To determine the effects of Mikhled vs. McKenzie Knee Exercise on Pain, range of motion and functional status in Football players with Patellofemoral Pain Syndrome
Design
The study design will be Randomized Clinical Trial with sample size of 56. It will be non probability convenient sampling and participants will randomized through sealed envelope method into two groups.
Settings and conduct
The study will be conducted at Farhan Physio and Rehab Clinic Peshawar Pakistan and our study duration will be 12 months.
Participants/Inclusion and exclusion criteria
Inclusion Criteria:
• Regular Football Players
• Age: 18 to 35 years.
• Diagnosed cases of Patellofemoral pain syndrome
• Willing to Participate on study
Exclusion Criteria:
• History of knee surgery in past 6 months.
• Having other knee pathologies (ACL tear, meniscal Injury).
• Inability to participate in study due to other medical condition
Intervention groups
There will be 2 groups Group A and Group B.
Group A will be given Mikhled Exercises. The MKEP technique includes seven therapeutic level postures that should be held for 15-20 minutes each: Level one is supine, level two is on elbows, level three is half sitting, level four is prone, level five is bench long sitting, level six is bench prone, and level seven is bench supine. Our frequency will 3 session per week for 4 weeks and duration will be 45 mint.
Group B will be given Mckinze Exercise.
1. Knee Extension Exercises includes Straight Leg Raise (SLR) and Heel Slides
2. Knee Flexion Exercises includes Prone Knee Flexion and Seated Knee Flexion exercises
3. Strength Exercises which includes quadriceps sets
Our frequency will 3 session per week for 4 weeks. Duration of 1 session will be 45 mints
Main outcome variables
Data collection tools for Pain, Range of Motion and Functional status will be include: Numeric Pain Rating Scale, Goniometry and Kujala Scoring Questionnaires
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20250430065543N1
Registration date:2025-05-22, 1404/03/01
Registration timing:registered_while_recruiting
Last update:2025-05-22, 1404/03/01
Update count:0
Registration date
2025-05-22, 1404/03/01
Registrant information
Name
Iqra Mubeen
Name of organization / entity
Riphah International University
Country
Pakistan
Phone
+92 343 7251576
Email address
iqramubeen470@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2024-07-07, 1403/04/17
Expected recruitment end date
2025-07-22, 1404/04/31
Actual recruitment start date
2025-01-15, 1403/10/26
Actual recruitment end date
2025-08-25, 1404/06/03
Trial completion date
2025-08-28, 1404/06/06
Scientific title
Comparative effects of Mikhled and Mckenzie Knee Exercise on Pain, Range of Motion and Function in Football players with Patellofemoral Pain Syndrome
Public title
Effects of Mikhled and Mckenzie Knee Exercise in Football player with patellofemoral Pain Syndrome
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Regular Football players
Age: 18 to 35 years.
Diagnosed cases of Patellofemoral pain syndrome
Willing to Participate on study
Exclusion criteria:
History of knee surgery in past 6 months
Having other knee pathologies (ACL tear, meniscal Injury).
Inability to participate in study due to other medical condition
Age
From 18 years old to 35 years old
Gender
Both
Phase
N/A
Groups that have been masked
Participant
Sample size
Target sample size:
56
Actual sample size reached:
56
Randomization (investigator's opinion)
Randomized
Randomization description
Participants will be randomized into 2 groups through sealed envelope method ensuring allocation concealment and minimizing bias. It will involve creating a series of numbered envelopes, each containing the treatment assignment for specific patients, and then assigning the envelope to patient upon consent. Group A will be given Mikhled Knee exercises and Group B will be given Mckenzie knee exercises.
Blinding (investigator's opinion)
Single blinded
Blinding description
Blinding in this study involve making participants are uninformed which participant which will be in which treatment group and which treatment will be given to which participant through sealed envelope method so it will be a single blinded study.
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Ethics Committee of Riphah College of Rehabilitation and Allied Health Sciences
Street address
26- M Gulberg 3 Campus Lahore
City
Lahore
Postal code
05450
Approval date
2024-07-30, 1403/05/09
Ethics committee reference number
REC/RCR & AHS/24/0445
Health conditions studied
1
Description of health condition studied
Patellofemoral Pain Syndrome
ICD-10 code
ICD-10 code description
Primary outcomes
1
Description
Pain, Range of Motion and Function
Timepoint
3 session per week 4 weeks. Duration of 1 session will be 45 mints.
