Primary purpose of this research to investigate the effects of the McConnell taping on pain and gait parameters with patello-femoral pain syndrome
To investigate the effects of the Kinesio taping on pain and gait parameters with patello-femoral pain syndrome
To compare the effects of the Kinesio taping and the McConnell taping on pain and gait parameters with the patello-femoral pain syndrome such
pain, activities, gait parameters, and cadence.
Design
Randomized clinical trial
Settings and conduct
Study 'll be conduct in Allied Hospital, District HQ Hospital, Madinah Teaching Hospital Faisalabad
Participants/Inclusion and exclusion criteria
INCLUSION CRITERIA
Age 20-40
Persons those are experiencing the knee pain anteriorly
Pain at worst once, within the last three months in two or more movements throughout prolonged squatting, sitting, stair climbing, kneeling, running, and jumping
Unilateral(one sided) PFPS
BMI 20 to 32 kg
Patellar apprehension test
EXCLUSION CRITERIA
History of subluxation moreover dislocation of the patella
Surgery of Lower extremity (LE) within the last year
Due to damage of neurological damage, Sensory or motor paralysis
On anterior knee pain scale, score of 80 or high
Meniscal injury
Osteoarthritis of Knee joint
old fractures in the knee region with or without internal fixation
tendon pathology of patella
Any deformities of lower limb
Pain is referred from the area of spine
Intervention groups
Both group MT group and KT group will receive McConnell taping & Kinesio taping with baseline treatment stretching, strengthening as well as patellar mobilizatio
Main outcome variables
pan, activities, gait parameters and cadence
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20230706058701N1
Registration date:2023-08-08, 1402/05/17
Registration timing:retrospective
Last update:2023-08-08, 1402/05/17
Update count:0
Registration date
2023-08-08, 1402/05/17
Registrant information
Name
Ayesha Aslam
Name of organization / entity
The University of Faisalabad
Country
Pakistan
Phone
+92 41 8750971
Email address
ayeshaaslam7625@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2023-03-28, 1402/01/08
Expected recruitment end date
2023-06-15, 1402/03/25
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Comparative Effects of McConnell Taping and Kinesio Taping on Pain and Gait Parameters in Patients with Patellofemoral Pain Syndrome
Public title
McConnell Taping and Kinesio Taping on Pain and Gait Parameters in Patients with Patellofemoral Pain Syndrome
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Age 20-40
Persons those are experiencing the knee pain anteriorly
Pain at worst once, within the last three months in two or more movements throughout prolonged squatting, sitting, stair climbing, kneeling, running, and jumping
Unilateral PFPS
BMI 20 to 32 kg
Patellar apprehension test
Exclusion criteria:
History of subluxation moreover dislocation of the patella
Surgery of Lower extremity (LE) within the last year
Due to damage of neurological damage, Sensory or motor paralysis
On anterior knee pain scale, score of 80 or high
Meniscal injury
Osteoarthritis of Knee joint
old fractures in the knee region with or without internal fixation
tendon pathology of patella
Any deformities of lower limb
Pain is referred from the area of spine
Age
From 20 years old to 40 years old
Gender
Both
Phase
N/A
Groups that have been masked
Participant
Investigator
Sample size
Target sample size:
30
Randomization (investigator's opinion)
Randomized
Randomization description
As per the inclusion and exclusion criteria of the study ,
patients will be divided into two groups randomly by
Random lottary method. The randomization process in
this study followed a simple randomization method at
the individual level. The unit of randomization was the
individual participant, meaning that each participant was
randomly assigned to either the MT group or the KT
group.
Blinding (investigator's opinion)
Double blinded
Blinding description
The patients taking part in the study would be blinded,
they would not be able to know the group they have
been allocated to, either McConnell taping and Kinesio taping. Principal
investigator, who is responsible for the overall conduct
and supervision of the study, is also blinded in a doubleblind trial. In investigator-initiated trials, the principal
investigator may have a vested interest in the study
outcomes. By blinding the principal investigator, the risk
of conscious or unconscious bias in data interpretation
and analysis is minimized.
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
The University of Faisalabad
Street address
Canal road Faisalabad
City
Faisalabad
Postal code
38610
Approval date
2023-03-25, 1402/01/05
Ethics committee reference number
TUF/Addl Reg/SB/355
Health conditions studied
1
Description of health condition studied
Patellofemoral Pain Syndrome (PFPS) is an umbrella term used for pain arising from the Patellofemoral joint itself, or adjacent soft tissues. It is a chronic condition that tends to worsen with activities such as squatting, sitting, climbing stairs, and running. Historically it has been referred to as anterior knee pain but this is misleading as the pain can be felt in all aspects of the knee (including the popliteal fossa). Symptoms can develop slowly over time or brought on acutely. PFP tends to reoccur after 2 years in 40% of cases.
