ClinicalTrials.gg
Not yet recruitingNCT07013617PFPSUpdated Jun 15, 2025

Effect of Specific Versus General Hamstring Stretch on Clinical Outcomes in Patellofemoral Pain Syndrome (PFPS)

An interventional study of Transcutaneous Electrical Nerve Stimulation Device and Strength exercises for lower limb in Hamstring Shortness, Patellofemoral Pain Syndrome and Hamstring Flexibility, sponsored by Cairo University. Not yet recruiting at 1 site in Egypt. Open to participants aged 18 Years to 37 Years. Per ClinicalTrials.gov, last updated 2025-06-15.

Sponsored by Cairo University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Oct 2025, 1 year 1 month ago, but the record still lists the study as not yet recruiting.

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Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years to 37 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-15

Among 30 studies in Patellofemoral Pain Syndrome by Cairo University — 12 open to participants now, 13 under way, none of them phase 3. Patellofemoral Pain Syndrome · Cairo University.

Planned enrollment
5th of 22
60 · median 58
Started
2025
with 2 others
No phase
22 of 30
10 open now
Primary completion
2025-10
later than 2 of 12 live
Registered
18th of 30
by date

Among the 30 studies in Patellofemoral Pain Syndrome by Cairo University, this one is the 5th largest by planned enrollment of the 22 interventional ones that give a count, is one of 3 that started in 2025, is one of 22 with no phase, reaches primary completion later than 2 of the 12 other live ones, and was the 18th registered.

Patellofemoral Pain Syndrome

297 studies on the registry are indexed under Patellofemoral Pain Syndrome; 74 are open to participants now.

Browse Patellofemoral Pain Syndrome studies →

Open to participants now

12 of the 30 studies in Patellofemoral Pain Syndrome by Cairo University are open now, in 3 countries. Recruiting first, the newest first:

6 more — sign in →

By country, each count listing its studies:

All 12 open studies →

Where they have run

Who these studies take

Of the 45 Patellofemoral Pain Syndrome studies recruiting now, 3 (7%) set no upper age limit and 41 (91%) stop at 75 or younger; 7 take children under 18; 13 take healthy volunteers.

This study: 18 Years to 37 Years · all sexes · no healthy volunteers.

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02

Study summary

This randomized, Single-blind, parallel-group trial will compare the effects of three hamstring stretching interventions-general hamstring Muscle Energy Technique (MET), medial hamstring MET, and lateral hamstring MET-each combined with standardized TENS and progressive hip/knee strengthening, on hamstring flexibility (knee-extension ROM), anterior knee pain (Arabic Kujala score), pain intensity visual analogue scale (VAS), and lower-limb strength (hand-held dynamometer) in adults with patellofemoral pain syndrome (PFPS).

Read the detailed description

Patients with chronic PFPS will be randomized (1:1:1) into:

General MET group: standard non-specific hamstring MET stretch

Medial MET group: targeted medial-hamstring MET stretch

Lateral MET group: targeted lateral-hamstring MET stretch

All groups receive:

TENS: 20 min asymmetric biphasic square-pulse, 120 μs pulse width, 180 Hz, electrodes around patella (5-7 cm apart)

Strengthening: 3×/week for 4 weeks; hip/knee exercises, start 3×10 reps → 3×20, progress with weights or resistance bands.

Outcomes are measured pre-intervention and at 4 weeks. Analysis by mixed-design MANOVA (α \< 0.05).

03

Conditions studied

  • Hamstring Shortness
  • Patellofemoral Pain Syndrome
  • Hamstring Flexibility
  • Patellofemoral Pain (PFPS)

Keywords

  • patellofemoral pain syndrome
  • PFPS
  • hamstring flexibility
  • active knee extension test
  • medial hamstring
  • lateral hamstring
  • specific hamstring stretch
  • Muscle Energy Technique
  • TENS
  • Visual Analogue Scale
  • Hand Held Dynamometer (HHD)
  • Kujala Score
04

Who can participate

Ages eligible
18 Years to 37 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Anterior or retropatellar knee pain lasting at least three months
  • Pain reproduced by at least two functional tasks: squatting, kneeling, prolonged sitting, stair climbing, hopping or running
  • Pain intensity of ≥3 on a Visual Analog Scale
  • positive active knee extension test (inability to achieve greater than 160° of knee extension with the hip at 90° of flexion)
  • (BMI) \< 30 Kg/m² and > 18Kg/m²

