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The Effect of Hip Strengthening Exercises and Taping in Patients With PFP With Dynamic Valgus

NCT ID: NCT06735586

Last Updated: 2024-12-16

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

2022-01-02

Study Completion Date

2023-04-02

Brief Summary

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The aim of the study is to investigate the effects of isolated quadriceps and hip strengthening exercises and both strengthening exercises and mulligan knee taping technique on pain, functional level and balance in patients with dynamic knee valgus and patellofemoral pain. In addition, in the groups investigators will create as randomized controlled, investigators give only strengthening exercise to one group and apply both exercise and taping to the other group and to investigate whether Mulligan taping, which is applied in addition to exercise in the treatment, has an effect on valgus correction, pain, functional level and balance, and contributes to the literature. It will also become clear how effective the strengthening exercises will be in correcting the dynamic valgus, how much participants will reduce patellofemoral pain, and whether they have an effect on the functional level and balance. There are not enough studies in the literature on strengthening exercises in patients with patellofemoral pain with dynamic valgus. İnvestigators will contribute to the literature by evaluating the effect of hip and quadriceps strengthening exercises on dynamic knee valgus and patellofemoral pain with 2D video analysis method and evaluating the results concretely. In addition to the strengthening exercises that investigators will apply to the other group, our other research target is to evaluate the Mulligan knee taping technique with 2D video analysis method and to investigate whether Mulligan knee taping treatment has an effect on the correction of dynamic valgus.

Detailed Description

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A total of 34 patients with anterior knee pain and dynamic valgus will be included in the study and randomly divided into 2 groups as Exercise and Taping (n=17) and Exercise (n=17). Hip and quadriceps strengthening exercises will be applied to the patients in the exercise group 3 times a week for a total of 6 weeks, and both strengthening exercises and mulligan rigid knee taping will be applied to the patients in the Exercise and Taping group, again for 6 weeks and 3 times a week. If the participants in the study have bilateral anterior knee pain, the more symptomatic side will be included in the study.

Outcome measurements will be performed on the baseline (first day-before first treatment) and at the end of the 6 weeks treatment program.

NCSS (Number Cruncher Statistical System) 2007 (Kaysville, Utah,USA) program will be used for statistical analysis. While evaluating the study data, descriptive statistical methods (Mean, Standard Deviation, Median, Frequency, Ratio, Minimum, Maximum) as well as the distribution of the data will be evaluated with the Shapiro-Wilk Test.

Mann-Whitney U Test will be used in comparisons of two groups that cannot show normal distribution of quantitative data, and Student's t test will be used in case of normal distribution. Significance will be evaluated at the p\<0.05 level.

Conditions

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Patellofemoral Pain Valgus Deformity

Keywords

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Dynamic Knee Valgus Patellofemoral Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

By randomly dividing the individuals investigators included in our study into two groups, investigators applied only the hip and quadriceps strengthening program to one group and the additional Mulligan rigid taping technique to the hip and quadriceps strengthening exercises in the other group, and examined the first and post-test measurements investigators will make before and after each group separately, at the same time. İnvestigators are planning to evaluate the results investigators have obtained by making comparisons between groups in both groups. Dilber Coşkunsu, who is a blind evaluator, will make the evaluations. The person making the evaluation will make an evaluation without knowing which treatment the patient is receiving.
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
Outcome measuements were performed by blind assessor

Study Groups

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Neuromuscular control exercises plus taping

İnvestigators will apply the Mulligan knee taping technique to the participants in the randomized exercise and taping group, in addition to the hip focused and quadriceps strengthening exercises, 3 times a week for a total of 6 weeks.

Group Type EXPERIMENTAL

neuromuscular control exercise and taping

Intervention Type PROCEDURE

Exercises and taping will be done 3 times a week, 10 sets of each exercise. Mulligan Knee Taping Application: The application was made with Protape 38mm x 10 m rigid tape. The application will be performed in the participant's foot, with the hip and knee in internal rotation, and the knee in 20º flexion. The tape will be applied starting from the head of the fibula, passing over the tibia anteriorly, passing under the medial joint line of the knee and ending at the back of the knee, bringing the tibia to internal rotation.

Neuromuscular control exercises

All of the 17 participants participating in the study will be included in the 6-week exercise program investigators created after the initial evaluations. Exercises will be done 3 times a week, 10 sets of each exercise. And the participants will be given a rest period of 3 minutes between each set.

Group Type ACTIVE_COMPARATOR

neuromuscular control exercise

Intervention Type PROCEDURE

All of the 17 participants participating in the study will be included in the 6-week exercise program investigators created after the initial evaluations. Exercises will be done 3 times a week, 10 sets of each exercise. And the participants will be given a rest period of 3 minutes between each set.1st and 2nd (5 times) week exercise program: Non-weight bearing exercises will be given in the first week; lateral hip abduction, clam shell exercises, and bridging exercises. 3rd and 4th week (5 times) exercises: This week investigators will give controlled weight lifting exercises:pelvic drop exercise, single leg squat exercise,step down exercise,single leg raise exercise. 4th and 5 th week exercise: lateral band walks, side lunges, forward lunges, and back lunges. 5 th and 6 th week exercise: Plyometric exercises: jump exercise, BOSU single knee scales exercise,resistive single leg squats,resisting vertical bridge.

Interventions

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neuromuscular control exercise

All of the 17 participants participating in the study will be included in the 6-week exercise program investigators created after the initial evaluations. Exercises will be done 3 times a week, 10 sets of each exercise. And the participants will be given a rest period of 3 minutes between each set.1st and 2nd (5 times) week exercise program: Non-weight bearing exercises will be given in the first week; lateral hip abduction, clam shell exercises, and bridging exercises. 3rd and 4th week (5 times) exercises: This week investigators will give controlled weight lifting exercises:pelvic drop exercise, single leg squat exercise,step down exercise,single leg raise exercise. 4th and 5 th week exercise: lateral band walks, side lunges, forward lunges, and back lunges. 5 th and 6 th week exercise: Plyometric exercises: jump exercise, BOSU single knee scales exercise,resistive single leg squats,resisting vertical bridge.

Intervention Type PROCEDURE

neuromuscular control exercise and taping

Exercises and taping will be done 3 times a week, 10 sets of each exercise. Mulligan Knee Taping Application: The application was made with Protape 38mm x 10 m rigid tape. The application will be performed in the participant's foot, with the hip and knee in internal rotation, and the knee in 20º flexion. The tape will be applied starting from the head of the fibula, passing over the tibia anteriorly, passing under the medial joint line of the knee and ending at the back of the knee, bringing the tibia to internal rotation.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Anterior knee pain lasting more than 2 months
* \> 10 degrees frontal plane valgus angle
* At least 3 pains on the 10 cm VAS scale in the last week
* Have symptoms for at least 2 months
* Patients aged 18 to 50 years
* To have at least 2 of the pains that occur during squatting, climbing stairs, descending and sitting

Exclusion Criteria

* Neurological disease or sequelae
* Having an orthopedic injury that may affect lower extremity kinematics
* Pregnancy
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bahçeşehir University

OTHER

Sponsor Role lead

Responsible Party

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Dilber Karagozoglu Coskunsu

Assoc. Prof.

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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BahcesehirUni

Istanbul, Beşiktaş, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Other Identifiers

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Dilber Karagözoğlu Coşkunsu

Identifier Type: OTHER

Identifier Source: secondary_id

BahcesehirUn

Identifier Type: -

Identifier Source: org_study_id