Dosage-dependence of Graded Exercise Therapy in Patients With Patellofemoral Pain Syndrome.
Primary Purpose
Patellofemoral Pain Syndrome
Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
High exercise therapy
Low exercise therapy
Sponsored by
About this trial
This is an interventional treatment trial for Patellofemoral Pain Syndrome focused on measuring Knee, Anterior Cruciate Ligament, Pain, Patella, Exercise Therapy
Eligibility Criteria
Inclusion Criteria: Presence of at least 3 symptoms of the following:
Pain when
- Walking stairs
- Squatting
- Running
- Cycling
- Sitting with knees flexed for a prolonged period of time
- Grinding of the patella
- Other positive physical tests (Clarke's test, patellar crepitus, tenderness upon palpation of the posterior surface of the patella, patellar facets or surrounding structures)
Exclusion Criteria:
- Knee osteoarthrosis/ arthritis
- previous knee injury or knee operations
- patellar tendinopathy
- Osgood- Schlatter's disease
- Other defined pathological conditions of the knee
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
high exercise
low exercise
Arm Description
High dose, high repetition exercise therapy, 3 times weekly in 12 weeks
low dose, low repetition exercise therapy, 3 times weekly in 12 weeks
Outcomes
Primary Outcome Measures
Pain measured by a Visual analogue scale (VAS).
This scale was illustrated with a 100 mm horizontal line with descriptors "no pain" at the 0 mm mark and "worst pain imaginable" anchoring the 100 mm. Participants were required to place a vertical mark on the horizontal line, representing their average level of pain experienced during the last 24 hours. This was done at rest and provided an illustration of the perceived pain severity, rated in millimetres.
Secondary Outcome Measures
Function measured by a Step-down test and by a modified Functional Index Questionnaire (FIQ).
Full Information
NCT ID
NCT01290705
First Posted
February 4, 2011
Last Updated
February 17, 2016
Sponsor
Norwegian University of Science and Technology
1. Study Identification
Unique Protocol Identification Number
NCT01290705
Brief Title
Dosage-dependence of Graded Exercise Therapy in Patients With Patellofemoral Pain Syndrome.
Official Title
Dosage-dependence of Graded Exercise Therapy in Patients With Patellofemoral Pain Syndrome. A Randomized Controlled Clinical Trial.
Study Type
Interventional
2. Study Status
Record Verification Date
February 2016
Overall Recruitment Status
Completed
Study Start Date
November 2007 (undefined)
Primary Completion Date
December 2010 (Actual)
Study Completion Date
December 2010 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Norwegian University of Science and Technology
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
With this study two different therapeutic exercise regimens will be compared in patients with anterior knee pain (patellofemoral pain syndrome, PFPS).
Detailed Description
Exercise therapy is widely used in the conservative treatment of patellofemoral pain syndrome (PFPS), but there is still no consensus on recommending any specific rehabilitation program.
This study evaluates two different therapeutic exercise regimens in patients with PFPS and their effect on pain at rest and function.
Supervised exercise therapy will be applied in both groups three times a week over a 3-month period with individually tailored and graded exercise programs, differing between groups in terms of number of exercises, number of repetitions and sets, and time spent on performing aerobic exercises.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Patellofemoral Pain Syndrome
Keywords
Knee, Anterior Cruciate Ligament, Pain, Patella, Exercise Therapy
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
40 (Actual)
8. Arms, Groups, and Interventions
Arm Title
high exercise
Arm Type
Experimental
Arm Description
High dose, high repetition exercise therapy, 3 times weekly in 12 weeks
Arm Title
low exercise
Arm Type
Experimental
Arm Description
low dose, low repetition exercise therapy, 3 times weekly in 12 weeks
Intervention Type
Behavioral
Intervention Name(s)
High exercise therapy
Intervention Type
Behavioral
Intervention Name(s)
Low exercise therapy
Primary Outcome Measure Information:
Title
Pain measured by a Visual analogue scale (VAS).
Description
This scale was illustrated with a 100 mm horizontal line with descriptors "no pain" at the 0 mm mark and "worst pain imaginable" anchoring the 100 mm. Participants were required to place a vertical mark on the horizontal line, representing their average level of pain experienced during the last 24 hours. This was done at rest and provided an illustration of the perceived pain severity, rated in millimetres.
Time Frame
Pre-test, post-test (after completed intervention at 3 months) and one year follow-up.
Secondary Outcome Measure Information:
Title
Function measured by a Step-down test and by a modified Functional Index Questionnaire (FIQ).
Time Frame
Pre-test, post-test (at 3 months after completed intervention) and at one year follow-up.
10. Eligibility
Sex
All
Minimum Age & Unit of Time
16 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Presence of at least 3 symptoms of the following:
Pain when
Walking stairs
Squatting
Running
Cycling
Sitting with knees flexed for a prolonged period of time
Grinding of the patella
Other positive physical tests (Clarke's test, patellar crepitus, tenderness upon palpation of the posterior surface of the patella, patellar facets or surrounding structures)
Exclusion Criteria:
Knee osteoarthrosis/ arthritis
previous knee injury or knee operations
patellar tendinopathy
Osgood- Schlatter's disease
Other defined pathological conditions of the knee
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jan Harry Størksen
Organizational Affiliation
Norwegian University of Science and Technology
Official's Role
Study Director
12. IPD Sharing Statement
Plan to Share IPD
Undecided
Citations:
PubMed Identifier
23764516
Citation
Osteras B, Osteras H, Torstensen TA. Long-term effects of medical exercise therapy in patients with patellofemoral pain syndrome: results from a single-blinded randomized controlled trial with 12 months follow-up. Physiotherapy. 2013 Dec;99(4):311-6. doi: 10.1016/j.physio.2013.04.001. Epub 2013 Jun 10. Erratum In: Physiotherapy. 2014 Mar;100(1):e1. Torsensen, Tom Arild [corrected to Torstensen, Tom Arild].
Results Reference
result
PubMed Identifier
23219636
Citation
Osteras B, Osteras H, Torstensen TA, Vasseljen O. Dose-response effects of medical exercise therapy in patients with patellofemoral pain syndrome: a randomised controlled clinical trial. Physiotherapy. 2013 Jun;99(2):126-31. doi: 10.1016/j.physio.2012.05.009. Epub 2012 Jul 24.
Results Reference
result
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Dosage-dependence of Graded Exercise Therapy in Patients With Patellofemoral Pain Syndrome.
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