Exclusion criteria

Exclusion Criteria:

  • Previous knee surgery
  • History of knee pathologies, such as meniscal injury' ligament injury, or knee osteoarthritis
  • Psychological, cardiovascular' or neurological disorders
  • Dizziness or fainting while doing exercises, pregnancy, or any to exercise
  • Physical therapy treatment in the last 3 months
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
60 participants (estimated)

Study arms

  • Active comparator
    Arm A (general hamstring stretch group)

    * General hamstring Muscle energy technique (MET) * TENS 20 min * Hip/knee strengthening program

    Device: Transcutaneous Electrical Nerve Stimulation Device · Other: Strength exercises for lower limb · Other: Hamstring Stretch Muscle Energy Technique(MET) (General )

  • Active comparator
    Arm B (medial hamstring stretch)

    * Medial hamstring MET * TENS 20 min * Hip/knee strengthening program

    Device: Transcutaneous Electrical Nerve Stimulation Device · Other: Strength exercises for lower limb · Other: Medial Hamstring Muscle energy technique(MET) stretch

  • Active comparator
    Arm C (lateral hamstring stretch)

    * Lateral hamstring MET * TENS 20 min * Hip/knee strengthening program

    Device: Transcutaneous Electrical Nerve Stimulation Device · Other: Strength exercises for lower limb · Other: Lateral hamstring Muscle Energy Technique(MET)Stretch

Interventions

  • DeviceTranscutaneous Electrical Nerve Stimulation Device

    Each participant will receive 20 minutes of TENS, Electrodes will be positioned around the patella with a 5 - 7 cm distance in between, The TENS settings include a continuous asymmetric biphasic square-pulse wave, a pulse width of 120 microseconds, and a pulse rate of 180 Hz.

    Also known as: TENS

  • OtherStrength exercises for lower limb

    Each participant will receive progressive strengthening program targeting the hip and knee, begin with 3 sets of 10 repetitions and progress to 3 sets of 20 repetitions.

  • OtherHamstring Stretch Muscle Energy Technique(MET) (General )

    The participant will be supine and the leg will be taken into hip flexion until a tightness is felt then patient will be asked to push down with his lower leg and hold the contraction for 10 seconds then relax for 2 to 3 seconds then the therapist will take the patient's leg into further flexion for 30 seconds this will be repeated for 3 times each session .

    Also known as: Non-Specific hamstring stretch MET

  • OtherMedial Hamstring Muscle energy technique(MET) stretch

    The Participant will be supine' then the therapist will take his leg in flexion, abduction and external rotation at the same time until he feels tightness then he will ask the patient to push his leg down and in or toward him and hold the contraction for 10 seconds then relax for 2 to 3 seconds then therapist will take the patient's leg in more abduction 'external rotation and flexion for 30 seconds, this will be repeated for 3 times each session

    Also known as: specific medial hamstring MET stretch

  • OtherLateral hamstring Muscle Energy Technique(MET)Stretch

    The Participant will be supine' then the therapist will take his leg in flexion, adduction and internal rotation at the same time until he feels a tightness then he will ask the patient to push his leg down and out or away from him him and hold the contraction for 10 seconds then relax for 2 to 3 seconds then therapist will take the patient's leg in more adduction 'internal rotation and flexion for 30 seconds, this will be repeated for 3 times each session

    Also known as: Specific lateral hamstring MET stretch

06

What researchers measure

Primary outcomes

  1. hamstring flexibility (knee extension range of motion )

    measuring knee extension range of motion(hamstring flexibility) by active knee extension test using kinovea software

    Time frame: 4 weeks

  2. Arabic Kujala Anterior knee pain score

    Arabic Kujala Anterior knee pain score is used to measure pain and functional activities in anterior knee pain patients consisting of 13 questions, the Patient will be asked to mark the most suitable answer for him. Each answer has points up to 5 or 10, and the total score is 100. The higher the score, the better for the patient.

