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Effects of Core Stability Exercises in Patients With Patellofemoral Pain Syndrome

Sponsor
University of Lahore (Other)
Overall Status
Completed
CT.gov ID
NCT05261100
Collaborator
(none)
56
Enrollment
1
Location
2
Arms
5.8
Actual Duration (Months)
9.6
Patients Per Site Per Month

Study Details

Study Description

Brief Summary

The purpose of the study is to compare the effects of routine physical therapy with and without core stability exercises on pain and range of motion, in patients with patellofemoral pain syndrome. The spine, abdominal region, pelvis, hips, and proximal lower extremities, are defined as the core of the body. The effects of core muscle strengthening have been proven as an effective method of management in various cases. The knee is the frequently injured joint in core instability with the decreased hip strength. Deficiency in the control of the neuromuscular system of the body's trunk or "core" may affect the stability of the lower extremity, which can lead to injury in the tibiofemoral or patellofemoral joints.

Condition or Disease Intervention/Treatment Phase
  • Other: Core stability exercises
  • Other: Conventional Physical Therapy
 N/A

Detailed Description

The patellofemoral pain syndrome (PFPS) is a common cause for "anterior knee pain" and mainly affects young women without any structural changes such as increased Q-angle or significant pathological changes in articular cartilage. Patellofemoral pain syndrome (PFPS) is the most common overuse syndrome in athletes. Patellofemoral pain is more common among female athletes especially adolescents and young adults. Symptoms include: persistent pain behind the patella or peripatellar. Pain increases on ascending and descending stairs and squatting and prolonged sitting.

Patellofemoral Pain Syndrome (PFPS) is a common musculoskeletal disorder typically occurring in physically active people aged 40 years and younger, causing pain, functional deficits and lower limb weakness. Traditional treatment has been aimed at strengthening the knee, however recent research suggests the muscles around the hip also play an important role in the development and continuity of Patellofemoral Pain Syndrome.

Patellofemoral pain (PFP) is pain in the peripatellar/retropatellar region that aggravates with physical activities such as squatting, stair climbing, running and jumping or sitting for prolonged periods of time. It is the most common source of anterior knee ailment in active adolescents and young adults and is much more prevalent in women than men.

Patellofemoral pain (PFP) is a very common problem in athletes who participate in jumping sports. Several risk factors may play a part in the pathogenesis of PFP. Overuse, trauma and intrinsic risk factors are particularly important among athletes. Physical examination has a key role in PFP diagnosis. common risk factors should be investigated, such as hip muscle dysfunction, poor core muscle endurance, muscular tightness, excessive foot pronation and patellar malalignment.

Studies conducted on core muscle strengthening exercises program for the management of pain in hip, quadriceps region and ankle joint but limited studies were conducted in patient with patellofemoral pain syndrome. There is a need to compare the effectiveness of routine physiotherapy with and without core stability exercises in patient with patellofemoral pain syndrome. This study is intended to determine the effectiveness of core muscle strengthening exercises for the management of patellofemoral pain syndrome.

The spine, abdominal region, pelvis, hips, and proximal lower extremities, are defined as the core of the body. The effects of core muscle strengthening have been proven as an effective method of management in various cases. The knee is the frequently injured joint in core instability with the decreased hip strength. Deficiency in the control of the neuromuscular system of the body's trunk or "core" may affect the stability of the lower extremity, which can lead to injury in the tibiofemoral or patellofemoral joints.

Study Design

Study Type:
Interventional
Actual Enrollment :
56 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Single (Participant)
Primary Purpose:
Health Services Research
Official Title:
Effects of Routine Physical Therapy With and Without Core Stability Exercises in Patients With Patellofemoral Pain Syndrome -a Randomized Controlled Trial
Actual Study Start Date :
Nov 11, 2021
Actual Primary Completion Date :
Mar 15, 2022
Actual Study Completion Date :
May 8, 2022

Arms and Interventions

Arm Intervention/Treatment
Placebo Comparator: Active group

Conventional Physical therapy

Other: Conventional Physical Therapy
Moist heating pads will be applied on knee joint for 10 minutes before each treatment session. Apply TENS on knee joint for 10 minutes treatment session. Knee Isometric exercise perform.
Experimental: Experimental group

