Working…
ClinicalTrials.gov
ClinicalTrials.gov Menu

Comparison of Effects of Mobilization With Movement and Kinesiotaping in Patellofemoral Pain Syndrome

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT02707679
Recruitment Status : Completed
First Posted : March 14, 2016
Last Update Posted : March 15, 2016
Sponsor:
Information provided by (Responsible Party):
SERDAR DEMIRCI, Hacettepe University

Brief Summary:
Patellofemoral Pain Syndrome (PFPS), also known as the anterior knee pain, is one of the most common musculoskeletal disorders. Most of the patients suffer from knee pain for long time. The aim of this study was to investigate the short-term effects of Mobilization with movement and Kinesiotaping on pain, function and balance in patient with PFPS.

Condition or disease Intervention/treatment Phase
Patellofemoral Pain Syndrome Other: Mulligan's Straight leg-raise with traction Other: Mulligan's Mobilization with Movement Other: Kinesiotaping Other: Exercise Not Applicable

Detailed Description:
Patellofemoral Pain Syndrome is one of the most common musculoskeletal problem in the world. It's incidence is also becoming higher and most people who have knee pain suffer from it for long time. In the treatment of PFPS, conservative treatment methods are preferred prior to surgical ones. When the literature was reviewed, no study in which Mobilization with movement (MWM) method was used and in which the effects of it was shown and compared with (Kinesiotaping) KT has been found so far with respect to the treatment of PFPS. Thirty-five female patients diagnosed with unilateral PFPS were randomly assigned into 2 groups. The patients in the first group (n=18) received two techniques of Mobilization with movement intervention while Kinesiotaping was applied to the other group (n=17). Both groups were treated with exercise. All patients received 4 sessions of treatment twice a week for a period of 2 weeks and followed up in accordance with a 6-week-home exercise program. Primary outcomes: pain severity, knee range of motion, hamstring flexibility, and physical performance (10-step stair climbing test, timed up and go test), Kujala Patellofemoral Pain Scoring and Y-Balance test were assessed.

Layout table for study information
Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 35 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Participant)
Primary Purpose: Treatment
Official Title: Comparison of Short-Term Effects of Mobilization With Movement and Kinesiotaping on Pain, Function and Balance in Patellofemoral Pain Syndrome: A Randomized Control
Study Start Date : May 2013
Actual Primary Completion Date : August 2015
Actual Study Completion Date : August 2015

Arm Intervention/treatment
Effects of Mulligan's Mobilization
The patients in this arm (n=18) received two techniques pertaining to Mulligan's Mobilization with movement approach (Mulligan's Straight Leg-Raise with Traction and Tibial Gliding) along with an exercise therapy. Patients received 4 sessions of treatment twice a week for a period of 2 weeks and followed up in accordance with a 6-week-home exercise program. Primary outcomes: pain severity, knee range of motion, hamstring flexibility, and physical performance (10-step stair climbing test, timed up and go test), Kujala Patellofemoral Pain Scoring and Y-Balance test were assessed before the treatment, 45 minutes after the initial treatment, at the end of the 4-session-treatment during 2-week period and 6 weeks later.
Other: Mulligan's Straight leg-raise with traction
Mulligan's Straight leg raise technique was performed on patients with patellofemoral pain syndrome. The extremity on which the practice would be performed in supine position was grasped from the ankle level and was, then, subjected to traction longitudinally. Afterwards, the knee was lifted up passively while in extension and was kept for waiting for a few seconds at the point where tension was felt and was, then, returned to its initial position. The practice was repeated 10 times, and 3 sets of practice at 1-minute-intervals were performed.

Other: Mulligan's Mobilization with Movement
Mulligan's Mobilization with Movement technique was performed on patients with patellofemoral pain syndrome. Each patient was tested in every direction in the course of the active knee flexion-extension movement so as to find out the best pain-free tibial gliding direction (medial-lateral part of the tibia, anterior-posterior, internal-external rotation). At the time of the active movement of the knee, the tibial gliding direction where pain was felt at the least was selected as the treatment direction of mobilization technique along with movement. The practice was performed by doing 10 repetitions for 3 sets and by providing 1-minute-resting time between the sets.

