The Immediate Effects of Passive Hip Joint Mobilization on Hip Muscle Strength in Patients With Anterior Knee Pain
Anterior Knee Pain Syndrome, Patellofemoral Pain Syndrome
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
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
Experimental
Sham Comparator
Hip Joint Mobilization
Laying on of Hands
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.