Effects of Eccentric Exercises on Gait Parameters in Patellofemoral Pain Syndrome: A Quasi-Experimental Study

Patellofemoral Pain Syndrome Clinical Trial

Official title:

Effects of Eccentric Exercises on Gait Parameters in Patellofemoral Pain Syndrome: A Quasi-Experimental Study

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06387524
• Other study ID #: FUI/CTR/2024/1
• Status: Recruiting
• Phase: N/A
• Start date: July 15, 2023
• Est. completion date: November 20, 2024

Study information

• Verified date: June 2024
• Source: Foundation University Islamabad
• Contact: Safa Rafaqat, MS-MSKPT
• Phone: 0313-5383282
• Email: safarafaqat7[@]gmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study is a quasi experimental and the purpose of this study is to determine the effects of eccentric exercises on gait parameters in patellofemoral pain syndrome: a quasi - experimental study

Description:

The purpose of this study is to determine the effects of eccentric exercises on gait parameters in patellofemoral syndrome : a - quasi experimental study

Pain , gait parameters, ROM and dynamic knee valgus angle of young adults (age : 18-35 years ) will be determined using:

1. Numeric pain rating scale

2. Goniometer

3. 30 meter walk test

4. dynamic knee valgus angle via kinovea software Data will be before and after the intervention protocol for each participant. Data collection procedure: Participants of interest would be approached and explained about the research. Informed written consent will be taken. Pre and post intervention scores will be recorded.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 20
• Est. completion date: November 20, 2024
• Est. primary completion date: November 20, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 35 Years

Eligibility

Inclusion Criteria:

• Age 18-35 years

• Females

• Having pain from at least 2 months

• Pain score greater than 3 on NPRS

• Retro patellar pain in at least two of the following activities:

1. Ascending, descending stairs

2. Hooping / jumping

3. Prolonged sitting with flexed knees

4. Kneeling and squatting

• Pain on palpation of medial or lateral patellar facet.

• Pain on palpation on anterior portion of medial or lateral femoral condyles.

Exclusion Criteria:

• Diagnosed with Chondromalacia patellae

• Instability of tibiofemoral joint

• Subluxation of patellofemoral joint

• Patellar instability

• Previous surgery of lower limb

• Negative findings on examination of knee ligaments, menisci and bursa.

Related Conditions & MeSH terms

• Patellofemoral Pain Syndrome
• Somatoform Disorders
• Syndrome

Intervention

Procedure:
• McConnell Taping
Begin with the patient in supine lying with the knee slightly bent. The knee should be completely relaxed and a foam roller or rolled up towel under the knee. Start the tape in line with the middle of the knee cap at the outer aspect of the knee. Using your thumb on top of the sports tape, gently push the patella towards the inner aspect of the knee whilst simultaneously using your fingers to pull the skin at the inner aspect of the knee towards the patella. Finish this taping technique at the inner aspect of the knee ensuring you have created some wrinkling of the skin at the inner aspect of the knee.
• ECCENTRIC EXERCISES:
Performed for 6 weeks, in 3 sets of 10-12 repetitions each day. Detailed protocol is as under: Warm up phase (5 minutes) It will comprise of following components 5 minutes warm up exercise protocol: Marching in place while swinging your arm, rotating toe touching, walking jacks, leg swings, arm circles, shoulder shrugs Eccentric exercises: Each of the following exercise will be performed for 30 seconds, repetitions and hold time will increase with increasing weeks according to patient's stamina. Straight leg raise, side lying hip abduction, single leg bridging, supported double leg squatting, hip hikes,supported single leg squatting Following is the detailed description of Cool down phase: Hip stretch, cat cow stretch, oblique stretch, lower back stretch, calf stretch, cross body shoulder stretch

Locations

Country	Name	City	State
Pakistan	Foundation University College of Physical Therapy	Rawalpindi	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
Foundation University Islamabad

Country where clinical trial is conducted

Pakistan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Dynamic knee valgus angle	2D analysis using a video camera will be used to analyze dynamic knee valgus, specifically the inward movement of the knees during task performance. Participants will be instructed to perform a single-leg squat task. They will also be directed to adequately flex the contralateral knee to prevent the foot from touching the floor. A digital video camera positioned at a 90-degree angle to the frontal plane will be placed on a tripod stand 2m in front of the participant's landing point at knee level for 2D video recording purposes. The recorded video will be processed into slow motion and exported to Kinovea software. Dynamic knee valgus angle (DKVA) will be calculated at the intersection point of two lines: the first line connecting markers placed on the anterior superior iliac spine (ASIS) and the middle of the tibio femoral joint, and the second line connecting the middle of the tibio femoral joint and the middle of the ankle mortise.	6 weeks
Primary	Hip Range of Motion	It will be measured with goniometer	6 weeks
Primary	Knee Range of Motion	It will be measured with goniometer	6 weeks
Primary	Pain intensity	Numeric pain rating scale will be used to access pain of the subject pre and post intervention.	6 weeks
Primary	Gait Speed	Gait speed is the distance that the patient has covered per unit time Calculated as: Gait speed = Distance (m) x time (s)	6 weeks
Primary	Cadence	Cadence is the number of steps patient takes per unit time. Calculated as: Cadence (steps/min) = steps counted x 60 / time (s)	6 weeks
Primary	Stride length	Stride length is the distance between two heel strikes of the same foot. Calculated as: SL (m) = speed (m/s) x cycle time (s)	6 weeks
Primary	Step length	Step length is the vertical distance between heels of two feet. Calculated as: Step length (m) = stride length/2	6 weeks
Primary	Cycle length	Cycle length is the time between the two heel strikes of one foot. Calculated as: Cycle time (s) = time (s) x 2/steps counted	6 weeks