Mobilization With Movement Versus Mulligan Knee Taping Technique on Patellofemoral Pain Syndrome.

NCT04173468 | Completed DMC

• 1 other identifier: RiphahIU Mubara Rehman
• Study Type: interventional
• Target: 34
• Locations: 1 country
• Sites: 1

Brief Summary

This study intends to determine the effects of MWM verses Mulligan knee taping on patellofemoral pain syndrome.

Conditions

Patellofemoral Syndrome

Keywords

Anterior Knee Pain Syndrome

Outcome Measures

Primary Outcomes (9)

• Time up and Go test

  Patients were asked to perform test at usual walking speed .initial testing standardized verbal instruction given to the participant regarding procedure. For performing TUG participants were instructed to walk three meter and then walk back to sit down .Note time on stopwatch .The average of tests trail was measured as the mean of TUG.

  Baseline

• Time up and Go test

  Patients were asked to perform test at usual walking speed .initial testing standardized verbal instruction given to the participant regarding procedure. For performing TUG participants were instructed to walk three meter and then walk back to sit down .Note time on stopwatch .The average of tests trail was measured as the mean of TUG.

  Post 2nd week

• Time up and Go test

  Patients were asked to perform test at usual walking speed .initial testing standardized verbal instruction given to the participant regarding procedure. For performing TUG participants were instructed to walk three meter and then walk back to sit down .Note time on stopwatch .The average of tests trail was measured as the mean of TUG.

  Post 6 week

• Active knee extension test

  Active knee extension test (AKE), is used to assess hamstring length. It was performed while the participant was in supine lying and involved leg was in 90 degree hip flexion. Then participant was asked to extend the knee. For hamstring tightness cut off score AKE angle is 160°. Therefore normal individuals with angle \< 160° were considered as individuals with hamstring tightness. Its reliability is 0.94.

  Baseline

• Active knee extension test:(2nd week)

  Active knee extension test (AKE), is used to assess hamstring length. It was performed while the participant was in supine lying and involved leg was in 90 degree hip flexion. Then participant was asked to extend the knee. For hamstring tightness cut off score AKE angle is 160°. Therefore normal individuals with angle \< 160° were considered as individuals with hamstring tightness. Its reliability is 0.94.

  Post 2nd Week

• Active knee extension test:(6 week)

  Active knee extension test (AKE), is used to assess hamstring length. It was performed while the participant was in supine lying and involved leg was in 90 degree hip flexion. Then participant was asked to extend the knee. For hamstring tightness cut off score AKE angle is 160°. Therefore normal individuals with angle \< 160° were considered as individuals with hamstring tightness. Its reliability is 0.94.

  Post 6th Week

• Sit and reach Test

  Sit and reach test (SRT) is most commonly employed test to measure hamstring flexibility. This tool is used to measure range of hamstring muscle at knee joint.Each participant was instructed to sits on a couch in long sitting position. participants were seated with elongated legs, with hip flexed to 90 degrees and knees were fully extended and the ankles were in relaxed plantar flexion. A measuring ruler/tape was placed,between the feet with 38 cm score was marked tangent to the sole of the feet. Subjects were asked to reach forward with hands one above the other and palms of the hands facing down, while attempting to touch fingertips to toes or as far beyond on measuring tape while keeping the knees straight.

  Baseline

• Sit and reach Test

  Sit and reach test (SRT) is most commonly employed test to measure hamstring flexibility. This tool is used to measure range of hamstring muscle at knee joint.Each participant was instructed to sits on a couch in long sitting position. participants were seated with elongated legs, with hip flexed to 90 degrees and knees were fully extended and the ankles were in relaxed plantar flexion. A measuring ruler/tape was placed,between the feet with 38 cm score was marked tangent to the sole of the feet. Subjects were asked to reach forward with hands one above the other and palms of the hands facing down, while attempting to touch fingertips to toes or as far beyond on measuring tape while keeping the knees straight.

  Post 2nd week

• Sit and reach Test( 6 week)

  Sit and reach test (SRT) is most commonly employed test to measure hamstring flexibility. This tool is used to measure range of hamstring muscle at knee joint.Each participant was instructed to sits on a couch in long sitting position. participants were seated with elongated legs, with hip flexed to 90 degrees and knees were fully extended and the ankles were in relaxed plantar flexion. A measuring ruler/tape was placed,between the feet with 38 cm score was marked tangent to the sole of the feet. Subjects were asked to reach forward with hands one above the other and palms of the hands facing down, while attempting to touch fingertips to toes or as far beyond on measuring tape while keeping the knees straight.