Method of measurement
Numeric Pain Rating scale, Goniometry and Kujala Scoring Questionnaire
Secondary outcomes
empty
Intervention groups
1
Description
Intervention group: A Mikhled Knee Exercises, MKEP technique includes seven therapeutic level postures that should be held for 15-20 minutes each: Level one is supine, level two is on elbows, level three is half sitting, level four is prone, level five is bench long sitting, level six is bench prone, and level seven is bench supine. The same activity is included in each level but is presented differently as follows: The patient was taught to dorsiflex and to straighten the knee joint. The patient was instructed to elevate one leg 15 inches above the ground while keeping the knee extended. The patient was instructed to stretch his or her leg outward in an abduction stance while maintaining a straight knee. The patient was instructed to keep one leg outside of the body and bend it for 30 degrees. The patient was instructed to straighten his or her knee while maintaining horizontal leg position. The patient was instructed to position his leg inside in a manner similar to a second step, and then to return to step one and take a 30-second rest. Our frequency will 3 session per week for 4 weeks. Duration of 1 session will be 45 mints.
Category
Treatment - Other
2
Description
Intervention group: B Mckenzie Knee Exercises which include Straight Leg Raise (SLR):• Lie on your back with your legs straight.• Lift your affected leg off the ground, keeping it straight.• Hold for a few seconds and then lower it back down.• Repeat 10-15 times.Heel Slides:• Lie on your back with your knees bent.• Slide your affected heel towards your buttocks.• Slide it back to the starting position.• Repeat 10-15 times.2. Knee Flexion Exercises:Prone Knee Flexion:• Lie on your stomach with your legs straight.• Bend your affected knee, bringing your heel towards your buttocks.• Hold for a few seconds and then straighten your leg.• Repeat 10-15 times.Seated Knee Flexion:• Sit on a chair with your feet flat on the floor.• Bend your affected knee, lifting your foot off the ground.• Hold for a few seconds and then lower your foot back down.• Repeat 10-15 times.3. Strength Exercises:Quadriceps Sets:• Sit or lie down with your legs straight.• Tighten your thigh muscles (quadriceps) and hold for 10 seconds.• Relax and repeat 10-15 times 3 session per week for 4 weeks. Duration of 1 session will be 45 mints.
Category
Treatment - Other
Recruitment centers
1
Recruitment center
Name of recruitment center
Dr. Farhan Physio and Rehab Clinic Peshawar Pakistan
Full name of responsible person
Farhan Haleem
Street address
Babu Gari, Warsak Road Peshawar Pakistan
City
Peshawar
Postal code
25000
Phone
+92 312 9125982
Email
Farhan.Haleem002@gmail.com
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Riphah International University, Lahore
Full name of responsible person
Dr. Danish
Street address
25 Raza Saeed Rd, Bhabra Block M Gulberg III, Lahore, Punjab
City
Lahore
Postal code
54660
Phone
+92 345 7946009
Email
54192@students.riphah.edu.pk
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Riphah International University, Lahore
Proportion provided by this source
40
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
Riphah International University, Lahore
Full name of responsible person
Iqra Mubeen
Position
Student
Latest degree
Bachelor
Other areas of specialty/work
Physiotherapy
Street address
25 Raza Saeed Rd, Bhabra Block M Gulberg III, Lahore, Punjab 25-M Block, Lahore
City
Lahore
Province
Punjab
Postal code
54660
Phone
+92 343 7251576
Email
iqramubeen470@gmail.com
Person responsible for scientific inquiries
Contact
Name of organization / entity
Riphah International University, Lahore
Full name of responsible person
Dr. Iqra Mubeen PT
Position
Master Student
Latest degree
Bachelor
Other areas of specialty/work
Physiotherapy
Street address
25 Raza Saeed Rd, Bhabra Block M Gulberg III, Punjab 25-M Block, Lahore
City
Lahore
Province
Punjab
Postal code
54660
Phone
+92 343 7251576
Email
iqramubeen470@gmail.com
Person responsible for updating data
Contact
Name of organization / entity
Riphah International University, Lahore
Full name of responsible person
Dr. Iqra Mubeen PT
Position
Master Student
Latest degree
Bachelor
Other areas of specialty/work
Physiotherapy
Street address
25 Raza Saeed Rd, Bhabra Block M Block Gulberg III, Lahore, Punjab
City
Lahore
Province
Punjab
Postal code
54660
Phone
+92 343 7251576
Email
iqramubeen470@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
Undecided - It is not yet known if there will be 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
Yet to be decided as the study will be complete in the next 3 month
When the data will become available and for how long
Yet to be decided as the study will be complete in the next 3 month
To whom data/document is available
To all the researcher community and clinicians
Under which criteria data/document could be used
For research purpose purpose and evidence based practice at clinics
From where data/document is obtainable
Google Scholar and PubMed
What processes are involved for a request to access data/document