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Proximal and Distal Therapeutic Approach in Pain and Lower Limb Kinematic in People With Patellofemoral Osteoarthritis

Primary Purpose

Patellofemoral Osteoarthritis

Status

Unknown status

Phase

Not Applicable

Locations

Study Type

Interventional

Intervention

Elastic hip strap

Insole

About this trial

This is an interventional other trial for Patellofemoral Osteoarthritis focused on measuring Knee osteoarthritis, Patellofemoral joint, Gait, Pain, Quality of life, Physiotherapy

Eligibility Criteria

40 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

Present anterior or retro patellar pain aggravated by two or more activities that overload the patellofemoral joint, such as going up and down stairs, squatting, remaining in the sitting position for long periods, getting up from the sitting position, kneeling or during physical exercise;
Reporting pain of at least 3 on an 11-point scale (0 for no pain and 10 for the worst possible pain) during the activities described above and on most days during the last month;
Have evidence of osteophyte formation in the patellofemoral joint on radiographs in the profile and axial skyline views through the Kellgren-Lawrence (K-L) grade ≥ 2, with minimal impairment in the tibiofemoral joint (KL <2);
Body mass index (BMI) <35 Kg / m². Participants with unilateral or bilateral symptoms will be included in the study.

Exclusion Criteria:

Current use or in the last 12 months of foot orthoses;
Previous history of fracture or recurrent subluxation of the patella;
Arthroscopic surgery or knee infiltrations in the last 3 months;
Osteoarthritis known in other weight-bearing joints, including the spine;
History of surgery on the hip, knee, ankle and foot joints;
History of ankle sprain in the last 12 months;
Osteotomy in the lower limbs;
Current physical therapy in the lower limbs or in the last 6 weeks;
Use of a cane or other walking aid;
Any physical disability that is a contraindication for carrying out the evaluations and;
Punctuation that suggests dementia according to the Mini-Mental State Examination, taking into account the education of the participants.

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

No Intervention

Experimental

Arm Label

Control condition

Intervention proximal condition

Intervention distal condition

Arm Description

In this condition there will not be any application of therapeutic approach.

The proximal therapeutic approach will be the SERF strap (S.E.R.F. strap; DonJoy Orthopedics, Inc., vista, CA).

The distal therapeutic approach will be a pair of foot orthoses with semi-rigid arch support and medial elevation at the forefoot and at the rearfoot by 7° each (Propulsão Produtos Biomecânicos, Minas Gerais, Brazil).

Outcomes

Primary Outcome Measures

Pain intensity

This variable will be collected using a visual analogue scale graduated in 100 millimeters, where the left end (zero) means no pain and the right end (ten) means the worst pain imaginable

Pain intensity

This variable will be collected using a visual analogue scale graduated in 100 millimeters, where the left end (zero) means no pain and the right end (ten) means the worst pain imaginable

Pain intensity

This variable will be collected using a visual analogue scale graduated in 100 millimeters, where the left end (zero) means no pain and the right end (ten) means the worst pain imaginable

Pain intensity

This variable will be collected using a visual analogue scale graduated in 100 millimeters, where the left end (zero) means no pain and the right end (ten) means the worst pain imaginable

Pain intensity

This variable will be collected using a visual analogue scale graduated in 100 millimeters, where the left end (zero) means no pain and the right end (ten) means the worst pain imaginable

Pain intensity

This variable will be collected using a visual analogue scale graduated in 100 millimeters, where the left end (zero) means no pain and the right end (ten) means the worst pain imaginable

Pain intensity

This variable will be collected using a visual analogue scale graduated in 100 millimeters, where the left end (zero) means no pain and the right end (ten) means the worst pain imaginable

Pain intensity

This variable will be collected using a visual analogue scale graduated in 100 millimeters, where the left end (zero) means no pain and the right end (ten) means the worst pain imaginable

Pain intensity

This variable will be collected using a visual analogue scale graduated in 100 millimeters, where the left end (zero) means no pain and the right end (ten) means the worst pain imaginable

Pain intensity

This variable will be collected using a visual analogue scale graduated in 100 millimeters, where the left end (zero) means no pain and the right end (ten) means the worst pain imaginable

Pain intensity

This variable will be collected using a visual analogue scale graduated in 100 millimeters, where the left end (zero) means no pain and the right end (ten) means the worst pain imaginable

Pain intensity

This variable will be collected using a visual analogue scale graduated in 100 millimeters, where the left end (zero) means no pain and the right end (ten) means the worst pain imaginable