Conventional Physical therapy with Core stability

Other: Core stability exercises
Moist heating pads will be applied on knee joint for 10 minutes before each treatment session. Apply TENS on knee joint for 10 minutes treatment session. Knee Isometric exercises will be performed along with core stability exercises..
Other Names:
  • Conventional Physical Therapy

    		•

    Outcome Measures

    Primary Outcome Measures

    1. Pain (Visual Analogue Scale) [6 weeks]

      The visual analogue scale is a simple and commonly used way for the assessment of variations in intensity of pain. In clinical practice the ratio of pain relief, evaluated by VAS, is frequently considered as a measure of the efficacy of treatment. VAS range is 0-10. It's a categorical scale with 0-4 mild pain, 4-7 moderate or distressing pain while 7-10 unbearable pain30. In this study inclusion criteria will be categorically 0-7 score, mild & moderate pain intensity on VAS. Use is scale for intensity of pain. Total eight treatment sessions will be given to each patient, and pre-treatment assessment will be done on very first day. Second assessment will be done on fourth treatment session, and final assessment will be on eighth treatment session.

    2. Range of Motion (Goniometer) [6 weeks]

      A goniometer is a device used in physical therapy to measure a joint's range of motion (ROM). There are two "arms"-one that is stationary and one that is movable-that are hinged together. In order to assess the range of knee joint, goniometer will be used. Stationary arm will be placed on lateral epicondyle of the femur, movement arm along the fibula to lateral malleolus. Total eight treatment sessions will be given to each patient, and pre-treatment assessment will be done on very first day. Second assessment will be done on fourth treatment session, and final assessment will be on eighth treatment session.

    3. Lower extremity functional scale (LEFS) [6 weeks]

      The Lower Extremity Functional Scale (LEFS) is a questionnaire containing 20 questions about a person's ability to perform everyday tasks. The LEFS can be used by clinicians as a measure of patients' initial function, ongoing progress and outcome, as well as to set functional goals. The resultant AKPS is a 13-item self-report questionnaire that evaluates subjective responses to specific activities and symptoms that are thought to correlate with anterior knee pain syndrome. The AKPS is scored from a minimum score of 0 to a maximum score of 100 points. This scale used for function of lower limb. Total eight treatment sessions will be given to each patient, and pre-treatment assessment will be done on very first day. Second assessment will be done on fourth treatment session, and final assessment will be on eighth treatment session.

    4. Anterior knee pain scale (AKPS) [6 weeks]

      The resultant AKPS is a 13-item self-report questionnaire that evaluates subjective responses to specific activities and symptoms that are thought to correlate with anterior knee pain syndrome. The AKPS is scored from a minimum score of 0 to a maximum score of 100 points. This scale used for daily living performance status Total eight treatment sessions will be given to each patient, and pre-treatment assessment will be done on very first day. Second assessment will be done on fourth treatment session, and final assessment will be on eighth treatment session.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 40 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:

    • • Age between 18-40 Years

    • Both Gender

    • Patient with Anterior knee pain for at least 4 weeks

    Exclusion Criteria:

    • • History of trauma ,fracture of spine and lower extremity

    • History of any congenital deformity

    • History of lumbar radiculopathy

    • History of hip osteoarthritis

    • History of rheumatoid arthritis

    • History of Any surgical procedure involving lumber or lower extremity

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 PSRD hospital lahore Lahore Punjab Pakistan 54770

    Sponsors and Collaborators

    • University of Lahore

    Investigators

    • Principal Investigator: hassan javed, M.Phil(MSK), The university of lahore

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    Responsible Party:
    University of Lahore
    ClinicalTrials.gov Identifier:
    NCT05261100
    Other Study ID Numbers:
    • ULahore Hassan javed
    First Posted:
    Mar 2, 2022
    Last Update Posted:
    Jun 28, 2022
    Last Verified:
    Jun 1, 2022
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by University of Lahore
    Patellofemoral Pain Syndrome
    Core stability
    Additional relevant MeSH terms:
    Patellofemoral Pain Syndrome
    Syndrome
    Somatoform Disorders

    Study Results

    No Results Posted as of Jun 28, 2022