Core Stabilization for the Treatment of Anterior Knee Pain

Patellofemoral Pain Syndrome Clinical Trial

Official title:

The Effects of a Trunk Strengthening Program on Anterior Knee Pain in an Adolescent Athletic Population: a Randomized Clinical Trial

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT02123602
• Other study ID #: #093-2014
• Status: Recruiting
• Phase: N/A
• First received: April 23, 2014
• Last updated: January 23, 2017
• Start date: April 2014
• Est. completion date: June 2019

Study information

• Verified date: January 2017
• Source: Youngstown State University
• Contact: Ken Learman, PhD, PT
• Phone: 330.941.7125
• Email: klearman[@]ysu.edu
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The investigators hypothesize that the use of trunk (core) stabilization exercises early in treatment combined with lower extremity exercises will enhance the outcome over lower extremity exercises alone in the treatment of young athletes with anterior knee pain.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 50
• Est. completion date: June 2019
• Est. primary completion date: July 2018
• Accepts healthy volunteers: No
• Gender: All
• Age group: 13 Years to 20 Years

Eligibility

Inclusion Criteria:

• Subjects between 13-20 years of age clinically diagnosed with anterior knee pain.

• Pain should be peripatellar and should include at least 3 of the following:

1. experienced during or after activity

2. prolonged sitting

3. with stair climbing or descending

4. squatting

5. kneeling.

• The subject should be active for at least 30 minutes per day.

Exclusion Criteria:

• Previous knee surgery

• Signs and symptoms of a specific structural diagnosis not consistent with AKP such as meniscal, ACL, PCL, or collateral ligament tears, pain referral from hip or lumbar spine (determined during examination), traumatic patellar dislocation, an inability to adequately understand or communicate in English.

Related Conditions & MeSH terms

• Patellofemoral Pain Syndrome

Intervention

Other:
• core stabilization

• lower extremity training only

Locations

Country	Name	City	State
United States	Poland Medical Center	Poland	Ohio

Sponsors (1)

Lead Sponsor	Collaborator
Youngstown State University

Country where clinical trial is conducted

United States, 

References & Publications (5)

Collins NJ, Bisset LM, Crossley KM, Vicenzino B. Efficacy of nonsurgical interventions for anterior knee pain: systematic review and meta-analysis of randomized trials. Sports Med. 2012 Jan 1;42(1):31-49. doi: 10.2165/11594460-000000000-00000. Review. — View Citation

Earl JE, Hoch AZ. A proximal strengthening program improves pain, function, and biomechanics in women with patellofemoral pain syndrome. Am J Sports Med. 2011 Jan;39(1):154-63. doi: 10.1177/0363546510379967. — View Citation

Kibler WB, Press J, Sciascia A. The role of core stability in athletic function. Sports Med. 2006;36(3):189-98. — View Citation

Koumantakis GA, Watson PJ, Oldham JA. Trunk muscle stabilization training plus general exercise versus general exercise only: randomized controlled trial of patients with recurrent low back pain. Phys Ther. 2005 Mar;85(3):209-25. — View Citation

van Linschoten R, van Middelkoop M, Berger MY, Heintjes EM, Verhaar JA, Willemsen SP, Koes BW, Bierma-Zeinstra SM. Supervised exercise therapy versus usual care for patellofemoral pain syndrome: an open label randomised controlled trial. BMJ. 2009 Oct 20;339:b4074. doi: 10.1136/bmj.b4074. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Global rating of change	The GRoC measures the subject's overall estimation of improvement.	6 weeks
Other	Self-reported percent recovery	The subject reports their estimated overall percentage of improvement from the start of care	6 weeks
Primary	Lower extremity functional scale	LEFS is a functional scale that estimates how much the subject's function is disrupted by their condition.	6 weeks
Secondary	Kujala anterior knee pain scale	The Kujala scale measures the amount and impact of anterior knee pain on the subject's life	6 weeks
Secondary	Patient specific functional scale	The PSFS rates subject's ability to do the 3 functional activities that are bothered the most by the knee pain	6 weeks
Secondary	Numeric pain rating scale	The NPRS measures the subject's current knee pain	6 weeks