Ilium Mobilization in Patellofemoral Pain Syndrome Treatment

• Sponsor: Cairo University (Other)
• Overall Status: Recruiting
• CT.gov ID: NCT05708495
• Collaborator: (none)
• Enrollment: 42
• Location: 1
• Arms: 2
• Anticipated Duration (Months): 10
• Patients Per Site Per Month: 4.2

Study Details

Study Description

Brief Summary

Aim of the study is to investigate the effect of adding posterior ilium mobilization on knee pain, knee function, anterior pelvic tilt, dynamic knee valgus, muscle strength of extensors, abductors and external rotators of hip and knee extensors in patients with patellofemoral pain syndrome.

Condition or Disease	Intervention/Treatment	Phase
Patellofemoral Pain Syndrome	Other: posterior ilium mobilization; Other: strengthening and stretching exercises	N/A

Study Design

• Study Type: Interventional
• Anticipated Enrollment: 42 participants
• Allocation: Randomized
• Intervention Model: Parallel Assignment
• Masking: Triple (Participant, Investigator, Outcomes Assessor)
• Primary Purpose: Treatment
• Official Title: Efficacy of Adding Posterior Ilium Mobilization to Treatment of Patellofemoral Pain Syndrome
• Anticipated Study Start Date: Feb 1, 2023
• Anticipated Primary Completion Date: Nov 1, 2023
• Anticipated Study Completion Date: Dec 1, 2023

Arms and Interventions

Arm	Intervention/Treatment
Active Comparator: Group 1	Other: strengthening and stretching exercises; the participants will receive strengthening exercises on the hip and knee joint beside that they will receive stretching exercises
Experimental: Group 2	Other: posterior ilium mobilization; the therapist will mobilize the innominate on the affected side posteriorly; Other: strengthening and stretching exercises; the participants will receive strengthening exercises on the hip and knee joint beside that they will receive stretching exercises

Outcome Measures

Primary Outcome Measures

1. Changes in pain [It will be assessed at baseline and after 4 weeks]

   Arabic Numeric pain scale (ANPS) will be used to assess pain changes during walking, hopping, squatting, stair negotiation, kneeling, or prolonged sitting.

2. Changes in knee functional disability [It will be assessed at baseline and after 4 weeks]

   The Arabic version of Anterior knee pain scale (AKPS) will be used to assess the knee functional disability

Secondary Outcome Measures

1. Changes in hip abductors strength [It will be assessed at baseline and after 4 weeks]

   Handheld dynamometer will be used to assess changes in muscle strength

2. Changes in hip extensors strength [It will be assessed at baseline and after 4 weeks]

   Handheld dynamometer will be used to assess changes in muscle strength

3. Changes in hip external rotators strength [It will be assessed at baseline and after 4 weeks]

   Handheld dynamometer will be used to assess changes in muscle strength

4. Changes in knee extensors strength [It will be assessed at baseline and after 4 weeks]

   Handheld dynamometer will be used to assess changes in muscle strength

5. Changes in dynamic knee valgus [It will be assessed at baseline and after 4 weeks]

   Cell phone Camera, tripod device and Kinovea Computer Program (KCP) will be used to assess knee frontal plane projection angle to detect changes in knee valgus during step down test

6. Changes in pelvic tilt angle [It will be assessed at baseline and after 4 weeks]

   Palpation Meter (PALM) will be used to assess changes in pelvic tilt angle

Eligibility Criteria

Criteria

• Ages Eligible for Study: 18 Years to 35 Years
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: No

Inclusion Criteria:

1. Age of the subjects between 18-35 years.

2. BMI will be ≤ 29.5

3. Anterior or retro patellar knee pain for at least 6 weeks duration.

4. Foot posture index score from +6 to +12.

5. Anterior pelvic tilt angle more than 8 degree.

6. Pain elicited at least by two of the following four tests; (i) Isometric muscle contraction with slight bent knee,(ii) palpation of the patellofemoral joint line, (iii) patellar compression against the femoral bone (iv) active resisted knee extension.

7. Pain intensity more than 3 at ANPS and provoked by at least two of the following activities: running, walking, hopping, squatting, stair negotiation, kneeling, or prolonged sitting.

Exclusion Criteria:

1. Meniscal or other intraarticular pathologic conditions; cruciate or collateral ligament involvement.

2. A history of traumatic patellar subluxation or dislocation.

3. Previous surgery in the knee, ankle and hip joints.

4. Knee, ankle and hip joints osteoarthritis.

5. Taking non-steroidal anti-inflammatory drugs or corticosteroids within 24 h before the test.

6. History of brain injury or vestibular disorder within the last 6 months.

7. Pregnant female.

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Faculty of Physical Therapy, Cairo University	Giza		Egypt

Sponsors and Collaborators

• Cairo University

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

• Responsible Party: Labib Mousa Labib Ghali, Assistant Lecturer Of Orthopedic Physical Therapy, Faculty Of Physical Therapy, Cairo University
• ClinicalTrials.gov Identifier: NCT05708495
• Other Study ID Numbers: Ilium mobilization
• First Posted: Feb 1, 2023
• Last Update Posted: Feb 1, 2023
• Last Verified: Jan 1, 2023

• Studies a U.S. FDA-regulated Drug Product: No
• Studies a U.S. FDA-regulated Device Product: No
• Keywords provided by Labib Mousa Labib Ghali, Assistant Lecturer Of Orthopedic Physical Therapy, Faculty Of Physical Therapy, Cairo University: patellofemoral pain syndrome; strength; stretch; mobilization; ilium; innominate
• Additional relevant MeSH terms: Patellofemoral Pain Syndrome; Syndrome; Somatoform Disorders

Study Results

No Results Posted as of Feb 1, 2023