Clinical trial NCT06241053: Effects of Multimodal Physical Therapy With and Without McConnell Taping in Patients With Anterior Knee Pain.
Official title: Effects of Multimodal Physical Therapy With and Without McConnell Taping in Patients With Anterior Knee Pain.
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Anterior Knee Pain Syndrome
Keywords: Anterior Knee Pain
McConnell taping
Patellofemoral Pain Syndrome.
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2024-02-05
Enrollment: 30
Sex: ALL
Minimum age (years): 17
Maximum age (years): 35
Standard ages: CHILD
ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: This study aims to determine the effect Multimodal physical therapy with and without McConnell taping on pain, functional limitation and severity of symptoms in patients with anterior knee pain.

Detailed description: The term "Anterior Knee Pain" is often used interchangeably with "Patellelofemoral Pain Syndrome" (PFPS or " runner's knee" which involves stiffness and pain when patellofemoral joint is loaded with different activities that require prolonged knee flexion, stairs climbing or descending , running, kneeling and squatting. Multimodal therapy and tapping techniques are useful for reducing pain and improving functional activities of patient daily living.

In this randomized clinical trial, Thirty participants with anterior knee pain will be randomly assigned to one of the two intervention groups: Group A: Group A will be treated with multimodal physical therapy program with McConnell taping. Group B: Group B will be treated with multimodal physical therapy program without McConnell taping. Randomization will be performed using a convenient random sampling method via lottery method. Each participant will receive a total of 12 treatment sessions.

over a four-week period. The effects of the interventions will be assessed at the beginning (first session), conclusion (eight session). Participants will be followed up after 4 weeks again. Outcome measures, including pain intensity, functional limitation and severity of symptoms will be evaluating using the Visual Analog Scale (VAS), Lower Extremity Functional Scale (LEFS) and Anterior Knee Pain Scale (AKPS) respectively. Data will be analyzed using SPSS software version 25. Normality of data will be assessed using the Shapiro-wilk test. For within-group comparisons, paired t- test will be used. To compare changes between the groups, the independent t-test will be applied, depending on the data distribution. The analysis of these outcome measures will provide. valuable insights into the impact of the interventions on participants' pain, functional limitation and severity of symptoms.

Eligibility criteria: Inclusion Criteria:

* Age 17-35 years, both male and female.
* Unilateral or bilateral pain lasting for more than 2-3 months.
* Diagnosed with patellofemoral pain by orthopedic surgeon through clinical and radiological findings.
* Positive patellofemoral grinding test, negative McCurry test and full knee range of motion.
* Pain grade 3-6 by Visual Analogue Scale (VAS).
* Pain at least in two of these positions: sitting for long time with knee bends, going up and down the stairs, squatting and running, kneeling.

Exclusion Criteria:

* History of ligament sprain, meniscal injury, knee fracture, patellar dislocation and knee osteoarthritis.
* True knee joint locking or giving away and tibial or iliotibial track tendinopathy.

Pregnancy.

* Developmental dysplasia of hip and undergoing any medical treatment.
* Spinal surgery and neurological disorders.

Primary outcomes:
measure: Visual Analog Scale
timeFrame: 4rth week
measure: Lower Extremity Functional Scale
timeFrame: 4rth week
measure: Anterior Knee Pain Scale
timeFrame: 4rth week
Secondary outcomes:
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Usman Srawr
state: Punjab
Study officials:
affiliation: Riphah International University
name: Ahtsam Liaqat
role: PRINCIPAL_INVESTIGATOR
References:
citation: Foroughi F, Sobhani S, Yoosefinejad AK, Motealleh A. Added Value of Isolated Core Postural Control Training on Knee Pain and Function in Women With Patellofemoral Pain Syndrome: A Randomized Controlled Trial. Arch Phys Med Rehabil. 2019 Feb;100(2):220-229. doi: 10.1016/j.apmr.2018.08.180. Epub 2018 Sep 26.
citation: Motealleh A, Kordi Yoosefinejad A, Ghoddosi M, Azhdari N, Pirouzi S. Trunk postural control during unstable sitting differs between patients with patellofemoral pain syndrome and healthy people: A cross-sectional study. Knee. 2019 Jan;26(1):26-32. doi: 10.1016/j.knee.2018.10.002. Epub 2018 Nov 22.