Effects of Agility Training With and Without Foot Mobilization In Patellofemoral Pain Syndrome.

Effects of Agility Training With and Without Foot Mobilization On Pain, Balance and Functional Performance In Patellofemoral Pain Syndrome.

Patellofemoral pain syndrome (PFPS) is referred to as peripatellar or retro-patellar pain, which is characterized by alterations in the physical and biomechanical features of the patellofemoral joint. Risk factors for PFPS include: anatomic anomalies, mal-alignment and altered biomechanics of the lower extremity, muscle dysfunction, patellar hypermobility, poor quadriceps, or iliotibial band flexibility, surgery, tight lateral structures, training errors or overuse and trauma. The aim of this study is to compare the effects of foot mobilization with and without agility training on pain, balance and functional performance in patellofemoral pain syndrome.

A Randomized Clinical Trial will be conducted at Riphah Clinic Lahore, Al Rehman Hospital, through convenient purposive sampling technique on 42 patients which will be allocated through using simple randomization into Group A and Group B. Group A will be treated with agility training and foot mobilization in patellofemoral pain syndrome and Group B will be treated with agility training without foot mobilization in patellofemoral pain syndrome thrice a week for 6 weeks. Outcome measures will be conducted through pain (NPRS), Kujala patellofemoral pain scale, Y balance test and Navicular droop test before and after 6 weeks. Data will be analyzed using SPSS software version 25.

Inclusion Criteria:

Clinical signs of patellofemoral pain syndrome such as retro patellar pain, crepitation, and pain with patellar grinding more than 6 months.

• Both genders of 20-40 years of age.
• Presence of pain on step down from a 25 step or double leg squat and sitting with knee bent greater than 15 min.
• Pain more than 4 on NPRS scale.
• Individual with anterior left/right asymmetries greater than 4 cm on Y balance test
• Excessive calcaneal eversion measured at 6° in the relaxed posture(6).

Exclusion Criteria:

• History of ligament and meniscal injury.
• History of lower limb fractures.
• History of post-surgical condition of lower limb
• History of systemic, connective tissue or neurologic condition