RecruitingNot ApplicableNCT07004881

Comparison Between the Effects of Mulligan and Maitland Mobilization on Patellofemoral Pain Syndrome


Sponsor

Foundation University Islamabad

Enrollment

40 participants

Start Date

Jul 15, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

This study is a randomised control trial and the purpose of this study is to investigate and compare the "Effects of Maitland mobilizations and Mulligan Mobilization With Movement (MWM) in patients with Patellofemoral Pain Syndrome


Eligibility

Min Age: 18 YearsMax Age: 40 Years

Inclusion Criteria17

  • Referred patients from rehabilitation, orthopedic and rheumatology department
  • Both males and females of age 18-40 years
  • Having pain from at least 2 months.
  • Pain score ≥ 3 on NPRS.
  • Pain on palpation of medial or lateral Patellar facet. (12, 13)
  • Retro patellar pain in at least two of the following activities:
  • Ascending , descending stairs
  • Hopping / jumping
  • prolonged sitting with flexed knees
  • kneeling and squatting
  • Patellar tilt test
  • EXCLUSION CRIETERIA:
  • Positive tests/findings on physical examination for knee menisci, ligaments and bursa.
  • Chondromalacia patellae
  • Individuals with Instability of tibiofemoral joint
  • lower extremity surgery
  • Rheumatoid arthritis, other connective tissue disorders and congenital deformities.

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Interventions

PROCEDUREGroup A (Active Comparator) Mulligan's Mobilization With Movement (MWM)

This group will receive two techniques of mulligan i.e. Medial Patellar Glide relative to femoral trochlea and other is tibial internal rotation relative to femoral condyles.In Medial Patellar Glide; patient is positioned supine with 40 degree knee flexion. Stabilizing hand of therapist stabilizes the posterior aspect of tibia and fibula and with mobilizing hand, the therapist gently glides the patella medially. With that, the patient is asked to actively flex and then extend the knee. In the tibial internal rotation technique; similarly the patient is positioned supine with 40 degree knee flexion. Stabilizing hand of therapist stabilizes t After mobilization; following exercises are to be performed all in 3 sets of 7 repetitions: 1. Side-lying hip abduction 2. Clamshell exercises 3. Quadriceps setting exercise 4. Vastus Medialis Oblique strengthening 5. Mini squats 6. Hamstring stretch 7. Iliotibial band stretch

PROCEDUREGroup B(Experimental) Maitland's Patellar Mobilizations

For all the mobilizations the patient is positioned either in supine or sitting with 30-0 degree knee flexion or full knee extension. The therapist holds patella between his/her thumb and index finger and glides it cranially (Superior Patellar glide), caudally (Inferior Patellar Glide) and medially (Medial Patellar Glide). The fourth one i.e. Patellofemoral Distraction is given by grasping the patella between two fingers and lifting it above/away from underlying femoral trochlea. All 4 of these techniques are repeated 10 times with total 3 sets. 3 sessions are performed in a week on alternate days. Total duration of interventions is 2 weeks. Both groups receive similar exercises therapy following mobilizations.


Locations(1)

Foundation University College of Physical Therapy

Islamabad, Pakistan

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NCT07004881


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