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NCT Number: NCT04667091

Comparing the Effects of Positional Release Technique Versus Myofascial Release Technique of Gluteus Medius

Patellofemoral pain syndrome is a condition of misleading diagnosis. It mostly affects individuals with ages between 18-40 years. It is believed that much work has been done on the joint itself in treating the Quadriceps muscles and triggers related to it but now literature is focusing on the segmental involvement, where weakness of the hip abductors and lateral rotators play a major role. Therefore, interventions used for treating this syndrome should include on focusing the hip muscles for trigger point therapy as well as strengthening them in increasing the stability of the hip and pelvis to reduce excessive valgus forces on the knee.

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Key information

Conditions

Patellofemoral Pain Syndrome Joint Diseases Musculoskeletal Diseases

Age range

18 year–40 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Sindh Institute of Physical Medicine and Rehabilitation, Karachi

Karachi, Sindh, 74200, Pakistan

About this study

Literature regarding Gluteus Medius trigger point is quite scarce especially in alleviating the pain related to Patellofemoral Pain Syndrome. The management of Patellofemoral Pain Syndrome includes a segmental treatment, giving special focus to the lateral rotators and abductors of the hip especially Gluteus Medius muscle, rather than treating the Patellofemoral Joint itself. It will help in improving the pain of the subjects suffering from this syndrome effectively, and within a shorter duration of time. It will also provide the practicing physiotherapist with an insight for treating such patients with better outcomes. Myofascial Trigger Points of the Gluteus Medius are important contributing factors in the management of Patellofemoral Pain Syndrome which is identified in a single study as per author's knowledge. But the treatment used to release the trigger point of Gluteus Medius in managing this syndrome has not yet been explored. So, this study will compare two well-known treatments in comprehending which one of the two techniques have better effects on the population to be studied. Written consent will be taken from all the study participants. Simple randomization technique will be used through "Randomization Main" software and randomization sheet will be generated. 60 participants with patellofemoral pain syndrome having Gluteus Medius trigger point will be randomly allocated in two equal group.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Anterior knee pain >1month and <3 month
  • Pain in activities like ascending & descending stairs, running or sports activity & prolonged sitting
  • Presence of Gluteus Medius trigger point in the affected limb
  • Age group 18-40 years
  • Both genders

Exclusion criteria

  • Dislocation of Patella
  • Damaged cartilage and ligament of Knee Joint
  • Soft tissue injury related to Knee
  • Any knee or hip surgery
  • Lumbar spine dysfunction
  • Sacroiliac joint dysfunction
  • Pelvic malalignment
  • Flat foot
  • Chondromalacia patellae
  • Young onset Osteoarthritis

Treatment and study plan

Physiotherapy

Other

Treatment will be given in 3 sessions per week for 6 weeks with home exercise program and participants will be provided with exercises sheets to remember the exercises.

The selected outcome measure will be taken on baseline (initial visit) and 6th week (post intervention)

Primary outcomes

  1. Anterior Knee pain Scale

    Time frame: Baseline and end of intervention (6th week)

    It is 13-item questionnaire with different categories relating various levels of individual's current knee function. Score ranges from 1 representing severe disability to 100 representing no disability.

  2. Visual Analog Scale

    Time frame: Baseline and end of intervention (6th week)

    A subjective psychometric response scale used to measure discrete behavioral or physiological phenomena based on linear numerical gradient in measuring the intensity of pain.

  3. Pain Pressure Threshold

    Time frame: Baseline and end of intervention (6th week)

    It is the amount of direct pressure required in eliciting a response in pain on a selected area obtained by an Algometer in kilograms (kg.)

Secondary outcomes

  1. Muscle strength

    Time frame: Baseline and end of intervention (6th week)

    In kilograms (kg.) obtained by Hand Held Dynamometer

  2. World Health Organization Quality of Life Questionnaire- Brief

    Time frame: Baseline and end of intervention (6th week)

    An integrated instrument used to evaluate health related quality of life. It is a 26-item version of the WHOQOL-100 assessment.

Sponsors and collaborators

Lead sponsor

Dow University of Health Sciences

Other

Registry information

Official study title

Comparing the Effects of Positional Release Technique Versus Myofascial Release Technique of Gluteus Medius in the Management of Patellofemoral Pain Syndrome - A Randomized Control Trial

Important dates

Study start
2020
Primary completion
2021
Study completion
2021
First posted
Dec 14, 2020
Registry last updated
Mar 25, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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