Investigation of the Effect of Pilates Exercises on Patellofemoral Pain

NCT ID: NCT05811637

Last Updated: 2024-11-19

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

2023-04-15

Study Completion Date

2023-11-15

Brief Summary

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This study aimed to investigate the effectiveness of Pilates exercises in Patellofemoral pain patients compared to hip and knee combined exercises in improving pain, muscle strength, flexibility, function and quality of life in short term.

Detailed Description

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Patellofemoral pain is a common condition characterized by pain in anterior knee, around the kneecap. It is known that exercise is beneficial in rehabilitation in general. Exercise programs applied to patients with PFP should include hip and knee-targeted combined exercises. Nowadays, Pilates is used as an effective rehabilitation tool for individuals with musculoskeletal problems, especially in reducing pain and improving function. Therefore, we believe that Pilates exercises can be effective in PFP Considering that PFP is a chronic condition and exercise therapy is one of the main strategies in the treatment. Pilates may be preferred as one of the alternative treatment method.

This randomized controlled study was designed to compare the effects of two different treatment protocols, Group-I (Supervised Rehabilitation) and Group-II (Pilates Exercises). Patients who applied to the Istanbul Physical Therapy and Rehabilitation Training and Research Hospital, Sports Medicine outpatient clinic and were diagnosed with PFP by a specialist physician based on the patient histories, physical examinations, and diagnostic imaging. The estimated desired sample size was at least 14 participants per group. We anticipated a dropout rate of 20%. Therefore, 34 participants were required for each group (Supervised Rehabilitation n=17, Pilates Exercises n=17) of both sexes, ages ranging from 18-45 years. A computer generated randomization list was used to divide the patients into two groups (https://www.randomizer.org/). An 'Informed Consent Form' was obtained from patients by explaining the purpose of the study, the duration of the study, the treatments to be applied, and possible side effects.

Conditions

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Patellofemoral Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized and trial
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Supervised Rehabilitation

The supervised rehabilitation focused mainly on strengthening the hip-knee muscles and flexibility exercises for the gastrocnemius and hamstring muscles. Hip and knee targeted strengthening and stretching exercises will be applied for 6 weeks, two sessions a week 12 sessions of all exercises, 3 sets, and 10-15 repetitions of each set.

Group Type ACTIVE_COMPARATOR

Supervised Rehabilitation

Intervention Type OTHER

The program will be applied with the progression of the supervised rehabilitation in the 4th week

Pilates Exercise

The principles of Pilates exercises will be taught to the patients in the first session, and the evaluation will be made. The exercises, including basic training exercises in the first week, will be performed for 6 weeks, each session lasting 45 minutes, two days a week, each exercise for 8-12 repetitions. The Pilates exercises, consisting of gradually increasing strengthening will be applied under the supervision of a physiotherapist.

Group Type ACTIVE_COMPARATOR

Pilates Exercise

Intervention Type OTHER

The program will be applied with the Pilates exercises every week. All patients were evaluated before and after the treatment (6 weeks).

Interventions

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Pilates Exercise

The program will be applied with the Pilates exercises every week. All patients were evaluated before and after the treatment (6 weeks).

Intervention Type OTHER

Supervised Rehabilitation

The program will be applied with the progression of the supervised rehabilitation in the 4th week

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Having characteristic signs of PFP (retropatellar or peripatellar pain)
* Presence of at least 3 points of retropatellar or peripatellar pain on the Numbered Pain Rating Scale (NPRS) with squatting, climbing stairs, prolonged sitting, or functional activity that burdens the PFP
* Presence of any of the criteria such as tenderness, small effusion in the patellar facet palpation

Exclusion Criteria

* Patellofemoral dislocation, subluxation, intra-articular knee pathology
* Previous lower extremity surgery, and knee-related trauma
* A history of hip pathology or neurological disorders
* Knee trauma in the last 1 month
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Istanbul University

OTHER

Sponsor Role lead

Responsible Party

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Derya Celik

Prof.

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Istanbul University

Istanbul, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Other Identifiers

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D2023

Identifier Type: -

Identifier Source: org_study_id

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