Effects of Eccentric Exercises on Gait Parameters in Patellofemoral Pain Syndrome: A Quasi-Experimental Study

NCT ID: NCT06387524

Last Updated: 2024-06-05

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 20 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-07-15
• Study Completion Date: 2024-11-20

Brief Summary

This study is a quasi experimental and the purpose of this study is to determine the effects of eccentric exercises on gait parameters in patellofemoral pain syndrome: a quasi - experimental study

Detailed Description

The purpose of this study is to determine the effects of eccentric exercises on gait parameters in patellofemoral syndrome : a - quasi experimental study

Pain , gait parameters, ROM and dynamic knee valgus angle of young adults (age : 18-35 years ) will be determined using:

1. Numeric pain rating scale

2. Goniometer

3. 30 meter walk test

4. dynamic knee valgus angle via kinovea software Data will be before and after the intervention protocol for each participant. Data collection procedure: Participants of interest would be approached and explained about the research. Informed written consent will be taken. Pre and post intervention scores will be recorded.

Conditions

Patellofemoral Pain Syndrome

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Interventional group

There will be only one group in the study. After application of Mc Connell taping, patients will perform eccentric exercises taught by the therapist for 6 weeks. Mentioned below are detailed protocols for the treatment of patellofemoral pain syndrome.

Group Type: EXPERIMENTAL

McConnell Taping

Intervention Type: PROCEDURE

Begin with the patient in supine lying with the knee slightly bent. The knee should be completely relaxed and a foam roller or rolled up towel under the knee. Start the tape in line with the middle of the knee cap at the outer aspect of the knee. Using your thumb on top of the sports tape, gently push the patella towards the inner aspect of the knee whilst simultaneously using your fingers to pull the skin at the inner aspect of the knee towards the patella. Finish this taping technique at the inner aspect of the knee ensuring you have created some wrinkling of the skin at the inner aspect of the knee.

ECCENTRIC EXERCISES:

Intervention Type: PROCEDURE

Performed for 6 weeks, in 3 sets of 10-12 repetitions each day. Detailed protocol is as under:

Warm up phase (5 minutes) It will comprise of following components 5 minutes warm up exercise protocol: Marching in place while swinging your arm, rotating toe touching, walking jacks, leg swings, arm circles, shoulder shrugs Eccentric exercises: Each of the following exercise will be performed for 30 seconds, repetitions and hold time will increase with increasing weeks according to patient's stamina.

Straight leg raise, side lying hip abduction, single leg bridging, supported double leg squatting, hip hikes,supported single leg squatting Following is the detailed description of Cool down phase: Hip stretch, cat cow stretch, oblique stretch, lower back stretch, calf stretch, cross body shoulder stretch

Interventions

McConnell Taping

Begin with the patient in supine lying with the knee slightly bent. The knee should be completely relaxed and a foam roller or rolled up towel under the knee. Start the tape in line with the middle of the knee cap at the outer aspect of the knee. Using your thumb on top of the sports tape, gently push the patella towards the inner aspect of the knee whilst simultaneously using your fingers to pull the skin at the inner aspect of the knee towards the patella. Finish this taping technique at the inner aspect of the knee ensuring you have created some wrinkling of the skin at the inner aspect of the knee.

Intervention Type: PROCEDURE

ECCENTRIC EXERCISES:

Performed for 6 weeks, in 3 sets of 10-12 repetitions each day. Detailed protocol is as under:

Warm up phase (5 minutes) It will comprise of following components 5 minutes warm up exercise protocol: Marching in place while swinging your arm, rotating toe touching, walking jacks, leg swings, arm circles, shoulder shrugs Eccentric exercises: Each of the following exercise will be performed for 30 seconds, repetitions and hold time will increase with increasing weeks according to patient's stamina.

Straight leg raise, side lying hip abduction, single leg bridging, supported double leg squatting, hip hikes,supported single leg squatting Following is the detailed description of Cool down phase: Hip stretch, cat cow stretch, oblique stretch, lower back stretch, calf stretch, cross body shoulder stretch

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• Age 18-35 years
• Females
• Having pain from at least 2 months
• Pain score greater than 3 on NPRS
• Retro patellar pain in at least two of the following activities:

1. Ascending, descending stairs

2. Hooping / jumping

3. Prolonged sitting with flexed knees

4. Kneeling and squatting

• Pain on palpation of medial or lateral patellar facet.
• Pain on palpation on anterior portion of medial or lateral femoral condyles.

Exclusion Criteria

• Diagnosed with Chondromalacia patellae
• Instability of tibiofemoral joint
• Subluxation of patellofemoral joint
• Patellar instability
• Previous surgery of lower limb
• Negative findings on examination of knee ligaments, menisci and bursa.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 35 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Foundation University Islamabad

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

Foundation University College of Physical Therapy

Rawalpindi, Punjab Province, Pakistan

Site Status: RECRUITING

Countries

Pakistan

Central Contacts

Safa Rafaqat, MS-MSKPT

Role: CONTACT

safarafaqat7@gmail.com

0313-5383282

Facility Contacts

Qurat ul Ain Saeed, MS-OMPT,PHD*

Role: primary

quratulain.saeed@fui.edu.pk

03315562889

Other Identifiers

FUI/CTR/2024/1

Identifier Type: -

Identifier Source: org_study_id