Proprioceptive Training vs. Hip Abductor With External Rotator Strengthening in Patients With Patellofemoral Pain

NCT ID: NCT05698797

Last Updated: 2023-01-26

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

45 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-11-11

Study Completion Date

2022-06-24

Brief Summary

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Patellofemoral pain syndrome (PFPS) is a common musculoskeletal disorder characterized by an insidious onset of pain in the knee's anterior /retro-patellar / peripatellar region. Even though various rehabilitation approaches, including hip strengthening and proprioceptive training, are being considered for managing PFPS, the most appropriate treatment from these two is still unclear. Therefore, this study aimed to compare the program consisting of hip abductors and external rotators strengthening exercises vs. the program consisting of proprioceptive training of the knee to identify the most effective rehabilitation approach for patients suffering from PFPS.

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

DOUBLE

Participants Outcome Assessors

Study Groups

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Experimental group 1

In this group participants received hip abductor and external rotator strengthening exercises in addition to conventional physical therapy.

Group Type EXPERIMENTAL

Hip strengthening exercises

Intervention Type OTHER

Hip abductor and external rotator strengthening exercises were performed for 4 weeks.

Experimental group 2

In this group participants received proprioceptive training and conventional physical therapy.

Group Type ACTIVE_COMPARATOR

Proprioceptive training

Intervention Type OTHER

Proprioceptive training consisted of eight exercises was performed for 4 weeks.

Control group

In this group participants received conventional physical therapy alone.

Group Type ACTIVE_COMPARATOR

Conventional physical therapy

Intervention Type OTHER

Conventional physical therapy included interferential therapy and two types of knee-strengthening exercises.

Interventions

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Hip strengthening exercises

Hip abductor and external rotator strengthening exercises were performed for 4 weeks.

Intervention Type OTHER

Proprioceptive training

Proprioceptive training consisted of eight exercises was performed for 4 weeks.

Intervention Type OTHER

Conventional physical therapy

Conventional physical therapy included interferential therapy and two types of knee-strengthening exercises.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age 18-35 years
* Patients diagnosed recently by an orthopedic surgeon for Patello-femoral pain syndrome
* experiencing anterior/retro patellar knee pain during activities,
* insidious onset of symptoms not linked to trauma,
* pain persisting for no less than four weeks,
* pain on palpation of the patellar facets,
* pain when stepping down from a 25-cm step or during a double-legged squat.

Exclusion Criteria

* Patients with recent lower limb fractures or dislocations,
* knee/hip joint surgery,
* signs, symptoms, or radiological findings of intra-articular pathology such as effusion, ligamentous or meniscal involvement,
* those with indications of patellar apprehension,
* referred pain from the hip, back, or sacroiliac joint,
* acute knee strain or sprain,
* on medication such as NSAIDs or corticosteroids,
* degenerative and infectious arthritis
Minimum Eligible Age

18 Years

Maximum Eligible Age

35 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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King Saud University

OTHER

Sponsor Role lead

Responsible Party

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Masood Khan

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Masood Khan, M.P.Th

Role: PRINCIPAL_INVESTIGATOR

King Saud University

Locations

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King Saud University

Riyadh, , Saudi Arabia

Site Status

Countries

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Saudi Arabia

References

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Raju A, Jayaraman K, Nuhmani S, Sebastian S, Khan M, Alghadir AH. Effects of hip abductor with external rotator strengthening versus proprioceptive training on pain and functions in patients with patellofemoral pain syndrome: A randomized controlled trial. Medicine (Baltimore). 2024 Feb 16;103(7):e37102. doi: 10.1097/MD.0000000000037102.

Reference Type DERIVED
PMID: 38363950 (View on PubMed)

Other Identifiers

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AWH/EC/03/2021

Identifier Type: -

Identifier Source: org_study_id

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