Shock Wave Therapy Versus Neuromuscular Training in Women With Patellofemoral Pain
试验速览
- 阶段
- 不适用
- 入组人数
- 100
- 试验地点
- 2
- 主要终点
- Visual Analog Scale is used to assess the subjective Pain.
研究概览
简要总结
The aim of the trial is to compare the efficacy of extracorporeal shock wave therapy (ESWT) versus neuromuscular training (TR) in reducing pain in women with patellofemoral pain (PFP). Women with PFP will be randomly divided into two therapeutic groups: ESWT and TR. The ESWT group will undergo extracorporeal shock wave therapy to the iliotibial band and tensor fascia latae. The TR group will be treated with neuromuscular training. The women's gait will be analysed and the strength of hip abductors and internal rotators will be measured. Additionally, the women's pain and health status will be assessed with the visual analogue scale and the Lysholm Scale. Outcomes will be registered at baseline, and then at five weeks and at three months post-therapy
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
- Double (Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 30 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Knee pain for more than three months greater than three on the visual analogue scale (VAS) during at least two out of four typical activities:
- •ascending or descending the stairs,
- •prolonged sitting with flexed knee,
- •running or jumping,
- •squatting or kneeling.
排除标准
- •Orthopaedic diagnosis other than PFP.
- •Patients with neurological disorders, history of injury or operations within the symptomatic leg, rheumatoid disease, or pregnancy were also excluded from the study.
研究组 & 干预措施
Neuromuscular Training
Each session lasted 30 minutes and consisted of three sets of exercises with 20-30 repetitions. Emphasis is placed on proper knee alignment during exercise. Most of the women exhibit excessive medial rotation and adduction of the femur, resulting in knee valgus. The women will be instructed how to correct their abnormalities using mirrors as visual feedback. All exercises will be completed without pain. If the exercises are too easy, the level of difficulty will be increased individually in accordance with the rehabilitation protocol
干预措施: Neuromuscular Training (Other)
Shock Wave Therapy
The ESWT group will will meet the therapist twice in the first week, and once a week after it. ESWT will be applied to the iliotibial band and tensor fascia latae with the following parameters: pressure - 4.5 bar, emission frequency -8 Hz, number of pulses per dose -2,500 per session.
干预措施: Extracorporeal Shock Wave Therapy (ESWT) (Other)
结局指标
主要结局
Visual Analog Scale is used to assess the subjective Pain.
时间窗: Outcome measures are obtained at three months after intervention
The participants are asked to make a mark on a 10 cm line that corresponds to the perceived maximal pain, peripatellar or retropatellar, they experienced during any activity or position (0 = no pain, 10 = the worst pain possible)
次要结局
- Gait analysis using the Zebris FDM-TDL instrumented treadmill with pressure sensors.(Outcome measures are obtained at three months after intervention)
- The self-reported health status is measured using the Lysholm Questionaire (LQ)(Outcome measures are obtained at three months after intervention)
- Muscle strength is tested using the Micro Fet Handheld Dynamometer.(Outcome measures are obtained at three months after intervention)
研究者
Piotr Michalik
Principal Investigator
Medical University of Silesia