EFFECT OF CORE STABILITY EXERCISES AND KNEE, HIP FOCUSED EXERSISES ON DYNAMIC KNEE VALGUS IN PATELLOFEMORAL PAIN SYNDROME
Overview
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Cairo University
- Enrollment
- 36
- Locations
- 1
- Primary Endpoint
- Pain Intensity During Motion
Overview
Brief Summary
Study Purpose:
The purpose of this study is to investigate the effect of adding core muscle strengthening exercises to a hip- and knee-focused exercise program on pain intensity, dynamic knee valgus (DKV), and functional outcomes in female patients with patellofemoral pain syndrome (PFPS).
Research Question:
Does adding core muscle strengthening exercises to a hip- and knee-focused exercise program have an effect on pain intensity, dynamic knee valgus (DKV), and functional outcomes in female patients with PFPS?
Detailed Description
Detailed Description:
Therefore, the current study aims to investigate the effect of adding core muscle strengthening exercises to a hip- and knee-focused exercise program on pain intensity, dynamic knee valgus (DKV), and functional outcomes in female patients with patellofemoral pain syndrome (PFPS).
The findings of this study may provide a more effective rehabilitation program for female patients with PFPS, support the use of validated outcome measures in clinical practice, and improve symptom management during activities of daily living and functional recovery within a shorter period of time. This combined approach may be more efficient than the conventional hip- and knee-focused exercise program alone. Systematic assessment and monitoring of patient outcomes are recommended to guide clinical decision-making.
Study Delimitations:
This study will be delimited to:
Female patients clinically diagnosed with patellofemoral pain syndrome (PFPS). Thirty-six participants aged 19-35 years with body mass index (BMI) up to 25 kg/m².
Assessment procedures including Visual Analogue Scale (VAS) for knee pain, dynamic knee valgus (DKV) measured using Kinovea software, and the Knee Outcome Survey-Activities of Daily Living Scale (KOS-ADLS) for knee function.
Treatment procedures:
Group A (control group): hip- and knee-focused exercise program. Group B (study group): hip- and knee-focused exercise program in addition to core muscle stability exercises.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Care Provider)
Masking Description
Double-blinded study in which both participants and physiotherapists are unaware of group allocation due to the similarity of intervention protocols.
Eligibility Criteria
- Ages
- 19 Weeks to 35 Weeks (Child)
- Sex
- Female
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Thirty-six female participants diagnosed and referred with patellofemoral pain syndrome (PFPS) (retropatellar knee pain lasting more than 6 weeks).
- •Age range between 19-35 years.
- •Body Mass Index (BMI) up to 25 kg/m².
Exclusion Criteria
- •History of previous surgeries of the lower limb.
- •Clinical evidence of knee joint complex disorders, including meniscus lesions, 3-patellar tendinopathy, chondral lesions, or knee osteoarthritis.
- •4-Presence of pronated foot.
Arms & Interventions
control group hip and knee focused exercises program
Open kinetic chain exercises including side-lying hip abduction, hip external rotation (clamshell), prone hip extension, short arc quadriceps, and straight leg raises
- Closed kinetic chain exercises including mini wall squats and terminal knee extensions
- Flexibility exercises targeting tight lower extremity soft tissues, including a seated hamstring stretch, standing quadriceps stretch, and standing wall stretch for the gastrocnemius
Intervention: hip and knee-focused exercise program (Behavioral)
Study group hip and knee focused exercises program in addition to core muscle training exercises
participants who will received the same exercise program as control group, in addition to core muscle training exercises, including the front plank, side plank, and dead bug exercises
Intervention: Core Muscle Stability Exercise Program (Behavioral)
Outcomes
Primary Outcomes
Pain Intensity During Motion
Time Frame: Baseline (pre-intervention) and at 6 weeks (post-intervention)
Pain intensity during movement will be assessed using the Visual Analog Scale (VAS). The VAS is a 10-cm scale ranging from 0 (no pain) to 10 (worst imaginable pain). Higher scores indicate greater pain intensity.
Knee Function
Time Frame: Baseline (pre-intervention) and at 6 weeks (post-intervention)
Knee function will be assessed using the Knee Outcome Survey (KOS). The KOS score ranges from 0 to 100, where higher scores indicate better knee function.
Pain Intensity at Rest
Time Frame: Baseline (pre-intervention) and at 6 weeks (post-intervention)
Pain intensity at rest will be assessed using the Visual Analog Scale (VAS). The VAS is a 10-cm scale ranging from 0 (no pain) to 10 (worst imaginable pain). Higher scores indicate greater pain intensity.
Dynamic Knee Valgus (DKV)
Time Frame: Baseline (pre-intervention) and at 6 weeks (post-intervention)
Dynamic knee valgus will be assessed by measuring the knee valgus angle in degrees during functional tasks. Higher values indicate greater valgus deviation and poorer knee alignment.
Secondary Outcomes
No secondary outcomes reported
Investigators
Radwa Mohamed Hussien
principal investigator
Cairo University