Pain intensity

This variable will be collected using a visual analogue scale graduated in 100 millimeters, where the left end (zero) means no pain and the right end (ten) means the worst pain imaginable

Pain intensity

This variable will be collected using a visual analogue scale graduated in 100 millimeters, where the left end (zero) means no pain and the right end (ten) means the worst pain imaginable

Pain intensity

This variable will be collected using a visual analogue scale graduated in 100 millimeters, where the left end (zero) means no pain and the right end (ten) means the worst pain imaginable

Pain intensity

This variable will be collected using a visual analogue scale graduated in 100 millimeters, where the left end (zero) means no pain and the right end (ten) means the worst pain imaginable

Pain intensity

This variable will be collected using a visual analogue scale graduated in 100 millimeters, where the left end (zero) means no pain and the right end (ten) means the worst pain imaginable

Pain intensity

This variable will be collected using a visual analogue scale graduated in 100 millimeters, where the left end (zero) means no pain and the right end (ten) means the worst pain imaginable

Secondary Outcome Measures

A global rating of change change (GRC) questionnaire

The GRC questionnaire is a 15 point self-report scale with criteria ranging from a 'very great deal worse' to a 'very great deal better.' The GRC is a valid and useful method for assessing the overall change in the quality of life of a person.

A global rating of change change (GRC) questionnaire

Acceptable state of the patient's symptoms

The participants will answered this following question: "Considering your usual level of pain and also your functional impairment to perform tasks on a day-to-day basis, if you performed this functional task (gait or step-down test) with the application of this intervention (elastic band on the hip or foot orthosis) going forward, would you consider your current state to be satisfactory? " Participants will could answered "yes" or "no".

Acceptable state of the patient's symptoms

Ease of performing a task

Participants will answer the following question: "How easy was this task?" and then they will respond according to the scale (markedly difficult; somewhat difficult; neither difficult nor easy; somewhat easy; markedly easy)

Ease of performing a task

Knee confidence

The knee confidence using a 100mm VAS, with the question phrased as "how confident did you feel completing that task? (terminal descriptors 0mm=very confident, 100mm=not confidente at all).

Knee confidence

The knee confidence using a 100mm VAS, with the question phrased as "how confident did you feel completing that task? (terminal descriptors 0mm=very confident, 100mm=not confidente at all).

Knee confidence

The knee confidence using a 100mm VAS, with the question phrased as "how confident did you feel completing that task? (terminal descriptors 0mm=very confident, 100mm=not confidente at all).

Knee confidence

The knee confidence using a 100mm VAS, with the question phrased as "how confident did you feel completing that task? (terminal descriptors 0mm=very confident, 100mm=not confidente at all).

Knee confidence

The knee confidence using a 100mm VAS, with the question phrased as "how confident did you feel completing that task? (terminal descriptors 0mm=very confident, 100mm=not confidente at all).

Knee confidence

The knee confidence using a 100mm VAS, with the question phrased as "how confident did you feel completing that task? (terminal descriptors 0mm=very confident, 100mm=not confidente at all).

Lower limb kinematics - Peak of Hip Adduction

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Hip Adduction

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Hip Adduction

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Hip Adduction

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Hip Adduction

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Hip Adduction

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Hip Adduction

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Hip Adduction

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Hip Adduction

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Hip Medial Rotation

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Hip Medial Rotation

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Hip Medial Rotation

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Hip Medial Rotation

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Hip Medial Rotation

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Hip Medial Rotation

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Hip Medial Rotation

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Hip Medial Rotation

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Hip Medial Rotation

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Rearfoot Eversion

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Rearfoot Eversion

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Rearfoot Eversion

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Rearfoot Eversion

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Rearfoot Eversion

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Rearfoot Eversion

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Rearfoot Eversion

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Rearfoot Eversion

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Rearfoot Eversion

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Hip Adduction

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Hip Adduction

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Hip Adduction

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Hip Adduction

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Hip Adduction

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Hip Adduction

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Hip Adduction

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Hip Adduction

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Hip Adduction

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Hip Medial Rotation

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Hip Medial Rotation

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Hip Medial Rotation

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Hip Medial Rotation

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Hip Medial Rotation

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Hip Medial Rotation

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Hip Medial Rotation

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Hip Medial Rotation

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Hip Medial Rotation

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Rearfoot Eversion

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Rearfoot Eversion

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Rearfoot Eversion

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Rearfoot Eversion

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Rearfoot Eversion

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Rearfoot Eversion

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Rearfoot Eversion

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Rearfoot Eversion

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Lower limb kinematics - Peak of Rearfoot Eversion

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Full Information

NCT ID

NCT04332900

First Posted

February 16, 2020

Last Updated

March 17, 2021

Sponsor

Universidade Federal de Sao Carlos

Collaborators

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior.

