Active clinical trials for "Patellofemoral Pain Syndrome"

This study aims to compare the knee extensors' mechanical, morphological and myoelectric properties between subjects affected by anterior knee pain and a healthy control group. The investigators hypothesis is that patients with anterior knee pain present a reduction in the knee extensors' mechanical, morphological and myoelectric properties due to chronic muscle inhibition produced by the syndrome. In addition, the study also aims to evaluate whether there are differences in methodology for application of the Interpolated Twitch Technique for evaluation of the quadriceps muscle inhibition by comparing the use of supramaximal electrical stimulation on the femoral nerve (gold standard) with stimulation on the motor point (new methodology) in healthy subjects and individuals affected by anterior knee pain. The investigators hypothesis is that the stimulation on the motor point is less discomfortable than on the femoral nerve and muscle inhibition results are less variable (with lower dispersion) due to such lower discomfort

Background: Patellofemoral pain syndrome is one of the most common knee problems. It is characterized by pain in the front of the knee that is aggravated by deep knee flexion, prolonged sitting, and repetitive movement. The most widely accepted theory regarding the source of this pain is that a force imbalance around the knee puts extra stress on the area, leading to pain. Researchers are interested in learning more about the muscle groups around the knee to better understand the causes of knee pain. Objectives: - To obtain more information on how muscles, tendons, and bones work together to cause motion in the knee, both in the normal state and after immobilizing certain muscles around the knee. Eligibility: - Healthy individuals between the ages of 18 and 55, who have no current or chronic muscle, bone, or joint problems and who have no implants or other problems that would prevent them from receiving a magnetic resonance imaging (MRI) scan. Design: This protocol will be carried out over two visits, both of which will involve using standard MRI sequences to look at the knee at rest and in motion. The first part will examine the knee under its natural state, with a standard MRI scan of the knee both at rest and in motion. The second part will involve temporarily reducing the force producing capabilities of one of the extensor muscles in the knee. To do so, study doctors will inject lidocaine into the muscle, which will temporarily (for approximately 2 hours) block the force producing capacity of this muscle, and then perform the MRI scan.

The purpose of this study is to investigate the muscle activity of gluteus medius and tensor fascia lata in health control group and patients with PFPS during submaximal isometric muscle contraction.The research question :Is there any difference of muscle activity of gluteus medius and tensor fascia lata between health control group and patients with PFPS during submaximal isometric muscle contraction ？Null hypothesis:There is no difference of muscle activity of gluteus medius and tensor fascia lata between health control group and patients with PFPS during submaximal isometric muscle contraction.

the study will be done to investigate the effect of hip adduction isometric contraction on the pain level by VAS and knee extensors peak torque by using the isokinetic dynamometer in patients with unilateral patellofemoral pain syndrome

Background Previous studies have a great discrepancy concerning the effects of quadriceps contraction on patellar lateral displacement and tilt in patients with patellofemoral pain syndrome. This discrepancy may be caused by lack of information regarding to classifications of patellofemoral alignment under quadriceps relaxed. We hypothesized quadriceps contraction has different effects on each type of patellofemoral malalignment. Methods The investigators expect to recruit 150 subjects with patellofemoral pain syndrome to participate in this study. All patients underwent computed tomography imaging of symptomatic knees, with and without quadriceps muscle contraction in 0°, 15° and 30° of knee flexion. Patellar lateral condyle index and patellar tilt angles of Sasaki and modified Fulkerson were measured to investigate the effect of quadriceps contraction on patellar repositioning.

The purpose of the study is to investigate the prevalence of pain in the anterior part of the knee, amongst youngsters between 16 and 18 years of age. Furthermore, this trial intends to study the connection between the pain, hyperpronation of the foot and tight Achilles tendon. We want to find out if there is a need of an early effort in terms of information, training and/or support for the shoes.

The purpose of the study was to evaluate the spatial and temporal variables during walking cycle in adolescent females suffering from patellofemoral pain syndrome (PFPS) versus healthy adolescent females .

to investigate the relation between NCV of femoral nerve and other dependent variables such as ( pain & limited hip extension ROM )in patients with PFPS . to predict using the NCV as a method for assessment femoral nerve mechanosensitivity in those with PFPS

Background：Patellofemoral pain syndrome（PFPS） is a common knee disorder characterized by anterior or retropatellar pain associated with activities that load the patellofemoral joint. Previous studies reveal that the vastus medialis obliquus（VMO） is an important dynamic medial stabilizer of the patellar. Insufficiency of the VMO leads to lateral shift of the patella and the increases the patellofemoral contact force. An in vitro study conducted by Hubbard JK. et al. claimed that there were no significant relationship between several morphologic characteristics of the VMO and the extent of patellofemoral joint deterioration. We consider that the condition might be different in vivo, so we chose ultrasonogrphy as the measurement tool to examine the morphology of the VMO in PFPS patients and healthy controls. Purpose：To determine if there are significant differences in several morphologic parameters of the VMO between patients with PFPS and healthy controls under 50. Method：31 PFPS patients and 31 matched healthy adults under 50 were recruited for the study. The HDI 5000 ultrasonography machine was used to evaluate morphologic parameters of the VMO, including the percent of patella attachment, fiber angle, the volume attached to the patella, and the change of shape of the VMO.