Title: Effi cacy of the func􀆟 onal mobiliza􀆟 on approach in young adults with Patellofemoral Pain Syndrome: A randomized clinical trial

Biography:

Supriya Awasthi, is a Physician in the school of Allied Health Sciences, India. She is also working as a Professor in the same ins􀆟 tute. She has received many Na􀆟 onal and Interna
􀆟 onal rewards and awards under her provision. Her fi led of interest includes Physiotherapy, Exercise & Sports Medicine

Abstract

Background: Patellofemoral pain syndrome is a rela􀆟 vely
common diagnosis in outpa􀆟 ents presen􀆟 ng with anterior
knee pain. Patellofemoral pain syndrome can be defi ned as
retro patellar or peripatellar pain resul􀆟 ng from physical and
biochemical changes in the patellofemoral joint.
Aim: This study was undertaken to inves􀆟 gate the effi cacy of
func􀆟 onal mobiliza􀆟 on approach in terms of pain and func􀆟 on
in young adults with patellofemoral pain syndrome and the
clinical effi cacy of foot orthoses with func􀆟 onal mobiliza􀆟 on
in individuals with patellofemoral pain syndrome.
Methodology: 60 adults with patellofemoral joint pain.
Each par􀆟 cipant was randomly allocated to one of the two
groups (a or b) using block randomiza􀆟 on method. The two
groups were as follows: group a: func􀆟 onal mobiliza􀆟 on
of foot and ankle + exercises and group b: full length medial
wedge insoles + exercises. A 12 week treatment program was
prescribed for each pa􀆟 ent, and each pa􀆟 ent was assessed at
baseline and a􀅌 er 12 weeks (pre- and post- interven􀆟 on) for
primary outcomes using lefs (lower extremity func􀆟 on test),
nprs(numeric pain ra􀆟 ng scale)and fpi(foot posture index).
Results: Pa􀆟 ents from both groups demonstrated clinically
signifi cant improvement in primary outcomes with regard
to self-reported pain and func􀆟 on upon comple􀆟 on of the
study. A signifi cant diff erence was also seen in foot posture.
Post hoc analysis determined that post-interven􀆟 on follow-up
measures signifi cantly improved (p < 0.05 for all) as compared
to baseline values in terms of pain and func􀆟 on .Func􀆟 onal
mobiliza􀆟 on was more eff ec􀆟 ve in reducing pain (mean
diff erence 0.1) and orthoses were more eff ec􀆟 ve in improving
foot posture. Group b showed no immediate change in pain
and func􀆟 on ini􀆟 ally, indica􀆟 ng that improvement occurred at
a slower rate in this group. Pain and func􀆟 on improved faster
in group a. However, the magnitude of change in foot posture
was seen more in group b.
Conclusion: Therefore, incorpora􀆟 ng func􀆟 onal mobiliza􀆟 on
of foot and ankle in addi􀆟 on to conven􀆟 onal therapy in
physical therapy clinical prac􀆟 ce in future may improve short
term benefi cial eff ects with regard to pain and func􀆟 on in
pa􀆟 ents with patellofemoral pain syndrome.