Surgery and Exercise Versus Exercise Only for Chronic Patellofemoral Pain Syndrome: a Randomised Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 40
- 试验地点
- 2
- 主要终点
- Visual analogue pain score (VAS)
研究概览
简要总结
The goal of this randomised controlled trial is to compare a tuberositas transposition (TTT) surgery with a home exercise program (HEP) in patients with patellofemoral pain syndrome (PFPS). The study aims to evaluate the efficiency of TTT in conjunction with a HEP compared to a HEP alone in patients with chronic PFPS.
Participants will randomly be allocated to the surgery or HEP group. Researchers will compare the surgery and HEP groups to see if activity-related pain and patient reported outcome measures (PROMs) are different.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 35 Years(Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Characteristic history of PFPS (patellofemoral pain during knee loading physical activity, such as jumping, running, squatting);
- •Symptoms lasting at least 12 months;
- •Tibial tubercle trochlear groove (TT-TG) distance of 15mm or more on CT or MRI;
- •Patellofemoral pain during daily life activities, such as: standing for an extended period, walking, or walking upstairs or downstairs
排除标准
- •Previous knee surgery;
- •Reported knee ligamentous or meniscal injuries;
- •Disabling general illness;
- •A history of patellar dislocation; however, subjects with patellar subluxation are included in the study;
- •Other knee problems than PFPS diagnosed clinically (such as jumper's knee);
- •Other knee problems than PFPS diagnosed radiographically (such as osteochondritis - dissecans);
- •Patients who cannot undergo surgery;
- •Pregnancy;
- •Patients with inability to complete follow-up or with limited understanding of the Dutch language
结局指标
主要结局
Visual analogue pain score (VAS)
时间窗: baseline and 12 weeks after HEP or 18 weeks after TTT surgery
10-cm (0-10) visual VAS to assess activity-related pain. Higher scores reflect higher pain.
次要结局
- International Knee Documentation Committee Subjective Knee Form (IKDC)(baseline, after 12 weeks after HEP or 18 weeks after TTT surgery, 26 weeks, and 1 year)
- EuroQol health-related quality of life (EQ-5D-5L) questionnaire(baseline, after 12 weeks after HEP or 18 weeks after TTT surgery, 26 weeks, and 1 year)
- Knee functionality using Decline step down test (DSDT)(baseline and after 26 weeks)
- Kujala pain score(baseline, after 12 weeks after HEP or 18 weeks after TTT surgery, 26 weeks, and 1 year)
- Visual analogue pain score (VAS)(after 6 weeks, 26 weeks, and 1 year)
- Tegner Activity Score(baseline, after 12 weeks after HEP or 18 weeks after TTT surgery, 26 weeks, and 1 year)
