Muscle Energy Technique With and Without Patellar Inferior Glide in Patients With Patellofemoral Pain Syndrome

NCT07064044 | Not Yet Recruiting

• 1 other identifier: REC/RCR &AHS/24/0162 Tayba
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

Patellofemoral pain syndrome (PFPS) is one of the most commonly diagnosed conditions among adolescents and adults with knee complaints, accounting for approximately 25% of knee disorders diagnosed in sports medical clinics. While the etiology of PFPS is suggested to be multifactorial, several contributing factors such as lower knee extensors strength, quadriceps imbalance, weak hip abductors and overuse have been identified.

Conditions

Patellofemoral Pain Syndrome

Keywords

Pain; Disability; Range of motion

Outcome Measures

Primary Outcomes (3)

• Numerical Pain Rating Scale (NPRS)

  The Numeric Pain Rating Scale (NPRS) is perhaps the most frequently applied scale used to quantify pain intensity in the clinical setting. It is an 11-point numeric scale, ranging from 0 indicating no pain to 10 indicating worst pain imaginable

  upto 4 weeks

• Universal Goniometer

  Universal goniometer (UG) is commonly used as a standard method to evaluate range of motion (ROM) as part of joint motions.

  upto 4 weeks

• Kujala Anterior Knee Pain Scale (AKPS)

  The Kujala patellofemoral scoring system is a tool used to assess the functional ability of the knee joint, specifically in relation to patellofemoral-related issues. This scoring system ranges from 0 to 100, with higher scores indicating better knee function and less pain, while lower scores indicate greater dysfunction and more severe pain.

  upto 4 weeks

Study Arms (2)

Muscle Energy Technique and Patellar Inferior Glide

EXPERIMENTAL

Muscle Energy Technique for Hamstrings and Quadriceps While the patient contract muscle (Hamstring / Quadriceps) the therapist applies a gentle controlled force. After the contraction patient release and the therapist reposition the leg into a new barrier. Intensity of contraction will be 20-25-% of maximum strength. Each contraction will be held for 5-7 seconds, followed by additional passive stretching maintained for 30 and the relaxation patellar inferior glide applied at patella: the examiner applied a gentle downward force on the patella with their right hand, while the left hand controlled the direction of the patella's movement. This will be applied for 3-4 minutes as tolerated by the patient.

Other: Muscle Energy Technique and Patellar Inferior Glide

Conventional Physiotherapy treatment

ACTIVE COMPARATOR

TENS applied, Ultrasound therapeutic modality applied, Hip and knee muscles strengthening exercises

Other: Conventional Traetment

Interventions

Conventional Traetment OTHER

TENS applied for 10 minutes, Therapeutic ultrasound,Hip abductors and lateral rotators strengthening, Hamstring muscle passive stretching, Isometrics for quadriceps, given thrice a week for 4 weeks .

Conventional Physiotherapy treatment

Muscle Energy Technique and Patellar Inferior Glide OTHER

Muscle Energy Technique for Hamstrings and Quadriceps While the patient contract muscle (Hamstring / Quadriceps) the therapist applies a gentle controlled force. After the contraction patient release and the therapist reposition the leg into a new barrier. Intensity of contraction will be 20-25-% of maximum strength. Each contraction will be held for 5-7 seconds, followed by additional passive stretching maintained for 30 and the relaxation patellar inferior glide applied at patella: the examiner applied a gentle downward force on the patella with their right hand, while the left hand controlled the direction of the patella's movement. This will be applied for 3-4 minutes as tolerated by the patient.

Muscle Energy Technique and Patellar Inferior Glide

Eligibility Criteria

• Age: 20 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Individuals with age 20-40Years
• Pain rating \> 3 and \< 7 on NPRS
• Patella alta confirmed with ISI (Insall Salvati index) ratio \> 1.2 on lateral knee radiograph
• Positive Ely's test for rectus femoris tightness
• Positive eccentric step test

You may not qualify if:

• History of patellofemoral dislocation
• Knee osteoarthritis
• Recently undergo to surgery to knee
• Fracture in knee region
• Positive patellar tap test for knee joint effusion
• Lateral and medial tracking of patella
• Patients taking NSAIDs and corticosteroids

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Rims Rehabilitation Centre

Multan Khurd, Punjab Province, 54000, Pakistan

Location

Related Publications (6)

• Widhiantari NKE, Widnyana M, Jawi IM. Risk factors of the patellofemoral pain syndrome. Kinesiology and Physiotherapy Comprehensive. 2023;2(3):74-80.

  BACKGROUND

• Leon-Morillas F, Garcia-Marin M, Corujo-Hernandez C, Martin Aleman M, Castellote-Caballero Y, Cahalin LP, Infante-Guedes A, Cruz-Diaz D. Evaluating the Impact of Flossing Band Integration in Conventional Physiotherapy for Patellofemoral Pain Syndrome. J Clin Med. 2024 May 17;13(10):2958. doi: 10.3390/jcm13102958.

  PMID: 38792499 BACKGROUND

• Abd Elhady AM, Abd Elmajeed SF, Abd Allah WA, Abd Elhamed HB. Knee Alignment-Oriented Balance Exercises Versus Conventional Balance Exercises in Treating Patellofemoral Pain Syndrome. The Egyptian Journal of Hospital Medicine (January 2024).94:975-81.

  BACKGROUND

• Raju A, Jayaraman K, Nuhmani S, Sebastian S, Khan M, Alghadir AH. Effects of hip abductor with external rotator strengthening versus proprioceptive training on pain and functions in patients with patellofemoral pain syndrome: A randomized controlled trial. Medicine (Baltimore). 2024 Feb 16;103(7):e37102. doi: 10.1097/MD.0000000000037102.

  PMID: 38363950 BACKGROUND

• Mv VK, Subramanian NB, S S, Kotamraju S, Krishnan M. Physiotherapeutic interventions on quadriceps muscle architecture in patello-femoral pain syndrome. Bioinformation. 2023 Apr 30;19(4):454-459. doi: 10.6026/97320630019454. eCollection 2023.

  PMID: 37822824 BACKGROUND

• Veeresh G, Kumar SS, Sasidharan S. MANUAL THERAPY FOR PATELLOFEMORAL PAIN SYNDROME REVIEW OF LITERATURE. EPRA International Journal of Multidisciplinary Research (IJMR). 2024;10(5):298-309.

  BACKGROUND

MeSH Terms

Conditions

Patellofemoral Pain Syndrome; Pain

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Samrood Akram, PhD*

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Samrood Akram, PhD Scholar

CONTACT

03324806143; samrood.akram@riphah.edu.pk.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 3, 2025
• First Posted: July 14, 2025
• Study Start: July 1, 2025
• Primary Completion: October 1, 2025
• Study Completion: October 1, 2025
• Last Updated: July 14, 2025

Record last verified: 2025-07

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)