Effect Of Hamstring Stretch On Clinical Outcomes In Patellofemoral Pain Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- hamstring flexibility (knee extension range of motion )
研究概览
简要总结
This randomized, Single-blind, parallel-group trial will compare the effects of three hamstring stretching interventions-general hamstring Muscle Energy Technique (MET), medial hamstring MET, and lateral hamstring MET-each combined with standardized TENS and progressive hip/knee strengthening, on hamstring flexibility (knee-extension ROM), anterior knee pain (Arabic Kujala score), pain intensity visual analogue scale (VAS), and lower-limb strength (hand-held dynamometer) in adults with patellofemoral pain syndrome (PFPS).
详细描述
Patients with chronic PFPS will be randomized (1:1:1) into:
General MET group: standard non-specific hamstring MET stretch
Medial MET group: targeted medial-hamstring MET stretch
Lateral MET group: targeted lateral-hamstring MET stretch
All groups receive:
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
- Single (Participant)
盲法说明
statistician
入排标准
- 年龄范围
- 18 Years 至 37 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Anterior or retropatellar knee pain lasting at least three months
- •Pain reproduced by at least two functional tasks: squatting, kneeling, prolonged sitting, stair climbing, hopping or running
- •Pain intensity of ≥3 on a Visual Analog Scale
- •positive active knee extension test (inability to achieve greater than 160° of knee extension with the hip at 90° of flexion)
- •Body mass index (BMI) < 30 Kg/m² and > 18Kg/m²
排除标准
- •Previous knee surgery
- •History of knee pathologies, such as meniscal injury' ligament injury, or knee osteoarthritis
- •Psychological, cardiovascular' or neurological disorders
- •Dizziness or fainting while doing exercises, pregnancy, or any contraindications to exercise
- •Physical therapy treatment in the last 3 months
研究组 & 干预措施
Arm B (medial hamstring stretch)
- Medial hamstring MET
- TENS 20 min
- Hip/knee strengthening program
干预措施: Medial Hamstring Muscle energy technique(MET) stretch (Other)
Arm B (medial hamstring stretch)
- Medial hamstring MET
- TENS 20 min
- Hip/knee strengthening program
干预措施: Transcutaneous Electrical Nerve Stimulation Device (Device)
Arm A (general hamstring stretch group)
- General hamstring Muscle energy technique (MET)
- TENS 20 min
- Hip/knee strengthening program
干预措施: Transcutaneous Electrical Nerve Stimulation Device (Device)
Arm A (general hamstring stretch group)
- General hamstring Muscle energy technique (MET)
- TENS 20 min
- Hip/knee strengthening program
干预措施: Strength exercises for lower limb (Other)
Arm A (general hamstring stretch group)
- General hamstring Muscle energy technique (MET)
- TENS 20 min
- Hip/knee strengthening program
干预措施: Hamstring Stretch Muscle Energy Technique(MET) (General ) (Other)
Arm B (medial hamstring stretch)
- Medial hamstring MET
- TENS 20 min
- Hip/knee strengthening program
干预措施: Strength exercises for lower limb (Other)
Arm C (lateral hamstring stretch)
- Lateral hamstring MET
- TENS 20 min
- Hip/knee strengthening program
干预措施: Transcutaneous Electrical Nerve Stimulation Device (Device)
Arm C (lateral hamstring stretch)
- Lateral hamstring MET
- TENS 20 min
- Hip/knee strengthening program
干预措施: Strength exercises for lower limb (Other)
Arm C (lateral hamstring stretch)
- Lateral hamstring MET
- TENS 20 min
- Hip/knee strengthening program
干预措施: Lateral hamstring Muscle Energy Technique(MET)Stretch (Other)
结局指标
主要结局
hamstring flexibility (knee extension range of motion )
时间窗: 4 weeks
measuring knee extension range of motion(hamstring flexibility) by active knee extension test using kinovea software
Arabic Kujala Anterior knee pain score
时间窗: 4 weeks
Arabic Kujala Anterior knee pain score is used to measure pain and functional activities in anterior knee pain patients consisting of 13 questions, the Patient will be asked to mark the most suitable answer for him. Each answer has points up to 5 or 10, and the total score is 100. The higher the score, the better for the patient.
次要结局
- pain intensity by visual analogue scale (VAS)(4 weeks)
- lower limb strength using handheld dynamometer(4 weeks)
研究者
Amna Ibrahim Mahmoud Mohammed Shemila
principal investigator
Cairo University