patellofemoral pain syndrome. Patellofemoral disorders
Conditions
Interventions
Intervention 1: Intervention group: one session lumbopelvic manipulation: The patient was positioned supine while interlocking the fingers behind the head and the elbows are in co
Sponsors
Babol University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 40 Years
Inclusion criteria
Inclusion criteria: patients if they are aged less than 40 years unilateral anterior knee pain or a pain on palpation of patellar facets provoked by at least two of these activities:ascending/descending stairs, squatting, prolonged sitting, jumping, kneeling and Isometric quadriceps contraction positive sign in patellar apprehension test and/or eccentric step down test and/or vastus medialis coordination test a pain level of at least 3 points and maximum 8 points on the numerical pain rating scale(NPRS) during resisted knee extension knee disability level between 45 and 70 based on the Kujala patellofemoral questionnaire (KPQ) Have at least 3 of the 5 criteria to predict treatment success, including the following: The difference in the active range of motion of the internal rotation of the hip between the two limbs is more than 14 degrees- Dorsiflex active range of motion of the foot is more than 16 degrees- No stiffnes after sitting for more than 20 minutes- Navicular drop- Squatting is most painful activity
Exclusion criteria
Exclusion criteria: a history of knee or spine surgery dislocation or fracturein pelvic meniscal lesion patellar subluxation/dislocation evidenceof tendinopathy or ligamentous pathologies neurologic disorders patients who had previously received physiotherapy treatment orused analgesic drugs within 72 h prior to the experiment osteoporosis with documented compression fracture severe lumbosacral nerveroot compression signs pregnancy systemic disease or connective tissue disorders Lumbar disc rupture: extrusion, sequestration Serious spinal lesions include rheumatoid arthritis, tumors, vascular lesions of the spine, etc. spondylolisthesis and Specified lumbar instabilities
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Onset of electromyography activity of vastus medialis muscle. Timepoint: Before and immediately after the intervention. Method of measurement: Surface electromyography device.;Onset of electromyography activity of Gluteus medius muscle. Timepoint: Before and immediately after the intervention. Method of measurement: Surface electromyography device.;Amplitude of electromyography activity of vastus medialis muscle. Timepoint: Before and immediately after the intervention. Method of measurement: Surface electromyography device.;Amplitude of electromyography activity of Gluteus medius muscle. Timepoint: Before and immediately after the intervention. Method of measurement: Surface electromyography device. | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain Intensity. Timepoint: Before, immediately after and one week after the intervention. Method of measurement: Numeric Pain Rating Scale.;Physical function. Timepoint: Before and immediately after the intervention. Method of measurement: step down test.;Knee joint functional level. Timepoint: Before, immediately and one week after the intervention. Method of measurement: Using kujala questionnaire. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactTahere Zafarian
Babol University of Medical Sciences
Outcome results
None listed