Joint Position Sense in Individuals With Anterior Knee Pain

NCT03998241 | Completed

• 1 other identifier: DLeibbrandt
• Study Type: observational
• Target: 25
• Locations: 1 country
• Sites: 1

Brief Summary

Introduction Anterior knee pain (AKP) commonly affects physically active as well as sedentary individuals and the aetiology remains unknown. Altered joint position sense (JPS) impacts accurate motor action and knee joint stability. It is unclear whether people with AKP have altered JPS. The aim of this study was to investigate the JPS of individuals with AKP. Methods A descriptive cross-sectional design was used to measure JPS in twenty-five participants with unilateral or bilateral AKP. The Vicon 3D motion analysis system was used to assess JPS by means of active joint position sense testing during single leg squat and active knee extension in sitting. Target angles were self-determined based on each participant's capabilities. The absolute error (AE) was used as the main outcome measure. Impaired JPS was classified as an AE equal to or greater than five degrees.

Conditions

Anterior Knee Pain Syndrome; Proprioceptive Disorders

Keywords

patellofemoral pain; joint position sense; movement analysis

Outcome Measures

Primary Outcomes (5)

• Weight Bearing JPS during single leg squatting

  Active angle reproduction using Vicon movement analysis system

  Measured six times on the same day

• Non-weight bearing JPS during active knee extension

  Active angle reproduction using Vicon movement analysis system

  Measured six times on the same day

• Usual pain: Visual analogue scale (VAS)

  Visual analogue scale pain measurement ranging from 0 (no pain) to 10 (worst possible pain)

  Measured at recruitment (onset of research) and during testing procedures (active knee extension and single leg squatting)

• Anterior knee pain scale (AKPS)

  Anterior knee pain specific scale to measure functional ability. Score is out of 100. a score of 100 indicates no functional impairment.

  Measured on the day of the assessment prior to motion analysis procedures

• Lower extremity functional scale (LEFS)

  A scale out of 80 to measure functional ability as a result of lower extremity injury. A score of 80 indicates no functional impairment.

  Measured on the day of the assessment prior to motion analysis procedures

Interventions

No intervention was provided OTHER

No intervention given

Also known as: None given

Eligibility Criteria

• Age: 14 Years - 40 Years
• Sex: all
• Age Groups: Child (0-17), Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

A total of 25 participants complied with the inclusion criteria (Table 1); with the majority being female (n=22). The participants had a mean age of 27.8 years and a mean BMI of 28.2 kg/m2 (range of 20.9- 45.7kg/m). Twelve (52%) of the participants reported having AKP symptoms in both knees and ten (40%) participants reported their right knee as most affected. Nineteen (76%) of the 25 participants reported being physically active and six (24%) were sedentary. The participants' mean usual pain level according to the VAS was 4.5/10.

You may qualify if:

• Individuals aged between 14 and 40 years
• Insidious onset of clinical signs and symptoms of AKP (more than 3 months duration)
• Symptoms were provoked by prolonged sitting, squatting, stair-climbing and/or running.
• Participants needed to comply with the AKP screening tool and the diagnostic checklist (Leibbrandt \& Louw 2017)

You may not qualify if:

• Participants were excluded if they presented with the following:
• AKP had resulted from a traumatic event such as a motor vehicle accident
• Previous knee surgery or injuries
• Clinical evidence of other knee pathologies
• If they were experiencing any other lower extremity injuries

Sponsors & Collaborators

• University of Stellenbosch: lead
• National Research Foundation of South Africa: collaborator

Study Sites (1)

Stellenbosch Univeristy Medical Campus

Cape Town, Western Cape, 7505, South Africa

Location

Related Publications (7)

• Relph N, Herrington L. The effects of knee direction, physical activity and age on knee joint position sense. Knee. 2016 Jun;23(3):393-8. doi: 10.1016/j.knee.2016.02.018. Epub 2016 Mar 21.

  PMID: 27012638 BACKGROUND

• Ehara Y, Fujimoto H, Miyazaki S, Mochimaru M, Tanaka S, Yamamoto S (1997) Comparison of the performance of the 3D camera system II. Gait and Posture 5: 251-255

  BACKGROUND

• Clark NC, Akins JS, Heebner NR, Sell TC, Abt JP, Lovalekar M, Lephart SM. Reliability and measurement precision of concentric-to-isometric and eccentric-to-isometric knee active joint position sense tests in uninjured physically active adults. Phys Ther Sport. 2016 Mar;18:38-45. doi: 10.1016/j.ptsp.2015.06.005. Epub 2015 Jun 18.

  PMID: 26804382 BACKGROUND

• Watson CJ, Propps M, Ratner J, Zeigler DL, Horton P, Smith SS. Reliability and responsiveness of the lower extremity functional scale and the anterior knee pain scale in patients with anterior knee pain. J Orthop Sports Phys Ther. 2005 Mar;35(3):136-46. doi: 10.2519/jospt.2005.35.3.136.

  PMID: 15839307 BACKGROUND

• Green A, Liles C, Rushton A, Kyte DG. Measurement properties of patient-reported outcome measures (PROMS) in Patellofemoral Pain Syndrome: a systematic review. Man Ther. 2014 Dec;19(6):517-26. doi: 10.1016/j.math.2014.05.013. Epub 2014 Jun 14.

  PMID: 24997774 BACKGROUND

• Selfe J, Callaghan M, McHenry A, Richards J, Oldham J. An investigation into the effect of number of trials during proprioceptive testing in patients with patellofemoral pain syndrome. J Orthop Res. 2006 Jun;24(6):1218-24. doi: 10.1002/jor.20127.

  PMID: 16705703 BACKGROUND

• Rhode C (2018). Proprioceptive differences in individuals with Anterior knee pain. Master's dissertation Stellenbosch: Stellenbosch University.

  RESULT

MeSH Terms

Conditions

Patellofemoral Pain Syndrome; Somatosensory Disorders

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases; Sensation Disorders; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: CROSS SECTIONAL
• Target Duration: 1 Month
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Dr Dominique Leibbrandt (PhD Physiotherapy), Postdoctoral Researcher in Faculty of Health and Rehabilitation Sciences

Study Record Dates

• First Submitted: June 6, 2019
• First Posted: June 26, 2019
• Study Start: February 1, 2017
• Primary Completion: October 16, 2017
• Study Completion: December 1, 2017
• Last Updated: June 26, 2019

Record last verified: 2019-06

Data Sharing

• IPD Sharing: Will not share

Locations

ZA (1)