Comparison of Different Treatment Methods in Patella Chondromalacia

Chondromalacia patella (CMP) is a common condition in patients presenting to healthcare units with anterior knee pain (1).

Study Overview

• Status: Recruiting
• Conditions: Knee Injuries
• Intervention / Treatment: Other: The rehabilitation group.; Other: The home exercise group

Detailed Description

Patellofemoral pain syndrome (PFPS) is the most common type of pain in runners with a prevalence of 17%; it is limited to the anterior knee or the area behind the patella between the edges of the patella. Although PFPS and CMP are often considered to be the same disease, there is still controversy about the subject. It is caused by decreased quadriceps muscle strength, change in mechanical loading, lower limb kinematics and differentiation in muscle activation patterns during running .

• Study Type: Interventional
• Enrollment (Estimated): 50
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Gamze Demircioglu, PhD; Phone Number: 05348689544; Email: gamzekantardemircioglu@gmail.com

Study Locations

• Turkey
  • None Selected
    • Istanbul, None Selected, Turkey, 34353
      • Recruiting
      • Gamze Demircioğlu
      • Contact: Gamze Demircioğlu

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

Description

Inclusion criteria:

• 18-65 years of age.
• Being diagnosed with chondromalacia
• Participate in the work on a voluntary basis
• Obtaining informed consent from them

Exclusion criteria:

• Fracture, ligament or muscle tear in the lower extremity within the last 3 months.
• Having a systemic disease
• Having a serious injury in the last 3 months

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: The rehabilitation group.; rehabilitation group.	Other: The rehabilitation group.; In the rehabilitation group, patella mobilisation, muscle strengthening exercises, range of motion exercises will be performed 3 days a week with a therapist for 3 sessions per week
Active Comparator: The home exercise group	Other: The home exercise group; Participants in both groups will be included in a 3-week treatment programme.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
WOMAC	The Turkish version of the WOMAC scale will be used to evaluate the pain, stiffness and physical function of the individuals included in the study. The score of each section is calculated within itself and the total score varies between 0 and 100. High scores indicate an increase in pain and stiffness and impairment in physical function (12,13).	3 weeks
Stair climbing test	Stair ascent and descent test: The patient's ascent and descent time of the 11-step staircase with a height of 14 cm and a depth of 29 cm were recorded separately with a stopwatch.	3 weeks
Range of motion of the joint	Knee joint range of motion will be measured with a goniometer.	3 weeks
Star balance test	The test is a simple but time-consuming test in terms of its application and is used to measure dynamic postural balance (1). The test is based on the ability to reach the farthest possible distance on the supporting leg with the free foot in 8 different directions	3 weeks
Horizontal jump test	They jump to the farthest distance they can jump using their single and double legs and the best result obtained after at least 2 trials is recorded in cm. In this test, it should be noted that when contact with the ground after the jump, the measurement should be made at the heel level of the back foot, which is close to the starting line. Another point to be considered is that the participant should be stationary at the starting line. The participant cannot come to the line running and jump. But it is allowed to make a springing movement in front of the line	3 weeks

Collaborators and Investigators

• Sponsor: Istanbul Medipol University Hospital

Study record dates

Study Major Dates

• Study Start (Actual): May 15, 2024
• Primary Completion (Estimated): June 6, 2024
• Study Completion (Estimated): November 21, 2024

Study Registration Dates

• First Submitted: May 15, 2024
• First Submitted That Met QC Criteria: May 15, 2024
• First Posted (Actual): May 20, 2024

Study Record Updates

• Last Update Posted (Actual): May 20, 2024
• Last Update Submitted That Met QC Criteria: May 15, 2024
• Last Verified: May 1, 2024

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Wounds and Injuries; Leg Injuries; Musculoskeletal Diseases; Connective Tissue Diseases; Cartilage Diseases; Knee Injuries; Chondromalacia Patellae
• Other Study ID Numbers: E-10840098-772.02-7994

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No