Jun 25, 2025
Effectiveness of ESWT on Patellofemoral Pain Syndrome
- Mubashsira Raisa1,
- K M Amran Hossain1
- 1Department of Physiotherapy & Rehabilitation, Jashore University of Science & Technology
Protocol Citation: Mubashsira Raisa, K M Amran Hossain 2025. Effectiveness of ESWT on Patellofemoral Pain Syndrome. protocols.io https://dx.doi.org/10.17504/protocols.io.36wgqq2bxgk5/v1
License: This is an open access protocol distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Protocol status: Working
We use this protocol and it's working
Created: June 24, 2025
Last Modified: June 25, 2025
Protocol Integer ID: 220918
Keywords: Patellofemoral pain syndrome , Extracorporeal Shockwave Therapy, Ultrasound Therapy , AKPS kujala score , KOOS-PF , Lower Extremity Functional Scale, MSK Ultrasonography, Pressure Algometer, patellofemoral pain syndrome, patellofemoral pain syndrome the purpose, anterior knee pain scale, eswt with isometric exercise, effectiveness of eswt, lower extremity functional scale with the patient, lower extremity functional scale, effective for pain, isometric exercises against ust, exercise, isometric exercise, eswt
Abstract
The purpose of this single centered, participant and assessor blinded parallel group Randomized Clinical Trial is to examine the effectiveness of ESWT with isometric exercises against UST with isometric exercises to improve pain and morphological characteristics which are primary outcome that measures through Pressure Algometer or Anterior Knee Pain Scale and USG and functional activity which is secondary outcome that measures through Lower Extremity Functional Scale with the patient of Patellofemoral Pain Syndrome.
The expected result of this study will be the ESWT with isometric exercise will be effective for pain reducing and significant changes can be found in morphological characteristics.
Materials
Musculoskeletal Ultrasonography : MSK USG guided Patellofemoral Pain Syndrome. The accuracy of MSK-DUSI for diagnosing musculoskeletal soft-tissue pathology of the knee were found .
Pressure Algometer : •Algometers are designed to quantify and document levels of tenderness via pressure pain threshold measurement and pain sensitivity via pressure pain tolerance measurement. Pressure algometry is a reliable measure of pain in muscles, fascia, joints, tendons, ligaments and the periosteum.
Anterior knee Pain Scale ( Kujala Score ) : The Kujala AKPS is a valid and reliable measure of anterior knee pain and appropriate for use as an epidemiologic screening tool. The scale is composed of 13 items that evaluate subjective symptoms and functional limitations. Minimum score is 0 points and maximum score is 100 points.
Knee Injury and Osteoarthritis outcome Score patellofemoral Subscale : To evaluate individuals or samples of individuals with anterior knee pain ,patellofemoral pain and patellofemoral osteoarthritis .The subscale included 11 items. KOOS-PF items loaded predominantly on one factor, pain during activities that load the patellofemoral joint.
Lower Extremity Functional Scale : The lower extremity functional scale is a valid patient-rated outcome measure for the measurement of lower extremity function. The scale consist of 4 groups with 20 questions. The scoring of this scale varies from 0 (extreme difficulty/unable to perform activity) to 4 (no difficulty). The maximum score of 80 indicates no functional limitations and the minimum score of 0 indicates extreme limitations.
Protocol references
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Acknowledgements
The study will be partially funded by Department of Physiotherapy and Rehabilitation Jashore University of Science and Technology.