[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100648103":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":29,"centralContacts":33,"locations":39,"responsibleParty":58,"collaborators":24,"id":60,"slug":61,"hasResults":62,"nctId":63,"briefTitle":64,"officialTitle":65,"acronym":66,"eligibilityCriteria":67,"healthyVolunteers":62,"sex":68,"minAge":69,"maxAge":70,"enrollmentInfo":71,"targetDuration":24,"studyType":74,"phases":75,"briefSummary":77,"conditions":78,"keywords":83,"overallStatus":85,"whyStopped":24,"lastUpdateSubmitDate":86,"lastUpdatePostDateStruct":87,"startDateStruct":90,"completionDateStruct":92,"leadSponsor":94,"locationsCount":95},{"fullName":5,"class":6},"Riphah International University","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Mikhled Knee Exercises with Stecco Fascial Manipulation","ACTIVE_COMPARATOR","Participants will receive the Mikhled Knee Exercise Program (MKEP) three times per week for 6 weeks under physiotherapist supervision. The program includes wall slides, step-downs, eccentric decline squats, lateral step-ups, terminal knee extensions, single-leg stance with trunk rotation, and quadriceps isometric exercises (2-3 sets of 10-15 repetitions), with progressive advancement based on individual tolerance. In addition, participants will receive Stecco Fascial Manipulation for 10-15 minutes, 1-2 times per week, targeting the Centers of Coordination (CCs) of the hip, thigh, and knee to improve fascial mobility, reduce pain, and enhance knee function.",[13],"Other: Mikhled Knee Exercises with Stecco Fascial Manipulation",{"label":15,"type":16,"description":17,"interventionNames":18},"Mikhled Knee Exercises Program (MKEP)","EXPERIMENTAL","Participants in Group B will also perform the Mikhled Knee Exercise Program three times per week for six weeks, following the same structure and progression as Group A. This includes the same set of functional and strengthening exercises aimed at restoring proper patellar alignment and improving knee function, such as wall slides, step-downs, eccentric squats, lateral step-ups, closed-chain terminal knee extensions, single-leg stance with trunk rotation, and isometric quadriceps holds. Exercise intensity will begin at two sets of 10 repetitions and gradually increase to three sets of 15 repetitions, with resistance and complexity progressing over time based on the patient's response",[19],"Other: Mikhled Knee Exercise Program (MKEP)",[21,25],{"type":6,"name":9,"description":22,"armGroupLabels":23,"otherNames":24},"Intervention: Mikhled Knee Exercise Program (MKEP) Frequency: 3 sessions per week Duration: 6 weeks Session Duration: 30-45 minutes Supervision: Supervised by a physiotherapist Exercises: Wall slides, step-downs, eccentric decline squats, lateral step-ups, closed kinetic chain terminal knee extensions, single-leg stance with trunk rotation, and quadriceps isometric exercises Dosage: 2-3 sets of 10-15 repetitions per exercise Progression: Gradual increase in exercise intensity and difficulty based on participant tolerance and clinical progress.\n\nIntervention: Stecco Fascial Manipulation Frequency: 1-2 sessions per week (within the treatment session) Duration: 6 weeks Application Time: 10-15 minutes per session Provider: Performed by a trained physiotherapist Target Area: Centers of Coordination (CCs) in the fascia of the hip, thigh, and knee Technique: Manual fascial manipulation tailored to identified fascial restrictions",[9],null,{"type":6,"name":26,"description":27,"armGroupLabels":28,"otherNames":24},"Mikhled Knee Exercise Program (MKEP)","Intervention: Mikhled Knee Exercise Program (MKEP) Frequency: 3 sessions per week Duration: 6 weeks Session Duration: 30-45 minutes Supervision: Supervised by a physiotherapist Exercises: Wall slides, step-downs, eccentric decline squats, lateral step-ups, closed kinetic chain terminal knee extensions, single-leg stance with trunk rotation, and quadriceps isometric exercises Dosage: 2-3 sets of 10-15 repetitions per exercise Progression: Gradual increase in exercise intensity and difficulty based on participant tolerance and clinical progress.",[15],[30],{"name":31,"affiliation":5,"role":32},"Saba Rafiq, MS OMPT","PRINCIPAL_INVESTIGATOR",[34],{"name":35,"role":36,"phone":37,"phoneExt":24,"email":38},"Imran Amjad, PhD","CONTACT","03324390125","imran.amjad@riphah.edu.pk",[40],{"facility":41,"status":24,"city":42,"state":43,"zip":44,"country":45,"countryCode":46,"cosmosGeoPoint":47,"geoPoint":52,"contacts":53},"Dr. Abid Harif Awan's Physiotherapy Clinic","Lahore","Punjab Province","54000","Pakistan","PK",{"type":48,"coordinates":49},"Point",[50,51],74.35071,31.558,{"lat":51,"lon":50},[54],{"name":55,"role":36,"phone":56,"phoneExt":24,"email":57},"Saba Rafiq, MS-OMPT","03034045433","saba.rafiq@riphah.edu.pk",{"type":59,"investigatorFullName":24,"investigatorTitle":24,"investigatorAffiliation":24,"oldNameTitle":24,"oldOrganization":24},"SPONSOR","100648103","mikhled-knee-exercise-program-with-and-without-stecco-fascial-manipulation-effect-in-patellofemoral-pain-syndrome-100648103",false,"NCT07716163","Mikhled Knee Exercise Program With and Without Stecco Fascial Manipulation Effect in Patellofemoral Pain Syndrome","Comparative Effects of the Mikhled Knee Exercise Program With and Without Stecco Fascial Manipulation on Pain, Range of Motion, and Functional Outcomes in Patellofemoral Pain Syndrome","MKEP","Inclusion Criteria:\n\n* Male and female participants between the ages of 25-45 years (16)\n* Diffused anterior knee pain for at least 8 weeks (16)\n* Pain exacerbated by climbing stairs, prolonged sitting, walking, running, squatting, knee flexion, and isometric quadriceps contraction (14).\n* Patients had never received Stecco fascial manipulation and MKEP before.\n\nExclusion Criteria:\n\n* Tendonitis\n* Osgood-Schlatter syndrome\n* OA\n* Fracture\n* Patellar sublaxation or dislocation\n* Previous history of surgery\n* Meniscus or ligament damage\n* Heart diseases\n* Neurological deficits\n* Pregnancy","ALL","25 Years","45 Years",{"count":72,"type":73},58,"ESTIMATED","INTERVENTIONAL",[76],"NA","To compare the effects of the Mikhled Knee Exercise Program with and without Stecco Fascial Manipulation on pain, range of motion, and functional outcomes Patellofemoral Pain Syndrome.",[79,80,81,82],"Knee Pain","Patellofemoral Pain Syndrome","Patellofemoral Pain (PFPS)","Fascial Manipulation",[84],"Fascia, Manipulation, Pain, Patellofemoral pain, Range of motion","NOT_YET_RECRUITING","2026-07-16",{"date":88,"type":89},"2026-07-21","ACTUAL",{"date":91,"type":73},"2026-07-01",{"date":93,"type":73},"2026-09-01",{"name":5,"class":6},1]