Effects of Multimodal Physical Therapy With and Without McConnell Taping in Patients With Anterior Knee Pain.

February 2, 2024 updated by: Riphah International University
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.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

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.

Study Type

Interventional

Enrollment (Estimated)

30

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

  • Pakistan
    • Punjab
      • Lahore, Punjab, Pakistan, 54600
        • Recruiting
        • Usman Srawr
        • Contact:
        • Contact:

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Child
  • Adult

Accepts Healthy Volunteers

Yes

Description

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.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Multimodal therapy with McConnell taping

Multimodal therapy includes core exercises, hip exercises and vastus medialis training.

MacConnell taping will be applied during exercise and then nearly for 18 hours according to patient's comfort.
Other: Multimodal therapy with McConnell taping

Multimodal therapy includes core exercises, hip exercises and vastus medialis training.

Core exercises include curls ups, toa taps, side planks, supine straight leg raising, side lying straight leg raising, prone knee flexion, draw foot circles in supine and side lying, prone cobra, hip and knee extension, weight bearing, hip flexion sitting on ball, wight bearing forward and backward on the ball, stairs up on Swiss ball. Hip training includes Hip abduction, Hip external rotation in standing and sitting. VMO muscle strengthening will includes squats with a ball.
Experimental: Multimodal therapy without McConnell taping
Multimodal therapy includes core exercises, hip exercises and vastus medialis training.
Other: Multimodal therapy without McConnell taping
Multimodal therapy without McConnell taping

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Visual Analog Scale
Time Frame: 4rth week
Visual analog scale is a self-assessing questionnaire comprising 10cm line with 0 representing no pain and 10 is worst pain. Reliability of VAS in patients with anterior knee pain is .60 to .79 for usual pain and .88 for worst pain.
4rth week
Lower Extremity Functional Scale
Time Frame: 4rth week
The Lower Extremity Functional Scale is a questionnaire containing 20 questions about a person's ability to perform everyday tasks. The score for each task is separated in 5 categories "0" (extreme difficulty or unable to perform activity), "1" (quite a bit of difficulty), "2" (moderate difficulty), "3" (a little bit of difficulty) and "4" (no difficulty). The maximal function is 80 points.
4rth week
Anterior Knee Pain Scale
Time Frame: 4rth week
The Anterior Knee pain Scale questionnaire consist of 13 items assessing subjective symptoms and functional limitation of the patients with anterior knee pain. The score ranges from 0 (worst condition) to 100 (normal knee condition, no symptoms and no daily functional restrictions).
4rth week

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Riphah International University

Investigators

  • Principal Investigator: Ahtsam Liaqat, Riphah International University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

November 5, 2023

Primary Completion (Estimated)

February 5, 2024

Study Completion (Estimated)

February 5, 2024

Study Registration Dates

First Submitted

January 28, 2024

First Submitted That Met QC Criteria

February 2, 2024

First Posted (Estimated)

February 5, 2024

Study Record Updates

Last Update Posted (Estimated)

February 5, 2024

Last Update Submitted That Met QC Criteria

February 2, 2024

Last Verified

January 1, 2024

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • REC/RCR & AHS/23/0148

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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