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The Immediate Effects of Passive Hip Joint Mobilization on Hip Muscle Strength in Patients With Anterior Knee Pain

Primary Purpose

Anterior Knee Pain Syndrome, Patellofemoral Pain Syndrome

Status
Completed
Phase
Not Applicable
Locations
Austria
Study Type
Interventional
Intervention
Joint Mobilization
Laying on of Hands
Sponsored by
Sheffield Hallam University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Anterior Knee Pain Syndrome focused on measuring mobilization, muscle strength, hip abductors, hip external rotators

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • diagnosis: anterior knee pain
  • Prescription for physiotherapeutic treatment of anterior knee pain
  • signs of functional hip impairment:
  • impaired hip kinematics during single leg squat
  • reduced passive hip joint mobility in comparison to the other, unaffected side
  • manually weak tested hip abductors/external rota-tors in comparison to the other, unaffected side

Exclusion Criteria:

  • intraarticular knee pathology
  • preceding trauma/operation of lower extremity on affected side
  • spinal disorders associated with low back pain, lumbar referred pain or nerve root irritation
  • severe and/or recurring ankle sprains in recent history (significant enough, that it required a period of immobilization)
  • other relevant comorbidities such as neurologic/rheumatologic/psychiatric diseases, osteoporosis and malign disorders
  • pregnancy

Sites / Locations

  • Praxisgemeinschaft "Bewegungsoase"

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Sham Comparator

Arm Label

Hip Joint Mobilization

Laying on of Hands

Arm Description

passive accessory movement on femur in anterior/posterior direction, grade III for four minutes and passive physiological movement of the most restricted hip joint movement, grade III for one minute (without pain), and a verbal education of hypothesized underlying effect mechanisms.

grade I, very small amplitude without encountering any tissue resistance for five minutes, thus effectively a Laying on of Hands, with a verbal education of hypothesized underlying effect mechanisms.

Outcomes

Primary Outcome Measures

Muscle Strength
muscle strength data obtained from torque measurements of the hip abductor/external rotator muscles of participants before and after intervention via manual muscle testing (using a hand-held dynamometer)

Secondary Outcome Measures

Full Information

First Posted
December 7, 2018
Last Updated
June 5, 2019
Sponsor
Sheffield Hallam University
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1. Study Identification

Unique Protocol Identification Number
NCT03771495
Brief Title
The Immediate Effects of Passive Hip Joint Mobilization on Hip Muscle Strength in Patients With Anterior Knee Pain
Official Title
What Are the Immediate Effects of Passive Hip Joint Mobilization on Hip Abductor/External Rotator Muscle Strength in Patients With Anterior Knee Pain and Impaired Hip Function
Study Type
Interventional

2. Study Status

Record Verification Date
June 2019
Overall Recruitment Status
Completed
Study Start Date
December 21, 2018 (Actual)
Primary Completion Date
April 30, 2019 (Actual)
Study Completion Date
April 30, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sheffield Hallam University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
The aim of the study is to assess the immediate effects of passive hip joint mobilisation (in comparison to a sham mobilisation) on eccentric hip abductor/external rotator muscle strength on the basis of manual muscle testing with a hand-held-dynamometer within a double-blinded cross-over study design. Patients with anterior knee pain and signs of impaired hip function will be recruited in Vienna and surrounding area, measurements/data collection will be conducted by two experienced physiotherapists in a physiotherapy group practice in 1150 Vienna.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Anterior Knee Pain Syndrome, Patellofemoral Pain Syndrome
Keywords
mobilization, muscle strength, hip abductors, hip external rotators

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
18 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Hip Joint Mobilization
Arm Type
Experimental
Arm Description
passive accessory movement on femur in anterior/posterior direction, grade III for four minutes and passive physiological movement of the most restricted hip joint movement, grade III for one minute (without pain), and a verbal education of hypothesized underlying effect mechanisms.
Arm Title
Laying on of Hands
Arm Type
Sham Comparator
Arm Description
grade I, very small amplitude without encountering any tissue resistance for five minutes, thus effectively a Laying on of Hands, with a verbal education of hypothesized underlying effect mechanisms.
Intervention Type
Other
Intervention Name(s)
Joint Mobilization
Intervention Description
Manual Therapy Intervention, commonly used by physiotherapists
Intervention Type
Other
Intervention Name(s)
Laying on of Hands
Intervention Description
Sham Hip Joint Mobilization
Primary Outcome Measure Information:
Title
Muscle Strength
Description
muscle strength data obtained from torque measurements of the hip abductor/external rotator muscles of participants before and after intervention via manual muscle testing (using a hand-held dynamometer)
Time Frame
10 minutes

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: diagnosis: anterior knee pain Prescription for physiotherapeutic treatment of anterior knee pain signs of functional hip impairment: impaired hip kinematics during single leg squat reduced passive hip joint mobility in comparison to the other, unaffected side manually weak tested hip abductors/external rota-tors in comparison to the other, unaffected side Exclusion Criteria: intraarticular knee pathology preceding trauma/operation of lower extremity on affected side spinal disorders associated with low back pain, lumbar referred pain or nerve root irritation severe and/or recurring ankle sprains in recent history (significant enough, that it required a period of immobilization) other relevant comorbidities such as neurologic/rheumatologic/psychiatric diseases, osteoporosis and malign disorders pregnancy
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sionnadh McLean
Organizational Affiliation
Sheffield Hallam University
Official's Role
Study Director
Facility Information:
Facility Name
Praxisgemeinschaft "Bewegungsoase"
City
Vienna
ZIP/Postal Code
1150
Country
Austria

12. IPD Sharing Statement

Plan to Share IPD
Undecided
Citations:
PubMed Identifier
32452284
Citation
Pfluegler G, Borkovec M, Kasper J, McLean S. The immediate effects of passive hip joint mobilization on hip abductor/external rotator muscle strength in patients with anterior knee pain and impaired hip function. A randomized, placebo-controlled crossover trial. J Man Manip Ther. 2021 Feb;29(1):14-22. doi: 10.1080/10669817.2020.1765625. Epub 2020 May 26.
Results Reference
derived

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The Immediate Effects of Passive Hip Joint Mobilization on Hip Muscle Strength in Patients With Anterior Knee Pain

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