Proprioceptive Training vs. Hip Abductor With External Rotator Strengthening in Patients With Patellofemoral Pain

NCT05698797 | Completed

• 1 other identifier: AWH/EC/03/2021
• Study Type: interventional
• Target: 45
• Locations: 1 country
• Sites: 1

Brief Summary

Patellofemoral pain syndrome (PFPS) is a common musculoskeletal disorder characterized by an insidious onset of pain in the knee's anterior /retro-patellar / peripatellar region. Even though various rehabilitation approaches, including hip strengthening and proprioceptive training, are being considered for managing PFPS, the most appropriate treatment from these two is still unclear. Therefore, this study aimed to compare the program consisting of hip abductors and external rotators strengthening exercises vs. the program consisting of proprioceptive training of the knee to identify the most effective rehabilitation approach for patients suffering from PFPS.

Conditions

Patellofemoral Pain Syndrome

Keywords

Hip muscles strengthening; Rehabilitation; Proprioceptive training; Exercises

Outcome Measures

Primary Outcomes (1)

• Kujala Anterior Knee Pain Scale (AKPS)

  Pain was measured using the AKPS. The AKPS is scored from a minimum score of 0 to a maximum score of 100 points. Lower scores indicate greater pain and disability.

  4 weeks.

Study Arms (3)

Experimental group 1

EXPERIMENTAL

In this group participants received hip abductor and external rotator strengthening exercises in addition to conventional physical therapy.

Other: Hip strengthening exercises

Experimental group 2

ACTIVE COMPARATOR

In this group participants received proprioceptive training and conventional physical therapy.

Other: Proprioceptive training

Control group

ACTIVE COMPARATOR

In this group participants received conventional physical therapy alone.

Other: Conventional physical therapy

Interventions

Hip strengthening exercises OTHER

Hip abductor and external rotator strengthening exercises were performed for 4 weeks.

Experimental group 1

Proprioceptive training OTHER

Proprioceptive training consisted of eight exercises was performed for 4 weeks.

Experimental group 2

Conventional physical therapy OTHER

Conventional physical therapy included interferential therapy and two types of knee-strengthening exercises.

Control group

Eligibility Criteria

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

You may qualify if:

• Age 18-35 years
• Patients diagnosed recently by an orthopedic surgeon for Patello-femoral pain syndrome
• experiencing anterior/retro patellar knee pain during activities,
• insidious onset of symptoms not linked to trauma,
• pain persisting for no less than four weeks,
• pain on palpation of the patellar facets,
• pain when stepping down from a 25-cm step or during a double-legged squat.

You may not qualify if:

• Patients with recent lower limb fractures or dislocations,
• knee/hip joint surgery,
• signs, symptoms, or radiological findings of intra-articular pathology such as effusion, ligamentous or meniscal involvement,
• those with indications of patellar apprehension,
• referred pain from the hip, back, or sacroiliac joint,
• acute knee strain or sprain,
• on medication such as NSAIDs or corticosteroids,
• degenerative and infectious arthritis

Sponsors & Collaborators

• King Saud University: lead

Study Sites (1)

King Saud University

Riyadh, 11433, Saudi Arabia

Location

Related Publications (1)

• Raju A, Jayaraman K, Nuhmani S, Sebastian S, Khan M, Alghadir AH. Effects of hip abductor with external rotator strengthening versus proprioceptive training on pain and functions in patients with patellofemoral pain syndrome: A randomized controlled trial. Medicine (Baltimore). 2024 Feb 16;103(7):e37102. doi: 10.1097/MD.0000000000037102.

  PMID: 38363950 DERIVED

MeSH Terms

Conditions

Patellofemoral Pain Syndrome; Motor Activity

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases; Behavior

Study Officials

• Masood Khan, M.P.Th

  King Saud University

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: January 16, 2023
• First Posted: January 26, 2023
• Study Start: November 11, 2021
• Primary Completion: May 6, 2022
• Study Completion: June 24, 2022
• Last Updated: January 26, 2023

Record last verified: 2023-01

Data Sharing

• IPD Sharing: Will not share

Locations

SA (1)