  Post 6th Week

Secondary Outcomes (6)

• NPRS Numeric Pain Rating Scale

  Baseline

• Numeric Pain Rating Scale (NPRS) [ 2nd week]

  Post 2nd week

• Numeric Pain Rating Scale (NPRS) [ 6th week ]

  Post 6th Week

• Kujala pain Rating score:(Baseline)

  Baseline

• Kujala pain Rating scale : (2nd week)

  Post 2nd week

Study Arms (2)

MWM Group

ACTIVE COMPARATOR

This group will receive Mobilization with Movement (MWM) i.e. straight leg raised with traction,Tibial Gliding

Other: Moblization with Movement

Mulligan Taping Group

ACTIVE COMPARATOR

This group will receive Mulligan knee taping

Other: Mulligan knee taping

Interventions

Moblization with Movement OTHER

patients with group 1 will receive two techniques pertaining to MWM intervention (straight leg raised with traction and tibial Gliding) Repeat it 10 times,3 sets and 1 mint interval. .For Tibial Gliding we will asks the patient to perform 10 repetitive active knee extensions. Practice will be performed by doing 10 reps for 3 sets with 1 min interval. After this home exercises will b guided stretching of hamstrings 8 to 10 reps 20 sec hold, strengthening of Quadriceps and VMO with 10 reps and 3 sets

MWM Group

Mulligan knee taping OTHER

patient with group 2 will receive Mulligan taping technique. Tape will be applied for two days then we will change it. After this home based exercise will be guided which is stretching of hamstrings 8 to 10 reps 20 sec hold , strengthening of Quadriceps and VMO with 10 reps and 3 sets.

Mulligan Taping Group

Eligibility Criteria

• Age: 20 Years - 45 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Pain scoring three or more according to Numeric pain Rating scale (NPRS) during at least two activities
• Age between 20 and 45 years
• Both Genders

You may not qualify if:

• Past history of total knee artthroplasty
• Intra articular steroid injection
• Rheumatoid Arthritis
• Use of Assistive devices e.g. canes, walkers and braces
• Knee injury

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Pakistan Railway hospital

Rawalpindi, Punjab Province, 40100, Pakistan

Location

Related Publications (3)

• Demirci S, Kinikli GI, Callaghan MJ, Tunay VB. Comparison of short-term effects of mobilization with movement and Kinesiotaping on pain, function and balance in patellofemoral pain. Acta Orthop Traumatol Turc. 2017 Dec;51(6):442-447. doi: 10.1016/j.aott.2017.09.005. Epub 2017 Oct 17.

  PMID: 29054803 BACKGROUND

• Hickey A, Hopper D, Hall T, Wild CY. The Effect of the Mulligan Knee Taping Technique on Patellofemoral Pain and Lower Limb Biomechanics. Am J Sports Med. 2016 May;44(5):1179-85. doi: 10.1177/0363546516629418. Epub 2016 Feb 22.

  PMID: 26903215 BACKGROUND

• Callaghan MJ, Selfe J. Patellar taping for patellofemoral pain syndrome in adults. Cochrane Database Syst Rev. 2012 Apr 18;2012(4):CD006717. doi: 10.1002/14651858.CD006717.pub2.

  PMID: 22513943 BACKGROUND

MeSH Terms

Conditions

Patellofemoral Pain Syndrome

Interventions

Movement

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases

Intervention Hierarchy (Ancestors)

Physiological Phenomena; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Huma Riaz, PHD*

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: This study will be single blinded randomized control trail, participants will be unaware of treatment groups, they will be randomly allocated through sealed envelope method.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: There will be two groups of participant. One group will receive MWM along with conventional therapy and the second group group will receive Mulligan knee taping along with conventional therapy.

Study Record Dates

• First Submitted: November 20, 2019
• First Posted: November 22, 2019
• Study Start: September 1, 2019
• Primary Completion: December 20, 2019
• Study Completion: December 31, 2019
• Last Updated: January 18, 2020

Record last verified: 2020-01

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)