Muscle Energy Technique With and Without Patellar Inferior Glide in Patients With Patellofemoral Pain Syndrome

Riphah International University

Status: Not yet enrolling

Conditions: Patellofemoral Pain Syndrome

Treatments: Other: Muscle Energy Technique and Patellar Inferior Glide; Other: Conventional Traetment

Study type: Interventional

Funder types: Other

Identifiers

NCT07064044

REC/RCR &AHS/24/0162 Tayba

Details and patient eligibility

About

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.

Full 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.

Enrollment: 36 estimated patients

Sex: All

Ages: 20 to 40 years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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36 participants in 2 patient groups

Muscle Energy Technique and Patellar Inferior Glide

Experimental group

Description:

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 examiner applied a gentle downward force on the patella with their right hand, while the left hand controlled the direction of the patella's movement. This will be applied for 3-4 minutes as tolerated by the patient.

Treatment:

Other: Muscle Energy Technique and Patellar Inferior Glide

Conventional Physiotherapy treatment

Active Comparator group

Description:

TENS applied, Ultrasound therapeutic modality applied, Hip and knee muscles strengthening exercises

Treatment:

Other: Conventional Traetment