Other: Exercise
All the patients were provided with several exercises within the scope of the home exercise program, such as hamstring muscle stretching, quadriceps isometric exercises, 4-way-strengthening with exercise elastic bands for the muscles of the hip, knee locking on foot and mini-squatting exercises. They were asked to do these exercises in 3 sets a day along with 10 repetitions for a period of 6 weeks.

Effects of Kinesiotaping
Patients in this arm were applied kinesiotaping on quadriceps and hamstring muscle along with an exercise therapy. Patients received 4 sessions of treatment twice a week for a period of 2 weeks and followed up in accordance with a 6-week-home exercise program. The same assessment parameters was conducted on this arm too.
Other: Kinesiotaping
Kinesiotaping was applied on patient with patellofemoral pain syndrome. To maintain proprioceptive stimulation in the quadriceps (from origo towards insertio) and to alleviate the tension of hamstring muscle, a 'Y''-shaped kinesiotape was applied by using the muscle technique.

Other: Exercise
All the patients were provided with several exercises within the scope of the home exercise program, such as hamstring muscle stretching, quadriceps isometric exercises, 4-way-strengthening with exercise elastic bands for the muscles of the hip, knee locking on foot and mini-squatting exercises. They were asked to do these exercises in 3 sets a day along with 10 repetitions for a period of 6 weeks.




Primary Outcome Measures :
  1. Knee pain measured with Visual Analog Scale [ Time Frame: 6 weeks ]
    Patient's knee pain was measured with Visual Analog Scale


Secondary Outcome Measures :
  1. Knee joint range of motion was measured Universal goniometer. [ Time Frame: 6 weeks ]
    Universal goniometer was used for evaluating the knee joint range of motion.

  2. Balance measured with Y- Balance Test [ Time Frame: 6 weeks ]
    The dynamic balance measurements of the patients were evaluated through Y- Balance Test

  3. Function was measured with 10-step-ascent & descent stair-climbing test. [ Time Frame: 6 weeks ]
    To evaluate the functional performances of the patients, 10-step-ascent & descent stair-climbing test was used.

  4. Function was measured Kujala patellofemoral scoring system [ Time Frame: 6 weeks ]
    Patient's function was measured with Kujala patellofemoral scoring system

  5. Function was measured with timed up&go test [ Time Frame: 6 weeks ]
    To evaluate the functional performances of the patients, timed up&go test was used.

  6. Hamstring muscle flexibility was measured Universal goniometer. [ Time Frame: 6 weeks ]
    Universal goniometer was used for evaluating the hamstring muscle flexibility.



Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


Layout table for eligibility information
Ages Eligible for Study:   20 Years to 45 Years   (Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • having knee pain at least 3 months and more than 3 points according to visual analog scale

Exclusion Criteria:

  • no complying to the rehabilitation
  • if patient wants to finished and want to complete study, they were excluded
  • having meniscus, bursa, ligament, patellar tendon lesions, patellofemoral dislocation and/or recurrent subluxation, undergone lower extremity surgery

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): NCT02707679


Sponsors and Collaborators
Hacettepe University
Investigators
Layout table for investigator information
Study Director: Volga Bayrakcı Tunay, Prof. supervisor of the study

Publications of Results:
Layout table for additonal information
Responsible Party: SERDAR DEMIRCI, Research Asistant, Hacettepe University
ClinicalTrials.gov Identifier: NCT02707679     History of Changes
Other Study ID Numbers: LUT 12/175
First Posted: March 14, 2016    Key Record Dates
Last Update Posted: March 15, 2016
Last Verified: March 2016
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Yes
Keywords provided by SERDAR DEMIRCI, Hacettepe University:
Knee
Mobilization
Taping
Function
Balance
Additional relevant MeSH terms:
Layout table for MeSH terms
Patellofemoral Pain Syndrome
Syndrome
Somatoform Disorders
Disease
Pathologic Processes
Mental Disorders
Joint Diseases
Musculoskeletal Diseases