Effects of Agility Training With and Without Foot Mobilization In Patellofemoral Pain Syndrome.
Effects of Agility Training With and Without Foot Mobilization On Pain, Balance and Functional Performance In Patellofemoral Pain Syndrome.
Riphah International University
42 participants
Jan 4, 2024
INTERVENTIONAL
Conditions
Summary
Patellofemoral pain syndrome (PFPS) is referred to as peripatellar or retro-patellar pain, which is characterized by alterations in the physical and biomechanical features of the patellofemoral joint. Risk factors for PFPS include: anatomic anomalies, mal-alignment and altered biomechanics of the lower extremity, muscle dysfunction, patellar hypermobility, poor quadriceps, or iliotibial band flexibility, surgery, tight lateral structures, training errors or overuse and trauma. The aim of this study is to compare the effects of foot mobilization with and without agility training on pain, balance and functional performance in patellofemoral pain syndrome.
Eligibility
Inclusion Criteria6
- Clinical signs of patellofemoral pain syndrome such as retro patellar pain, crepitation, and pain with patellar grinding more than 6 months.
- Both genders of 20-40 years of age.
- Presence of pain on step down from a 25 step or double leg squat and sitting with knee bent greater than 15 min.
- Pain more than 4 on NPRS scale.
- Individual with anterior left/right asymmetries greater than 4 cm on Y balance test
- Excessive calcaneal eversion measured at 6° in the relaxed posture(6).
Exclusion Criteria4
- History of ligament and meniscal injury.
- History of lower limb fractures.
- History of post-surgical condition of lower limb
- History of systemic, connective tissue or neurologic condition
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Interventions
Agility training with foot mobilization with the frequency of 3 sets of 10 repetitions thrice per week for a total six weeks. Pre and post intervention values will be taken on 1st day and after six weeks. Agility training includes side stepping, braiding activities, and front and back crossover steps during forward ambulation, shuttle walking, multiple changes in direction during walking on therapist command. TJM is a grade III Maitland technique and is applied with a high amplitude from the end range and 1s of vibration in the middle range of the joint through a linear motion to where tissue resistance is felt in the prone position, the patient is supported by a towel placed under the foot. Two sets of 5 min total were performed for 6weeks.
Agility training includes side stepping, braiding activities, and front and back crossover steps during forward ambulation, shuttle walking, multiple changes in direction during walking on therapist command. Comprising of Hot pack and TENS for 10 minutes and Ultrasound for 5 minutes . Comprising of conventional exercises were given for 3 sessions per week for 6 weeks. It includes semi squat, quadriceps isometric, terminal knee extension with elastic band, terminal knee extension in supine position, and adductor squeeze in crook lying (squeeze the ball).
Locations(1)
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NCT06674707