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Effect of Hip Adductors Isometric Contraction on Knee Extensors Isokinetic Torque in Patellofemoral Pain Syndrome

Conditions
Patellofemoral Pain Syndrome
Interventions
Other: hip adduction isometric contraction
Registration Number
NCT05083897
Lead Sponsor
Badr University
Brief Summary

the study will be done to investigate the effect of hip adduction isometric contraction on the pain level by VAS and knee extensors peak torque by using the isokinetic dynamometer in patients with unilateral patellofemoral pain syndrome

Detailed Description

the study will be done to investigate the effect of isometric hip adduction that will be measured by the hand held dynamometer (the manual muscle tester) to measure the produced adduction torque and its effect on the peak torque of knee extension by the knee extensors which will be measured by the isokinetic dynamometer in addition to measuring the pain intensity before and through the assessment by using the visual analogue scale

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
30
Inclusion Criteria
  • Anterior or retro-patellar knee pain from at least 2 of the following Activities: (1) prolonged sitting; (2) stair climbing; (3) squatting; (4) running; (5) kneeling; and (6) hopping/jumping (Tyler et al., 2006).
  • Insidious onset of symptoms unrelated to a traumatic incident and persistent for at least 6 weeks (subacute or chronic pain).
  • They will be diagnosed as a PFPS case by a physician
  • The patient's age will be ranged from 18-35 years to limit the possibility that PFPS over age 35 may have been complicated by arthritic changes, and also the patients should have closed epiphyseal growth plates (Robinson and Nee, 2007).
Exclusion Criteria
  • A history of any of the following condition: meniscal or other intra articular pathologic conditions; cruciate or collateral ligament involvement.
  • A history of traumatic patellar subluxation or dislocation.
  • Previous surgery in the knee and hip joints.
  • Any lower limb bony/congenital deformity.
  • Ankle, Knee and hip joints osteoarthritis.
  • A history of any conditions affects muscle strength: diabetes mellitus, rheumatoid arthritis.
  • Pregnancy.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
30 patients in 1 grouphip adduction isometric contractionmeasuring the effect of isometric hip adduction with knee extension on the peak torque of knee extensors
Primary Outcome Measures
NameTimeMethod
pain level at the patellofemoral area2 months

pain will be measured around the patellofemoral area by the visual analogue scale

hip adduction peak torque2 months

hip adduction maximum rotatory force measured by the hand held dynamometer

peak torque of knee extensors2 months

the maximum rotatory force that can be generated by the knee extensor muscles measured by the isokinetic dynamometer

Secondary Outcome Measures
NameTimeMethod
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