1. Study Identification

Unique Protocol Identification Number

NCT04332900

Brief Title

Proximal and Distal Therapeutic Approach in Pain and Lower Limb Kinematic in People With Patellofemoral Osteoarthritis

Official Title

Comparison of Immediate Effects of a Proximal and Distal Therapeutic Approach in Pain and Lower Limb Kinematic During Functional Tasks in People With Patellofemoral Osteoarthritis: A Crossover Study

Study Type

Interventional

2. Study Status

Record Verification Date

March 2021

Overall Recruitment Status

Unknown status

Study Start Date

November 1, 2021 (Anticipated)

Primary Completion Date

May 1, 2022 (Anticipated)

Study Completion Date

November 1, 2022 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title

Principal Investigator

Name of the Sponsor

Universidade Federal de Sao Carlos

Collaborators

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior.

4. Oversight

Studies a U.S. FDA-regulated Drug Product

Studies a U.S. FDA-regulated Device Product

Data Monitoring Committee

Yes

5. Study Description

Brief Summary

This is a crossover study that will investigate the immediate effects of a proximal therapeutic approach (SERF strap) and a distal one (foot orthoses) on knee pain intensity, global change, symptoms, ease of performance and confidence after each task and lower limb kinematics (hip adduction and internal hip rotation peak, rearfoor eversion peak) during functional taks (level-ground walking and stepping manoeuvres) in people with patellofemoral ostheoartritis

Detailed Description

It will be enroled in this study 30 participants with patellofemoral ostheoartritis. The participants will be assessed during level walking at a self-selected speed and the stepping manoeuvre test under the three conditions that will be randomized: i) the control condition; ii) intervention proximal condition; and iii) intervention distal condition. The control condition refers to the condition in which no interventions will be administered. In both the intervention proximal condition and intervention distal condition, the respective therapeutic approach will be administered. For each functional task, three valid attempts will be collected. The primary outcome of this study is knee pain intensity and the secondary outcomes are both self-reported measures and kinematic variables measures. The self-reported measures are global change, symptoms, ease of performance and confidence, while the kinematic variables measures are hip adduction and internal hip rotation peak and rearfoor eversion peak

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study

Patellofemoral Osteoarthritis

Keywords

Knee osteoarthritis, Patellofemoral joint, Gait, Pain, Quality of life, Physiotherapy

7. Study Design

Primary Purpose

Other

Study Phase

Not Applicable

Interventional Study Model

Crossover Assignment

Model Description

randomised cross-over desing

Masking

Outcomes Assessor

Masking Description

Due to the nature of the study only the person that will process and analyze the data could be blinded regarding the procedures and interventions of the study.

Allocation

Randomized

Enrollment

30 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title

Control condition

Arm Type

No Intervention

Arm Description

In this condition there will not be any application of therapeutic approach.

Arm Title

Intervention proximal condition

Arm Type

Experimental

Arm Description

The proximal therapeutic approach will be the SERF strap (S.E.R.F. strap; DonJoy Orthopedics, Inc., vista, CA).

Arm Title

Intervention distal condition

Arm Type

Experimental

Arm Description

Intervention Type

Device

Intervention Name(s)

Elastic hip strap

Other Intervention Name(s)

S.E.R.F. Strap; DonJoy Orthopedics, Inc, vista, CA

Intervention Description

The SERF Strap consist of a thin, elastic material that is secured to the proximal aspect of the leg, wraps in a spiral fashion around the thigh, and is anchored around the pelvis. The line of action of the SERF Strap pulls the hip into abdcution and external rotation.

Intervention Type

Device

Intervention Name(s)

Insole

Other Intervention Name(s)

Propulsão Produtos Biomecânicos, Minas Gerais, Brasil

Intervention Description

Foot orthoses with semi-rigid arch support and medial elevation at the forefoot and at the rearfoot by 7° each that is made from a block of ethyl vinyl acetate with a thermo-moldable polymer (shore hardness of 45 A) and is manufactured through an automated computer numeric control machine (CNC routers).

