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Proprioceptive Training vs. Hip Abductor With External Rotator Strengthening in Patients With Patellofemoral Pain

Primary Purpose

Patellofemoral Pain Syndrome

Status
Completed
Phase
Not Applicable
Locations
Saudi Arabia
Study Type
Interventional
Intervention
Hip strengthening exercises
Proprioceptive training
Conventional physical therapy
Sponsored by
King Saud University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Patellofemoral Pain Syndrome focused on measuring Hip muscles strengthening, Rehabilitation, Proprioceptive training, Exercises

Eligibility Criteria

18 Years - 35 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Age 18-35 years Patients diagnosed recently by an orthopedic surgeon for Patello-femoral pain syndrome experiencing anterior/retro patellar knee pain during activities, insidious onset of symptoms not linked to trauma, pain persisting for no less than four weeks, pain on palpation of the patellar facets, pain when stepping down from a 25-cm step or during a double-legged squat. Exclusion Criteria: Patients with recent lower limb fractures or dislocations, knee/hip joint surgery, signs, symptoms, or radiological findings of intra-articular pathology such as effusion, ligamentous or meniscal involvement, those with indications of patellar apprehension, referred pain from the hip, back, or sacroiliac joint, acute knee strain or sprain, on medication such as NSAIDs or corticosteroids, degenerative and infectious arthritis

Sites / Locations

  • King Saud University

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Active Comparator

Active Comparator

Arm Label

Experimental group 1

Experimental group 2

Control group

Arm Description

In this group participants received hip abductor and external rotator strengthening exercises in addition to conventional physical therapy.

In this group participants received proprioceptive training and conventional physical therapy.

In this group participants received conventional physical therapy alone.

Outcomes

Primary Outcome Measures

Kujala Anterior Knee Pain Scale (AKPS)
Pain was measured using the AKPS. The AKPS is scored from a minimum score of 0 to a maximum score of 100 points. Lower scores indicate greater pain and disability.

Secondary Outcome Measures

Full Information

First Posted
January 16, 2023
Last Updated
January 16, 2023
Sponsor
King Saud University
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1. Study Identification

Unique Protocol Identification Number
NCT05698797
Brief Title
Proprioceptive Training vs. Hip Abductor With External Rotator Strengthening in Patients With Patellofemoral Pain
Official Title
Effects of Proprioceptive Training vs. Hip Abductor With External Rotator Strengthening on Pain and Functions in Patients With Patellofemoral Pain Syndrome
Study Type
Interventional

2. Study Status

Record Verification Date
January 2023
Overall Recruitment Status
Completed
Study Start Date
November 11, 2021 (Actual)
Primary Completion Date
May 6, 2022 (Actual)
Study Completion Date
June 24, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
King Saud University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Patellofemoral pain syndrome (PFPS) is a common musculoskeletal disorder characterized by an insidious onset of pain in the knee's anterior /retro-patellar / peripatellar region. Even though various rehabilitation approaches, including hip strengthening and proprioceptive training, are being considered for managing PFPS, the most appropriate treatment from these two is still unclear. Therefore, this study aimed to compare the program consisting of hip abductors and external rotators strengthening exercises vs. the program consisting of proprioceptive training of the knee to identify the most effective rehabilitation approach for patients suffering from PFPS.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Patellofemoral Pain Syndrome
Keywords
Hip muscles strengthening, Rehabilitation, Proprioceptive training, Exercises

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantOutcomes Assessor
Allocation
Randomized
Enrollment
45 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Experimental group 1
Arm Type
Experimental
Arm Description
In this group participants received hip abductor and external rotator strengthening exercises in addition to conventional physical therapy.
Arm Title
Experimental group 2
Arm Type
Active Comparator
Arm Description
In this group participants received proprioceptive training and conventional physical therapy.
Arm Title
Control group
Arm Type
Active Comparator
Arm Description
In this group participants received conventional physical therapy alone.
Intervention Type
Other
Intervention Name(s)
Hip strengthening exercises
Intervention Description
Hip abductor and external rotator strengthening exercises were performed for 4 weeks.
Intervention Type
Other
Intervention Name(s)
Proprioceptive training
Intervention Description
Proprioceptive training consisted of eight exercises was performed for 4 weeks.
Intervention Type
Other
Intervention Name(s)
Conventional physical therapy
Intervention Description
Conventional physical therapy included interferential therapy and two types of knee-strengthening exercises.
Primary Outcome Measure Information:
Title
Kujala Anterior Knee Pain Scale (AKPS)
Description
Pain was measured using the AKPS. The AKPS is scored from a minimum score of 0 to a maximum score of 100 points. Lower scores indicate greater pain and disability.
Time Frame
4 weeks.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
35 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age 18-35 years Patients diagnosed recently by an orthopedic surgeon for Patello-femoral pain syndrome experiencing anterior/retro patellar knee pain during activities, insidious onset of symptoms not linked to trauma, pain persisting for no less than four weeks, pain on palpation of the patellar facets, pain when stepping down from a 25-cm step or during a double-legged squat. Exclusion Criteria: Patients with recent lower limb fractures or dislocations, knee/hip joint surgery, signs, symptoms, or radiological findings of intra-articular pathology such as effusion, ligamentous or meniscal involvement, those with indications of patellar apprehension, referred pain from the hip, back, or sacroiliac joint, acute knee strain or sprain, on medication such as NSAIDs or corticosteroids, degenerative and infectious arthritis
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Masood Khan, M.P.Th
Organizational Affiliation
King Saud University
Official's Role
Principal Investigator
Facility Information:
Facility Name
King Saud University
City
Riyadh
ZIP/Postal Code
11433
Country
Saudi Arabia

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Proprioceptive Training vs. Hip Abductor With External Rotator Strengthening in Patients With Patellofemoral Pain

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