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Comparison of Open and Closed Chain Exercises in Athletes With Patellofemoral Pain Syndrome

NCT ID: NCT05707039

Last Updated: 2023-01-31

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

24 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-02-01

Study Completion Date

2023-02-28

Brief Summary

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Patellofemoral pain syndrome (PFPS) is a common source of knee pain in the physically active population, predominantly in women. The incidence rate of PFPS among athletes is 25 percent, which is higher than that of general population. PFPS is caused by repetitive stress and aggravated in athletes by cycling and running. These symptoms are caused by structural or biomechanical changes of the joint, which becomes exacerbated by activities such as going up and down stairs, sit for a prolonged period, squatting or kneeling, resulting in increased compressive forces in the joint patellofemoral. It is characterized by defused pain in front of knee. Other signs also present are the patellar crepitus, swelling, and joint blockage despite being deemed a multifactorial condition with no single cure, PFPS is commonly attributed to muscular dysfunction, for which conservative rehabilitation is the treatment of choice. Historically, PFPS has been linked to impairments of the quadriceps muscle.

Detailed Description

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This study will be a randomized clinical trial will be conducted in Pakistan sports board Lahore, Model town Sports Club Lahore and Sheikh Zaid Hospital, Lahore. Sample size will be taken to evaluate the effects of open chain exercise and closed chain exercise among athletes with an age group of 18 - 40 years. Non probability convenient sampling technique would be used. Players having an experience of at least 8 months would be a part of study experiencing recurrent knee pain. Participants will be randomly assigned to 2 groups. Group A will include participants who will receive open kinetic chain exercises 3sets of 10 repetitions for each exercise along with the general training. Group B will include the participants who will receive closed kinetic chain exercises 3sets of 10 repetitions for each exercise along with general training.3sessions per week will be given for 6weeks.The subjects will be assessed for pain, function and balance at baseline and after 6weeks of treatment. After collecting data from defined settingit will be entered and analyzed using statistical package for social sciences (SPSS) for Windows software, version 25.

Conditions

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Patellofemoral Pain Syndrome

Keywords

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PFPS, OCKE, CCKE

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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Open chain kinetic exercises

In open chain exercises extremities are free to move and there is no weight bearing. Subjects performed group of exercises, 3sets of 10 repetitions for each exercise after warm-up and stretching exercises The open kinetic chain exercise program consisted of 1) maximal static quadriceps muscle contractions

Group Type EXPERIMENTAL

Open kinetic chain exercises

Intervention Type OTHER

In open chain exercises extremities are free to move and there is no weight bearing.

Closed Chain Kinetic Exercises

In closed kinetic chain exercises extremities are fixed and weight bearing is done. Subjects performed group of exercises, 3sets with 10 repetitions for each exercise after warm up and stretching exercises. The closed kinetic chain exercise program consisted of 1) seated leg presses, 2) one-third knee bends on one leg and on both legs, 3) stationary bicycling, 4) rowing-machine exercises, 5) step-up and step-down exercises. Each exercise in the closed kinetic chain protocol was performed dynamically with a 3-second rest between repetitions.

Group Type EXPERIMENTAL

Closed kinetic chain exercises

Intervention Type OTHER

In closed kinetic chain exercises extremities are fixed and weight bearing is done.

Interventions

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Open kinetic chain exercises

In open chain exercises extremities are free to move and there is no weight bearing.

Intervention Type OTHER

Closed kinetic chain exercises

In closed kinetic chain exercises extremities are fixed and weight bearing is done.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Adult athletes with age 18 to 30 years
* Anterior Knee pain
* An insidious onset of symptoms not related to trauma.
* Pain with compression of patella.
* Pain on palpation of patellar facets.
* Experienced players (who are in practice from last 8 months or a year).

Exclusion Criteria

* Symptoms present less than 1 month.
* Intra-articular knee pathologies like O.A, R.A etc
* History of knee surgery within last year.
* History of traumatic injuries like patellar dislocations or subluxation
* Any other lower extremity injuries.
Minimum Eligible Age

18 Years

Maximum Eligible Age

30 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Riphah International University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Muhammad Asrar Yousaf, mphil

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

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Pakistan Sports Board

Lahore, Punjab Province, Pakistan

Site Status RECRUITING

Countries

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Pakistan

Central Contacts

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Imran Amjad, Phd

Role: CONTACT

Phone: 03324390125

Email: [email protected]

Facility Contacts

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Muhammad Asrar Yousaf, mphil

Role: primary

Other Identifiers

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REC/RCR&AHS/22/0406

Identifier Type: -

Identifier Source: org_study_id