Primary Outcome Measure Information:

Title

Pain intensity

Description

This variable will be collected using a visual analogue scale graduated in 100 millimeters, where the left end (zero) means no pain and the right end (ten) means the worst pain imaginable

Time Frame

The Pain intensity will be assessed immediately after the first valid attempt of the level-walking task in the Control Condition

Title

Pain intensity

Description

This variable will be collected using a visual analogue scale graduated in 100 millimeters, where the left end (zero) means no pain and the right end (ten) means the worst pain imaginable

Time Frame

The Pain intensity will be assessed immediately after the second valid attempt of the level-walking task in the Control Condition

Title

Pain intensity

Description

This variable will be collected using a visual analogue scale graduated in 100 millimeters, where the left end (zero) means no pain and the right end (ten) means the worst pain imaginable

Time Frame

The Pain intensity will be assessed immediately after the third valid attempt of the level-walking task in the Control Condition

Title

Pain intensity

Description

This variable will be collected using a visual analogue scale graduated in 100 millimeters, where the left end (zero) means no pain and the right end (ten) means the worst pain imaginable

Time Frame

The Pain intensity will be assessed immediately after the first valid attempt of the level-walking task in the Intervention Proximal Condition

Title

Pain intensity

Description

This variable will be collected using a visual analogue scale graduated in 100 millimeters, where the left end (zero) means no pain and the right end (ten) means the worst pain imaginable

Time Frame

The Pain intensity will be assessed immediately after the second valid attempt of the level-walkingtask in the Intervention Proximal Condition

Title

Pain intensity

Description

This variable will be collected using a visual analogue scale graduated in 100 millimeters, where the left end (zero) means no pain and the right end (ten) means the worst pain imaginable

Time Frame

The Pain intensity will be assessed immediately after the third valid attempt of the level-walking task in the Intervention Proximal Condition

Title

Pain intensity

Description

This variable will be collected using a visual analogue scale graduated in 100 millimeters, where the left end (zero) means no pain and the right end (ten) means the worst pain imaginable

Time Frame

The Pain intensity will be assessed immediately after the first valid attempt of the level-walking task in the Intervention Distal Condition

Title

Pain intensity

Description

This variable will be collected using a visual analogue scale graduated in 100 millimeters, where the left end (zero) means no pain and the right end (ten) means the worst pain imaginable

Time Frame

The Pain intensity will be assessed immediately after the second valid attempt of the level-walking task in the Intervention Distal Condition

Title

Pain intensity

Description

This variable will be collected using a visual analogue scale graduated in 100 millimeters, where the left end (zero) means no pain and the right end (ten) means the worst pain imaginable

Time Frame

The Pain intensity will be assessed immediately after the third valid attempt of the level-walking task in the Intervention Distal Condition

Title

Pain intensity

Description

This variable will be collected using a visual analogue scale graduated in 100 millimeters, where the left end (zero) means no pain and the right end (ten) means the worst pain imaginable

Time Frame

The Pain intensity will be assessed immediately after the first valid attempt of the stepping manoeuvre in the Control Condition

Title

Pain intensity

Description

This variable will be collected using a visual analogue scale graduated in 100 millimeters, where the left end (zero) means no pain and the right end (ten) means the worst pain imaginable

Time Frame

The Pain intensity will be assessed immediately after the second valid attempt of the stepping manoeuvre in the Control Condition

Title

Pain intensity

Description

This variable will be collected using a visual analogue scale graduated in 100 millimeters, where the left end (zero) means no pain and the right end (ten) means the worst pain imaginable

Time Frame

The Pain intensity will be assessed immediately after the third valid attempt of the stepping manoeuvre in the Control Condition

Title

Pain intensity

Description

This variable will be collected using a visual analogue scale graduated in 100 millimeters, where the left end (zero) means no pain and the right end (ten) means the worst pain imaginable

Time Frame

The Pain intensity will be assessed immediately after the first valid attempt of the stepping manoeuvre in the Intervention Proximal Condition

Title

Pain intensity

Description

This variable will be collected using a visual analogue scale graduated in 100 millimeters, where the left end (zero) means no pain and the right end (ten) means the worst pain imaginable

Time Frame

The Pain intensity will be assessed immediately after the second valid attempt of the stepping manoeuvre in the Intervention Proximal Condition

Title

Pain intensity

Description

This variable will be collected using a visual analogue scale graduated in 100 millimeters, where the left end (zero) means no pain and the right end (ten) means the worst pain imaginable

Time Frame

The Pain intensity will be assessed immediately after the third valid attempt of the stepping manoeuvre in the Intervention Proximal Condition

Title

Pain intensity

Description

This variable will be collected using a visual analogue scale graduated in 100 millimeters, where the left end (zero) means no pain and the right end (ten) means the worst pain imaginable

Time Frame

The Pain intensity will be assessed immediately after the first valid attempt of the stepping manoeuvre in the Intervention Distal Condition

