Effect of Short Foot Exercise in Treatment of Patients With Patellofemoral Pain Syndrome

Study Overview
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Brief Summary
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Purposes of the study To investigate the effect of adding Short foot exercise on patellofemoral pain syndrome on knee Pain, Function, Balance and abductors, quadriceps Muscle strength.

Official Title
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Effect of Adding Short Foot Exercise to Hip and Knee Focused Exercises in Treatment of Patients With Patellofemoral Pain Syndrome

Conditions
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Patellofemoral Pain Syndrome

Intervention / Treatment
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* Other: Hip and Knee focused exercises
* Other: Short foot exercise


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients diagnosed as PFPS 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. Psychological and mentally stable No previous knee surgery, except for diagnostic arthroscopy. No current knee pathologies (e.g. osteoarthritis) Navicular drop test more than 10 mm which indicated pronated foot Exclusion Criteria: - Subjects will be excluded if they don't meet the inclusion criteria.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 35 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Hip and Knee exercise group<br>Individuals in this group will perform exercises for the Hip and knee only. | Other: Hip and Knee focused exercises<br>* Exercises which improves muscle strength, ROM<br>|
| Experimental: Hip , Knee exercise and SFE group<br>Individuals in this group will perform exercises for Hip , knee and also short foot exercise | Other: Hip and Knee focused exercises<br>* Exercises which improves muscle strength, ROM<br>Other: Short foot exercise<br>* The 'short foot exercise' has been described as a means to isolate contraction of the plantar intrinsic muscles.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| assessment of knee pain | by visual analogue scale ( VAS ) to assess knee pain -minimum score is 0 point and maximum score is 10. score of 10 means worst pain outcome | Change from baseline pain at 6th week | 
| assessment of knee function | by Anterior Knee Pain Scale ( AKP )- minimum score is 0 point and maximum score is 100 points . score of 100 means no pain . this scale assesses knee pain and function | Change from baseline function at 6th week | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Assessment of muscle strength | by Hand-Held Dynamometer (HHD): | Change from baseline at 6th week | 
| Assessment of balance: | by Biodex Balance System is the device to assess balance and postural stability . | Change from baseline at 6th week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Short foot exercise, Patellofemoral pain syndrome