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The Immediate Effects of Passive Hip Joint Mobilization on Hip Muscle Strength in Patients With Anterior Knee Pain

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ClinicalTrials.gov Identifier: NCT03771495
Recruitment Status : Completed
First Posted : December 11, 2018
Last Update Posted : June 7, 2019
Sponsor:
Information provided by (Responsible Party):
Sheffield Hallam University

Brief Summary:
The aim of the study is to assess the immediate effects of passive hip joint mobilisation (in comparison to a sham mobilisation) on eccentric hip abductor/external rotator muscle strength on the basis of manual muscle testing with a hand-held-dynamometer within a double-blinded cross-over study design. Patients with anterior knee pain and signs of impaired hip function will be recruited in Vienna and surrounding area, measurements/data collection will be conducted by two experienced physiotherapists in a physiotherapy group practice in 1150 Vienna.

Condition or disease Intervention/treatment Phase
Anterior Knee Pain Syndrome Patellofemoral Pain Syndrome Other: Joint Mobilization Other: Laying on of Hands Not Applicable

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 18 participants
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Triple (Participant, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: What Are the Immediate Effects of Passive Hip Joint Mobilization on Hip Abductor/External Rotator Muscle Strength in Patients With Anterior Knee Pain and Impaired Hip Function
Actual Study Start Date : December 21, 2018
Actual Primary Completion Date : April 30, 2019
Actual Study Completion Date : April 30, 2019

Arm Intervention/treatment
Experimental: Hip Joint Mobilization
passive accessory movement on femur in anterior/posterior direction, grade III for four minutes and passive physiological movement of the most restricted hip joint movement, grade III for one minute (without pain), and a verbal education of hypothesized underlying effect mechanisms.
Other: Joint Mobilization
Manual Therapy Intervention, commonly used by physiotherapists

Sham Comparator: Laying on of Hands
grade I, very small amplitude without encountering any tissue resistance for five minutes, thus effectively a Laying on of Hands, with a verbal education of hypothesized underlying effect mechanisms.
Other: Laying on of Hands
Sham Hip Joint Mobilization




Primary Outcome Measures :
  1. Muscle Strength [ Time Frame: 10 minutes ]
    muscle strength data obtained from torque measurements of the hip abductor/external rotator muscles of participants before and after intervention via manual muscle testing (using a hand-held dynamometer)



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Ages Eligible for Study:   18 Years to 60 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • diagnosis: anterior knee pain
  • Prescription for physiotherapeutic treatment of anterior knee pain
  • signs of functional hip impairment:
  • impaired hip kinematics during single leg squat
  • reduced passive hip joint mobility in comparison to the other, unaffected side
  • manually weak tested hip abductors/external rota-tors in comparison to the other, unaffected side

Exclusion Criteria:

  • intraarticular knee pathology
  • preceding trauma/operation of lower extremity on affected side
  • spinal disorders associated with low back pain, lumbar referred pain or nerve root irritation
  • severe and/or recurring ankle sprains in recent history (significant enough, that it required a period of immobilization)
  • other relevant comorbidities such as neurologic/rheumatologic/psychiatric diseases, osteoporosis and malign disorders
  • pregnancy

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03771495


Locations
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Austria
Praxisgemeinschaft "Bewegungsoase"
Vienna, Austria, 1150
Sponsors and Collaborators
Sheffield Hallam University
Investigators
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Study Director: Sionnadh McLean Sheffield Hallam University
  Study Documents (Full-Text)

Documents provided by Sheffield Hallam University:

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Responsible Party: Sheffield Hallam University
ClinicalTrials.gov Identifier: NCT03771495     History of Changes
Other Study ID Numbers: G Pflügler 09-18
First Posted: December 11, 2018    Key Record Dates
Last Update Posted: June 7, 2019
Last Verified: June 2019
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Sheffield Hallam University:
mobilization
muscle strength
hip abductors
hip external rotators

Additional relevant MeSH terms:
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Syndrome
Somatoform Disorders
Patellofemoral Pain Syndrome
Disease
Pathologic Processes
Mental Disorders
Joint Diseases
Musculoskeletal Diseases