Incorporation of Pilates-based Core Strengthening Exercises Into the Rehabilitation Protocol for Adolescents With Patellofemoral Pain Syndrome: a Randomized Clinical Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 34
- 试验地点
- 1
- 主要终点
- Pain assessment
研究概览
简要总结
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.
详细描述
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.
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
- 14 Years 至 17 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- •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.
研究组 & 干预措施
study group
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.
干预措施: Pilates exercises (Other)
control group
Participants in control group received the traditional physical therapy program program (60 minutes/session, three sessions /week for three months).
干预措施: Traditional physical therapy program (Other)
结局指标
主要结局
Pain assessment
时间窗: 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
时间窗: after 12 weeks
assessed using a calibrated handheld dynamometer
Pain assessment
时间窗: at baseline
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
时间窗: at baseline
assessed using a calibrated handheld dynamometer
次要结局
- Functional status(after 12 weeks)
- health-related quality of life(after 12 weeks)
- Functional status(at baseline)
- health-related quality of life(at baseline)
研究者
Maged Basha
Assistant Professor, College of Medical Rehabilitation, Qassim University, Saudi Arabia, Qassim, Buraidah. Consultant Physical Therapist, El-Sahel Teaching Hospital, General Organization for Teaching Hospitals and Institutes, Cairo, Egypt.
Qassim University