Enhancing Stability and Function in Adolescent

NCT06696872 | Completed

• 1 other identifier: Patellofemoral Pain Syndrome
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

This study investigated the comparative effects of proprioceptive neuromuscular facilitation (PNF) stretching and core strength exercises on static balance in adolescents with patellofemoral pain syndrome (PFPS).

Conditions

Patellofemoral Pain Syndrome; Adolescents

Outcome Measures

Primary Outcomes (2)

• Visual analogue scale (VAS-100 mm) for pain

  All adolescents were assessed before and after the 8-week intervention period

• Dynamic postural stability test and single leg test using the Biodex Balance System SD

  All adolescents were assessed before and after the 8-week intervention period

Secondary Outcomes (1)

• Self-administered Anterior Knee Pain Scale (AKPS) or Kujala Patellofemoral Score

  All adolescents were assessed before and after the 8-week intervention period

Study Arms (2)

Core exercises

EXPERIMENTAL

The participants were taught how to contract their deep abdominal muscles to obtain core muscle activation. The patient should be contracting the abdominal muscles, lifting her lower belly up away from pubic bone, while breathing slowly and normally. The patient should not hold her breath

Other: core exercises

Proprioceptive Neuromuscular Facilitation

EXPERIMENTAL

The hold-relax proprioceptive neuromuscular facilitation stretching protocol consisted of passively moving the dominant leg into a position where the subjects felt mild discomfort and holding that position for 30 seconds. Subjects were then asked to isometrically contract the stretched muscle for 10 seconds; this were followed by muscle relaxation in the same position for 30 seconds, before being stretched to a new point of mild discomfort. The leg were then released

Other: Proprioceptive Neuromuscular Facilitation

Interventions

core exercises OTHER

The core muscle strength training program were lasted for 8 weeks and comprised of 3 training sessions per week, with a total of 24 sessions. Each session were lasted for 30 to 45 minutes, starting with a brief warm-up exercise program consisting of low-intensity core strength exercises to prepare the neuromuscular system for the training loads and ending with a cool-down program

Core exercises

Proprioceptive Neuromuscular Facilitation OTHER

The hold-relax proprioceptive neuromuscular facilitation stretching protocol consisted of passively moving the dominant leg into a position where the subjects felt mild discomfort and holding that position for 30 seconds. Subjects were then asked to isometrically contract the stretched muscle for 10 seconds; this were followed by muscle relaxation in the same posi¬tion for 30 seconds, before being stretched to a new point of mild discomfort. The leg were then released

Proprioceptive Neuromuscular Facilitation

Eligibility Criteria

• Age: 16 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Participants were between 16 and 18 years old.
• Patients had to have experienced anterior knee pain for at least 4 weeks, with the pain being exacerbated by at least two of the following activities: jumping, running, prolonged sitting, stair climbing, kneeling, and squatting (Chevidikunnan et al., 2016).
• Participants could not have undergone any surgical procedures on their lower limbs.
• Pain during the previous week needed to be greater than 30 mm on a 100 mm visual analogue scale (VAS) (Appendix I) (Rathleff et al., 2015).
• A spectrum of BMI was sought, with participants recruited to represent normal BMI percentile categories for both boys and girls. The normal BMI percentile categories for both boys and girls were defined as the 5th percentile to less than the 85th percentile (Appendix II) (King et al., 2012).

You may not qualify if:

• Adolescents with cruciate ligament injuries, meniscal injuries, collateral ligament injuries, and tenderness associated with any of these structures, any intra-articular injury, and tenderness over the iliotibial band, patellar tendon, pes anserine tendons, or evidence of joint effusion.
• Adolescents with referred pain from the hip or lumbar region, or a known case of articular cartilage damage.

Sponsors & Collaborators

• Delta University for Science and Technology: lead

Study Sites (1)

Amira Hussin Mohammed

Gamasa, 35712, Egypt

Location

MeSH Terms

Conditions

Patellofemoral Pain Syndrome

Interventions

Muscle Stretching Exercises

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases

Intervention Hierarchy (Ancestors)

Exercise Therapy; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities; Exercise; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Amira H Mohammed, PHD

  Delta University for Science and Technology

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associated professor

Study Record Dates

• First Submitted: November 19, 2024
• First Posted: November 20, 2024
• Study Start: April 20, 2024
• Primary Completion: July 12, 2024
• Study Completion: July 12, 2024
• Last Updated: November 20, 2024

Record last verified: 2024-11

Data Sharing

• IPD Sharing: Will share
• Time Frame: after 12 months from November 2024

Locations

EG (1)