Efficacy of Patellar Taping and Electromyographic Biofeedback Training at Various Knee Angles on Quadriceps Strength and Functional Performance in Patellofemoral Pain Syndrome

NCT05055284 | Completed DMC

• 2 other identifiers: MUIFP-2020-26
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

This study compared the effects of patellar taping and electromyographic-biofeedback (EMG-BF) guided isometric quadriceps strengthening at different knee angles in patello-femoral pain syndrome (PFPS).

Conditions

Patellofemoral Disorder; Anterior Knee Pain Syndrome

Keywords

Pain; Strength; Function; PFPS; Athletes; SLTHT

Outcome Measures

Primary Outcomes (4)

• Mean changes in pain intensity

  The 10-cm visual analogue scale (VAS) will be used for the assessment of pain intensity. Each participant will be instructed to report their current intensity of pain on a 10-cm scale between two anchors 0 (indicates no pain) and 10 (indicates maximum pain).

  6 weeks

• Mean changes in knee function

  Knee function will be assessed using the validated Anterior Knee Pain scale. It comprised of 13 questions designed to evaluate difficulties related to PFPS such as presence of a limp, walking ability, need for support, squatting, stair climbing, jumping, running, pain, abnormal painful kneecap movement, prolonged sitting with knees flexed, atrophy of the thigh, swelling, and flexion deficiency. Total scores range between 0 and 100. A higher score suggests lower symptoms and better functional capacity.

  6 weeks

• Mean changes in quadriceps muscle strength

  Maximum voluntary isometric strength of quadriceps femoris muscle will be measured using an isokinetic dynamometer. Participants will be made in a sitting position and secured using the stabilization straps with the knee joint in 30,60,90 degrees of flexion, as this position has resulted in the most significant torque output. They will be verbally encouraged to carry out three maximal voluntary isometric contractions of quadriceps with 5-sec rest. The best of the three maximum peak torque will be used for the analysis.

  6 weeks

• Mean changes in balance performance

  The SLTH test measured the distance participants travelled from the starting point to where the back of their heel touched the ground. They conducted three trials with a 3-minute rest period in between. The maximum distance covered score of the three, i.e., the best, was used as the baseline score.

  6 weeks

Study Arms (2)

Experimental group

EXPERIMENTAL

Experimental: Participants in this group will receive electromyography biofeedback (EMG-BF) guided strength training along with patellar taping

Other: Electromyographic-biofeedback guided (EMG-BF) isometric quadriceps strengthening with patellar taping five days a week for six weeks.

Control group

SHAM COMPARATOR

No Intervention: Control: Participants in this group will receive Sham EMG-BF guided strength training without patellar taping

Other: Electromyographic-biofeedback guided (EMG-BF) isometric quadriceps strengthening with patellar taping five days a week for six weeks.

Interventions

Electromyographic-biofeedback guided (EMG-BF) isometric quadriceps strengthening with patellar taping five days a week for six weeks. OTHER

Patellar Taping, electromyography biofeedback (EMG-BF), Strength Training

Also known as: Control group will receive Sham EMG-BF guided isometric quadriceps strengthening without patellar taping five days a week for six weeks.

Control group; Experimental group

Eligibility Criteria

• Age: 18 Years - 35 Years
• Sex: male
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Knee pain during activities such as descending and ascending stairs, squatting, and running,
• Positive J sign (lateral tilt of patella),
• Sign of patellar malalignment on the radiograph

You may not qualify if:

• Fracture around the knee,
• Patella dislocation,
• Knee deformity (e.g., genu varum),
• Knee flexion contracture,
• Ligaments/meniscal injuries, and
• Osteoarthritis of the knee.

Sponsors & Collaborators

• Majmaah University: lead

Study Sites (1)

Physiotherapy & Rehabilitation center

Al Majma'ah, Riyadh Region, 11952, Saudi Arabia

Location

Related Publications (1)

• Hasan S, Alonazi A, Anwer S, Jamal A, Parvez S, Alfaiz FAS, Li H. Efficacy of Patellar Taping and Electromyographic Biofeedback Training at Various Knee Angles on Quadriceps Strength and Functional Performance in Young Adult Male Athletes with Patellofemoral Pain Syndrome: A Randomized Controlled Trial. Pain Res Manag. 2022 Aug 1;2022:8717932. doi: 10.1155/2022/8717932. eCollection 2022.

  PMID: 35958675 DERIVED

MeSH Terms

Conditions

Patellofemoral Pain Syndrome; Pain

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Shahnaz Hasan, PhD

  Majmaah University

  PRINCIPAL INVESTIGATOR

Study Design

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

Model Details: Experimental: Participants in this group will receive electromyography biofeedback (EMG-BF) guided strength training along with patellar taping at 30, 60, and 90-degree angles. No Intervention: Control: Participants in this group will receive Sham EMG-BF guided strength training without patellar taping at 30, 60, and 90-degree angles.

Study Record Dates

• First Submitted: September 14, 2021
• First Posted: September 24, 2021
• Study Start: November 30, 2020
• Primary Completion: May 25, 2021
• Study Completion: August 30, 2021
• Last Updated: September 24, 2021

Record last verified: 2021-09

Locations

SA (1)