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Comparison of Open and Closed Chain Exercises in Athletes With Patellofemoral Pain Syndrome

Primary Purpose

Patellofemoral Pain Syndrome

Status
Recruiting
Phase
Not Applicable
Locations
Pakistan
Study Type
Interventional
Intervention
Open kinetic chain exercises
Closed kinetic chain exercises
Sponsored by
Riphah International University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Patellofemoral Pain Syndrome focused on measuring PFPS, OCKE, CCKE

Eligibility Criteria

18 Years - 30 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Adult athletes with age 18 to 30 years Anterior Knee pain An insidious onset of symptoms not related to trauma. Pain with compression of patella. Pain on palpation of patellar facets. Experienced players (who are in practice from last 8 months or a year). Exclusion Criteria: Symptoms present less than 1 month. Intra-articular knee pathologies like O.A, R.A etc History of knee surgery within last year. History of traumatic injuries like patellar dislocations or subluxation Any other lower extremity injuries.

Sites / Locations

  • Pakistan Sports BoardRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Open chain kinetic exercises

Closed Chain Kinetic Exercises

Arm Description

In open chain exercises extremities are free to move and there is no weight bearing. Subjects performed group of exercises, 3sets of 10 repetitions for each exercise after warm-up and stretching exercises The open kinetic chain exercise program consisted of 1) maximal static quadriceps muscle contractions

In closed kinetic chain exercises extremities are fixed and weight bearing is done. Subjects performed group of exercises, 3sets with 10 repetitions for each exercise after warm up and stretching exercises. The closed kinetic chain exercise program consisted of 1) seated leg presses, 2) one-third knee bends on one leg and on both legs, 3) stationary bicycling, 4) rowing-machine exercises, 5) step-up and step-down exercises. Each exercise in the closed kinetic chain protocol was performed dynamically with a 3-second rest between repetitions.

Outcomes

Primary Outcome Measures

NPRS
Numerical Pain Rating Scale (NPRS) is a subjective measure in which individuals rate their pain on an eleven-point numerical scale.
LEFS
Lower Extremity Functional Scale (LEFS) is to measure "patients' initial function, ongoing progress, and outcome" for a wide range of lower-extremity conditions.
Y balance test
Y Balance test is a dynamic test required for proprioception along with strength and flexibility.

Secondary Outcome Measures

Full Information

First Posted
January 22, 2023
Last Updated
January 30, 2023
Sponsor
Riphah International University
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1. Study Identification

Unique Protocol Identification Number
NCT05707039
Brief Title
Comparison of Open and Closed Chain Exercises in Athletes With Patellofemoral Pain Syndrome
Official Title
Comparison of Open and Closed Chain Exercises on Pain Function and Balance in Athletes With Patellofemoral Pain Syndrome
Study Type
Interventional

2. Study Status

Record Verification Date
January 2023
Overall Recruitment Status
Recruiting
Study Start Date
February 1, 2022 (Actual)
Primary Completion Date
February 2023 (Anticipated)
Study Completion Date
February 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Riphah International 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 source of knee pain in the physically active population, predominantly in women. The incidence rate of PFPS among athletes is 25 percent, which is higher than that of general population. PFPS is caused by repetitive stress and aggravated in athletes by cycling and running. These symptoms are caused by structural or biomechanical changes of the joint, which becomes exacerbated by activities such as going up and down stairs, sit for a prolonged period, squatting or kneeling, resulting in increased compressive forces in the joint patellofemoral. It is characterized by defused pain in front of knee. Other signs also present are the patellar crepitus, swelling, and joint blockage despite being deemed a multifactorial condition with no single cure, PFPS is commonly attributed to muscular dysfunction, for which conservative rehabilitation is the treatment of choice. Historically, PFPS has been linked to impairments of the quadriceps muscle.
Detailed Description
This study will be a randomized clinical trial will be conducted in Pakistan sports board Lahore, Model town Sports Club Lahore and Sheikh Zaid Hospital, Lahore. Sample size will be taken to evaluate the effects of open chain exercise and closed chain exercise among athletes with an age group of 18 - 40 years. Non probability convenient sampling technique would be used. Players having an experience of at least 8 months would be a part of study experiencing recurrent knee pain. Participants will be randomly assigned to 2 groups. Group A will include participants who will receive open kinetic chain exercises 3sets of 10 repetitions for each exercise along with the general training. Group B will include the participants who will receive closed kinetic chain exercises 3sets of 10 repetitions for each exercise along with general training.3sessions per week will be given for 6weeks.The subjects will be assessed for pain, function and balance at baseline and after 6weeks of treatment. After collecting data from defined settingit will be entered and analyzed using statistical package for social sciences (SPSS) for Windows software, version 25.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Patellofemoral Pain Syndrome
Keywords
PFPS, OCKE, CCKE

