Effect of Adding Inguinal Ligament Mobilization to Talonavicular Joint Mobilization on Patellofemoral Pain Syndrome | NCT07734051

NCT07734051

Overview

NCT ID: NCT07734051
Lead Sponsor: Cairo UniversityOTHER
Official Title: Effect of Adding Inguinal Ligament Mobilization to Talonavicular Joint Mobilization on Patellofemoral Pain Syndrome
Brief Summary: This study will be conducted to:

To assess the effect of adding the inguinal ligament mobilization to talonavicular joint mobilization on pain intensity subjects with PFPS

To assess the effect of adding the inguinal ligament mobilization to talonavicular joint mobilization on pain threshold in subjects with PFPS.

To assess the effect of adding the inguinal ligament mobilization to talonavicular joint mobilization on knee function in subjects with PFPS .

To assess the effect of adding the inguinal ligament mobilization to talonavicular joint mobilization on Q angle in subjects with PFPS .
Conditions: Patellofemoral Pain Syndrome

Status and Timeline

Status: Enrolling by invitation
Last Update Posted: Jul 29, 2026Actual
Start Date: Mar 1, 2026Actual
Primary Completion Date: Aug 2026Estimated
Completion Date

Participation Criteria

Ages Eligible for Study: Adult (18-64)
Sexes Eligible for Study: All
Accepts Healthy Volunteers?: No
Eligibility Criteria: Inclusion Criteria:

• Diagnosis of PFPS, based on clinical and radiographic criteria (no other knee pathologies) referred by orthopedic physicians.

Subjects diagnosed with unilateral PFP with at least three months.

Age of subjects ranges from 18 to 40 years .

BMI less than 30 kg/ m2.

Subjects complaining from increasing pain severity after at least two of the following provocative activities as (Stair ascent and descent, Squatting, Kneeling, running, or prolonged sitting).

Subjects included in the study should record a positive grind test.

Subjects with tension of inguinal ligament either "mechanical strain, injury, repetitive movement or pelvic instability as anterior pelvic tilting" which leads to PFPS based on positive inguinal ligament tension test.

Foot pronation position "mobile type" which leads to PFPS based on positive "The wear test or the wet foot test".

Q angle in men 18-22 degree and in women 22 25 degree.

Exclusion Criteria:

• Chronic pain conditions unrelated to PFPS.

Pregnancy or recent trauma to the pelvic or knee region. (Mills et al., 2005).

History of steroid injection of the knee.

Ankle arthritis, gouty arthritis.

History of any surgical intervention of the back, hip, knee or foot.

Lower limb deformity such as pes-planus, knee valgus or varus deformities.

Previous lower limb disease such as hip and tibiofemoral osteoarthritis.

Diabetes or Peripheral neuropathy.

Study Plan

Study Type: Interventional
Phase: Not Applicable
Enrollment: 80Estimated
Primary Purpose: Treatment
Allocation: Randomized
Interventional Model: Crossover Assignment
Masking: Single

Contacts and Locations

Central Contacts: No data available
Locations: Faqus

Similar Studies

Participant Group/Arms

group A recieving inguinal ligament mobilizationExperimental

Group A: An intervention group (n = 20) receiving inguinal ligament mobilization (ILM) with conventional physical therapy exercises.

Other: inguinal ligament mobilization or talonavicular joint mobilization or both inguinal and talonavicular joint mobilizations or conventional physical therapy exercises

group B recieving talonavicular joint mobilizationExperimental

Group B: An intervention group (n = 20) receiving talonavicular joint mobilization (TJM) with conventional physical therapy exercises.

Other: inguinal ligament mobilization or talonavicular joint mobilization or both inguinal and talonavicular joint mobilizations or conventional physical therapy exercises

group C recieving talonavicular joint mobilization and inguinal ligament mobilizationExperimental

Group C: An intervention group (n = 20) receiving combined inguinal ligament mobilization, talonavicular joint mobilization and conventional physical therapy exercises.

Other: inguinal ligament mobilization or talonavicular joint mobilization or both inguinal and talonavicular joint mobilizations or conventional physical therapy exercises

group D recieving conventional physical therapy exercisesPlacebo Comparator

Group D: A control group (n = 20) receiving conventional physical therapy exercises only

Other: inguinal ligament mobilization or talonavicular joint mobilization or both inguinal and talonavicular joint mobilizations or conventional physical therapy exercises