3/10).

Первичные конечные точки

Maximal rate of force development (RFD) [Срок оценки: Baseline and 6 weeks]
Pain at patella [Срок оценки: Baseline and 6 weeks]

Критерии участия

Критерии включения

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)