The effect of movement system impairment-based classification treatment compared to routine physiotherapy on pain, disability, and alignment and movement impairments in individuals with tibiofemoral rotation syndrome: A randomized controlled trial

Comparision of the effect of two treatment methods based on the movement system impairment classification and routine physiotherapy among people between 18 to 40 years old with tibiofemoral rotation syndrome

Clinical trial with two groups, Parallel groups, single-blinded, randomized, on the 40 patients, block randomization with blocks of 4 by using the Randomization website

This study will be performed in the IUMS School of Rehabilitation Science. participants after performing the examinations, during the block randomization process, are placed in one of two treatment groups, including treatment based on a MSI and routine physiotherapy. Primary and secondary outcomes will be recorded before and immediately after the measurement sessions and the resulting data will be recorded for statistical analysis.

Inclusion criteria: Ages of 18 to 40 years, Diagnosis of acquired TFRval/var, Pain in any structures of the knee with gradual onset for at least one month and with Intensity greater than 3 and less than 6, Pain during activities that include loading on a flexed knee. Exclusion criteria:Musculoskeletal injuries other than patellofemoral pain; such as: meniscus & ligamentous injury, history of patellar dislocation, severe osteoporosis, progressive neurological disorders, lumbosacral radiculopathies, History of any traumatic injury in the last 6 months, History of any lower limb surgery in the last 6 months Any specific deformity in the spine and lower extremities, Complaints of pain in the other joints of the lower limbs, Constant severe pain that interferes with the testing process

group1: Movement System Impairment based treatment group2: routine physiotherapy treatment

Pain intensity, Disability/ limitation of function

Change in the secondary outcome and the number of study samples due to research conditions

After initial evaluations, peoples that have inclusion criteria and do not have exclusion criteria will be divided into two groups of intervention (based on movement disorder) and active control (routine physiotherapy) through block randomization method and creating random blocks of 4. Creating a random sequence will be done using the Randomization website. The person who creates the random sequence is not involved in any other stage of the investigation.

In this study, which included a comparison of two different treatment approaches (intervention group based on the movement system impairment classification approach and active control group including routine physiotherapy); Participants are blind to being in an active intervention or control group.

All data or results of the present study will be presentation in an article or some articles that will be published, also will be available through correspondence with the corresponding author

After completing the present study and publishing the resulting article or articles

All researchers in the field of the present study

With the same goal as the present study and with mention of the present study as the reference. All intellectual property rights of the present study belongs to the Iran University of Medical Sciences

The corresponding author of the article or articles derived from the study

Written request from the author responsible for the present review after the publication of the article or articles