Title

Pain intensity

Description

This variable will be collected using a visual analogue scale graduated in 100 millimeters, where the left end (zero) means no pain and the right end (ten) means the worst pain imaginable

Time Frame

The Pain intensity will be assessed immediately after the second valid attempt of the stepping manoeuvre in the Intervention Distal Condition

Title

Pain intensity

Description

This variable will be collected using a visual analogue scale graduated in 100 millimeters, where the left end (zero) means no pain and the right end (ten) means the worst pain imaginable

Time Frame

The Pain intensity will be assessed immediately after the third valid attempt of the stepping manoeuvre in the Intervention Distal Condition

Secondary Outcome Measure Information:

Title

A global rating of change change (GRC) questionnaire

Description

Time Frame

The GRC will be assessed immediately after the third valid attempt of the level-walking task in the Intervention Proximal Condition

Title

A global rating of change change (GRC) questionnaire

Description

Time Frame

The GRC will be assessed immediately after the third valid attempt of the level-walking task in the Intervention Distal Condition

Title

A global rating of change change (GRC) questionnaire

Description

Time Frame

The GRC will be assessed immediately after the third valid attempt of the stepping manoeuvre in the Intervention Proximal Condition

Title

A global rating of change change (GRC) questionnaire

Description

Time Frame

The GRC will be assessed immediately after the third valid attempt of the stepping manoeuvre in the Intervention Distal Condition

Title

Acceptable state of the patient's symptoms

Description

Time Frame

The Acceptable state of the patient's symptoms will be assessed immediately after the third valid attempt of the level-walking tasks in the Intervention Proximal Condition

Title

Acceptable state of the patient's symptoms

Description

Time Frame

The Acceptable state of the patient's symptoms will be assessed immediately after the third valid attempt of the level-walking tasks in the Intervention Distal Condition

Title

Acceptable state of the patient's symptoms

Description

Time Frame

The Acceptable state of the patient's symptoms will be assessed immediately after the third valid attempt of the stepping manoeuvre in the Intervention Proximal Condition

Title

Acceptable state of the patient's symptoms

Description

Time Frame

The Acceptable state of the patient's symptoms will be assessed immediately after the third valid attempt of the stepping manoeuvre in the Intervention Distal Condition

Title

Ease of performing a task

Description

Time Frame

The Ease of performing a task will be assessed immediately after the third valid attempt of the level-walking task in the Control Condition

Title

Ease of performing a task

Description

Time Frame

The Ease of performing a task will be assessed immediately after the third valid attempt of the level-walking task in the Intervention Proximal Condition

Title

Ease of performing a task

Description

Time Frame

The Ease of performing a task will be assessed immediately after the third valid attempt of the level-walking task in the Intervention Distal Condition

Title

Ease of performing a task

Description

Time Frame

The Ease of performing a task will be assessed immediately after the third valid attempt of the stepping manoeuvre in the Control Condition

Title

Ease of performing a task

Description

Time Frame

The Ease of performing a task will be assessed immediately after the third valid attempt of the stepping manoeuvre in the Intervention Proximal Condition

Title

Ease of performing a task

Description

Time Frame

The Ease of performing a task will be assessed immediately after the third valid attempt of the stepping manoeuvre in the Intervention Distal Condition

Title

Knee confidence

Description

The knee confidence using a 100mm VAS, with the question phrased as "how confident did you feel completing that task? (terminal descriptors 0mm=very confident, 100mm=not confidente at all).

Time Frame

The knee confidence will be assessed immediately after the third valid attempt of the level-walking task in the Control Condition

Title

Knee confidence

Description

The knee confidence using a 100mm VAS, with the question phrased as "how confident did you feel completing that task? (terminal descriptors 0mm=very confident, 100mm=not confidente at all).

Time Frame

The knee confidence will be assessed immediately after the third valid attempt of the level-walking task in the Intervention Proximal Condition

Title

Knee confidence

Description

The knee confidence using a 100mm VAS, with the question phrased as "how confident did you feel completing that task? (terminal descriptors 0mm=very confident, 100mm=not confidente at all).

Time Frame

The knee confidence will be assessed immediately after the third valid attempt of the level-walking task in the Intervention Distal Condition

Title

Knee confidence

Description

The knee confidence using a 100mm VAS, with the question phrased as "how confident did you feel completing that task? (terminal descriptors 0mm=very confident, 100mm=not confidente at all).

Time Frame

The knee confidence will assessed immediately after the third valid attempt of the stepping manoeuvre in the Control Condition

Title

Knee confidence

Description

The knee confidence using a 100mm VAS, with the question phrased as "how confident did you feel completing that task? (terminal descriptors 0mm=very confident, 100mm=not confidente at all).

