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The Effects of Progressive Neuromuscular Exercise Program and Taping on Muscle Strength and Pain in Patellofemoral Pain

Primary Purpose

Patellofemoral Pain Syndrome, Kinesiotape, Exercise

Status
Completed
Phase
Not Applicable
Locations
Turkey
Study Type
Interventional
Intervention
progressive neuromuscular exercise program
Exercise and Taping
Sponsored by
Ankara Yildirim Beyazıt University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Patellofemoral Pain Syndrome focused on measuring strength, neuromuscular exercise, Kinesiotape, Patellofemoral Pain Syndrome

Eligibility Criteria

20 Years - 45 Years (Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  • In order for them to be included in the study, it was necessary to have patellofemoral pain in at least two of the long-term sitting, climbing and descending stairs / climbing activities, squatting, running and jumping, and these pains had to continue for at least six months.

Exclusion Criteria:

  • Patients with other knee pathologies and knee joint surgery were excluded in the study.

Sites / Locations

  • Ankara Yildirim Beyazit University,Faculty of Health Sciences, Physiotherapy and Rehabilitation Department

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Exercise group

Exercise and Taping group

Arm Description

Patients were given a progressive neuromuscular exercise program that included stabilization of the knee and hip joint . Green color elastic band was used in resistant exercises. When subjects used the green color Thera-Band®, they started with an easy length and increased relative to the Omni Scale .

Patients in this group received the same exercises given in the "exercise group" for 12 weeks. In addition to these exercises, mechanical correction tape (5cm, Kinesio Tex Gold®) was applied for the knee and foot.

Outcomes

Primary Outcome Measures

Change from Visual Analogue Pain Scale score at 6th. weeks and 12th. weeks
The knee pain of the patients during stair descending and ascending were evaluated with the Visual Analogue Pain Scale (VAS). The scale is horizontal in the form of a line 10 cm long, starting with "no pain" and ending with "excruciating pain". The pain was measured and recorded as "cm" between the point marked with no onset .
Change from isokinetic muscle strength of the hamstring and quadriceps femoris muscles at 6th. weeks and 12th. weeks
Isokinetic dynamometer (Isomed 2000. D&R. Ferstl GmbH, Germany) was used to evaluate the isokinetic muscle strength of the hamstring and quadriceps femoris muscles. Patients were fixed to the chair with trunk, pelvis, and thigh straps with the back of the seat 70° upright. Concentric peak torque / weight (Nm / kg) at 180° / sec (10 repetitions) after 4 repetitive warm-ups at 180° / sec, in the range of 45 °-90° flexion values were measured, respectively .

Secondary Outcome Measures

Full Information

First Posted
July 14, 2021
Last Updated
July 22, 2021
Sponsor
Ankara Yildirim Beyazıt University
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1. Study Identification

Unique Protocol Identification Number
NCT04975113
Brief Title
The Effects of Progressive Neuromuscular Exercise Program and Taping on Muscle Strength and Pain in Patellofemoral Pain
Official Title
The Effects of Progressive Neuromuscular Exercise Program and Taping on Muscle Strength and Pain in Patellofemoral Pain: A Randomized Controlled Blind Study
Study Type
Interventional

2. Study Status

Record Verification Date
July 2021
Overall Recruitment Status
Completed
Study Start Date
August 1, 2015 (Actual)
Primary Completion Date
December 20, 2015 (Actual)
Study Completion Date
December 20, 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Ankara Yildirim Beyazıt 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
Neuromuscular exercise and taping are widely used in the rehabilitation of Patellofemoral Pain. The aim of this study was to investigate the effects of corrective kinesio taping applied on patellofemoral joint and foot in addition to a progressive neuromuscular exercise program in women with Patellofemoral Pain on knee pain and muscle strength.
Detailed Description
Patellofemoral Pain (PFP) is characterized by pain localized in the peripatellar or retropatellar regions in young and physically active individuals . In patients with PFP, during single-leg squatting, an increase in the valgus of the knee joint due to hip abductor muscle weakness and in the internal rotation of the femur due to weakness of the hip external rotators and abductor muscles are observed. Theoretically it has been shown that faulty hip kinematics can increase lateral loading in the patellofemoral joint. Therefore, conducting exercises to strengthen the extensor, external rotator, and abductor muscles of the hip and lateral flexor muscles of the trunk are an important treatment approaches. Strengthening the quadriceps muscle is a widely used method of treating PFP. Previous studies suggest that hip and trunk exercises prescribed in combination with traditional quadriceps strengthening exercises are effective in reducing pain and improving function in patients with PFP . In recent years, kinesiotape is one of the widely used methods in the treatment of PFP. The correction of the abnormal patellar displacement, the reduction of the patellofemoral joint reaction forces, and the regulation of the activation of the vastus medialis muscle is provided with patellar taping. Patellar taping is recommended as part of evidence-based combined physiotherapy programs in the treatment of PFP . Increased pronation of the subtalar joint and the decrease / flattening of the medial arch height are associated with PFP. Prolonged pronation time is observed in subtalar and midtarsal joints during gait. To correct increased pronation, foot orthoses, low-dye taping and kinesio taping are applied . The effect of kinesiotaping on foot pronation, however, is unclear due to the lack of published studies. To our knowledge, although patellar taping is applied in patients with PFP no studies have examined the effects of kinesiotaping supporting the medial arch and allowing forefoot and hind foot to move within the normal range. The aim of this study was to investigate the effects of corrective kinesio taping applied on patellofemoral joint and foot in addition to a progressive neuromuscular exercise program in women with Patellofemoral Pain on knee pain and muscle strength.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Patellofemoral Pain Syndrome, Kinesiotape, Exercise, Strength
Keywords
strength, neuromuscular exercise, Kinesiotape, Patellofemoral Pain Syndrome

