Comparison of the Efficacy of Russian,Aussie Currents With Isokinetic Exercise Patellofemoral Pain Syndrome
Patellofemoral Pain Syndrome
About this trial
This is an interventional supportive care trial for Patellofemoral Pain Syndrome focused on measuring Patellofemoral Pain Syndrome, Aussie Current
Eligibility Criteria
Inclusion Criteria:
- Being in the age range of 18-55,
- Being able to read and write in Turkish,
- Having pain for more than a month,
- Having anterior knee pain without trauma,
- To have a pain intensity of three points and / or above according to the Visual Analogue Scale (VAS) in the peri or retropatellar region in the previous week.
Exclusion Criteria:
- Meniscus, cross and collateral ligament, iliotibial band lesion, Having pes anserin tendinitis, Osgood-Schlatter syndrome,
- Sinding-Larsen-Johansson Syndrome, previous patellar dislocation and previous knee surgery, having received knee injection treatment at least three months ago,
- Using Nonsteroidal Anti-inflammatory and Cortisone drugs frequently once a week or more,
- Trauma history and neurological disease,
- Having a patellar fracture, osteoarthritis or other intra-articular knee pathology,
- Having pain and knee effusion reflected from the hip and lumbar region (
- Those with contraindicated conditions for electrical stimulation (biomedical device implant, pregnant women, neuropathy, muscle abnormalities or hypersensitivity, malignancy, hemorrhagic area, skin damage, active infection in the area where the electrodes are placed) (3,59).
Having had previous electrical stimulation therapy
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Sites / Locations
- Musa Çankaya
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Active Comparator
Active Comparator
Placebo Comparator
Isokinetic Exercise (İE) Group:
Isokinetic Exercise + Aussie Current (IE+AC)Group:
Isokinetic Exercise + Russian Current (IE+RC) Group:
Isokinetic Exercise + placebo Electrical Stimulation (IE+PES) Group:
Isokinetic Exercise (IE) Group: (Knee Joint Flexion / Extension, Hip Joint Internal / External Rotation and Abduction / Adduction Strengthening Program) Patients will be seated on the isokinetic Cybex-Humac Norm device in a 90° upright sitting position. It will be fixed to the seat with torso, pelvis and thigh straps. During this training, patients will be told that the dynamometer arm will bring the knee from extension to flexion. During this exercise, the patient will be advised to resist the dynamometer as much as possible while moving the knee in flexion/extension, internal/external rotation, and abduction/adduction with the dynamometer.
Aussie Current and Isokinetic Exercise program will be applied to the patients. The distal electrode is placed on the anterior part of the thigh and superior to the patella. The proximal electrode will be placed on the thigh. One electrode will be placed between the anterior superior and posterior superior iliac spine of the PFPS(Patellofemoral Pain Syndrome) side and the other electrode will be placed in a triangle on the greater trochanter of the femur in the gluteus medius muscle. By contacting the Turkish authorities of the BTL 4825SPREMIUM device, the current was adjusted in the Aussie Current 1 kHz frequency, 400 ms phase time, 50 hz burst frequency, 4 ms duration device. This new burst modality medium frequency alternating current will be applied to the patient for 20 minutes.
Isokinetic Exercise program will be applied to the patients. Similarly, as with the Aussie Current, the Russian current will be applied to the vastus lateralis-medialis and gluteus medius muscles. Russian current will be set as 2500 Hz sinusoidal current, 200 ms phase time, 50 hz burst frequency, 50% duty cycle, 10 ms duration. The patient will be treated for 20 minutes.
Isokinetic Exercise program will be applied to the patients. The appropriate modalities will be set on the electrical stimulation device, but the device will not operate. It will be applied for 20 minutes.