Core Stabilization for the Treatment of Anterior Knee Pain

NCT ID: NCT02123602

Last Updated: 2017-01-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-04-30

Study Completion Date

2019-06-30

Brief Summary

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The investigators hypothesize that the use of trunk (core) stabilization exercises early in treatment combined with lower extremity exercises will enhance the outcome over lower extremity exercises alone in the treatment of young athletes with anterior knee pain.

Detailed Description

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Conditions

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Patellofemoral Pain Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Core stabilization

This arm will receive 3 weeks of core stabilization training followed by 3 weeks of lower extremity stretching and strengthening as appropriate to address impairments noted in the examination and to progress function.

Group Type EXPERIMENTAL

core stabilization

Intervention Type OTHER

Lower extremity training only

This arm with receive 6 weeks of impairment based stretching and strengthening to restore function.

Group Type ACTIVE_COMPARATOR

lower extremity training only

Intervention Type OTHER

Interventions

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core stabilization

Intervention Type OTHER

lower extremity training only

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Subjects between 13-20 years of age clinically diagnosed with anterior knee pain.
* Pain should be peripatellar and should include at least 3 of the following:

1. experienced during or after activity
2. prolonged sitting
3. with stair climbing or descending
4. squatting
5. kneeling.
* The subject should be active for at least 30 minutes per day.

Exclusion Criteria

* Previous knee surgery
* Signs and symptoms of a specific structural diagnosis not consistent with AKP such as meniscal, ACL, PCL, or collateral ligament tears, pain referral from hip or lumbar spine (determined during examination), traumatic patellar dislocation, an inability to adequately understand or communicate in English.
Minimum Eligible Age

13 Years

Maximum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Youngstown State University

OTHER

Sponsor Role lead

Responsible Party

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Kenneth Learman

Associate Professor of Physical Therapy

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Kenneth E Learman, PhD, PT

Role: PRINCIPAL_INVESTIGATOR

Youngstown State University

Locations

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Poland Medical Center

Poland, Ohio, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Ken Learman, PhD, PT

Role: CONTACT

330.941.7125

Michael Morris, DPT

Role: CONTACT

330.707.9064

Facility Contacts

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Michael Morris, DPT

Role: primary

330-757-7888

References

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Kibler WB, Press J, Sciascia A. The role of core stability in athletic function. Sports Med. 2006;36(3):189-98. doi: 10.2165/00007256-200636030-00001.

Reference Type BACKGROUND
PMID: 16526831 (View on PubMed)

van Linschoten R, van Middelkoop M, Berger MY, Heintjes EM, Verhaar JA, Willemsen SP, Koes BW, Bierma-Zeinstra SM. Supervised exercise therapy versus usual care for patellofemoral pain syndrome: an open label randomised controlled trial. BMJ. 2009 Oct 20;339:b4074. doi: 10.1136/bmj.b4074.

Reference Type BACKGROUND
PMID: 19843565 (View on PubMed)

Collins NJ, Bisset LM, Crossley KM, Vicenzino B. Efficacy of nonsurgical interventions for anterior knee pain: systematic review and meta-analysis of randomized trials. Sports Med. 2012 Jan 1;42(1):31-49. doi: 10.2165/11594460-000000000-00000.

Reference Type BACKGROUND
PMID: 22149696 (View on PubMed)

Earl JE, Hoch AZ. A proximal strengthening program improves pain, function, and biomechanics in women with patellofemoral pain syndrome. Am J Sports Med. 2011 Jan;39(1):154-63. doi: 10.1177/0363546510379967. Epub 2010 Oct 7.

Reference Type BACKGROUND
PMID: 20929936 (View on PubMed)

Koumantakis GA, Watson PJ, Oldham JA. Trunk muscle stabilization training plus general exercise versus general exercise only: randomized controlled trial of patients with recurrent low back pain. Phys Ther. 2005 Mar;85(3):209-25.

Reference Type BACKGROUND
PMID: 15733046 (View on PubMed)

Other Identifiers

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#093-2014

Identifier Type: -

Identifier Source: org_study_id

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