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The aim of the current study is to compare the effect of popliteus muscle release and Kinesio taping on pain intensity, function, dynamic balance, and quadriceps muscle strength in patients with patellofemoral pain syndrome.
Patellofemoral pain syndrome has been described as one of the most perplexing and clinically challenging chronic disorders.
Symptoms usually include diffuse pain originating from the anterior aspect of the patella and commonly along the medial aspect of the knee. It therefore limits daily activities that need loading on a flexed knee. There is a high incidence, especially among runners, with patellofemoral pain syndrome accounting for 46% of running-related injuries. However, the etiology of this disorder remains vague and controversial. This is reflected in the lack of consensus on how patellofemoral pain syndrome should be treated clinically. Patellofemoral pain syndrome participants have demonstrated abnormal gait patterns with decreased stance phase knee flexion, decreased walking velocity, and decreased muscle activity of the quadriceps musculature. Restoration of normal gait kinematics may be an important component of improving function.
The soft tissue manipulation decreased knee pain and improved muscle activity. Therefore, incorporating popliteus manipulation can be effective in the treatment of anterior knee pain.
Several systematic reviews and meta-analyses of Kinesio Taping treatment in different knee or musculoskeletal problems have been published in recent years. The support taping could reduce pain as an adjunct to traditional exercise therapy in patients with patellofemoral pain syndrome.
Kinesio Taping has a significant effect on pain reduction, motor function improvement, and muscle activity change.
So, the current study will help to determine the effect of myofascial release and Kinesio Taping of the popliteus muscle on patellofemoral pain syndrome.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control Group | Active Comparator | The control group will receive traditional physical therapy treatment at the painful anterior knee, which includes quadriceps strength, hip abduction strength, hip extension strength, hamstring stretch, and gait training. |
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| Study Group 1 | Active Comparator | Study group 1 will receive traditional treatment as the control group plus release to the popliteus muscle. |
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| Study Group 2 | Active Comparator | Study group 2 will receive traditional treatment as the control group plus Kinesio tape on the popliteus muscle. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Traditional Physical Therapy Treatment | Other | Quadriceps strength, hip abduction strength, hip extension strength, hamstring stretch, gait training |
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| Measure | Description | Time Frame |
|---|---|---|
| Pain intensity | by visual analogue scale The visual analogue scale represents the pain range that a patient thinks they might experience. The line is typically 10 centimeters long, with anchor descriptors such as (in the pain context) "no pain" and "worst pain imaginable." The patient makes a mark reflecting his or her perception, and the distance from the left endpoint to the mark is measured in centimeters. Higher scores represent worse pain. | It will be assessed at baseline and after 4 weeks. |
| Knee Function | by kujala scale The Arabic Kujala Patellofemoral Disorder scale, also called the anterior knee pain scale, is composed of 13 multiple-choice questions, each contributing to a total score ranging from 0 to 100. A higher score indicates better knee function and less pain, while a lower score reflects greater pain and disability. | It will be assessed at baseline and after 4 weeks. |
| Balance | by Star Excursion Balance Test (SEBT) | It will be assessed at baseline and after 4 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Quadriceps Strength | by handheld dynamometer | It will be assessed at baseline and after 4 weeks. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Hafsa He Abdullah, MSc | Contact | 01007069080 | Hafsahesham55@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Hafsa He Abdullah, MSc | Cairo University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cairo | Recruiting | Cairo | Egypt |
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| ID | Term |
|---|---|
| D046788 | Patellofemoral Pain Syndrome |
| ID | Term |
|---|---|
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
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| Popliteus Muscle Release | Other | Myofascial release for the popliteus muscle |
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| Kinesio Taping | Other | Kinesio tape on the popliteus muscle |
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