    Time frame: 4 weeks

Secondary outcomes

  1. pain intensity by visual analogue scale (VAS)

    from 0 to 10 centimeter line patient will detect on it the usual pain felt and the worst pain during the day

    Time frame: 4 weeks

  2. lower limb strength using handheld dynamometer

    using handheld dynamometer to assessment the strength of hip abductor, extensors, external rotators and knee extensors

    Time frame: 4 weeks

07

Study locations

1 site
08

References and documents

Publications

  • Zahra Rojhani-Shirazi, Mohamad Reza Salimifard, Fatemeh Barzintaj. Comparison of the effects of static stretching and muscle energy technique on Hamstring flexibility, pain, and function in athletes with patellofemoral pain. J Adv Pharm Edu Res 2021;11(S1):33-38.
  • Lopes HS, Waiteman MC, Priore LB, Glaviano NR, Bazett-Jones DM, Briani RV, Azevedo FM. There is more to the knee joint than just the quadriceps: A systematic review with meta-analysis and evidence gap map of hamstring strength, flexibility, and morphology in individuals with gradual-onset knee disorders. J Sport Health Sci. 2024 Jul;13(4):521-536. doi: 10.1016/j.jshs.2023.08.004. Epub 2023 Sep 3. PubMed 37669706 ↗
  • Wallis JA, Roddy L, Bottrell J, Parslow S, Taylor NF. A Systematic Review of Clinical Practice Guidelines for Physical Therapist Management of Patellofemoral Pain. Phys Ther. 2021 Mar 3;101(3):pzab021. doi: 10.1093/ptj/pzab021. PubMed 33533400 ↗
  • Hamdan M, Haddad B, Isleem U, Hamad A, Hussein L, Shawareb Y, Hadidi F, Alryalat SA, Samarah O, Khanfar A, Alzoubi B. Validation of the Arabic version of the Kujala patellofemoral pain scoring system. J Orthop Sci. 2019 Mar;24(2):290-293. doi: 10.1016/j.jos.2018.09.008. Epub 2018 Oct 10. PubMed 30316659 ↗
  • John Gibbons. (2022). Muscle energy techniques: a practical guide for physical therapists / JOHN GIBBONS (second edition). Lotus publishing / North Atlantic book
  • Puig-Divi A, Escalona-Marfil C, Padulles-Riu JM, Busquets A, Padulles-Chando X, Marcos-Ruiz D. Validity and reliability of the Kinovea program in obtaining angles and distances using coordinates in 4 perspectives. PLoS One. 2019 Jun 5;14(6):e0216448. doi: 10.1371/journal.pone.0216448. eCollection 2019. PubMed 31166989 ↗
  • Hott A, Brox JI, Pripp AH, Juel NG, Liavaag S. Patellofemoral pain: One year results of a randomized trial comparing hip exercise, knee exercise, or free activity. Scand J Med Sci Sports. 2020 Apr;30(4):741-753. doi: 10.1111/sms.13613. Epub 2020 Jan 5. PubMed 31846113 ↗
  • Constantinou A, Mamais I, Papathanasiou G, Lamnisos D, Stasinopoulos D. Comparing hip and knee focused exercises versus hip and knee focused exercises with the use of blood flow restriction training in adults with patellofemoral pain. Eur J Phys Rehabil Med. 2022 Apr;58(2):225-235. doi: 10.23736/S1973-9087.22.06691-6. Epub 2022 Jan 5. PubMed 34985237 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Jun 2025; primary completion for Oct 2025, 4 months later.

Of 153 non-industry interventional studies with no phase under Patellofemoral Pain Syndrome, half reached primary completion within 11 months of starting (the median), counting those still running; a quarter within 4 and three quarters within 20. This study's planned 4 months is below that.

Counting every sponsor, half of 157 studies reached it within 11 months; a quarter within 4 and three quarters within 21.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 2, 2025
First posted
Jun 10, 2025
StartEst.
Jun 14, 2025
Primary completionEst.
Oct 2025
CompletionEst.
Nov 2025
Last update
Jun 15, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 15, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07013617
Lead sponsor
Cairo University
Responsible party
Amna Ibrahim Mahmoud Mohammed Shemila (principal investigator, Cairo University) — Principal investigator
First posted
Jun 10, 2025
Start date
Jun 14, 2025 (estimated)
Primary completion
Oct 2025 (estimated)
Completion
Nov 2025 (estimated)
Last update
Jun 15, 2025

Study contacts

Amna Ibrahim Shemila, BSc
Contact
10722021419373@pg.cu.edu.eg
201157072513
Ahmed Omar Abdelnaeem, lecturer
Contact
ahmed.omar@pt.cu.edu.eg
201140736820

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Jun 2025. You cannot join it, but the record below documents what was studied.

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