Comparison of Effects of Mobilization With Movement and Kinesiotaping in Patellofemoral Pain Syndrome

NCT02707679 | Completed

• 1 other identifier: LUT 12/175
• Study Type: interventional
• Target: 35
• Locations: 0 countries
• Sites: N/A

Brief Summary

Patellofemoral Pain Syndrome (PFPS), also known as the anterior knee pain, is one of the most common musculoskeletal disorders. Most of the patients suffer from knee pain for long time. The aim of this study was to investigate the short-term effects of Mobilization with movement and Kinesiotaping on pain, function and balance in patient with PFPS.

Conditions

Patellofemoral Pain Syndrome

Keywords

Knee; Mobilization; Taping; Function; Balance

Outcome Measures

Primary Outcomes (1)

• Knee pain measured with Visual Analog Scale

  Patient's knee pain was measured with Visual Analog Scale

  6 weeks

Secondary Outcomes (6)

• Knee joint range of motion was measured Universal goniometer.

  6 weeks

• Balance measured with Y- Balance Test

  6 weeks

• Function was measured with 10-step-ascent & descent stair-climbing test.

  6 weeks

• Function was measured Kujala patellofemoral scoring system

  6 weeks

• Function was measured with timed up&go test

  6 weeks

Study Arms (2)

Effects of Mulligan's Mobilization

OTHER

The patients in this arm (n=18) received two techniques pertaining to Mulligan's Mobilization with movement approach (Mulligan's Straight Leg-Raise with Traction and Tibial Gliding) along with an exercise therapy. Patients received 4 sessions of treatment twice a week for a period of 2 weeks and followed up in accordance with a 6-week-home exercise program. Primary outcomes: pain severity, knee range of motion, hamstring flexibility, and physical performance (10-step stair climbing test, timed up and go test), Kujala Patellofemoral Pain Scoring and Y-Balance test were assessed before the treatment, 45 minutes after the initial treatment, at the end of the 4-session-treatment during 2-week period and 6 weeks later.

Other: Mulligan's Straight leg-raise with traction; Other: Mulligan's Mobilization with Movement; Other: Exercise

Effects of Kinesiotaping

OTHER

Patients in this arm were applied kinesiotaping on quadriceps and hamstring muscle along with an exercise therapy. Patients received 4 sessions of treatment twice a week for a period of 2 weeks and followed up in accordance with a 6-week-home exercise program. The same assessment parameters was conducted on this arm too.

Other: Kinesiotaping; Other: Exercise

Interventions

Mulligan's Straight leg-raise with traction OTHER

Mulligan's Straight leg raise technique was performed on patients with patellofemoral pain syndrome. The extremity on which the practice would be performed in supine position was grasped from the ankle level and was, then, subjected to traction longitudinally. Afterwards, the knee was lifted up passively while in extension and was kept for waiting for a few seconds at the point where tension was felt and was, then, returned to its initial position. The practice was repeated 10 times, and 3 sets of practice at 1-minute-intervals were performed.

Effects of Mulligan's Mobilization

Mulligan's Mobilization with Movement OTHER

Mulligan's Mobilization with Movement technique was performed on patients with patellofemoral pain syndrome. Each patient was tested in every direction in the course of the active knee flexion-extension movement so as to find out the best pain-free tibial gliding direction (medial-lateral part of the tibia, anterior-posterior, internal-external rotation). At the time of the active movement of the knee, the tibial gliding direction where pain was felt at the least was selected as the treatment direction of mobilization technique along with movement. The practice was performed by doing 10 repetitions for 3 sets and by providing 1-minute-resting time between the sets.

Effects of Mulligan's Mobilization

Kinesiotaping OTHER

Kinesiotaping was applied on patient with patellofemoral pain syndrome. To maintain proprioceptive stimulation in the quadriceps (from origo towards insertio) and to alleviate the tension of hamstring muscle, a 'Y''-shaped kinesiotape was applied by using the muscle technique.

Effects of Kinesiotaping

Exercise OTHER

All the patients were provided with several exercises within the scope of the home exercise program, such as hamstring muscle stretching, quadriceps isometric exercises, 4-way-strengthening with exercise elastic bands for the muscles of the hip, knee locking on foot and mini-squatting exercises. They were asked to do these exercises in 3 sets a day along with 10 repetitions for a period of 6 weeks.

Effects of Kinesiotaping; Effects of Mulligan's Mobilization

Eligibility Criteria

• Age: 20 Years - 45 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• having knee pain at least 3 months and more than 3 points according to visual analog scale

You may not qualify if:

• no complying to the rehabilitation
• if patient wants to finished and want to complete study, they were excluded
• having meniscus, bursa, ligament, patellar tendon lesions, patellofemoral dislocation and/or recurrent subluxation, undergone lower extremity surgery

Sponsors & Collaborators

• Hacettepe University: lead

Related Publications (3)

• Djordjevic OC, Vukicevic D, Katunac L, Jovic S. Mobilization with movement and kinesiotaping compared with a supervised exercise program for painful shoulder: results of a clinical trial. J Manipulative Physiol Ther. 2012 Jul;35(6):454-63. doi: 10.1016/j.jmpt.2012.07.006. Epub 2012 Aug 24.

  PMID: 22921332 RESULT

• Kuru T, Yaliman A, Dereli EE. Comparison of efficiency of Kinesio(R) taping and electrical stimulation in patients with patellofemoral pain syndrome. Acta Orthop Traumatol Turc. 2012;46(5):385-92. doi: 10.3944/aott.2012.2682.

  PMID: 23268824 RESULT

• Collado H, Fredericson M. Patellofemoral pain syndrome. Clin Sports Med. 2010 Jul;29(3):379-98. doi: 10.1016/j.csm.2010.03.012.

  PMID: 20610028 RESULT

MeSH Terms

Conditions

Patellofemoral Pain Syndrome

Interventions

Traction; Movement; Exercise

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases

Intervention Hierarchy (Ancestors)

Orthopedic Procedures; Surgical Procedures, Operative; Physiological Phenomena; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena; Motor Activity

Study Officials

• Volga Bayrakcı Tunay, Prof.

  supervisor of the study

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Asistant

Study Record Dates

• First Submitted: March 2, 2016
• First Posted: March 14, 2016
• Study Start: May 1, 2013
• Primary Completion: August 1, 2015
• Study Completion: August 1, 2015
• Last Updated: March 15, 2016

Record last verified: 2016-03

Data Sharing

• IPD Sharing: Will share