Effect of Lumbopelvic Manipulation Versus Tibiofemoral Mobilization on Pain and Quality of Life in Patellofemoral Pain Syndrome

Abstract

Background: Patellofemoral pain syndrome is a common source of anterior knee pain which accounts for 25-40 percent of all knee problems seen in sports injuries. It is a sharp or dull pain in anterior or retro patellar knee pain that can be aggravated by sustained sitting, squatting, step up and step down. Therapeutic exercise, bracing, taping and orthotics have shown improvement in the treatment of PFPS. Manual therapy also shows little evidence in the management of PFPS. Objective: The objective of this is to find the effectiveness of Lumbopelvic manipulation versus Tibiofemoral mobilization on pain and quality of life on Patellofemoral pain syndrome.Methodology: This clinical trial was conducted 50 subjects with patellofemoral pain syndrome. The subjects were selected based on inclusion and exclusion criteria. Baseline assessment was taken and participants were allocated to either Group A LPM (n=25) or Group B TFM (n=25) based on inclusion criteria. Both the techniques were given for 3 days in a week for 4 weeks. Outcome measures NPRS and Kujala anterior knee pain were done at the baseline, 1st week and at 4th weeks after intervention. Outcome measures were compared and used to established an effectiveness of treatment.Result: The baseline characteristics age, gender, duration of pain, NPRS and KAKS score were calculated for both the groups. The pre-test and post-test difference for NPRS score is 2.12 and 1.56 for Group A (LPM) and Group B (TFM) respectively and for KAKS score is 7.88 and 7.32 for Group A (LPM) and Group B (TFM) respectively. These results show there is no statistically significant difference between both the groups. Hence, both the technique found to be equally effective and no technique is superior to the other.Conclusion: There is no significant difference between Lumbopelvic manipulation Versus Tibiofemoral mobilization on pain and quality of life in Patellofemoral pain syndrome