Back to resultsEffects of Virtual Reality Rehabilitation and Muscle Energy Technique in Patients With Patellofemoral Pain Syndrome.
Primary Purpose
Patellofemoral Pain Syndrome, Knee Pain Chronic
Status
Recruiting
Phase
Not Applicable
Locations
Pakistan
Study Type
Interventional
Intervention
Virtual Reality technique
Muscle energy technique
Sponsored by
About this trial
This is an interventional treatment trial for Patellofemoral Pain Syndrome focused on measuring muscle energy technique, virtual reality technique, knee pain
Eligibility Criteria
Inclusion Criteria: Age group 18-40 Both males and females Retropatellar or anterior knee pain for atleast past 3 months Having knee pain in atleast 2 activities among stair ascent and descent,squatting over 90 degrees, running,jumping,kneeling and prolong sitting with knees flexed. Experience pain in one of the following knee tests; a) pain on patellar grinding test, b) pain on apprehension test, c) pain during resisted extension of the knee during 90 degree flexion Exclusion Criteria: Cervical radiculopathy Neurological disorder Pregnancy Rheumatoid arthritis Hip or ankle injuries Patellar instabilities Meniscal or ligament tear Who have visual or auditory problems With cognitive issues Previous surgery related to lower limbs/ radiculopathy having received knee injections of corticosteroids or hyaluronic acid knee osteoarthritis drug use that affects the balance during the past 72 h.
Sites / Locations
- Dr.z pain & brain physiotherapy centerRecruiting
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Experimental
Arm Label
Virtual Reality technique
Muscle energy technique
Arm Description
Virtual reality technique+ Conventional PT
Muscle energy technique + Conventional PT
Outcomes
Primary Outcome Measures
Kujala questionnaire
It is a self administered questionnaire for patients with PFPS that consists of 13 questions that relate to specified activities, pain severity, and clinical symptoms. The scores range from a maximum of 100 to a minimum of 0, with lower scores indicating greater pain and disability.
Secondary Outcome Measures
Visual analogue scale (VAS)
VAS is a qualitative pain measurement tool that assigns integer numbers between zero and 10 to different pain levels, where zero means no pain and 10 means excruciating pain. VAS is a reliable scale to measure knee pain
Goniometer
It is an instrument that measures the available range of motion at a joint.
Full Information
NCT ID
NCT05971966
First Posted
July 25, 2023
Last Updated
August 31, 2023
Sponsor
Riphah International University
1. Study Identification
Unique Protocol Identification Number
NCT05971966
Brief Title
Effects of Virtual Reality Rehabilitation and Muscle Energy Technique in Patients With Patellofemoral Pain Syndrome.
Official Title
Effect of Virtual Reality Rehabilitation and Muscle Energy Technique in Patients With Patellofemoral Pain Syndrome.
Study Type
Interventional
2. Study Status
Record Verification Date
August 2023
Overall Recruitment Status
Recruiting
Study Start Date
August 30, 2023 (Actual)
Primary Completion Date
March 28, 2024 (Anticipated)
Study Completion Date
April 28, 2024 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Riphah International University
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The aim of this randomized controlled trial is to determine the effects of Virtual reality rehabilitation and muscle energy techniques in patients with patellofemoral pain syndrome for reducing pain, enhancing knee range of motion and improve functional activities.
Detailed Description
Muscle energy technique is defined as a manual treatment in which patient produces a contraction in a precisely controlled position and direction against the counterforce applied by a manual therapist. Applications of MET to stretch and increase myofascial tissue extensibility seem to affect viscoelastic and plastic tissue property.
