Effect of Core Exercises on Patellofemoral Pain Syndrome

NCT06758050 | Recruiting

• 1 other identifier: No:P.T.REC/012/005347
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 1

Brief Summary

the goal of this interventional study is to Investigate the effect of core strengthening exercises on pain, strength, function, and balance in patients with PFPS.

Conditions

Patellofemoral Pain Syndrome

Keywords

core strengthening exercises, hip and knee-focused exercises, patellofemoral pain syndrome

Outcome Measures

Primary Outcomes (2)

• Pain

  by Visual analog scale

  6 weeks

• knee function

  by Anterior knee pain scale ( AKPS) ( Kujala )

  6 weeks

Secondary Outcomes (2)

• Muscle strength

  6 weeks

• Balance

  6 weeks

Study Arms (2)

Study group

EXPERIMENTAL

Group B (study group) (core strengthening exercises added to evidence-based approaches group) The core muscle strength training program The core muscle strength training program will last for 6 weeks and comprise of two training sessions per week, with a total of 12 sessions for the study group. During the main part of the training, the "big 3" exercises as described by McGill will be conducted. These include the curl-up, side bridge, and quadruped position.

Other: Core strengthening exercises; Other: Traditional treatment

Control group

ACTIVE COMPARATOR

Group A (control group) (evidence-based approaches group): The participants in the control group will receive only a hip and knee- focused exercise program. 1. Hip-focused exercise: Based on previous studies, hip-focused exercises will consist of side- lying hip abduction, hip external rotation (clamshell), and prone hip extension. 2. Knee-focused exercise The knee-focused exercise regime will be based on previous studies and consist of supine straight leg raises, supine terminal knee extensions (from 10° flexion to full extension), and a mini squat (45° flexion) with the back supported against the wall (to reduce stabilizing requirements from the hip muscles).

Other: Traditional treatment

Interventions

Core strengthening exercises OTHER

By core strengthening exercise, could be improved pain, balance, and function in patients with patellofemoral pain syndrome. In that case, this will not only improve their postural stability and neuromuscular control, but we believe it will improve their overall functional, performance, and quality of life. Currently, limited evidence exists about the effectiveness of core strengthening exercises on pain, function and dynamic balance in patellofemoral pain syndrome. By addressing core strengthening exercise, physical therapists can advise new treatment methods for patellofemoral pain syndrome (Chevidikunnan et al., 2016)

Study group

Traditional treatment OTHER

hip and knee-focused exercises

Control group; Study group

Eligibility Criteria

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

You may qualify if:

• Patients of both genders with an age range of 18- 35 years old.
• Gradual development of pain in the front of the knee lasting more than 12 weeks.
• Patients with body mass index 18- 25 kg m2.
• Pain is aggravated by at least 2 of the following activities: jumping, running, prolonged sitting, stair climbing, kneeling, and squatting.
• Positive patellar grinding test.
• Insidious onset of symptoms, unrelated to a traumatic damage.

You may not qualify if:

• Traumatic patellar subluxation or dislocation.
• A history of any of the following conditions: meniscal or other intra articular pathologic conditions; cruciate or collateral ligament involvement.
• Any lower limb bony or congenital deformities.
• Previous knee and hip joint surgeries.
• Osteoarthritis in the ankle, knee, or hip joints.
• Conditions that affect muscle strength such as diabetes mellitus or rheumatoid arthritis.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Cairo University

Giza, Egypt

RECRUITING

MeSH Terms

Conditions

Patellofemoral Pain Syndrome

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases

Study Officials

• rana ibrahim ahmed, Bachelor Physical Therapy-MUST

  Misr University for Science and Technology

  PRINCIPAL INVESTIGATOR

• Nasr Awad Abd Elkader, Assistant Professor

  Physical Therapy for Musculoskeletal Disorders and its Surgeries Faculty of Physical Therapy Cairo University

  STUDY CHAIR

• Abdelgalil Allam Abdelgalil, Lecturer of Physical Therapy

  Physical Therapy for Musculoskeletal Disorders and its Surgeries Faculty of Physical Therapy Cairo University

  STUDY DIRECTOR

• Mohammed Safwat Hamza, Associate Professor

  Faculty of Medicine Misr University for Science and Technology

  STUDY DIRECTOR

Central Study Contacts

Rana Ibrahim Ahmed, Bachelor Physical Therapy-MUST

CONTACT

01151082787; ranaibrahim066@gmail.com

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: Rana Ibrahim Ahmed Mahmoud

Study Record Dates

• First Submitted: December 26, 2024
• First Posted: January 3, 2025
• Study Start: August 4, 2024
• Primary Completion: January 15, 2025
• Study Completion: January 30, 2025
• Last Updated: January 3, 2025

Record last verified: 2024-12

Locations

EG (1)