ICD-10 code
M22.2X
ICD-10 code description
Patellofemoral disorders
Primary outcomes
1
Description
Primary outcomes is Pain
Timepoint
Measure by Visual Analogue Scale (VAS)
Method of measurement
The Visual Analogue Scale (VAS) measures pain intensity. The VAS consists of a 10cm line, with two end points representing 0 ('no pain') and 10 ('pain as bad as it could possibly be'). Ask the patient to rate their current level of pain by placing a mark on the line.
2
Description
Activities
Timepoint
Activities measure by Kujala/Anterior Knee Pain Scale (AKPS)
Method of measurement
The Kujala Score or Anterior Knee Pain Scale (AKPS) is a 13-item self-report questionnaire that assesses subjective reactions to particular activities and symptoms that are known to correlate with anterior knee pain syndrome. The AKPS is graded on a scale of 0 to 100, with 100 being the highest possible score.
3
Description
Gait parameters (cadence)
Timepoint
Gait parameters by Rivermead Visual gat assessment form, (cadence) measure by Stopwatch
Method of measurement
Rivermead Visual Gait Assessment is regarded as the most clinically helpful measurement since it evaluates the kinematic component of gait abnormalities.The clinical and economically method of visual gait observation is particularly helpful in identifying walking abnormalities.It consists of 20 items that measure the deviations on the affected side over 2 arms, 11 stance phases, and 7 swing phases. Each question is graded on a four-point scale with a range of 0 to 3 (normal value = 0, mild deviation value = 1, moderate deviation value = 2, and severe deviation value = 3). The overall score ranges from 0 (normal gait) to 59 (severely altered gait) because only item 2 is rated up to significant alteration (21). A stopwatch is a timing tool used to measure the passing of time. It is also employed to assess cadence, which refers to the frequency of steps or strides taken during activities like walking or jogging. By counting the number of steps within a designated timeframe, typically a minute, a stopwatch provides a convenient method for monitoring cadence. While there are more advanced wearable devices for precise cadence measurements, a stopwatch can still provide approximate measurements when such technology is not available.
Secondary outcomes
empty
Intervention groups
1
Description
Intervention group: Group A McConnell Taping: Taping was performed on the participants in the MT group while the patella is pulled medially. It started at the middle of the lateral border, then carried over the front of the patella and finally attached to the middle of the medial border of the medial hamstring tendons. The medial soft tissues shift down the medial femoral condyle and towards the patella in order to provide a more secure fixation (15).The patient was lying on his or her side with the extended leg and the thigh muscles are just relaxed when the tape was applied. Several strips of hypo-allergenic tape were applied throughout the region of knee to Antero-posterior tilt and medial glide: The tape was applied to the knee's lateral surface at the level of the patella's tops facet. cover the patella and the medial and lateral knee regions before each piece of rigid tape was applied.As the tape was pushed medially, the skin on the medial side of the knee was gradually raised towards the patella. Short of the hamstring, the tape was fastened to the medial side of the knee (17). After the medial correction, McConnell taping with the weight bearing on the lower leg demonstrated that neither the patellofemoral joint's area of contact nor the patella's alignment were altered by the tape method.The McConnell taping technique improves dynamic balance, increases the activating of the (Vastus Medialis Obliquus) compared to the (Vastus Lateralis muscles), and corrects patellar alignment in addition to reducing pain during activity (43).
Category
Treatment - Other
2
Description
Intervention group: Group B Kinesio Taping : Before beginning the taping process, alcohol was used to disinfect the skin. The position of patient was in the supine position, the taping was done with the 30 degrees hip flexed and 50 degrees knee flexed. The first part of adhesive tape was at the linea aspera medial lip since here is where the VM begins. After that, it will attach this to the side middle of patellar_tendon, as well as serves as the putting point for the VM (34).On the quadriceps femoris muscle, kinesio tape was applied using a tonus regulation technique, commonly known as muscle technique.We observed the tape length with the tissue stretched to its maximum extent.In a supine position, the individual was advised to extend their leg as far as possible below the bed, and the starting end of a Y-shaped of tape was attached to the middle of the thigh, 5 cm below the line of the inguinal region. Alongside the knee joint in a place of 90* flexion, the tape was fastened along a line that went above the kneecap, and the split end's two tips were fastened to the kneecap and wrapped around it (17). By stimulating the cutaneous mechan-o-receptors and boosting afferent signals to the central nervous system, KT can significantly reduce pain. Additionally, according to , KT elevates the skin and encourages blood and lymph flow. Additionally, it is believed to support joint health and muscle repair.Additionally, KT may improve emotional stability and self-assurance, which can lead to improved performance. It is thought that KT regulates muscle tone, activates skin afferent receptors, and has an impact on how muscles work. Better limb strength can result from these elements in turn. By attracting muscle spindles via the sensorimotor pathway, KT can also enhance muscular tone. One of the theories behind KT is that it strengthens proprioceptive sensibility to assist weak muscles, enhancing muscular function, reducing discomfort, realigning subluxated joints, and promoting blood and lymph circulation (44).
