Randomised Control Trial of Remote Step Rate and Load Based Interventions in Runners With Patellofemoral Pain
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 52
- 试验地点
- 1
- 主要终点
- Knee Pain
研究概览
简要总结
The goal of this clinical trial is to explore two remote running programs in runners with patellofemoral pain. One program asks runners to increase their step rate and reduce their training load, while the other asks runners to only reduce their training load. The study will compare these two programs with a control group who continue running as usual. It will also examine whether changes in running load and psychosocial factors are related to changes in pain and function.
The main questions it aims to answer are:
- Can these remote running programs reduce knee pain and improve function in runners with patellofemoral pain compared to the control group?
- Is reducing training load plus increasing step rate more effective than reducing training load alone?
- Are changes in running load, step rate, psychological and social factors related to improvements in pain and function? Researchers will compare a step rate increase plus load reduction group, a load reduction only group, and a control group to see which approach leads to the greatest improvements in pain and function.
Participants will:
- Complete online questionnaires about knee pain, knee function, and related psychosocial factors
- Share running load data from their watch using an online platform
- Follow 4 weeks of instructions based on their assigned group
- Complete follow-up surveys 1, 2 and 6 months after the 4-week intervention period.
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 45 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •currently running more than twice a week and ≥ 30 mins in total per week.
- •participants were required to have pain behind or adjacent to the patella (of at least 20 out of 100 pain on a 0-100 visual analogue scale from "no pain" to "worst imaginable pain") whilst running.
- •participants were required to experience low level pain (at least 20 out of 100 on a visual analogue) during one or more of the following activities: squatting, kneeling, prolonged sitting, walking up or downstairs.
- •duration of patellofemoral pain symptoms was required to be 3 months or greater prior to participation.
- •participants were required to have a compatible running watch that they were happy to onboard to DashLX to share their running load metrics
- •be willing to take part in a study that may ask them to alter their running load.
排除标准
- •currently suffering from any lower limb injuries (e.g. to hip, knee, calf, foot etc) or having sustained any such injury in the past 3 months
- •currently undergoing any other forms of treatment for the knee pain
- •having a neurological impediment affecting gait
- •currently pregnant or within 3 months of giving birth
- •suffer from any cardiovascular pathology
研究组 & 干预措施
Step Rate + Load Reduction Group
This group received an intervention that aimed to increase their step rate by 5% and instructions on reducing their running load.
干预措施: Step Rate Increase + Load Reduction (Behavioral)
Load Reduction Group
Runners allocated to this group received instructions on reducing their running load.
干预措施: Load Reduction Group (Behavioral)
Control Group
Runners assigned to this group were asked to continue their normal running routine for the duration of the intervention period.
结局指标
主要结局
Knee Pain
时间窗: This was measured at pre-intervention, after week 1, week 2, week 3, week 4 (immediately after the intervention) and at 1-, 2-, 6-months follow up.
Knee pain was assessed on a visual analogue scale of 0-100 with "0" corresponding to "no pain, and a "100" corresponding to "worst imaginable pain". Participants were asked to rate their knee pain from the previous week during running, usual and worst.
次要结局
- Knee Function(This was measured at pre-intervention, after week 4 (immediately after the intervention) and at 1-, 2-, 6-months follow up.)
- Kinesiophobia(This was measured at pre-intervention, after week 4 (immediately after the intervention) and at 1-, 2-, 6-months follow up.)
- Pain Catastrophising(This was measured at pre-intervention, after week 4 (immediately after the intervention) and at 1-, 2-, 6-months follow up.)
- Social Support(This was measured at pre-intervention, after week 4 (immediately after the intervention) and at 1-, 2-, 6-months follow up.)
- Running Load Metrics(Running load data was collected throughout the study period. Summaries of 4-week periods were reported at pre-intervention, after week 4 (immediately after the intervention) and at 1-, 2-, 6-months follow up.)
- Step Rate(Step rate data was collected throughout the study period. Summaries of 4-week periods were reported at pre-intervention, after week 4 (immediately after the intervention) and at 1-, 2-, 6-months follow up.)
研究者
Hazel Tucker
Prinicipal Investigator
Cardiff Metropolitan University