Effect of Two Strengthening Protocols for Lower Limbs in Patients With Patellofemoral Pain

NCT03163290 | Completed DMC

• 1 other identifier: TCC_LARISSA NEVES
• Study Type: interventional
• Target: 52
• Locations: 1 country
• Sites: 1

Brief Summary

Patellofemoral Pain (PFP) is one of the most common disorders that affecting the physically active population, and its incidence is higher among women. Despite the high incidence, the etiologies of this painful syndrome are still unclear. Research has verified the influence of hip stabilizers on knee injurie and has demonstrated a deficit of strength of the hip lateral rotator, abductors and extensors muscles in patients with PFP. The aim of this study is to compare the effectiveness of strengthening the Posterolateral Hip Complex with the Anteromedial Hip Complex associated with quadriceps strengthening for pain reduction and improvement of functional capacity in patients with PFP.

Conditions

Patellofemoral Pain Syndrome

Outcome Measures

Primary Outcomes (2)

• Numeric Pain Scale

  Pain was assessed by use of an 11-point Numeric Pain Scale, where 0 corresponded to no pain and 10 corresponded to worst imaginable pain. to worst imaginable pain.

  Six weeks

• Anterior Knee Pain Scale

  Anterior Knee Pain Scale assesses functional capacity and pain level during functional and specific activities for patients with PFP. This scale was translated and culturally adapted to the Brazilian Portuguese language,10 and the score ranges from 0 (worst) to 100 (best).

  Six weeks

Secondary Outcomes (7)

• Numeric Pain Scale

  Six months

• Anterior Knee Pain Scale

  Six months

• Numeric Pain Scale on Step Down Test

  Six weeks

• Dynamic Knee Valgus on Frontal Plane Projection Angle

  Six weeks

• Global Effect Perception Scale

  Six weeks

Study Arms (2)

Posterolateral Hip Complex Exercises

EXPERIMENTAL

The intervention protocol will be composed of: Heating, lower limb stretching, strengthening the quadriceps, and hip abductors, lateral rotators and extensors. Posterolateral Hip Complex Exercises add extension knee in open kinetic chain, squat , abduction exercise, Clam exercise and external rotation exercise. Physiotherapy treatment sessions will last for an average of one hour, twice a week, for a period of six weeks.

Other: Posterolateral Hip Complex Exercises

Anteromedial Hip Complex Exercises

ACTIVE COMPARATOR

The intervention protocol will be composed of: Heating, lower limb stretching, strengthening the quadriceps, and hip aductors, medial rotators and flexors. Anteromedial Hip Complex Exercises add extension knee in open kinetic chain, squat ,hip adduction exercise, adduction with a ring between the thighs and internal rotation exercise. Physiotherapy treatment sessions will last for an average of one hour, twice a week, for a period of six weeks.

Other: Anteromedial Hip Complex Exercises

Interventions

Posterolateral Hip Complex Exercises OTHER

The treatment protocol was composed of: Heating, lower limb stretching, strengthening the quadriceps e hip muscles. The following exercises were included: abduction exercise, Clam exercise and external rotation exercise

Posterolateral Hip Complex Exercises

Anteromedial Hip Complex Exercises OTHER

The treatment protocol was composed of: Heating, lower limb stretching, strengthening the quadriceps e hip muscles. The following exercises were included: hip adduction exercise, adduction with a ring between the thighs and internal rotation exercise.

Anteromedial Hip Complex Exercises

Eligibility Criteria

• Age: 18 Years - 35 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Practicing physical activity for at least 3 times a week for at least 30 minutes;
• Pain localized specifically around the patellofemoral joint, pain reproduced or reported in at least two of the following criteria: up or down stairs, squatting, kneeling, sitting for a long time, isometric contraction of the quadriceps, jumping, running and pain on palpation of the lateral and / or medial facet of the patella;
• Report pain of insidious onset and lasting at least three months;
• Pain at least three in the Numerical Pain Scale during the last week;
• Report a maximum of 86 points on the Anterior Knee Pain Scale (maximum = 100 points).

You may not qualify if:

• Previous surgery on the hip, knee, ankle and / or spine;
• History of patellar dislocation;
• Clinical evidence of knee instability (anterior and posterior drawer test, Lachman, varus and valgus stress);
• Meniscal lesions or intra-articular lesions;
• Evidence of edema;
• Osgood-Schlatter syndrome or Sinding-Larsen-Johansson;
• Patellar tendinopathy;
• Chondral lesion;
• Osteoarthritis;
• Muscle or joint injuries to the hip.

Sponsors & Collaborators

• Universidade Federal do Ceara: lead

Study Sites (1)

Federal University of Ceara

Fortaleza, Ceará, 60430-160, Brazil

Location

MeSH Terms

Conditions

Patellofemoral Pain Syndrome

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases

Study Officials

• Gabriel PL Almeida, MSc

  Universidade Federal do Ceara

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: May 19, 2017
• First Posted: May 23, 2017
• Study Start: June 12, 2017
• Primary Completion: November 12, 2017
• Study Completion: March 12, 2019
• Last Updated: July 21, 2020

Record last verified: 2020-07

Data Sharing

• IPD Sharing: Will not share

Locations

BR (1)