Evaluation of the Results of Closed Kinetic Chain Exercises in Patellofemoral Pain Syndrome

NCT05427357 | Completed

• 1 other identifier: Taksim eğitim
• Study Type: interventional
• Target: 80
• Locations: 0 countries
• Sites: N/A

Brief Summary

Non-selective closed kinetic chain exercises and or selective closed kinetic chain exercises has been shown to increase Vastus medialis obliquus muscle power in patellofemoral pain syndrome. However, the superiority of the exercises to each other has not been shown. This study aimed to evaluating the effects of different exercises on the stiffness of the Vastus medialis obliquus and vastus lateralis muscles, pain management, functional scores, and thigh circumferences.

Conditions

Exercise Training

Keywords

Elastography; exercises; non-selective; pain; patellofemoral

Outcome Measures

Primary Outcomes (2)

• Shear Wave Elastography

  Measurement of muscle strength before exercises

  1 day before exercise program

• Shear Wave Elastography

  Measurement of muscle strength after exercises

  6 weeks after exercise program

Study Arms (3)

Diseased side of the patellofemoral pain syndrome (PFPS) group (40 knees)

EXPERIMENTAL

Non-selective close kinetic chain exercises and selective close kinetic chain exercises were applied for 6 weeks in diseased side of the PFPS group. Thigh circumference measurement was performed 5-10 cm above the upper pole of the patella. In addition, evaluation was made with visual analog score (VAS) and Lysholm Knee score (LKS). Vastus medialis obliquus (VMO) and vastus lateralis (VL) muscles of the participants were measured with Shear Wave Elastography 1 day before the therapy and 6 weeks after therapy in hospital.

Other: Non-selective closed kinetic chain exercises (NSKCE) and selective closed kinetic chain exercises (SCKCE)

Healthy side of the patellofemoral pain syndrome (PFPS) group (40 knees)

EXPERIMENTAL

Non-selective close kinetic chain exercises and selective close kinetic chain exercises were applied for 6 weeks in healthy side of the PFPS group. Thigh circumference measurement was performed 5-10 cm above the upper pole of the patella. In addition, evaluation was made with visual analog score (VAS) and Lysholm Knee score (LKS). Vastus medialis obliquus (VMO) and vastus lateralis (VL) muscles of the participants were measured with Shear Wave Elastography 1 day before the therapy and 6 weeks after therapy in hospital.

Other: Non-selective closed kinetic chain exercises (NSKCE) and selective closed kinetic chain exercises (SCKCE)

Both side of the healthy control group (80 knees)

OTHER

Non-selective close kinetic chain exercises and selective close kinetic chain exercises were applied for 6 weeks in side of the both side of the healthy control group. Thigh circumference measurement was performed 5-10 cm above the upper pole of the patella. In addition, evaluation was made with visual analog score (VAS) and Lysholm Knee score (LKS). Vastus medialis obliquus (VMO) and vastus lateralis (VL) muscles of the participants were measured with Shear Wave Elastography 1 day before the therapy and 6 weeks after therapy in hospital.

Other: Non-selective closed kinetic chain exercises (NSKCE) and selective closed kinetic chain exercises (SCKCE)

Interventions

Non-selective closed kinetic chain exercises (NSKCE) and selective closed kinetic chain exercises (SCKCE) OTHER

Non-selective closed kinetic chain double-leg semi-squat exercise In this exercise, the standing patient leans his or her back against the wall and slides down the wall until the knees are about 45 degrees flexed. Daily program was determined as 5 sessions and 10 repeats. The knee stayed at flexion position for 10 seconds in each repeat, which aimed the contraction of quadriceps muscle. There is a relaxation period for 5 seconds between each repeat. Selective closed kinetic chain double-leg semi-squat exercise with hip adduction In this exercise, the standing patient leans his or her back against the wall, forces the knees for adduction by squeezing the pillow placed between the knees and slides down the wall until the knees are about 45 degrees flexed. Daily program was determined as 5 sessions and 10 repeats.

Both side of the healthy control group (80 knees); Diseased side of the patellofemoral pain syndrome (PFPS) group (40 knees); Healthy side of the patellofemoral pain syndrome (PFPS) group (40 knees)

Eligibility Criteria

• Age: 17 Years - 60 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Having peripatellar/retropatellar pain while sitting,going up and down the stairs
• Walking for a long time, crouching down, running, and kneeling down
• Having a VAS score of ≥3 during the evaluation and not developing these symptoms on a traumatic basis

You may not qualify if:

• Tendinitis
• Osgood-Schlatter Syndrome
• Traumatic hip or knee injuries
• Osteoarthritis
• Plica syndrome
• Sinding-Larsen-Johansson syndrome
• Ligamentous instability
• Spinal pain
• Chondral lesion
• Patellar tendon pathology
• Distraction apophysitis of knee circumference

Sponsors & Collaborators

• Taksim Egitim ve Arastirma Hastanesi: lead

Related Publications (1)

• Kultur Y, Harbiyeli E, Botanlioglu H, Ozsahin MK, Ozturhalli S, Aydingoz O, Erginer MR. Evaluation of the results of closed kinetic chain exercises applied in the conservative treatment of patellofemoral pain syndrome by means of shear wave elastography: A randomized controlled trial. J Orthop Surg (Hong Kong). 2024 Sep-Dec;32(3):10225536241280384. doi: 10.1177/10225536241280384.

  PMID: 39483049 DERIVED

MeSH Terms

Conditions

Motor Activity; Pain

Condition Hierarchy (Ancestors)

Behavior; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER GOV
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 7, 2022
• First Posted: June 22, 2022
• Study Start: December 1, 2016
• Primary Completion: December 1, 2016
• Study Completion: February 1, 2018
• Last Updated: June 22, 2022

Record last verified: 2022-06