Time Frame

The knee confidence will be assessed immediately after the third valid attempt of the stepping manoeuvre in the Intervention Proximal Condition

Title

Knee confidence

Description

The knee confidence using a 100mm VAS, with the question phrased as "how confident did you feel completing that task? (terminal descriptors 0mm=very confident, 100mm=not confidente at all).

Time Frame

The knee confidence will be assessed immediately after the third valid attempt of the stepping manoeuvre in the Intervention Distal Condition

Title

Lower limb kinematics - Peak of Hip Adduction

Description

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Hip Adduction will be assessed during the stance phase of the level-walking of the first valid attempt in the Control Condition

Title

Lower limb kinematics - Peak of Hip Adduction

Description

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Hip Adduction will be assessed during the stance phase of the gait of the second valid attempt in the Control Condition

Title

Lower limb kinematics - Peak of Hip Adduction

Description

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Hip Adduction will be assessed during the stance phase of the level-walking of the third valid attempt in the Control Condition

Title

Lower limb kinematics - Peak of Hip Adduction

Description

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Hip Adduction will be assessed during the stance phase of the level-walking of the first valid attempt in the Intervention Proximal Condition

Title

Lower limb kinematics - Peak of Hip Adduction

Description

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Hip Adduction will be assessed during the stance phase of the level-walking of the second valid attempt in the Intervention Proximal Condition

Title

Lower limb kinematics - Peak of Hip Adduction

Description

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Hip Adduction will be assessed during the stance phase of the level-walking of the third valid attempt in the Intervention Proximal Condition

Title

Lower limb kinematics - Peak of Hip Adduction

Description

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Hip Adduction will be assessed during the stance phase of the level-walking of the first valid attempt in the Intervention Distal Condition

Title

Lower limb kinematics - Peak of Hip Adduction

Description

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Hip Adduction will be assessed during the stance phase of the level-walking of the second valid attempt in the Intervention Distal Condition

Title

Lower limb kinematics - Peak of Hip Adduction

Description

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Hip Adduction will be assessed during the stance phase of the level-walking of the third valid attempt in the Intervention Distal Condition

Title

Lower limb kinematics - Peak of Hip Medial Rotation

Description

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Hip Medial Rotation will be assessed during the stance phase of the level-walking of the first valid attempt in the Control Condition

Title

Lower limb kinematics - Peak of Hip Medial Rotation

Description

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Hip Medial Rotation will be assessed during the stance phase of the level-walking of the second valid attempt in the Control Condition

Title

Lower limb kinematics - Peak of Hip Medial Rotation

Description

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Hip Medial Rotation will be assessed during the stance phase of the level-walking of the third valid attempt in the Control Condition

Title

Lower limb kinematics - Peak of Hip Medial Rotation

Description

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Hip Medial Rotation will be assessed during the stance phase of the level-walking of the first valid attempt in the Intervention Proximal Condition

Title

Lower limb kinematics - Peak of Hip Medial Rotation

Description

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Hip Medial Rotation will be assessed during the stance phase of the level-walking of the second valid attempt in the Intervention Proximal Condition

Title

Lower limb kinematics - Peak of Hip Medial Rotation

Description

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Hip Medial Rotation will be assessed during the stance phase of the level-walking of the third valid attempt in the Intervention Proximal Condition

Title

Lower limb kinematics - Peak of Hip Medial Rotation

Description

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Hip Medial Rotation will be assessed during the stance phase of the level-walking of the first valid attempt in the Intervention Distal Condition

Title

Lower limb kinematics - Peak of Hip Medial Rotation

Description

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Hip Medial Rotation will be assessed during the stance phase of the level-walking of the second valid attempt in the Intervention Distal Condition

Title

Lower limb kinematics - Peak of Hip Medial Rotation

Description

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Hip Medial Rotation will be assessed during the stance phase of the level-walking of the third valid attempt in the Intervention Distal Condition

Title

Lower limb kinematics - Peak of Rearfoot Eversion

Description

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Rearfoot Eversion will be assessed during the stance phase of the level-walking of the first valid attempt in the Control Condition

Title

Lower limb kinematics - Peak of Rearfoot Eversion

Description

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Rearfoot Eversion will be assessed during the stance phase of the level-walking of the second valid attempt in the Control Condition

Title

Lower limb kinematics - Peak of Rearfoot Eversion

Description

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Rearfoot Eversion will be assessed during the stance phase of the level-walking of the third valid attempt in the Control Condition