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
24 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Open chain kinetic exercises
Arm Type
Experimental
Arm Description
In open chain exercises extremities are free to move and there is no weight bearing. Subjects performed group of exercises, 3sets of 10 repetitions for each exercise after warm-up and stretching exercises The open kinetic chain exercise program consisted of 1) maximal static quadriceps muscle contractions
Arm Title
Closed Chain Kinetic Exercises
Arm Type
Experimental
Arm Description
In closed kinetic chain exercises extremities are fixed and weight bearing is done. Subjects performed group of exercises, 3sets with 10 repetitions for each exercise after warm up and stretching exercises. The closed kinetic chain exercise program consisted of 1) seated leg presses, 2) one-third knee bends on one leg and on both legs, 3) stationary bicycling, 4) rowing-machine exercises, 5) step-up and step-down exercises. Each exercise in the closed kinetic chain protocol was performed dynamically with a 3-second rest between repetitions.
Intervention Type
Other
Intervention Name(s)
Open kinetic chain exercises
Intervention Description
In open chain exercises extremities are free to move and there is no weight bearing.
Intervention Type
Other
Intervention Name(s)
Closed kinetic chain exercises
Intervention Description
In closed kinetic chain exercises extremities are fixed and weight bearing is done.
Primary Outcome Measure Information:
Title
NPRS
Description
Numerical Pain Rating Scale (NPRS) is a subjective measure in which individuals rate their pain on an eleven-point numerical scale.
Time Frame
6 weeks
Title
LEFS
Description
Lower Extremity Functional Scale (LEFS) is to measure "patients' initial function, ongoing progress, and outcome" for a wide range of lower-extremity conditions.
Time Frame
6 week
Title
Y balance test
Description
Y Balance test is a dynamic test required for proprioception along with strength and flexibility.
Time Frame
6 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
30 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Adult athletes with age 18 to 30 years Anterior Knee pain An insidious onset of symptoms not related to trauma. Pain with compression of patella. Pain on palpation of patellar facets. Experienced players (who are in practice from last 8 months or a year). Exclusion Criteria: Symptoms present less than 1 month. Intra-articular knee pathologies like O.A, R.A etc History of knee surgery within last year. History of traumatic injuries like patellar dislocations or subluxation Any other lower extremity injuries.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Imran Amjad, Phd
Phone
03324390125
Email
imran.amjad@riphah.edu.pk
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Muhammad Asrar Yousaf, mphil
Organizational Affiliation
Riphah International University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Pakistan Sports Board
City
Lahore
State/Province
Punjab
ZIP/Postal Code
5433
Country
Pakistan
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Muhammad Asrar Yousaf, mphil
Phone
030040995505
Email
asrar.yousaf@riphah.edu.pk
First Name & Middle Initial & Last Name & Degree
Rutab Nasir, MS-SPT

12. IPD Sharing Statement

Plan to Share IPD
No

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Comparison of Open and Closed Chain Exercises in Athletes With Patellofemoral Pain Syndrome

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