The Effect of Hip Strengthening Exercises and Taping in Patients With PFP With Dynamic Valgus

NCT06735586 | Completed

• 2 other identifiers: BahcesehirUnDilber Karagözoğlu Coşkunsu
• Study Type: interventional
• Target: 34
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of the study is to investigate the effects of isolated quadriceps and hip strengthening exercises and both strengthening exercises and mulligan knee taping technique on pain, functional level and balance in patients with dynamic knee valgus and patellofemoral pain. In addition, in the groups investigators will create as randomized controlled, investigators give only strengthening exercise to one group and apply both exercise and taping to the other group and to investigate whether Mulligan taping, which is applied in addition to exercise in the treatment, has an effect on valgus correction, pain, functional level and balance, and contributes to the literature. It will also become clear how effective the strengthening exercises will be in correcting the dynamic valgus, how much participants will reduce patellofemoral pain, and whether they have an effect on the functional level and balance. There are not enough studies in the literature on strengthening exercises in patients with patellofemoral pain with dynamic valgus. İnvestigators will contribute to the literature by evaluating the effect of hip and quadriceps strengthening exercises on dynamic knee valgus and patellofemoral pain with 2D video analysis method and evaluating the results concretely. In addition to the strengthening exercises that investigators will apply to the other group, our other research target is to evaluate the Mulligan knee taping technique with 2D video analysis method and to investigate whether Mulligan knee taping treatment has an effect on the correction of dynamic valgus.

Conditions

Patellofemoral Pain; Valgus Deformity

Keywords

Dynamic Knee Valgus; Patellofemoral Pain

Outcome Measures

Primary Outcomes (1)

• Anterior knee pain scale

  measures the index function. the lowest 0 takes the highest 100 value.

  6 week

Secondary Outcomes (7)

• Visual analog scale

  6 week

• Y Balance Test

  6 week

• Frontal plane projection angle

  6 week

• Patellar tilt test

  6 week

• Muscle strength measurement

  6 week

Study Arms (2)

Neuromuscular control exercises plus taping

EXPERIMENTAL

İnvestigators will apply the Mulligan knee taping technique to the participants in the randomized exercise and taping group, in addition to the hip focused and quadriceps strengthening exercises, 3 times a week for a total of 6 weeks.

Procedure: neuromuscular control exercise and taping

Neuromuscular control exercises

ACTIVE COMPARATOR

All of the 17 participants participating in the study will be included in the 6-week exercise program investigators created after the initial evaluations. Exercises will be done 3 times a week, 10 sets of each exercise. And the participants will be given a rest period of 3 minutes between each set.

Procedure: neuromuscular control exercise

Interventions

neuromuscular control exercise PROCEDURE

All of the 17 participants participating in the study will be included in the 6-week exercise program investigators created after the initial evaluations. Exercises will be done 3 times a week, 10 sets of each exercise. And the participants will be given a rest period of 3 minutes between each set.1st and 2nd (5 times) week exercise program: Non-weight bearing exercises will be given in the first week; lateral hip abduction, clam shell exercises, and bridging exercises. 3rd and 4th week (5 times) exercises: This week investigators will give controlled weight lifting exercises:pelvic drop exercise, single leg squat exercise,step down exercise,single leg raise exercise. 4th and 5 th week exercise: lateral band walks, side lunges, forward lunges, and back lunges. 5 th and 6 th week exercise: Plyometric exercises: jump exercise, BOSU single knee scales exercise,resistive single leg squats,resisting vertical bridge.

Neuromuscular control exercises

neuromuscular control exercise and taping PROCEDURE

Exercises and taping will be done 3 times a week, 10 sets of each exercise. Mulligan Knee Taping Application: The application was made with Protape 38mm x 10 m rigid tape. The application will be performed in the participant's foot, with the hip and knee in internal rotation, and the knee in 20º flexion. The tape will be applied starting from the head of the fibula, passing over the tibia anteriorly, passing under the medial joint line of the knee and ending at the back of the knee, bringing the tibia to internal rotation.

Neuromuscular control exercises plus taping

Eligibility Criteria

• Age: 18 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Anterior knee pain lasting more than 2 months
• \> 10 degrees frontal plane valgus angle
• At least 3 pains on the 10 cm VAS scale in the last week
• Have symptoms for at least 2 months
• Patients aged 18 to 50 years
• To have at least 2 of the pains that occur during squatting, climbing stairs, descending and sitting

You may not qualify if:

• Neurological disease or sequelae
• Having an orthopedic injury that may affect lower extremity kinematics
• Pregnancy

Sponsors & Collaborators

• Bahçeşehir University: lead

Study Sites (1)

BahcesehirUni

Istanbul, Beşiktaş, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Patellofemoral Pain Syndrome

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Outcome measuements were performed by blind assessor
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assoc. Prof.

Model Details: By randomly dividing the individuals investigators included in our study into two groups, investigators applied only the hip and quadriceps strengthening program to one group and the additional Mulligan rigid taping technique to the hip and quadriceps strengthening exercises in the other group, and examined the first and post-test measurements investigators will make before and after each group separately, at the same time. İnvestigators are planning to evaluate the results investigators have obtained by making comparisons between groups in both groups. Dilber Coşkunsu, who is a blind evaluator, will make the evaluations. The person making the evaluation will make an evaluation without knowing which treatment the patient is receiving.

Study Record Dates

• First Submitted: April 8, 2023
• First Posted: December 16, 2024
• Study Start: January 2, 2022
• Primary Completion: March 22, 2023
• Study Completion: April 2, 2023
• Last Updated: December 16, 2024

Record last verified: 2024-12

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)