Title

Lower limb kinematics - Peak of Rearfoot Eversion

Description

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Rearfoot Eversion will be assessed during the stance phase of the level-walking of the first valid attempt in the Intervention Proximal Condition

Title

Lower limb kinematics - Peak of Rearfoot Eversion

Description

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Rearfoot Eversion will be assessed during the stance phase of the level-walking of the second valid attempt in the Intervention Proximal Condition

Title

Lower limb kinematics - Peak of Rearfoot Eversion

Description

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Rearfoot Eversion will be assessed during the stance phase of the level-walking of the third valid attempt in the Intervention Proximal Condition

Title

Lower limb kinematics - Peak of Rearfoot Eversion

Description

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Rearfoot Eversion will be assessed during the stance phase of the level-walking of the first valid attempt in the Intervention Distal Condition

Title

Lower limb kinematics - Peak of Rearfoot Eversion

Description

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Rearfoot Eversion will be assessed during the stance phase of the level-walking of the second valid attempt in the Intervention Distal Condition

Title

Lower limb kinematics - Peak of Rearfoot Eversion

Description

For the capture and analysis of kinematic data during the execution of the level-walking, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Rearfoot of Eversion will be assessed during the stance phase of the level-walking of the third valid attempt in the Intervention Distal Condition

Title

Lower limb kinematics - Peak of Hip Adduction

Description

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Hip Adduction will be assessed during the first valid attempt of the stepping manoeuvre in the Control Condition

Title

Lower limb kinematics - Peak of Hip Adduction

Description

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Hip Adduction will be assessed during the second valid attempt of the stepping manoeuvre in the Control Condition

Title

Lower limb kinematics - Peak of Hip Adduction

Description

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Hip Adduction will be assessed during the third valid attempt of the stepping manoeuvre in the Control Condition

Title

Lower limb kinematics - Peak of Hip Adduction

Description

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Hip Adduction will be assessed during the first valid attempt of the stepping manoeuvre in the Intervention Proximal Condition

Title

Lower limb kinematics - Peak of Hip Adduction

Description

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Hip Adduction will be assessed during the second valid attempt of the stepping manoeuvre in the Intervention Proximal Condition

Title

Lower limb kinematics - Peak of Hip Adduction

Description

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Hip Adduction will be assessed during the third valid attempt of the stepping manoeuvre in the Intervention Proximal Condition

Title

Lower limb kinematics - Peak of Hip Adduction

Description

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Hip Adduction will be assessed during the first valid attempt of the stepping manoeuvre in the Intervention Distal Condition

Title

Lower limb kinematics - Peak of Hip Adduction

Description

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Hip Adduction will be assessed during the second valid attempt of the stepping manoeuvre in the Intervention Distal Condition

Title

Lower limb kinematics - Peak of Hip Adduction

Description

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Hip Adduction will be assessed during the third valid attempt of the stepping manoeuvre in the Intervention Distal Condition

Title

Lower limb kinematics - Peak of Hip Medial Rotation

Description

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Hip Medial Rotation will be assessed during the first valid attempt of the stepping manoeuvre in the Control Condition

Title

Lower limb kinematics - Peak of Hip Medial Rotation

Description

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Hip Medial Rotation will be assessed during the second valid attempt of the stepping manoeuvre in the Control Condition

Title

Lower limb kinematics - Peak of Hip Medial Rotation

Description

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Hip Medial Rotation will be assessed during the third valid attempt of the stepping manoeuvre in the Control Condition

Title

Lower limb kinematics - Peak of Hip Medial Rotation

Description

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Hip Medial Rotation will be assessed during the first valid attempt of the stepping manoeuvre in the Intervention Proximal Condition

Title

Lower limb kinematics - Peak of Hip Medial Rotation

Description

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Hip Medial Rotation will be assessed during the second valid attempt of the stepping manoeuvre in the Intervention Proximal Condition

Title

Lower limb kinematics - Peak of Hip Medial Rotation

Description

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Hip Medial Rotation will be assessed during the third valid attempt of the stepping manoeuvre in the Intervention Proximal Condition

Title

Lower limb kinematics - Peak of Hip Medial Rotation

Description

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Hip Medial Rotation will be assessed during the first valid attempt of the stepping manoeuvre in the Intervention Distal Condition

Title

Lower limb kinematics - Peak of Hip Medial Rotation

Description

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Hip Medial Rotation will be assessed during the second valid attempt of the stepping manoeuvre in the Intervention Distal Condition

Title

Lower limb kinematics - Peak of Hip Medial Rotation

Description

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Hip Medial Rotation will be assessed during the third valid attempt of the stepping manoeuvre in the Intervention Distal Condition

