Ilium Mobilization in Patellofemoral Pain Syndrome Treatment

Inclusion Criteria: Age of the subjects between 18-35 years. BMI will be ≤ 29.5 Anterior or retro patellar knee pain for at least 6 weeks duration. Foot posture index score from +6 to +12. Anterior pelvic tilt angle more than 8 degree. Pain elicited at least by two of the following four tests; (i) Isometric muscle contraction with slight bent knee,(ii) palpation of the patellofemoral joint line, (iii) patellar compression against the femoral bone (iv) active resisted knee extension. Pain intensity more than 3 at ANPS and provoked by at least two of the following activities: running, walking, hopping, squatting, stair negotiation, kneeling, or prolonged sitting. Exclusion Criteria: Meniscal or other intraarticular pathologic conditions; cruciate or collateral ligament involvement. A history of traumatic patellar subluxation or dislocation. Previous surgery in the knee, ankle and hip joints. Knee, ankle and hip joints osteoarthritis. Taking non-steroidal anti-inflammatory drugs or corticosteroids within 24 h before the test. History of brain injury or vestibular disorder within the last 6 months. Pregnant female.