- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02514005
Manual Therapy and Dry Needling in Patellofemoral Syndrome (MTPSSFP)
Effectiveness of Manual Therapy and Dry Needling in Nonspecific Patellofemoral Syndrome.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Patients The sample involved patients diagnosed with nonspecific patellofemoral syndrome. The treatment is carried out at the School of Physiotherapy (University of Valencia).
The study comprises patients with nonspecific patellofemoral syndrome. Patients excluded from the study are those with osteoarthritis, recent injuries, ligament injuries, meniscal lesions, previous injury and / or treatments lasting for a period of 6 months prior to the study.
Study design It is a single-blind randomized controlled study. 3 sessions are conducted with 7-day intervals and 15 days for the last intervention and follow-up at 3 months after treatment ended. Each session lasts approximately 30 minutes.
The sample was divided into two groups:
- Control group with manual therapy and strengthening exercises for the quadriceps and hamstrings.
- Experimental group which receives manual therapy and strengthening exercises for the quadriceps and hamstrings combined with dry needling treatment (DN) in myofascial trigger points (MTrP) of vastus medialis and vastus lateralis of the quadriceps muscle and strengthening exercises for the quadriceps and hamstrings.
Intervention Study treatment consists of a comprehensive joint treatment of the lumbar region and the lower limbs that are related to the biomechanics of the knee. In this way, the aim is to globally balance the possible dysfunctions that may exist in the lower lumbar region and sacroiliac joint, hip, knee and ankle.
Assessment
The initial assessment is a clinical interview with the characteristics of the patellofemoral syndrome for the month prior to the study and for this, the following assessment instruments are used:
- Intensity knee pain before the treatment is evaluated after treatment and monitoring.
- KOOS (Knee Injury and Osteoarthritis Outcome Score). It assesses five dimensions: pain, symptoms, activities of daily living, sport and recreational activity and quality of life related to the knee. To evaluate osteoarthritis in older patients, the 24 WOMAC questions are included.
- KSS (Knee Society Score). It is the modified scale of the American Knee Society. It makes it possible to separate the purely functional aspects of the knee joint, knee score, from those related to the patient's ability to walk and climb stairs, functional score.
It includes three main parameters (pain, stability and range of motion) and other parameters (contraction of flexion, loss of extension and alignment) considered as deductions to score of the former, possibly presenting some interobserver variation.
-IKDC (International Knee Documentation - Committee). It is an instrument to assess symptoms, function, and sport activity applicable to a variety of conditions of the knee. Validated for a variety of knee conditions including ligament, meniscal and articular cartilage injuries and also for osteoarthritis and patellofemoral pain.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
VAlencia, Spain, 46010
- Gemma v. Espí López
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Aged between 19 and 60 years.
- Patients diagnosed with nonspecific patellofemoral syndrome. Positive sign in patellofemoral gliding test; Negetive McMurry test; Full knee range of motion; Anterior knee pain, related to prolonged sitting, climbing stairs, and descending stairs; No relevant patellofemoral degenerative changes on imaging; No history of knee trauma.
Exclusion Criteria:
- Patients excluded from the study are those with osteoarthritis, recent injuries, ligament injuries, meniscal lesions, previous injury and / or treatments lasting for a period of 6 months prior to the study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Factorial Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Manual therapy
Overall bilateral manipulation (L5-S1-SI), Hip joint gapping, Stretching the hip rotators with hip and knee flexion, Femorotibial Gapping, Decompression of connective tissue of the patellofemoral region, Internal and external joint line opening in laterality, Mobilization of the base of the fibula, Tibiofibular-talus gapping, and Muscle strengthening.
|
- Manual Therapy.
Study treatment consists of a comprehensive joint treatment of the lumbar region and the lower limbs that are related to the biomechanics of the knee.
In this way, the aim is to globally balance the possible dysfunctions that may exist in the lower lumbar region and sacroiliac joint, hip, knee and ankle.
|
Experimental: Manual therapy and Dry needling
Dry needling is performed in the MTrPs of the vastus lateralis and vastus medialis muscles of the quadriceps.
|
- Manual Therapy.
Study treatment consists of a comprehensive joint treatment of the lumbar region and the lower limbs that are related to the biomechanics of the knee.
