Comparison Between the Effects of Mulligan and Maitland Mobilization on Patellofemoral Pain Syndrome

Foundation University Islamabad

Status: Enrolling

Conditions: Patellofemoral Pain Syndrome

Treatments: Procedure: Group B(Experimental) Maitland's Patellar Mobilizations; Procedure: Group A (Active Comparator) Mulligan's Mobilization With Movement (MWM)

Study type: Interventional

Funder types: Other

Identifiers

NCT07004881

FUI/CTR/2024/74

Details and patient eligibility

About

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

Full 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

Enrollment: 40 estimated patients

Sex: All

Ages: 18 to 40 years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion 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.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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40 participants in 2 patient groups

Mulligan Mobilization with Movement

Active Comparator group

Description:

Mulligan Mobilization with Movement 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. Both the techniques are repeated 10 times with total 3 sets. 3 sessions are performed in a week on alternate days. Total duration of interventions is 2 weeks. After mobilization, following exercises are to be performed all in 3 sets of 7 repetitions: 1. Side-lying hip abduction 2. Clamshell exercises 3. Quadriceps setting exercise 4. Vastus Medialis Oblique strengthening 5. Mini squats 6. Hamstring stretch 7. Iliotibial band stretch

Treatment:

Procedure: Group A (Active Comparator) Mulligan's Mobilization With Movement (MWM)

Maitland Mobilization

Experimental group

Description:

Maitland Mobilization This group recieves 4 patellar mobilization tehniques given by Maitland. 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 techniques are repeated 10 times with total 3 sets. 3 sessions are performed in a week on alternate days. Total duration of interventions is 2 weeks. After mobilization; 3 sets of 7 repetitions: 1. Side-lying hip abduction 2. Clamshell exercises 3. Quadriceps setting exercise 4. Vastus Medialis Oblique strengthening 5. Mini squats 6. Hamstring stretch 7. Iliotibial band stretch

Treatment:

Procedure: Group B(Experimental) Maitland's Patellar Mobilizations