Virtual reality generates a virtual world in three dimensional space through a computer simulation that stimulates user senses, such as sight and hearing, making users feel as if they are immersed in it. VRBR is effective in improving knee pain, ROM, strength and functions. immersive VR is more appropriate for pain reduction, improving range of motion and functional activities. It distracts the patient and allows to perform active and rehabilitation exercises to reduce cognitive attention in pain and avoidance behavior.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Patellofemoral Pain Syndrome, Knee Pain Chronic
Keywords
muscle energy technique, virtual reality technique, knee pain
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
32 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Virtual Reality technique
Arm Type
Active Comparator
Arm Description
Virtual reality technique+ Conventional PT
Arm Title
Muscle energy technique
Arm Type
Experimental
Arm Description
Muscle energy technique + Conventional PT
Intervention Type
Other
Intervention Name(s)
Virtual Reality technique
Intervention Description
They would be receiving treatment as follow:
Specific exercises by using virtual reality with conventional treatment. The VR game included holopoint,hot squat and portal stories that will target the hamstring, quadriceps and gluteas muscles.Frequency: 3 times/week for 4 weeks Intensity: moderate intensity (pain free) Time: 20 mins Type: virtual reality gaming exercises Conventional PT including patellar mobilization+ ultrasound on anterior knee in supine lying + stretching of ITB . Frequency: 10 reps with 5 sec hold for 3 times/week for 4 weeks Intensity: moderate-high intensity (depending on pain tolerance) Time: 10 mins
Intervention Type
Other
Intervention Name(s)
Muscle energy technique
Intervention Description
They would be receiving treatment as follow:
Muscle energy technique of quadriceps and hamstring muscles. Frequency: 3 times/week for 4 weeks Intensity: moderate intensity (pain free) Time: 20 mins Type: Muscle energy technique to improve range of motion.
Conventional PT including patellar mobilization + ultrasound on anterior knee in supine lying + stretching of ITB. Frequency: 10 reps with 5 sec hold for 3 times/week for 2 weeks Intensity: moderate-high intensity (depending on pain tolerance) Time: 10 mins
Primary Outcome Measure Information:
Title
Kujala questionnaire
Description
It is a self administered questionnaire for patients with PFPS that consists of 13 questions that relate to specified activities, pain severity, and clinical symptoms. The scores range from a maximum of 100 to a minimum of 0, with lower scores indicating greater pain and disability.
Time Frame
4 weeks
Secondary Outcome Measure Information:
Title
Visual analogue scale (VAS)
Description
VAS is a qualitative pain measurement tool that assigns integer numbers between zero and 10 to different pain levels, where zero means no pain and 10 means excruciating pain. VAS is a reliable scale to measure knee pain
Time Frame
4 weeks
Title
Goniometer
Description
It is an instrument that measures the available range of motion at a joint.
Time Frame
4 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Age group 18-40
Both males and females
Retropatellar or anterior knee pain for atleast past 3 months
Having knee pain in atleast 2 activities among stair ascent and descent,squatting over 90 degrees, running,jumping,kneeling and prolong sitting with knees flexed.
Experience pain in one of the following knee tests; a) pain on patellar grinding test, b) pain on apprehension test, c) pain during resisted extension of the knee during 90 degree flexion
Exclusion Criteria:
Cervical radiculopathy
Neurological disorder
Pregnancy
Rheumatoid arthritis
Hip or ankle injuries
Patellar instabilities
Meniscal or ligament tear
Who have visual or auditory problems
With cognitive issues
Previous surgery related to lower limbs/ radiculopathy
having received knee injections of corticosteroids or hyaluronic acid
knee osteoarthritis
drug use that affects the balance during the past 72 h.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Kinza Anwar, MS-OMPT
Phone
+92-3239735427
Email
kinza.anwar@riphah.edu.pk
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Kinza Anwar, MS-OMPT
Organizational Affiliation
Riphah International University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Dr.z pain & brain physiotherapy center
City
Islamabad
State/Province
Punjab
Country
Pakistan
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
KINZA ANWAR, MS-OMPT
Phone
+92-3239735427
Email
kinza.anwar@riphah.edu.pk
First Name & Middle Initial & Last Name & Degree
Nayab Mehmood, MS-OMPT*
First Name & Middle Initial & Last Name & Degree
Nayab Mehmood, MS-OMPT*
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Effects of Virtual Reality Rehabilitation and Muscle Energy Technique in Patients With Patellofemoral Pain Syndrome.
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