In this way, the aim is to globally balance the possible dysfunctions that may exist in the lower lumbar region and sacroiliac joint, hip, knee and ankle.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pain Intensity
Time Frame: up to 3 months follow up
|
Intensity patellofemoral pain before the treatment is evaluated after treatment and monitoring.
The pain scale was removed by the KOOS scale (Knee Injury and Osteoarthritis Outcome Score): Pain levels were assessed: absent, mild or occasional pain climbing stairs, while driving, occasional moderate, moderately severe, severe.
Being 0 to 50 points = severe pain (no pain).
|
up to 3 months follow up
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
IKDC (International Knee Documentation - Committee).
Time Frame: up to 3 months follow up
|
It is an instrument to assess symptoms, function, and sport activity applicable to a variety of conditions of the knee.
Validated for a variety of knee conditions including ligament, meniscal and articular cartilage injuries and also for osteoarthritis and patellofemoral pain.
|
up to 3 months follow up
|
KSS (Knee Society Score).
Time Frame: up to 3 months follow up
|
It is the modified scale of the American Knee Society. It makes it possible to separate the purely functional aspects of the knee joint, knee score, from those related to the patient's ability to walk and climb stairs, functional score. It includes three main parameters (pain, stability and range of motion) and other parameters (contraction of flexion, loss of extension and alignment) considered as deductions to score of the former, possibly presenting some interobserver variation. |
up to 3 months follow up
|
KOOS (Knee Injury and Osteoarthritis Outcome Score).
Time Frame: up to 3 months follow up
|
It assesses five dimensions: pain, symptoms, activities of daily living, sport and recreational activity and quality of life related to the knee.
To evaluate osteoarthritis in older patients, the 24 WOMAC questions are included.
|
up to 3 months follow up
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Gemma gemma.espi@uv.es, PhD, Department Physiotherapy. University of Valencia
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- ID007
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Patellofemoral Syndrome
-
Lauren EricksonAmerican College of Sports MedicineCompleted
-
University of WashingtonWithdrawn
-
National Taiwan University HospitalUnknown
-
Laval UniversityCompletedPatellofemoral Pain (PFPS)Canada
-
Riphah International UniversityRecruitingEffects of Proximal Strengthening Exercises in Patellofemoral Pain Syndrome Among Basketball PlayersPatellofemoral SyndromePakistan
-
Riphah International UniversityCompletedPatellofemoral SyndromePakistan
-
Nationwide Children's HospitalCompletedPatellofemoral SyndromeUnited States
-
Istanbul Medipol University HospitalCompletedPatellofemoral Pain Syndrome | Patellofemoral Pain | Anterior Knee Pain Syndrome | Patellofemoral Syndrome | Kinesiotape | Orthotic DevicesTurkey
-
Cairo UniversityCompletedPatellofemoral Pain Syndrome | Patellofemoral Malalignment SyndromeEgypt
-
Nationwide Children's HospitalCompletedPatellofemoral Pain Syndrome | Knee Pain Chronic | Anterior Knee Pain Syndrome | Patellofemoral SyndromeUnited States
Clinical Trials on Manual therapy
-
Alexander AchalandabasoCompletedChronic Pain | Neck PainSpain
-
Universidad de ZaragozaCompletedPlagiocephaly | Plagiocephaly, Nonsynostotic | Plagiocephaly, PositionalSpain
-
Josue Fernandez CarneroUniversidad Autonoma de MadridCompletedCervicalgia | Neck Pains | Posterior Cervical Pains | Posterior Neck Pain
-
Cesar A Hincapié, DC PhDEpidemiology, Biostatistics and Prevention Institute, University of ZurichCompletedBack Pain | Back Pain, Low | Back DisorderSwitzerland
-
Hacettepe UniversityCompletedHealth Young IndividualsTurkey
-
University of PalermoCompleted
-
Universidad de ZaragozaCompletedEndodontically Treated Teeth | Root Canal TherapySpain
-
Imam Abdulrahman Bin Faisal UniversityUnknownLow Back Pain, MechanicalSaudi Arabia
-
International Hellenic UniversityCompletedChronic Low Back PainGreece