Aim of the study is to investigate the effect of adding posterior ilium mobilization on knee pain, knee function, anterior pelvic tilt, dynamic knee valgus, muscle strength of extensors, abductors and external rotators of hip and knee extensors in patients with patellofemoral pain syndrome.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
36
the therapist will mobilize the innominate on the affected side posteriorly
the participants will receive strengthening exercises on the hip and knee joint beside that they will receive stretching exercises
Faculty of Physical Therapy, Cairo University
Giza, Egypt
Changes in pain
Arabic Numeric pain rating scale will be used to assess pain changes during walking, hopping, squatting, stair negotiation, kneeling, or prolonged sitting. This scale measures pain severity on a scale of 0 to 10 points, with 0 representing no pain and 10 signifying the most severe pain possible.
Time frame: It will be assessed at baseline and after 4 weeks
Changes in knee functional disability
The Arabic version of Anterior knee pain scale will be used to assess the knee functional disability. It is a self-administered, weighted questionnaire that analyzes 13 items, including pain and function, with a maximum score of 100 points and minimum score of 0 points. Higher scores indicate greater lower extremity function. It documents responses to six activities linked with anterior knee pain (walking, running, jumping, climbing stairs, squatting, and sitting for prolonged periods with knee bent).
Time frame: It will be assessed at baseline and after 4 weeks
Changes in hip abductors strength
Handheld dynamometer will be used to assess changes in muscle strength
Time frame: It will be assessed at baseline and after 4 weeks
Changes in hip extensors strength
Handheld dynamometer will be used to assess changes in muscle strength
Time frame: It will be assessed at baseline and after 4 weeks
Changes in hip external rotators strength
Handheld dynamometer will be used to assess changes in muscle strength
Time frame: It will be assessed at baseline and after 4 weeks
Changes in knee extensors strength
Handheld dynamometer will be used to assess changes in muscle strength
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Time frame: It will be assessed at baseline and after 4 weeks
Changes in dynamic knee valgus
Cell phone Camera, tripod device and Kinovea Computer Program (KCP) will be used to assess knee frontal plane projection angle to detect changes in knee valgus during step down test
Time frame: It will be assessed at baseline and after 4 weeks
Changes in pelvic tilt angle
Palpation Meter (PALM) will be used to assess changes in pelvic tilt angle
Time frame: It will be assessed at baseline and after 4 weeks