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
30 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Exercise group
Arm Type
Experimental
Arm Description
Patients were given a progressive neuromuscular exercise program that included stabilization of the knee and hip joint . Green color elastic band was used in resistant exercises. When subjects used the green color Thera-Band®, they started with an easy length and increased relative to the Omni Scale .
Arm Title
Exercise and Taping group
Arm Type
Experimental
Arm Description
Patients in this group received the same exercises given in the "exercise group" for 12 weeks. In addition to these exercises, mechanical correction tape (5cm, Kinesio Tex Gold®) was applied for the knee and foot.
Intervention Type
Other
Intervention Name(s)
progressive neuromuscular exercise program
Intervention Description
The exercises to be performed in the following week at the beginning of each week were explained by the researcher physiotherapist on the brochure and given as a home program and continued for a total of 12 weeks. The researcher physiotherapist saw the patients every week and carried out exercise compliance and control.
Intervention Type
Other
Intervention Name(s)
Exercise and Taping
Intervention Description
"I" taping for accurate positioning of the tissue was applied to the patients to neutralize the patellofemoral joint. During the knee flexion in the supine position, the tape was adhered to the skin with a moderate-to-extreme stretch (50%-75%) . Clinical therapeutic applications of the Kinesio taping methods (Tokyo, Japan: Ken Ikai Co Ltd.). In addition to the patellar taping, correction taping to neutralize the subtalar joint by elevating the midtarsal joint and medial arch was applied. The patients were positioned in prone lying and knee flexion position, the taping was started at the 5th metatarsal level on the dorsal side of the finger and finished extending towards the medial of the tibia . Tapings were renewed at the beginning of each week for 6 weeks.
Primary Outcome Measure Information:
Title
Change from Visual Analogue Pain Scale score at 6th. weeks and 12th. weeks
Description
The knee pain of the patients during stair descending and ascending were evaluated with the Visual Analogue Pain Scale (VAS). The scale is horizontal in the form of a line 10 cm long, starting with "no pain" and ending with "excruciating pain". The pain was measured and recorded as "cm" between the point marked with no onset .
Time Frame
before and after treatment (12 sessions, 6th. and 12th. weeks)]
Title
Change from isokinetic muscle strength of the hamstring and quadriceps femoris muscles at 6th. weeks and 12th. weeks
Description
Isokinetic dynamometer (Isomed 2000. D&R. Ferstl GmbH, Germany) was used to evaluate the isokinetic muscle strength of the hamstring and quadriceps femoris muscles. Patients were fixed to the chair with trunk, pelvis, and thigh straps with the back of the seat 70° upright. Concentric peak torque / weight (Nm / kg) at 180° / sec (10 repetitions) after 4 repetitive warm-ups at 180° / sec, in the range of 45 °-90° flexion values were measured, respectively .
Time Frame
before and after treatment (12 sessions, 6th. and 12th. weeks)]

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: In order for them to be included in the study, it was necessary to have patellofemoral pain in at least two of the long-term sitting, climbing and descending stairs / climbing activities, squatting, running and jumping, and these pains had to continue for at least six months. Exclusion Criteria: Patients with other knee pathologies and knee joint surgery were excluded in the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Pınar Balcı
Organizational Affiliation
Muğla Sıtkı Koçman University
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Rabia Tugba Kilic
Organizational Affiliation
Ankara Yildirim Beyazıt University
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Volga Bayrakci Tunay
Organizational Affiliation
Hacettepe University
Official's Role
Study Chair
Facility Information:
Facility Name
Ankara Yildirim Beyazit University,Faculty of Health Sciences, Physiotherapy and Rehabilitation Department
City
Ankara
ZIP/Postal Code
06760
Country
Turkey

12. IPD Sharing Statement

Citations:
PubMed Identifier
12937582
Citation
Loudon JK, Wiesner D, Goist-Foley HL, Asjes C, Loudon KL. Intrarater Reliability of Functional Performance Tests for Subjects With Patellofemoral Pain Syndrome. J Athl Train. 2002 Sep;37(3):256-261.
Results Reference
background
PubMed Identifier
25435767
Citation
Colado JC, Garcia-Masso X, Triplett NT, Calatayud J, Flandez J, Behm D, Rogers ME. Construct and concurrent validation of a new resistance intensity scale for exercise with thera-band(R) elastic bands. J Sports Sci Med. 2014 Dec 1;13(4):758-66. eCollection 2014 Dec.
Results Reference
background
PubMed Identifier
25956688
Citation
Aguilar MB, Abian-Vicen J, Halstead J, Gijon-Nogueron G. Effectiveness of neuromuscular taping on pronated foot posture and walking plantar pressures in amateur runners. J Sci Med Sport. 2016 Apr;19(4):348-53. doi: 10.1016/j.jsams.2015.04.004. Epub 2015 Apr 24.
Results Reference
background
PubMed Identifier
24568258
Citation
Baldon Rde M, Serrao FV, Scattone Silva R, Piva SR. Effects of functional stabilization training on pain, function, and lower extremity biomechanics in women with patellofemoral pain: a randomized clinical trial. J Orthop Sports Phys Ther. 2014 Apr;44(4):240-251, A1-A8. doi: 10.2519/jospt.2014.4940. Epub 2014 Feb 25.
Results Reference
background

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The Effects of Progressive Neuromuscular Exercise Program and Taping on Muscle Strength and Pain in Patellofemoral Pain

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