Core Stability Exercises Versus Proprioceptive Training on Pain and Function in Patients With Patellofemoral Pain Syndrome (PFPS)
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: mohamed hassan, phd
- Telefonnummer: 0 11 21363081
- E-mail: mohamed.hassan.salama7@gmail.com
Undersøgelse Kontakt Backup
- Navn: mohamed hassan, phd
- Telefonnummer: 01121363081
- E-mail: mohamed.hassan.salama7@gmail.com
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- A confirmed diagnosis of Patellofemoral Pain Syndrome (PFPS) based on clinical and radiographic examination, with no evidence of other knee pathologies, as verified by an orthopaedic physician
- Presence of unilateral PFPS for a minimum duration of three months, indicating a chronic condition
- Age between 18 and 40 years, representing the typical symptomatic population affected by PFPS
- Body Mass Index (BMI) less than 30 kg/m², ensuring exclusion of obesity as a confounding factor.
- Report of increased anterior knee pain during at least two of the following patellofemoral stress-provoking activities: stair ascent or descent, squatting, kneeling, running, or prolonged sitting
- A positive patellar grind test (Clarke's sign) confirming involvement of the patellofemoral joint
Exclusion Criteria:
- Presence of chronic pain conditions unrelated to Patellofemoral Pain Syndrome (PFPS) as Rheumatoid arthritis, Chronic neuropathic pain, chronic low back pain and knee and hip osteoarthritis.
- Pregnancy or history of recent trauma affecting the pelvic or knee region
- History of corticosteroid injection in the affected knee
- Presence of ankle arthritis or gouty arthritis, which may alter lower-limb biomechanics
- History of previous surgical intervention involving the lumbar spine, hip, knee, or foot
- Presence of lower-limb structural deformities, including pes planus, knee valgus, or knee varus deformities
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Enkelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: Core Stability Exercises
twenty one patients with patellofemoral pain syndrome will receive Core stability exercises + traditional physical therapy three times a week for four weeks.
|
core stability exercises including warm-up, main training, and cool-down phases; warm up exercises in the form of Cat-Camel exercise will be performed for 5-8 cycles to mobilize the spine and promote smooth segmental motion.
The primary main training consisted of McGill's "Big Three" core stabilization exercises, which emphasize endurance and control of the deep stabilizing muscles, curl up, side bridge, and Quadrupedal stance, finallly the cool down phase had dynamic stretching at the end of each session to reduce muscle tension and promote recovery plus tradional therapy
tradional therapy in the form of interferential therapy, knee strengthening exercises, knee strengthening exercises, stretching exercises, patellar mobilization and ischemic compression
|
|
Eksperimentel: Proprioceptive Training
Twenty-one patients with patellofemoral pain syndrome will receive proprioceptive exercises + traditional physical therapy three times a week for four weeks.
|
tradional therapy in the form of interferential therapy, knee strengthening exercises, knee strengthening exercises, stretching exercises, patellar mobilization and ischemic compression
proprioceptive training consisted of group of exercises for balance on 1 leg on a stable surface and a unstable surface. in addition to tradional therapy.
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Aktiv komparator: traditional therapy
twenty one patients with patellofemoral pain syndrome will receive traditional physical therapy three times a week for four weeks.
|
tradional therapy in the form of interferential therapy, knee strengthening exercises, knee strengthening exercises, stretching exercises, patellar mobilization and ischemic compression
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
pain intensity
Tidsramme: up to four weeks
|
pain will be assessed by VAS which line on a 100 mm , where 0 indicates no pain and 100 indicates the worst possible pain.
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up to four weeks
|
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knee disability
Tidsramme: up to four weeks
|
knee disability will be assessed by Kujala Patellofemoral Questionnaire.Which is a 13-item questionnaire including different items on pain related to functioning and activities.
The categories within each item are weighted and item scores summed to provide an overall index scored from 0 to 100, where the maximum score of 100 represents no disability.
|
up to four weeks
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
pressure pain threshold
Tidsramme: up to four weeks
|
The pressure algometer will be used to assess pressure pain threshold
|
up to four weeks
|
|
knee range of motion
Tidsramme: up to four weeks
|
The electro goniometer will be used to assess knee range of motion.
|
up to four weeks
|
|
knee proprioception (joint position error)
Tidsramme: up to four weeks
|
proprioception will beassesseds by electrogoniometer.
The participant's knee will be passively positioned at a target angle (e.g., 30° flexion) then returned to the starting position, then the patient will be asked to actively reproduce the target angle.The absolute angular error (degrees) between the target and reproduced angles will be recorded.
|
up to four weeks
|
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quadriceps muscle strength
Tidsramme: up to four weeks
|
Quadriceps muscle strength will be measured by a handheld dynamometer.
|
up to four weeks
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- P.T.REC/012/006411
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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