Pilates-based Core Strengthening on Patellofemoral Pain Syndrome
- Conditions
- Patellofemoral Pain Syndrome
- Interventions
- Other: Pilates exercisesOther: Traditional physical therapy program
- Registration Number
- NCT05120583
- Lead Sponsor
- Qassim University
- Brief Summary
Patellofemoral pain syndrome (PFPS) is one of the most common musculoskeletal pain conditions that tend to become a chronic problem. PFPS is common among young adolescents, particularly in physically active individuals aged 12 to 17 years old with more prevalence among females, as it affects females 1.5 - 3 times when compared to males.
- Detailed Description
Adolescents with PFPS usually complain of retro-patellar pain (behind the kneecap) or peripatellar pain (around the kneecap) and crepitation in the knee joint, and also there is discomfort while sitting with a flexed knee for a long time. Symptoms are usually exacerbated by activities that increase the load on patellofemoral joints such as weight-bearing activities, squatting, walking up or downstairs, and running.
PFPS takes place whenever the muscles around the knee fail to keep the kneecap properly aligned, leading to abnormal lateral tracking of the patella.Overuse such as running and jumping sports, the trauma of kneecaps such as fracture, dislocation, or knee surgery may also predispose to PFPS.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 34
- Pain felt anterior to knee joint.
- Pain felt retro-patellar.
- Pain felt during rest and increased with activities like prolonged sitting, squatting, running, and stair climbing.
- Insidious onset lasting for more than 6 weeks.
- Without any traumatic incidence.
- Not participating in a physical therapy program for the past three months.
- If they had a meniscal tear.
- Cruciate/collateral ligaments involvement.
- Knee osteoarthritis.
- Rheumatoid arthritis.
- A history of knee or hip surgery.
- Patellar dislocation/subluxation.
- Traction apophysitis encompassing the patellofemoral complex.
- Any pathology in the patellar tendon.
- Spinal referred pain.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description study group Pilates exercises Patients in the study group received Pilates exercises (25 minutes/ session). There are different types of equipment to be used in Pilates exercises to achieve different purposes; mat, Pilates band or elastic bands, and Pilate's ball were used. control group Traditional physical therapy program Participants in control group received the traditional physical therapy program program (60 minutes/session, three sessions /week for three months).
- Primary Outcome Measures
Name Time Method Pain assessment after 12 weeks assessed by using a visual analog scale,10-cm VAS scale, with 0 indicating no pain and 10 for worst pain sensation
Muscle strength assessment after 12 weeks assessed using a calibrated handheld dynamometer
- Secondary Outcome Measures
Name Time Method Functional status after 12 weeks evaluated using the Arabic version of the Anterior Knee pain Questionnaire, The score ranges from 0 to 100, with 0 indicating complete functional limitation and 100 indicating no pain and no functional limitation.
health-related quality of life after 12 weeks assessed by using the self-report Pediatric Quality of Life Inventory, it includes 23 items distributed among 4 domains \[physical (8 items), emotional (5 items), social (5 items), and school functions (3 items)\]. Each item is rated on a 5- points scale (0 means never, and 4 means almost always). Items are transformed linearly to 0-100 scale (0 = 100, 1 = 75, 2 = 50, 3 = 25, and 4 = 0).
Trial Locations
- Locations (1)
Outpatient Clinic of College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University
🇸🇦Al-Kharj, Riyadh, Saudi Arabia