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The aim of the study will be to assess the effectiveness of Diacutaneous Fibrolysis technique on pain, range of motion (Patellofemoral joint mobility test and muscle length test), strength and function in patients with Patellofemoral Pain Syndrome and muscle shortening.
Muscle imbalance is one of most important factor associated with Patellofemoral Pain Syndrome. Shortening of lateral muscles of the thigh have a close relationship with patella position and tracking and patellofemoral pain. The scientific evidence for effectiveness of any soft tissue mobilization technique in patellofemoral pain syndrome patients is poor.
Diacutaneous Fibrolysis is a non-invasive physiotherapeutic technique to release adherences and fibrosis between the different musculoskeletal structures. Diacutaneous Fibrolysis is applied by a set of metallic hooks having the advantage of allowing a deeper and more precise application, which could not be achieved manually.
The present study evaluates the effectiveness of Diacutaneous Fibrolysis technique applied in the soft tissues more related with patellofemoral pain.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention group | Experimental | Diacutaneous Fibrolysis treatment |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Diacutaneous Fibrolysis | Device | Diacutaneous Fibrolysis is a non invasive physiotherapeutic technique applied by means a set of metallic hooks having the advantage of allowing a deeper and more precise application, which could not be achieved manually |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in pain intensity | Visual analogue scale (VAS) | 2 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Pressure Pain Threshold | Pressure algometry | 2 weeks |
| Muscle Length Test | Range of motion measured by digital inclinometer in hip adduction for iliotibial band, knee flexion for rectus femoris muscle and knee extension for hamstrings muscles |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Pablo Fanlo, PhD | Unidad de Investigación en Fisioterapia. Universidad de Zaragoza | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Unidad de Investigación en Fisioterapia. Universidad de Zaragoza | Zaragoza | 50009 | Spain |
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| ID | Term |
|---|---|
| D046788 | Patellofemoral Pain Syndrome |
| ID | Term |
|---|---|
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
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| 2 weeks |
| Isometric Strength of Quadriceps Muscle | digital dynamometer | 2 weeks |
| Functional Capacity | Unilateral squat test and step test for assessing functional capacity | 2 weeks |
| Functional Status and disability | Anterior Knee Pain Scale | 2 weeks |
| Global Rating of Change Scale | global improvement on a five point Likert scale and visual analogue scale | 2 weeks |