Category
Treatment - Other
Recruitment centers
1
Recruitment center
Name of recruitment center
Allied Hospital Faisalabad
Full name of responsible person
Sobia Nawaz
Street address
Jail Road adjacent to Faisalabad Medical University, Near Sargodha Road, Faisalabad.
City
Faisalabad
Postal code
38800
Phone
+92 331 7240977
Email
sobia.nawaz56@gmail.com
Web page address
2
Recruitment center
Name of recruitment center
Madinah Teaching Hospital
Full name of responsible person
Dr.Kishwar
Street address
Sargodha Rd, University Town, Faisalabad, Punjab
City
Faisalabad
Postal code
38800
Phone
+92 333 6526682
Email
kishwarbatool922@gmail.com
3
Recruitment center
Name of recruitment center
District HQ Faisalabad
Full name of responsible person
Shaista Bano
Street address
Mall Road, Faisalabad, Punjab
City
Faisalabad
Postal code
6543
Phone
+92 321 7240865
Email
banoshaista00@gmail.com
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
The University of Faisalabad
Full name of responsible person
Ayesha Aslam
Street address
Neighban pura street no.1,Faisalabad
City
Faisalabad
Postal code
38610
Phone
+92 308 2973775
Email
ayeshaaslam7625@gmail.com
Grant name
no
Grant code / Reference number
no
Is the source of funding the same sponsor organization/entity?
No
Title of funding source
my parents supporting me
Proportion provided by this source
100
Public or private sector
Private
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Other
Person responsible for general inquiries
Contact
Name of organization / entity
The University of Faisalabad
Full name of responsible person
Ayesha Aslam
Position
Student
Latest degree
Medical doctor
Other areas of specialty/work
Physiotherapy
Street address
Neighban pura street no.1, block C Faisalabad
City
Faisalabad
Province
Punjab
Postal code
38610
Phone
+92 308 2973775
Email
ayeshaaslam7625@gmail.com
Person responsible for scientific inquiries
Contact
Name of organization / entity
The University of Faisalabad
Full name of responsible person
Rabia Khan
Position
Doctor
Latest degree
Medical doctor
Other areas of specialty/work
Physiotherapy
Street address
Abdullah Colny Faisalabad
City
Faisalabad
Province
Punjab
Postal code
2353
Phone
+92 308 4558383
Email
rabisandhu4549@gmail.com
Person responsible for updating data
Contact
Name of organization / entity
The University of Faisalabad
Full name of responsible person
Tahreem Naz
Position
Consultant
Latest degree
Medical doctor
Other areas of specialty/work
Physiotherapy
Street address
Gulamabad Faisalabad
City
Faisalabad
Province
Punjab
Postal code
3433
Phone
+92 301 7122566
Email
dr.tahreemnaz@gmail.com
Sharing plan
Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
Yes - There is a plan to make this available
Statistical Analysis Plan
Yes - There is a plan to make this available
Informed Consent Form
Yes - There is a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
Yes - There is a plan to make this available
Data Dictionary
Yes - There is a plan to make this available
Title and more details about the data/document
Comparative effects of McConnell Taping and Kinesio Taping on pain and gait parameters in patients with Patellofemoral pain syndrome
When the data will become available and for how long
Data will be available after the completion of study and
will remain available till 6 months
To whom data/document is available
Data will be available for other people almost 6 months
after the completion of study
Under which criteria data/document could be used
The data/document could be used by communicating
with the principle investigator Ayesha Aslam gmail : ayeshaaslam7625@gmail.com
From where data/document is obtainable
Ayesha Aslam gmail : ayeshaaslam7625@gmail.com
What processes are involved for a request to access data/document
The data/document could be used by communicating
with the principle investigator Ayesha Aslam
ayeshaaslam7625@gmail.com