Foot-Targeted Rehabilitation for Pronation-Related Anterior Knee Pain: A Two-Phase Case-Control Study and Single-Blind Randomized Controlled Trial of Manual Therapy Versus Neuromuscular Training Each With Augmented Low-Dye Taping.
Albert Anand Udhaya Kumar, Vinodhkumar Ramalingam, Venkadesan Rajendran
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In 30 seconds
This study investigated the effectiveness of foot-targeted rehabilitation for anterior knee pain (AKP) in patients with pronated foot posture. Conducted as a two-phase study, it included a case-control phase and a randomized controlled trial (RCT) comparing manual therapy with augmented low-dye taping (MT+ALDT) and neuromuscular training with ALDT (NMT+ALDT) against routine physiotherapy. Both interventions significantly outperformed routine care, with MT+ALDT showing the greatest improvements.
Key findings
- A 33.7-point difference in Kujala AKPS was observed between pronated and neutral/supinated participants (50.20 vs. 83.90; p<0.001).
- Both foot-targeted regimens significantly outperformed routine care on all outcomes (all p<0.001).
- Effect sizes for the interventions ranged from 0.646 to 0.958, indicating large improvements.
Why it matters
Understanding the impact of foot posture on knee pain can guide clinicians in developing targeted rehabilitation strategies. Effective interventions may enhance patient outcomes and reduce the burden of anterior knee pain.