Comparing the Effects of Positional Release Technique Versus Myofascial Release Technique of Gluteus Medius

Patellofemoral Pain Syndrome Clinical Trial

Official title:

Comparing the Effects of Positional Release Technique Versus Myofascial Release Technique of Gluteus Medius in the Management of Patellofemoral Pain Syndrome - A Randomized Control Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04667091
• Other study ID #: IRB-1542
• Status: Completed
• Phase: N/A
• Start date: December 7, 2020
• Est. completion date: March 24, 2021

Study information

• Verified date: March 2021
• Source: Dow University of Health Sciences
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Patellofemoral pain syndrome is a condition of misleading diagnosis. It mostly affects individuals with ages between 18-40 years. It is believed that much work has been done on the joint itself in treating the Quadriceps muscles and triggers related to it but now literature is focusing on the segmental involvement, where weakness of the hip abductors and lateral rotators play a major role. Therefore, interventions used for treating this syndrome should include on focusing the hip muscles for trigger point therapy as well as strengthening them in increasing the stability of the hip and pelvis to reduce excessive valgus forces on the knee.

Description:

Literature regarding Gluteus Medius trigger point is quite scarce especially in alleviating the pain related to Patellofemoral Pain Syndrome. The management of Patellofemoral Pain Syndrome includes a segmental treatment, giving special focus to the lateral rotators and abductors of the hip especially Gluteus Medius muscle, rather than treating the Patellofemoral Joint itself. It will help in improving the pain of the subjects suffering from this syndrome effectively, and within a shorter duration of time. It will also provide the practicing physiotherapist with an insight for treating such patients with better outcomes. Myofascial Trigger Points of the Gluteus Medius are important contributing factors in the management of Patellofemoral Pain Syndrome which is identified in a single study as per author's knowledge. But the treatment used to release the trigger point of Gluteus Medius in managing this syndrome has not yet been explored. So, this study will compare two well-known treatments in comprehending which one of the two techniques have better effects on the population to be studied. Written consent will be taken from all the study participants. Simple randomization technique will be used through "Randomization Main" software and randomization sheet will be generated. 60 participants with patellofemoral pain syndrome having Gluteus Medius trigger point will be randomly allocated in two equal group.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 60
• Est. completion date: March 24, 2021
• Est. primary completion date: March 15, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 40 Years

Eligibility

Inclusion Criteria:

• Anterior knee pain >1month and <3 month
• Pain in activities like ascending & descending stairs, running or sports activity & prolonged sitting
• Presence of Gluteus Medius trigger point in the affected limb
• Age group 18-40 years
• Both genders

Exclusion Criteria:

• Dislocation of Patella
• Damaged cartilage and ligament of Knee Joint
• Soft tissue injury related to Knee
• Any knee or hip surgery
• Lumbar spine dysfunction
• Sacroiliac joint dysfunction
• Pelvic malalignment
• Flat foot
• Chondromalacia patellae
• Young onset Osteoarthritis

Related Conditions & MeSH terms

• Patellofemoral Pain Syndrome
• Syndrome

Intervention

Other:
• Physiotherapy
Treatment will be given in 3 sessions per week for 6 weeks with home exercise program and participants will be provided with exercises sheets to remember the exercises. The selected outcome measure will be taken on baseline (initial visit) and 6th week (post intervention)

Locations

Country	Name	City	State
Pakistan	Sindh Institute of Physical Medicine and Rehabilitation, Karachi	Karachi	Sindh

Sponsors (1)

Lead Sponsor	Collaborator
Dow University of Health Sciences

Country where clinical trial is conducted

Pakistan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Anterior Knee pain Scale	It is 13-item questionnaire with different categories relating various levels of individual's current knee function. Score ranges from 1 representing severe disability to 100 representing no disability.	Baseline and end of intervention (6th week)
Primary	Visual Analog Scale	A subjective psychometric response scale used to measure discrete behavioral or physiological phenomena based on linear numerical gradient in measuring the intensity of pain.	Baseline and end of intervention (6th week)
Primary	Pain Pressure Threshold	It is the amount of direct pressure required in eliciting a response in pain on a selected area obtained by an Algometer in kilograms (kg.)	Baseline and end of intervention (6th week)
Secondary	Muscle strength	In kilograms (kg.) obtained by Hand Held Dynamometer	Baseline and end of intervention (6th week)
Secondary	World Health Organization Quality of Life Questionnaire- Brief	An integrated instrument used to evaluate health related quality of life. It is a 26-item version of the WHOQOL-100 assessment.	Baseline and end of intervention (6th week)