Active Release and Myofascial Release Technique in Patients With Patellofemoral Pain Syndrome

Inclusion Criteria: * Experience retro patellar pain for at least three months, including pain at rest or during activities such as ascending or descending stairs, jumping, running, squatting, kneeling, or prolonged sitting (12). * Patients with + ive Squat test in the absence of any pathology * Patients also must have presented with an insidious onset of symptoms unrelated to trauma and a positive Clark test (19). * Reduced knee range of motion, especially extension Exclusion Criteria: * A history of significant lower extremity, pelvic, or spinal surgery/fracture, or traumatic lesions of ligaments or meniscus within the past six months. * Presence of other orthopedic conditions (e.g., ACL rupture, meniscal tears), neurological disorders (e.g., multiple sclerosis, paralysis), rheumatological diseases (e.g., rheumatoid arthritis, ankylosing spondylitis), or congenital conditions leading to osteoarthrosis. * Current pregnancy * A history of connective tissue disease, patellofemoral dislocation or subluxation, osteoarthrosis of the knees. Other forms of anterior knee pain (e.g., Osgood-Schlatter disease, tendon pain, bursitis). A history of referred pain from the lumbar spine (12). or