Usability and Effectiveness of Tele-rehabilitation Interventions on Pain, Range of Motion and Quality of Life in Recreational Athletes With Patellofemoral Pain Syndrome: A Randomized Clinical Trial
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 26
- 试验地点
- 1
- 主要终点
- Range of Motion
研究概览
简要总结
This study is a randomized clinical trial designed to evaluate the usability and effectiveness of a tele-rehabilitation program in recreational athletes with Patellofemoral Pain Syndrome (PFPS). A total of 26 participants aged 18-35 years with unilateral PFPS will be randomly allocated into either a conventional physiotherapy group or a tele-rehabilitation group. Both groups will receive the same evidence-based exercise protocol comprising stretching, strengthening, balance, and functional exercises over a four-week period; however, the intervention group will perform the exercises remotely using the Physitrack mobile application with regular virtual supervision and progress monitoring, while the control group will receive face-to-face physiotherapy sessions. Primary outcome measures will include pain intensity assessed by the Numerical Pain Rating Scale (NPRS), knee range of motion measured using a universal goniometer, and quality of life evaluated using the Knee Injury and Osteoarthritis Outcome Score (KOOS). The usability and patient satisfaction of the tele-rehabilitation platform will be assessed using the Telehealth Usability Questionnaire (TUQ). The findings of this study will determine whether tele-rehabilitation is a feasible, user-friendly, and effective alternative to conventional physiotherapy for improving clinical outcomes and rehabilitation accessibility in recreational athletes with PFPS.
详细描述
Background:
Patellofemoral Pain Syndrome (PFPS) is one of the most common causes of anterior knee pain in recreational athletes, often resulting from overuse, muscle weakness, and abnormal patellar tracking. It causes pain during activities such as running, squatting, stair climbing, and jumping, leading to reduced physical performance and quality of life. Exercise-based physiotherapy is the recommended treatment; however, regular attendance at rehabilitation clinics may be limited by time, travel, cost, and accessibility .Tele-rehabilitation has emerged as an effective alternative by delivering supervised exercise programs through digital platforms, allowing patients to receive treatment remotely. Previous studies have demonstrated that tele-rehabilitation can reduce pain and improve function in various musculoskeletal conditions while enhancing accessibility and patient satisfaction. However, evidence regarding its usability and effectiveness in recreational athletes with PFPS remains limited. Therefore, this study aims to evaluate the effects of tele-rehabilitation on pain, knee range of motion, quality of life, and user satisfaction in recreational athletes with PFPS, providing evidence for its use as a practical alternative to conventional physiotherapy.
Objectives: The objective of this study is to evaluate the usability and effectiveness of tele-rehabilitation in recreational athletes with Patellofemoral Pain Syndrome (PFPS). Specifically, the study aims to determine the effect of tele-rehabilitation on pain intensity, knee range of motion, and quality of life, and to compare these outcomes with those of conventional physiotherapy. Pain intensity will be assessed using the Numerical Pain Rating Scale (NPRS), knee range of motion will be measured with a universal goniometer, quality of life and knee-related function will be evaluated using the Knee Injury and Osteoarthritis Outcome Score (KOOS), and the usability and patient satisfaction of the tele-rehabilitation platform will be assessed using the Telehealth Usability Questionnaire (TUQ).
Study Design: Randomized, parallel-group, assessor-blind clinical trial.
Setting: The University of Faisalabad ( Amin Campus and Saleem Campus)and The University of Agriculture , Faisalabad, Punjab, Pakistan.
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
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 35 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Recreational athletes
- •age between 18 and 35
- •Males and females
- •Unilateral Anterior knee pain between 3 to 6 on NPRS and retro patellar pain brought on by squatting, knee flexion, climbing, descending stairs, and extended sitting
- •At least one month of knee pain
- •Positive Apprehension test
- •Can access the internet and smart phone
- •Kujala questionnaire scale
排除标准
- •Knee meniscus, ligament, and tendon injuries
- •Knee effusion
- •Dislocation of the patella, subluxation, and fractures
- •Recent Surgery or fracture of the affected knee
- •Neuromuscular, metabolic, and rheumatologic disorders.
- •Who does not sign the consent form?
结局指标
主要结局
Range of Motion
时间窗: Baseline and week 4
ROM of Flexion of affected knee by Universal Goniometer
Pain Intensity
时间窗: Base line and week 4
Measured by NPRS ( Numerical Pain Rating Scale)
Quality of Life in Recreational Athletes
时间窗: Baseline and week 4
Quality of Life is assessed through KOOS (Knee Injury and Osteoarthritis Outcome Score)
次要结局
- Telehealth Usability(week 4)