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

NCT04667091 | Completed

• 1 other identifier: IRB-1542
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief 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.

Conditions

Patellofemoral Pain Syndrome

Keywords

Anterior knee pain; Gluteus medius; trigger point therapy

Outcome Measures

Primary Outcomes (3)

• 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)

• 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)

• 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 Outcomes (2)

• Muscle strength

  Baseline and end of intervention (6th week)

• World Health Organization Quality of Life Questionnaire- Brief

  Baseline and end of intervention (6th week)

Study Arms (2)

Experimental

EXPERIMENTAL

Following physiotherapy will be given to the participants in this group for 6 weeks, 2 times a week: 1\. Positional Release Technique 2. Ultrasound 3. Cold Packs 4. Hip Strengthening Exercises 5. Knee Strengthening exercises

Other: Physiotherapy

Comparator

ACTIVE COMPARATOR

Following physiotherapy will be given to the participants in this group for 6 weeks, 2 times a week: 1\. Myofascial Release Technique 2. Ultrasound 3. Cold Packs 4. Hip Strengthening Exercises 5. Knee Strengthening exercises

Other: Physiotherapy

Interventions

Physiotherapy OTHER

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)

Comparator; Experimental

Eligibility Criteria

• Age: 18 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• 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

You may not qualify if:

• 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

Sponsors & Collaborators

• Dow University of Health Sciences: lead

Study Sites (1)

Sindh Institute of Physical Medicine and Rehabilitation, Karachi

Karachi, Sindh, 74200, Pakistan

Location

Related Publications (1)

• Kumar PR, Soomro RR. Comparing the effects of positional versus myofascial release of gluteus medius to manage patellofemoral pain syndrome: single blinded randomized clinical trial. J Pak Med Assoc. 2024 Feb;74(2):216-223. doi: 10.47391/JPMA.8654.

  PMID: 38419216 DERIVED

MeSH Terms

Conditions

Patellofemoral Pain Syndrome

Interventions

Physical Therapy Modalities

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases

Intervention Hierarchy (Ancestors)

Therapeutics; Rehabilitation

Study Officials

• Priyanka Kumar, MSAPT

  Dow University of Health Sciences

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Single blinding will be used in which only the researcher doing the study knows which treatment or intervention the participant is receiving until the trial is over.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Dr. Priyanka Ratan Kumar (PT)

Study Record Dates

• First Submitted: December 3, 2020
• First Posted: December 14, 2020
• Study Start: December 7, 2020
• Primary Completion: March 15, 2021
• Study Completion: March 24, 2021
• Last Updated: March 25, 2021

Record last verified: 2021-03

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP
• Time Frame: Results will be explored through publications.
• Access Criteria: Results will be explored through publications.

Locations

PA (1)