Comparison of Concentric-eccentric Exercises in Patellofemoral Pain Syndrome

NCT06197958 | Unknown DMC

• 1 other identifier: REC/RCR&AHS/23/0455
• Study Type: interventional
• Target: 24
• Locations: 1 country
• Sites: 1

Brief Summary

Patellofemoral pain syndrome is due to dysfunctional dynamic knee valgus resulting from decrease in strength of hip abductors or abnormal rear-foot eversion with pes pronatus valgus. It is also associated with vastus medialis/vastus lateralis disbalance, hamstring tightness or iliotibial tract tightness.

Conditions

Patello Femoral Syndrome; Patellofemoral Pain; Knee Pain Chronic

Keywords

concentric excercise; eccentric excercise; Iliotibial Band

Outcome Measures

Primary Outcomes (3)

• patellofemoral pain

  pain is measured by VAS (Visual Analogue Scale)

  pre and 6 weeks post interventional

• range of motion

  ROM is measured by goniometer

  pre and 6 weeks post interventional

• knee extensor/flexor strength

  knee extensor/flexor strength is measured by knee resisted test and MMT grading

  pre and 6 weeks post interventional

Study Arms (2)

eccentric exercises

EXPERIMENTAL

Group A: Group A will receive 3 sets of eccentric exercises with 10 RM (repetition maximum) in six sessions.

Other: eccentric exercises

concentric exercises

EXPERIMENTAL

Group B: Group B will receive 3 sets of concentric exercises with 10 RM in six sessions

Other: concentric exercises

Interventions

eccentric exercises OTHER

eccentric exercises like walking down stairs, lowering a weight during shoulder press, the downward motion of squatting, the downward motion of a push-up, lowering the body during a crunch, lowering the body during a pull-up 3 sets with 10 RM (repetition maximum) for six week training.

eccentric exercises

concentric exercises OTHER

concentric exercises like walking upstairs, pushing up in a bench press, the beginning portion of a deadlift when you lift the barbell off the ground, sitting up in a sit up, pushing up from a lowered push-up and standing up in a back squat 3 sets with 10 RM.

concentric exercises

Eligibility Criteria

• Age: 18 Years - 36 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Players between the age 18 to 36 years.
• Both male and female gender.
• Patients who have Patellar grind test positive.
• The presence of retropatellar or peripatellar pain.
• Reproduction of retropatellar or peripatellar pain with squatting, stair climbing, prolonged sitting, or other functional activities loading the PFJ in a flexed position.

You may not qualify if:

• Individuals with a history of recent trauma or surgery of lower limb (16), administration of steroid injection in the past 6 months.
• Recent administration of platelet-rich plasma containing growth factors, diagnosis of rheumatoid arthritis, myositis ossificans, diagnosis of other muscular disorder.
• Patients who had taken physical therapy of any sort in the past six months will be excluded from the study.
• Furthermore, individuals with any history of occupation-related pain will be ruled out

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

barki advance physiotherapy center Multan

Multan Khurd, Punjab Province, 60000, Pakistan

RECRUITING

Related Publications (4)

• Crossley KM, Stefanik JJ, Selfe J, Collins NJ, Davis IS, Powers CM, McConnell J, Vicenzino B, Bazett-Jones DM, Esculier JF, Morrissey D, Callaghan MJ. 2016 Patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester. Part 1: Terminology, definitions, clinical examination, natural history, patellofemoral osteoarthritis and patient-reported outcome measures. Br J Sports Med. 2016 Jul;50(14):839-43. doi: 10.1136/bjsports-2016-096384. Epub 2016 Jun 24. No abstract available.

  PMID: 27343241 BACKGROUND

• Glaviano NR, Kew M, Hart JM, Saliba S. DEMOGRAPHIC AND EPIDEMIOLOGICAL TRENDS IN PATELLOFEMORAL PAIN. Int J Sports Phys Ther. 2015 Jun;10(3):281-90.

  PMID: 26075143 BACKGROUND

• Petersen W, Ellermann A, Gosele-Koppenburg A, Best R, Rembitzki IV, Bruggemann GP, Liebau C. Patellofemoral pain syndrome. Knee Surg Sports Traumatol Arthrosc. 2014 Oct;22(10):2264-74. doi: 10.1007/s00167-013-2759-6. Epub 2013 Nov 13.

  PMID: 24221245 BACKGROUND

• Smith BE, Selfe J, Thacker D, Hendrick P, Bateman M, Moffatt F, Rathleff MS, Smith TO, Logan P. Incidence and prevalence of patellofemoral pain: A systematic review and meta-analysis. PLoS One. 2018 Jan 11;13(1):e0190892. doi: 10.1371/journal.pone.0190892. eCollection 2018.

  PMID: 29324820 RESULT

MeSH Terms

Conditions

Patellofemoral Pain Syndrome

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases

Study Officials

• moiz kamal, DPT

  study principal investigator

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Amna Shahid, MS-DPT

CONTACT

+92 334 4512823; amna.shahid@riphah.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: the assessor who will take the readings is blind
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: randomized clinical trail

Study Record Dates

• First Submitted: December 26, 2023
• First Posted: January 9, 2024
• Study Start: October 20, 2023
• Primary Completion: February 20, 2024
• Study Completion: February 20, 2024
• Last Updated: January 9, 2024

Record last verified: 2023-12

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)