Title

Lower limb kinematics - Peak of Rearfoot Eversion

Description

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Rearfoot Eversion will be assessed during the first valid attempt of the stepping manoeuvre in the Control Condition

Title

Lower limb kinematics - Peak of Rearfoot Eversion

Description

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Rearfoot Eversion will be assessed during the second valid attempt of the stepping manoeuvre in the Control Condition

Title

Lower limb kinematics - Peak of Rearfoot Eversion

Description

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Rearfoot Eversion will be assessed during the third valid attempt of the stepping manoeuvre in the Control Condition

Title

Lower limb kinematics - Peak of Rearfoot Eversion

Description

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Rearfoot Eversion will be assessed during the first valid attempt of the stepping manoeuvre in the Intervention Proximal Condition

Title

Lower limb kinematics - Peak of Rearfoot Eversion

Description

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Rearfoot Eversion will be assessed during the second valid attempt of the stepping manoeuvre in the Intervention Proximal Condition

Title

Lower limb kinematics - Peak of Rearfoot Eversion

Description

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Rearfoot Eversion will be assessed during the third valid attempt of the stepping manoeuvre in the Intervention Proximal Condition

Title

Lower limb kinematics - Peak of Rearfoot Eversion

Description

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Rearfoot Eversion will be assessed during the first valid attempt of the stepping manoeuvre in the Intervention Distal Condition

Title

Lower limb kinematics - Peak of Rearfoot Eversion

Description

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Rearfoot Eversion will be assessed during the second valid attempt of the stepping manoeuvre in the Intervention Distal Condition

Title

Lower limb kinematics - Peak of Rearfoot Eversion

Description

For the capture and analysis of kinematic data during the execution of the stepping manoeuvre, the Vicon movement capture and analysis system will be used.

Time Frame

The Lower limb kinematics - Peak of Rearfoot Eversion will be assessed during the third valid attempt of the stepping manoeuvre in the Intervention Distal Condition

10. Eligibility

Sex

All

Minimum Age & Unit of Time

40 Years

Maximum Age & Unit of Time

65 Years

Accepts Healthy Volunteers

Eligibility Criteria

Inclusion Criteria: Present anterior or retro patellar pain aggravated by two or more activities that overload the patellofemoral joint, such as going up and down stairs, squatting, remaining in the sitting position for long periods, getting up from the sitting position, kneeling or during physical exercise; Reporting pain of at least 3 on an 11-point scale (0 for no pain and 10 for the worst possible pain) during the activities described above and on most days during the last month; Have evidence of osteophyte formation in the patellofemoral joint on radiographs in the profile and axial skyline views through the Kellgren-Lawrence (K-L) grade ≥ 2, with minimal impairment in the tibiofemoral joint (KL <2); Body mass index (BMI) <35 Kg / m². Participants with unilateral or bilateral symptoms will be included in the study. Exclusion Criteria: Current use or in the last 12 months of foot orthoses; Previous history of fracture or recurrent subluxation of the patella; Arthroscopic surgery or knee infiltrations in the last 3 months; Osteoarthritis known in other weight-bearing joints, including the spine; History of surgery on the hip, knee, ankle and foot joints; History of ankle sprain in the last 12 months; Osteotomy in the lower limbs; Current physical therapy in the lower limbs or in the last 6 weeks; Use of a cane or other walking aid; Any physical disability that is a contraindication for carrying out the evaluations and; Punctuation that suggests dementia according to the Mini-Mental State Examination, taking into account the education of the participants.

Central Contact Person:

First Name & Middle Initial & Last Name or Official Title & Degree

Larissa R Souto, MSc

Phone

+55(18)988052128

larissasouto@live.com

12. IPD Sharing Statement

Plan to Share IPD

IPD Sharing Plan Description

There is no plan to make individual participant data available to other researchers

Citations:

PubMed Identifier

36064729

Citation

Souto LR, Serrao PRMDS, Pisani GK, Tessarin BM, da Silva HF, Machado EM, de Oliveira Sato T, Serrao FV. Immediate effects of hip strap and foot orthoses on self-reported measures and lower limb kinematics during functional tasks in individuals with patellofemoral osteoarthritis: protocol for a randomised crossover clinical trial. Trials. 2022 Sep 5;23(1):746. doi: 10.1186/s13063-022-06676-0.

Results Reference

derived

Learn more about this trial

Proximal and Distal Therapeutic Approach in Pain and Lower Limb Kinematic in People With Patellofemoral Osteoarthritis

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