Pilates-based Core Strengthening on Patellofemoral Pain Syndrome

NCT ID: NCT05120583

Last Updated: 2021-11-22

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

COMPLETED

Clinical Phase

NA

Total Enrollment

34 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-11-01

Study Completion Date

2021-10-30

Brief Summary

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Patellofemoral pain syndrome (PFPS) is one of the most common musculoskeletal pain conditions that tend to become a chronic problem. PFPS is common among young adolescents, particularly in physically active individuals aged 12 to 17 years old with more prevalence among females, as it affects females 1.5 - 3 times when compared to males.

Detailed Description

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Adolescents with PFPS usually complain of retro-patellar pain (behind the kneecap) or peripatellar pain (around the kneecap) and crepitation in the knee joint, and also there is discomfort while sitting with a flexed knee for a long time. Symptoms are usually exacerbated by activities that increase the load on patellofemoral joints such as weight-bearing activities, squatting, walking up or downstairs, and running.

PFPS takes place whenever the muscles around the knee fail to keep the kneecap properly aligned, leading to abnormal lateral tracking of the patella.Overuse such as running and jumping sports, the trauma of kneecaps such as fracture, dislocation, or knee surgery may also predispose to PFPS.

Conditions

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Patellofemoral Pain Syndrome

Keywords

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patellofemoral pain syndrome Pilates exercises functional status

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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study group

Patients in the study group received Pilates exercises (25 minutes/ session). There are different types of equipment to be used in Pilates exercises to achieve different purposes; mat, Pilates band or elastic bands, and Pilate's ball were used.

Group Type EXPERIMENTAL

Pilates exercises

Intervention Type OTHER

Side kick internal/ external rotation with Pilate's band

control group

Participants in control group received the traditional physical therapy program program (60 minutes/session, three sessions /week for three months).

Group Type EXPERIMENTAL

Traditional physical therapy program

Intervention Type OTHER

strength, flexibility

Interventions

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Pilates exercises

Side kick internal/ external rotation with Pilate's band

Intervention Type OTHER

Traditional physical therapy program

strength, flexibility

Intervention Type OTHER

Other Intervention Names

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Pilates band strengthening exercises

Eligibility Criteria

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Inclusion Criteria

* Pain felt anterior to knee joint.
* Pain felt retro-patellar.
* Pain felt during rest and increased with activities like prolonged sitting, squatting, running, and stair climbing.
* Insidious onset lasting for more than 6 weeks.
* Without any traumatic incidence.
* Not participating in a physical therapy program for the past three months.

Exclusion Criteria

* If they had a meniscal tear.
* Cruciate/collateral ligaments involvement.
* Knee osteoarthritis.
* Rheumatoid arthritis.
* A history of knee or hip surgery.
* Patellar dislocation/subluxation.
* Traction apophysitis encompassing the patellofemoral complex.
* Any pathology in the patellar tendon.
* Spinal referred pain.
Minimum Eligible Age

14 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cairo University

OTHER

Sponsor Role collaborator

Prince Sattam Bin Abdulaziz University

OTHER

Sponsor Role collaborator

Qassim University

OTHER

Sponsor Role lead

Responsible Party

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Maged Basha

Assistant Professor, College of Medical Rehabilitation, Qassim University, Saudi Arabia, Qassim, Buraidah. Consultant Physical Therapist, El-Sahel Teaching Hospital, General Organization for Teaching Hospitals and Institutes, Cairo, Egypt.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Alshimaa Azab, PhD

Role: STUDY_DIRECTOR

Cairo University

Locations

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Outpatient Clinic of College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University

Al Kharj, Riyadh Region, Saudi Arabia

Site Status

Countries

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Saudi Arabia

References

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Park SK, Stefanyshyn DJ. Greater Q angle may not be a risk factor of patellofemoral pain syndrome. Clin Biomech (Bristol). 2011 May;26(4):392-6. doi: 10.1016/j.clinbiomech.2010.11.015. Epub 2010 Dec 21.

Reference Type BACKGROUND
PMID: 21177007 (View on PubMed)

Rabelo ND, Lima B, Reis AC, Bley AS, Yi LC, Fukuda TY, Costa LO, Lucareli PR. Neuromuscular training and muscle strengthening in patients with patellofemoral pain syndrome: a protocol of randomized controlled trial. BMC Musculoskelet Disord. 2014 May 16;15:157. doi: 10.1186/1471-2474-15-157.

Reference Type BACKGROUND
PMID: 24884455 (View on PubMed)

Van Der Heijden RA, Lankhorst NE, Van Linschoten R, Bierma-Zeinstra SM, Van Middelkoop M. Exercise for treating patellofemoral pain syndrome: an abridged version of Cochrane systematic review. Eur J Phys Rehabil Med. 2016 Feb;52(1):110-33. Epub 2015 Jul 9.

Reference Type RESULT
PMID: 26158920 (View on PubMed)

Other Identifiers

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RHPT/20/0049

Identifier Type: -

Identifier Source: org_study_id