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Compressive Myofascial Release of the Vastus Lateralis on Lateral Patellar Tracking in Patellofemoral Pain Syndrome

Sponsored by Riphah International University

About this trial

Last updated a year ago

Study ID

REC/RCR & AHS/24/0149

Status

Recruiting

Type

Interventional

Phase

N/A

Placebo

No

Accepting

20 to 40 Years
All Sexes

Trial Timing

Ended 7 months ago

What is this trial about?

Patellofemoral Pain Syndrome is a prevalent condition characterized by anterior knee pain, often exacerbated by activities such as squatting, running, and stair climbing. This condition is frequently associated with improper patellar tracking, particularly lateral displacement, which can be influenced by various factors including muscular imbalances and tightness. The vastus lateralis muscle, part of the quadriceps group, is often implicated in contributing to lateral patellar tracking due to its attachment and alignment. Compressive myofascial release (CMFR) is a therapeutic technique aimed at reducing muscle tightness and restoring optimal muscle function. This study will explore the effects compressive myofascial release on the vastus lateralis in improving patellar tracking in patients diagnosed with Patellofemoral Pain Syndrome.The methodology of this study involves a randomized controlled trial with a sample of patients diagnosed with Patellofemoral Pain Syndrome. Non-probability convenience sampling technique will be used and participants will be recruited in groups after randomization. Participants(n=26) will be divided into two groups: the intervention group (n=13) receiving compressive myofascial release on the vastus lateralis, and a control group receiving(n=13) a routine treatment. The intervention will be administered over a period of four weeks, with sessions occurring three times weekly. Patellar tracking will be assessed using q-angle analysis both pre- and post-intervention. Additionally, subjective measures of pain and functional ability will be evaluated using the Numeric pain rating scale (NPRS) and the Kujala Patellofemoral Score. Data analysis will focus on comparing the changes in lateral patellar displacement and patient-reported outcomes between the two groups to determine the efficacy of compressive myofascial release in correcting lateral patellar tracking and alleviating symptoms of Patellofemoral Pain Syndrome. SPSS version 25 will be used for data analysis

What are the participation requirements?

Inclusion Criteria

* Age group between 20 to 40 years

* Male and female gender

* Diagnosed cases of Patellofemoral syndrome

* Participants with positive J sign and Clarke's test

* Pain provoked during knee loading physical activity, such as jumping, running, squatting, or going up or down stairs in last 3 months

* Presence of excessive lateral patellar tracking on axial view radiographs

Exclusion Criteria

* History of knee surgery in the past year.

* Any contraindications to myofascial release therapy, such as active infections, open wounds.

* Presence of hip pathology or other knee conditions such as ligament tears, meniscal injuries, Osgood-Schlatter or Sinding-Larsen-Johanssen syndrome or jumpers knee

* Participants with a history of trauma or repetitive episodes of patellar subluxation or dislocation

* Use of intra-articular corticosteroid injections

* Presence of auto-immune disorder (spondylolisthesis, spondylitis, Rheumatoid arthritis etc.) other than knee OA or systemic conditions such as severe cardiovascular disease