Core Stability Exercises Versus Proprioceptive Training on Pain and Function in Patients With Patellofemoral Pain Syndrome (PFPS)
2026年6月18日 更新者：Mohamed Hassan Ibrahim Salama、Cairo University
This study will be conducted to investigate the effect of core stability exercises versus proprioceptive training in patients with patellofemoral pain syndrome.
研究概览
地位
尚未招聘
条件
详细说明
Patellofemoral Pain Syndrome (PFPS) is one of the most prevalent musculoskeletal disorders causing anterior knee pain, particularly during activities that increase patellofemoral joint stress such as squatting, stair climbing, running, or prolonged sitting .Core stability exercises play a fundamental role in maintaining the kinetic chain alignment between the trunk, pelvis, and lower limb.
Dysfunction of the lumbopelvic-hip complex can lead to compensatory movement patterns, increasing stress on the knee joint.
Strengthening the core muscles, particularly the transversus abdominis, multifidus, and gluteal muscles, enhances postural control and optimizes force transmission during dynamic activities.
Proprioceptive training, on the other hand, targets sensorimotor control by enhancing afferent feedback and neuromuscular coordination.
Individuals with PFPS often present with impaired joint position sense and delayed neuromuscular responses around the knee, which may contribute to joint instability and persistent pain.
Proprioceptive exercises, including balance, perturbation, and kinesthetic training, improve joint stability and coordination by stimulating mechanoreceptors and enhancing central processing of sensory input.Therefore, this study will aim to fill an important gap in the current literature by directly comparing the effects of core stabilization exercises and proprioceptive training on pain intensity, pain pressure threshold, quadriceps muscle strength, and proprioceptive acuity of knee, knee joint range of motion and functional ability in patients with PFPS
研究类型
介入性
注册 (估计的)
63
阶段
- 不适用
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习联系方式
- 姓名：mohamed hassan, phd
- 电话号码：0 11 21363081
- 邮箱：mohamed.hassan.salama7@gmail.com
研究联系人备份
- 姓名：mohamed hassan, phd
- 电话号码：01121363081
- 邮箱：mohamed.hassan.salama7@gmail.com
参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
- 成人
接受健康志愿者
不
描述
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
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：治疗
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：单身的
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
实验性的：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.
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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
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实验性的：Proprioceptive Training
Twenty-one patients with patellofemoral pain syndrome will receive proprioceptive exercises + traditional physical therapy three times a week for four weeks.
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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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有源比较器：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
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
pain intensity
大体时间：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
大体时间：up to four weeks
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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
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
pressure pain threshold
大体时间：up to four weeks
|
The pressure algometer will be used to assess pressure pain threshold
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up to four weeks
|
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knee range of motion
大体时间：up to four weeks
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The electro goniometer will be used to assess knee range of motion.
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up to four weeks
|
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knee proprioception (joint position error)
大体时间：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.
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up to four weeks
|
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quadriceps muscle strength
大体时间：up to four weeks
|
Quadriceps muscle strength will be measured by a handheld dynamometer.
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up to four weeks
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始 (估计的)
2026年6月30日
初级完成 (估计的)
2027年3月20日
研究完成 (估计的)
2027年3月20日
研究注册日期
首次提交
2026年6月18日
首先提交符合 QC 标准的
2026年6月18日
首次发布 (实际的)
2026年6月24日
研究记录更新
最后更新发布 (实际的)
2026年6月24日
上次提交的符合 QC 标准的更新
2026年6月18日
最后验证
2026年6月1日
更多信息
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