Effect of the Infrapatellar Strap and Elastic Band Iin Athletes With Patellofemoral Pain Syndrome

NCT04264429 | Unknown DMC

• 1 other identifier: Strap in patelofemoral pain.
• Study Type: interventional
• Target: 25
• Locations: 1 country
• Sites: 1

Brief Summary

Patellofemoral Pain Syndrome (PPS) is common in athletes, especially when performing jumps. To reduce pain and improve functionality, orthoses such as the infrapatellar strip (IPS) and functional bandage (FB) are indicated, but their effects are controversial. The objective is to evaluate the effect of IPS and FB on lower limb pain, agility, balance and strength in athletes with PPS. Will be evaluated 25 athletes with PPS (10 women and 15 men), who will answer the sample characterization questionnaires, pain scale and performed the Side Hope Test (SHT), modified star excursion balance test (SEBTm) and Sit to Stand 30 in seconds (STS30 ") to analyze lower limb agility, balance and strength, respectively. Three repetitions of each functional test will be performed, with an interval of one minute between repetitions and tests. Still, the tests will be developed with IPS, with FB and without any orthosis, with previously randomized sequence. Expected to establish the effects of IPS and FB for athletes with PPS.

Conditions

Recruitment

Keywords

Patellofemoral Pain Syndrome; Physiotherapy; Knee; Orthoses

Outcome Measures

Primary Outcomes (4)

• Change in pain intensity

  The pain will be evaluated before and after the functional tests with infrapatellar strap and elastic band, through the analogue visual pain scale (with pain characterization from zero to ten).

  Evaluations will be conducted throughout the project data collection. The evaluations have an average time of three months.

• Balance - Modified star excursion balance test (SEBTm)

  For the analysis of SEBTm the normalization of the directions will be develop througt the length ot the lower limb of each participant (maximum distance reached in 3 directions (anteior, postero-lateral and postero-medial) / (limb length x 3) x 100 = percentage of the three directions. Distance traveled in centimeters (on a measuring tape) in the anterior, postero-medial and postero-lateral directions.

  Evaluations will be conducted throughout the project data collection. The evaluations have an average time of three months.

• Agility - Side Hope test (SHT)

  For the SHT analysis will be consideres the time requered for the athlete to perform 10 lateral jumps was considered.

  Evaluations will be conducted throughout the project data collection. The evaluations have an average time of three months.

• Endurance - 30 second sit to stand test (STS30 '')

  For the 30" Sit and Lift Test it will be considered for analysis only complete cycles with full knee extension and seat weight unloading.

  Evaluations will be conducted throughout the project data collection. The evaluations have an average time of three months.

Study Arms (3)

Infrapatellar strap

EXPERIMENTAL

This group will perform the functional tests with the infrapatellar strap positioned on the painful knee.

Device: Infrapatellar strap

Elastic Band

EXPERIMENTAL

This group will perform the functional tests with the elastic band positioned on the painful knee.

Other: Elastic band

Control

NO INTERVENTION

This group will perform the functional tests without elastic band or infrapatellar strap positioned on the painful knee.

Interventions

Infrapatellar strap DEVICE

Orthotic device which is positioned over the patellar tendon

Also known as: Infrapatellar strip

Infrapatellar strap

Elastic band OTHER

Orthotic device which is positioned over the patellar tendon

Also known as: Elastic bandage

Elastic Band

Eligibility Criteria

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

You may qualify if:

• Athletes will be over 18 years old,
• From different sports or teams,
• With a minimum of six hours / week of training / competition,
• With complaints of anterior knee pain (DAJ) greater than 3 on the visual analog scale (VAS)
• Rating lower than or equal to 82 (tendency to patellofemoral disorder) in the Anterior Knee Pain Scale (AKPS)
• Score lower than or equal to 83 (fair or poor) on the Lysholm questionnaire.

You may not qualify if:

• History of other lower limb injuries or surgery,
• Diabetes,
• Altered sensitivity in the plantar region,
• Medication to pain,
• Physical therapy use in the last three months.

Sponsors & Collaborators

• Universidade Estadual de Londrina: lead

Study Sites (1)

University Hospital of the State University of Londrina

Londrina, Paraná, 86038-350, Brazil

Location

Related Publications (4)

• Coburn SL, Barton CJ, Filbay SR, Hart HF, Rathleff MS, Crossley KM. Quality of life in individuals with patellofemoral pain: A systematic review including meta-analysis. Phys Ther Sport. 2018 Sep;33:96-108. doi: 10.1016/j.ptsp.2018.06.006. Epub 2018 Jun 28.

  PMID: 30059951 BACKGROUND

• Straub RK, Cipriani DJ. Influence of infrapatellar and suprapatellar straps on quadriceps muscle activity and onset timing during the body-weight squat. J Strength Cond Res. 2012 Jul;26(7):1827-37. doi: 10.1519/JSC.0b013e318234e81d.

  PMID: 21912298 BACKGROUND

• Collins NJ, Barton CJ, van Middelkoop M, Callaghan MJ, Rathleff MS, Vicenzino BT, Davis IS, Powers CM, Macri EM, Hart HF, de Oliveira Silva D, Crossley KM. 2018 Consensus statement on exercise therapy and physical interventions (orthoses, taping and manual therapy) to treat patellofemoral pain: recommendations from the 5th International Patellofemoral Pain Research Retreat, Gold Coast, Australia, 2017. Br J Sports Med. 2018 Sep;52(18):1170-1178. doi: 10.1136/bjsports-2018-099397. Epub 2018 Jun 20.

  PMID: 29925502 BACKGROUND

• de Vries A, Zwerver J, Diercks R, Tak I, van Berkel S, van Cingel R, van der Worp H, van den Akker-Scheek I. Effect of patellar strap and sports tape on pain in patellar tendinopathy: A randomized controlled trial. Scand J Med Sci Sports. 2016 Oct;26(10):1217-24. doi: 10.1111/sms.12556. Epub 2015 Sep 17.

  PMID: 26376953 BACKGROUND

MeSH Terms

Conditions

Patellofemoral Pain Syndrome

Interventions

Compression Bandages

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases

Intervention Hierarchy (Ancestors)

Bandages; Equipment and Supplies

Study Officials

• Christiane S Macedo

  State University of Londrina

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Christiane SG Macedo, PhD

CONTACT

43991015123; chmacedouel@yahoo.com.br

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal investigator and Professor.

Study Record Dates

• First Submitted: December 2, 2019
• First Posted: February 11, 2020
• Study Start: March 5, 2020
• Primary Completion: May 5, 2020
• Study Completion: October 5, 2020
• Last Updated: February 13, 2020

Record last verified: 2020-02

Data Sharing

• IPD Sharing: Will not share

Locations

BR (1)