Pilates-based Core Strengthening on Patellofemoral Pain Syndrome

Patellofemoral Pain Syndrome Clinical Trial

— Pilates  

Official title:

Incorporation of Pilates-based Core Strengthening Exercises Into the Rehabilitation Protocol for Adolescents With Patellofemoral Pain Syndrome: a Randomized Clinical Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05120583
• Other study ID #: RHPT/20/0049
• Status: Completed
• Phase: N/A
• Start date: November 1, 2020
• Est. completion date: October 30, 2021

Study information

• Verified date: November 2021
• Source: Qassim University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Patellofemoral pain syndrome (PFPS) is one of the most common musculoskeletal pain conditions that tend to become a chronic problem. PFPS is common among young adolescents, particularly in physically active individuals aged 12 to 17 years old with more prevalence among females, as it affects females 1.5 - 3 times when compared to males.

Description:

Adolescents with PFPS usually complain of retro-patellar pain (behind the kneecap) or peripatellar pain (around the kneecap) and crepitation in the knee joint, and also there is discomfort while sitting with a flexed knee for a long time. Symptoms are usually exacerbated by activities that increase the load on patellofemoral joints such as weight-bearing activities, squatting, walking up or downstairs, and running.

PFPS takes place whenever the muscles around the knee fail to keep the kneecap properly aligned, leading to abnormal lateral tracking of the patella.Overuse such as running and jumping sports, the trauma of kneecaps such as fracture, dislocation, or knee surgery may also predispose to PFPS.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 34
• Est. completion date: October 30, 2021
• Est. primary completion date: August 20, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 14 Years to 17 Years

Eligibility

Inclusion Criteria:

• Pain felt anterior to knee joint.

• Pain felt retro-patellar.

• Pain felt during rest and increased with activities like prolonged sitting, squatting, running, and stair climbing.

• Insidious onset lasting for more than 6 weeks.

• Without any traumatic incidence.

• Not participating in a physical therapy program for the past three months.

Exclusion Criteria:

• If they had a meniscal tear.

• Cruciate/collateral ligaments involvement.

• Knee osteoarthritis.

• Rheumatoid arthritis.

• A history of knee or hip surgery.

• Patellar dislocation/subluxation.

• Traction apophysitis encompassing the patellofemoral complex.

• Any pathology in the patellar tendon.

• Spinal referred pain.

Related Conditions & MeSH terms

• Patellofemoral Pain Syndrome
• Somatoform Disorders
• Syndrome

Intervention

Other:
• Pilates exercises
Side kick internal/ external rotation with Pilate's band
• Traditional physical therapy program
strength, flexibility

Locations

Country	Name	City	State
Saudi Arabia	Outpatient Clinic of College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University	Al-Kharj	Riyadh

Sponsors (3)

Lead Sponsor	Collaborator
Qassim University	Cairo University, Prince Sattam Bin Abdulaziz University

Country where clinical trial is conducted

Saudi Arabia, 

References & Publications (3)

Park SK, Stefanyshyn DJ. Greater Q angle may not be a risk factor of patellofemoral pain syndrome. Clin Biomech (Bristol, Avon). 2011 May;26(4):392-6. doi: 10.1016/j.clinbiomech.2010.11.015. Epub 2010 Dec 21. — View Citation

Rabelo ND, Lima B, Reis AC, Bley AS, Yi LC, Fukuda TY, Costa LO, Lucareli PR. Neuromuscular training and muscle strengthening in patients with patellofemoral pain syndrome: a protocol of randomized controlled trial. BMC Musculoskelet Disord. 2014 May 16;15:157. doi: 10.1186/1471-2474-15-157. — View Citation

Van Der Heijden RA, Lankhorst NE, Van Linschoten R, Bierma-Zeinstra SM, Van Middelkoop M. Exercise for treating patellofemoral pain syndrome: an abridged version of Cochrane systematic review. Eur J Phys Rehabil Med. 2016 Feb;52(1):110-33. Epub 2015 Jul 9 — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Pain assessment	assessed by using a visual analog scale, 10-cm VAS scale, with 0 indicating no pain and 10 for worst pain sensation	at baseline
Primary	Pain assessment	assessed by using a visual analog scale,10-cm VAS scale, with 0 indicating no pain and 10 for worst pain sensation	after 12 weeks
Primary	Muscle strength assessment	assessed using a calibrated handheld dynamometer	at baseline
Primary	Muscle strength assessment	assessed using a calibrated handheld dynamometer	after 12 weeks
Secondary	Functional status	evaluated using the Arabic version of the Anterior Knee pain Questionnaire, The score ranges from 0 to 100, with 0 indicating complete functional limitation and 100 indicating no pain and no functional limitation.	at baseline
Secondary	Functional status	evaluated using the Arabic version of the Anterior Knee pain Questionnaire, The score ranges from 0 to 100, with 0 indicating complete functional limitation and 100 indicating no pain and no functional limitation.	after 12 weeks
Secondary	health-related quality of life	assessed by using the self-report Pediatric Quality of Life Inventory, it includes 23 items distributed among 4 domains [physical (8 items), emotional (5 items), social (5 items), and school functions (3 items)]. Each item is rated on a 5- points scale (0 means never, and 4 means almost always). Items are transformed linearly to 0-100 scale (0 = 100, 1 = 75, 2 = 50, 3 = 25, and 4 = 0).	at baseline
Secondary	health-related quality of life	assessed by using the self-report Pediatric Quality of Life Inventory, it includes 23 items distributed among 4 domains [physical (8 items), emotional (5 items), social (5 items), and school functions (3 items)]. Each item is rated on a 5- points scale (0 means never, and 4 means almost always). Items are transformed linearly to 0-100 scale (0 = 100, 1 = 75, 2 = 50, 3 = 25, and 4 = 0).	after 12 weeks