Ilium Mobilization in Patellofemoral Pain Syndrome Treatment

Patellofemoral Pain Syndrome Clinical Trial

Official title:

Efficacy of Adding Posterior Ilium Mobilization to Treatment of Patellofemoral Pain Syndrome

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05708495
• Other study ID #: Ilium mobilization
• Status: Recruiting
• Phase: N/A
• Start date: February 1, 2023
• Est. completion date: December 1, 2023

Study information

• Verified date: January 2023
• Source: Cairo University
• Contact: Labib M Ghali, MSc
• Phone: 00201201991948
• Email: labibmousa7[@]cu.ed.eg
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Aim of the study is to investigate the effect of adding posterior ilium mobilization on knee pain, knee function, anterior pelvic tilt, dynamic knee valgus, muscle strength of extensors, abductors and external rotators of hip and knee extensors in patients with patellofemoral pain syndrome.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 42
• Est. completion date: December 1, 2023
• Est. primary completion date: November 1, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 35 Years

Eligibility

Inclusion Criteria:

1. Age of the subjects between 18-35 years.

2. BMI will be = 29.5

3. Anterior or retro patellar knee pain for at least 6 weeks duration.

4. Foot posture index score from +6 to +12.

5. Anterior pelvic tilt angle more than 8 degree.

6. Pain elicited at least by two of the following four tests; (i) Isometric muscle contraction with slight bent knee,(ii) palpation of the patellofemoral joint line, (iii) patellar compression against the femoral bone (iv) active resisted knee extension.

7. Pain intensity more than 3 at ANPS and provoked by at least two of the following activities: running, walking, hopping, squatting, stair negotiation, kneeling, or prolonged sitting.

Exclusion Criteria:

1. Meniscal or other intraarticular pathologic conditions; cruciate or collateral ligament involvement.

2. A history of traumatic patellar subluxation or dislocation.

3. Previous surgery in the knee, ankle and hip joints.

4. Knee, ankle and hip joints osteoarthritis.

5. Taking non-steroidal anti-inflammatory drugs or corticosteroids within 24 h before the test.

6. History of brain injury or vestibular disorder within the last 6 months.

7. Pregnant female.

Related Conditions & MeSH terms

• Patellofemoral Pain Syndrome
• Somatoform Disorders
• Syndrome

Intervention

Other:
• posterior ilium mobilization
the therapist will mobilize the innominate on the affected side posteriorly
• strengthening and stretching exercises
the participants will receive strengthening exercises on the hip and knee joint beside that they will receive stretching exercises

Locations

Country	Name	City	State
Egypt	Faculty of Physical Therapy, Cairo University	Giza

Sponsors (1)

Lead Sponsor	Collaborator
Cairo University

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Changes in pain	Arabic Numeric pain scale (ANPS) will be used to assess pain changes during walking, hopping, squatting, stair negotiation, kneeling, or prolonged sitting.	It will be assessed at baseline and after 4 weeks
Primary	Changes in knee functional disability	The Arabic version of Anterior knee pain scale (AKPS) will be used to assess the knee functional disability	It will be assessed at baseline and after 4 weeks
Secondary	Changes in hip abductors strength	Handheld dynamometer will be used to assess changes in muscle strength	It will be assessed at baseline and after 4 weeks
Secondary	Changes in hip extensors strength	Handheld dynamometer will be used to assess changes in muscle strength	It will be assessed at baseline and after 4 weeks
Secondary	Changes in hip external rotators strength	Handheld dynamometer will be used to assess changes in muscle strength	It will be assessed at baseline and after 4 weeks
Secondary	Changes in knee extensors strength	Handheld dynamometer will be used to assess changes in muscle strength	It will be assessed at baseline and after 4 weeks
Secondary	Changes in dynamic knee valgus	Cell phone Camera, tripod device and Kinovea Computer Program (KCP) will be used to assess knee frontal plane projection angle to detect changes in knee valgus during step down test	It will be assessed at baseline and after 4 weeks
Secondary	Changes in pelvic tilt angle	Palpation Meter (PALM) will be used to assess changes in pelvic tilt angle	It will be assessed at baseline and after 4 weeks