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CTRI Number  CTRI/2019/02/017883 [Registered on: 28/02/2019] Trial Registered Prospectively
Last Modified On: 29/04/2022
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Soft tissue release in recreational runners with anterior knee pain 
Scientific Title of Study   Effects of fascial manipulation on knee function and pain in recreational runners with patellofemoral pain syndrome: A Randomized Controlled Trial  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Karthik A 
Designation  Master of physiotherapy (MPT) student 
Affiliation  Manipal Academy of Higher Education 
Address  Upper basement,Department of Physiotherapy, Manipal Hospital,#98,HAL,Old Airport road,Bangalore

Bangalore
KARNATAKA
560017
India 
Phone  7904045675  
Fax    
Email  karthikvagai6@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Karvannan H 
Designation  Associate Professor 
Affiliation  Manipal Academy of Higher Education 
Address  Upper basement,Department of Physiotherapy, Manipal Hospital,#98,HAL,Old Airport road,Bangalore

Bangalore
KARNATAKA
560017
India 
Phone  9986565966  
Fax    
Email  karvannan.h@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Dr Prem V 
Designation  Associate Professor 
Affiliation  Manipal Academy of Higher Education 
Address  Upper basement,Department of Physiotherapy, Manipal Hospital,#98,HAL,Old Airport road,Bangalore

Bangalore
KARNATAKA
560017
India 
Phone  9886647732  
Fax    
Email  prem.v@manipal.edu  
 
Source of Monetary or Material Support  
Department of physiotherapy,School of allied health sciences, Manipal academy of higher education, Manipal 576104 
 
Primary Sponsor  
Name  SOAHS Manipal Academy of Higher Education 
Address  Upper basement,Department of Physiotherapy, Manipal Hospital,#98,HAL,Old Airport road,Bangalore 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Karthik A  Manipal Hospital  Upper basement,Department of physiotherapy,Manipal hospital, #98,HAL,Old Airport Road, Bangalore
Bangalore
KARNATAKA 
7904045675

karthikvagai6@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Research Committe,School of Allied Health Sciences, Manipal Academy of Higher Education, Manipal  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M222||Patellofemoral disorders,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Fascial manipulation  Fascial manipulation will be given for total of 10 sessions,2-3 sessions/week with 45 minutes duration of each session. Based on Steccos fascial manipulation assessment, most densified point of affected limb will be treated. 
Comparator Agent  Hip and Knee strengthening exercises   Strengthening exercises will emphasis on knee and hip muscles. Exercises will progressed from isometric to non-weight bearing to weight bearing and functional retraining based on the progression of the condition in the 4weeks. Knee and Hip exercises like 1.Isometric hip abduction in standing 2.Hip abduction in supine lying 3.Hip abduction with slight knee and hip flexion in side lying 4.Hip abduction in side lying 5.Vastus medialis oblique activation 6.Static quadriceps 7.Stretching for lower limb muscles(hamstrings,quadriceps,iliotibial band,gastrocnemius) 8. Straight leg raise in supine 9.Seated knee extension will be given. Total of 10 sessions,in which 2-3 sessions/week supervised. Each session will be for 45mins for 4weeks. Using log book and phone calls exercise adherence will be followed on the non supervised days. 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  45.00 Year(s)
Gender  Both 
Details  1.Recreational runners
2.Age group of 20-45
3.Runners diagnosed with patellofemoral pain syndrome using clinical test
4.NPRS minimum score greater than or equal to 3 
 
ExclusionCriteria 
Details  1) Inflammatory diseases
2) Recent injury (ligament or meniscal injury or patella dislocation)
3) Recent history of fall on knee
4) Associated problems - hip pain and low back pain
 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Lower extremity functional scale  Pre intervention and the end of 4th week 
 
Secondary Outcome  
Outcome  TimePoints 
NPRS scale  Pre intervention and the end of 4th week 
Pressure pain threshold  Pre intervention and the end of 4th week 
 
Target Sample Size   Total Sample Size="66"
Sample Size from India="66" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="66" 
Phase of Trial   N/A 
Date of First Enrollment (India)   11/03/2019 
Date of Study Completion (India) 05/04/2022 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   None yet 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary   Patellofemoral pain syndrome is one of the most common injuries in runners.  An imbalance forces which are placed on the patella during movement is because of fascial densification, which later leads to patellofemoral pain syndrome. There is a paucity in literature on effect of fascial manipulation on knee function and pain in recreational runners with patellofemoral pain syndrome
 
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