Effect of Core Exercises on Patellofemoral Pain Syndrome

NCT ID: NCT06758050

Last Updated: 2025-01-03

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

RECRUITING

Clinical Phase

NA

Total Enrollment

44 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-08-04

Study Completion Date

2025-01-30

Brief Summary

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the goal of this interventional study is to Investigate the effect of core strengthening exercises on pain, strength, function, and balance in patients with PFPS.

Detailed Description

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Purpose: Patellofemoral pain syndrome is a frequent musculoskeletal disorder, which can result from core muscles instability that can lead to pain, function and altered dynamic balance. The objective of this study is to assess the effect of core muscle strengthening on pain, function, strength and dynamic balance in patients with patellofemoral pain syndrome.

Subjects and Methods: Forty-four patients with age ranging from 18 to 35 years with patellofemoral pain syndrome will be divided into study (N=22) and control (N=22) groups. Both groups will be given 6 weeks of conventional physical therapy program and an additional core muscle strengthening for the study group. The tools are being used to assess the outcome are 1- Visual Analogue Scale,2- handheld dynamometer,3-AKPS 4- BIODEX Balance.

Hypotheses:

It will be hypothesized that:

1. There is no effect of core strengthening exercises on pain in treating PFPS.
2. There is no effect of core strengthening exercises on muscle strength in treating PFPS.
3. There is no effect of core strengthening exercises on function in treating PFPS.

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

NONE

Study Groups

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Study group

Group B (study group) (core strengthening exercises added to evidence-based approaches group) The core muscle strength training program The core muscle strength training program will last for 6 weeks and comprise of two training sessions per week, with a total of 12 sessions for the study group.

During the main part of the training, the "big 3" exercises as described by McGill will be conducted. These include the curl-up, side bridge, and quadruped position.

Group Type EXPERIMENTAL

Core strengthening exercises

Intervention Type OTHER

By core strengthening exercise, could be improved pain, balance, and function in patients with patellofemoral pain syndrome. In that case, this will not only improve their postural stability and neuromuscular control, but we believe it will improve their overall functional, performance, and quality of life. Currently, limited evidence exists about the effectiveness of core strengthening exercises on pain, function and dynamic balance in patellofemoral pain syndrome. By addressing core strengthening exercise, physical therapists can advise new treatment methods for patellofemoral pain syndrome (Chevidikunnan et al., 2016)

Traditional treatment

Intervention Type OTHER

hip and knee-focused exercises

Control group

Group A (control group) (evidence-based approaches group): The participants in the control group will receive only a hip and knee- focused exercise program.

1. Hip-focused exercise: Based on previous studies, hip-focused exercises will consist of side- lying hip abduction, hip external rotation (clamshell), and prone hip extension.
2. Knee-focused exercise The knee-focused exercise regime will be based on previous studies and consist of supine straight leg raises, supine terminal knee extensions (from 10° flexion to full extension), and a mini squat (45° flexion) with the back supported against the wall (to reduce stabilizing requirements from the hip muscles).

Group Type ACTIVE_COMPARATOR

Traditional treatment

Intervention Type OTHER

hip and knee-focused exercises

Interventions

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Core strengthening exercises

By core strengthening exercise, could be improved pain, balance, and function in patients with patellofemoral pain syndrome. In that case, this will not only improve their postural stability and neuromuscular control, but we believe it will improve their overall functional, performance, and quality of life. Currently, limited evidence exists about the effectiveness of core strengthening exercises on pain, function and dynamic balance in patellofemoral pain syndrome. By addressing core strengthening exercise, physical therapists can advise new treatment methods for patellofemoral pain syndrome (Chevidikunnan et al., 2016)

Intervention Type OTHER

Traditional treatment

hip and knee-focused exercises

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Patients of both genders with an age range of 18- 35 years old.
2. Gradual development of pain in the front of the knee lasting more than 12 weeks.
3. Patients with body mass index 18- 25 kg m2.
4. Pain is aggravated by at least 2 of the following activities: jumping, running, prolonged sitting, stair climbing, kneeling, and squatting.

1. Positive patellar grinding test.
2. Insidious onset of symptoms, unrelated to a traumatic damage.

Exclusion Criteria

1. Traumatic patellar subluxation or dislocation.
2. A history of any of the following conditions: meniscal or other intra articular pathologic conditions; cruciate or collateral ligament involvement.
3. Any lower limb bony or congenital deformities.
4. Previous knee and hip joint surgeries.
5. Osteoarthritis in the ankle, knee, or hip joints.
6. Conditions that affect muscle strength such as diabetes mellitus or rheumatoid arthritis.
Minimum Eligible Age

18 Years

Maximum Eligible Age

35 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cairo University

OTHER

Sponsor Role lead

Responsible Party

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Rana Ibrahim

Rana Ibrahim Ahmed Mahmoud

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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rana ibrahim ahmed, Bachelor Physical Therapy-MUST

Role: PRINCIPAL_INVESTIGATOR

Misr University for Science and Technology

Nasr Awad Abd Elkader, Assistant Professor

Role: STUDY_CHAIR

Physical Therapy for Musculoskeletal Disorders and its Surgeries Faculty of Physical Therapy Cairo University

Abdelgalil Allam Abdelgalil, Lecturer of Physical Therapy

Role: STUDY_DIRECTOR

Physical Therapy for Musculoskeletal Disorders and its Surgeries Faculty of Physical Therapy Cairo University

Mohammed Safwat Hamza, Associate Professor

Role: STUDY_DIRECTOR

Faculty of Medicine Misr University for Science and Technology

Locations

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Cairo University

Giza, , Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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Rana Ibrahim Ahmed, Bachelor Physical Therapy-MUST

Role: CONTACT

01151082787

Facility Contacts

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Rana Ibrahim, Bachelor

Role: primary

01151082787

Other Identifiers

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No:P.T.REC/012/005347

Identifier Type: -

Identifier Source: org_study_id

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