The Effectiveness of Different Taping Methods Applied in Addition to Exercise in Patients With Patellofemoral Pain Syndrome
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 36
- 试验地点
- 2
- 主要终点
- Change in Lateral patellofemoral angle (LPFA)
研究概览
简要总结
Patellofemoral Pain Syndrome(PFPS) treatment is basically conservative, but there is no general consensus on the most appropriate therapeutic approach. The aim of this study was to examine the misalignment of the patellofemoral joint with MRI and compare the effectiveness of McConnell patellar taping and femoral lateral rotational taping techniques applied to exercise function on pain, patellar maltraction, functional status, balance and quality of life in patients with PFPS.
详细描述
This is a single blinded randomized controlled trial, will be conducted at Ankara Yıldırım Beyazıt UniversityYenimahalle Education and Research Hospital. Evaluations regarding the parameters and inclusion criteria at the stage of diagnosis will be carried out by the Specialist Physician, exercise therapy and taping practices by the Specialist Physiotherapist, and the MRI measurements by the Specialist Radiologist. Fixed probability stratified randomization method will be preferred in order to ensure proportional gender distribution in the formation of groups and participants will be divided into 3 groups. An exercise program that includes stretching, strengthening and balance exercises accompanied by physiotherapist in the clinic will be applied to all individuals participating in the study for 2 times/week X 6 weeks (12 sessions). Only the exercise program will be applied to the first group. To the second group; McConnell patellar taping technique will be applied using rigid tape(Leukotape® P Rigid Strapping Tape, 38 mm X 10 m, USA) in addition to the exercise program in each session.To the third group; femoral lateral rotation taping technique will be applied using rigid tape in addition to the exercise program. Patients' patellar maltraction, pain function, balance, and quality of life will be assessed before and after treatment with MRI and clinical testing.
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)
盲法说明
The information of the individuals being treated will be hidden from the researcher who will make the MRI measurements.
入排标准
- 年龄范围
- 18 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Presence of anterior knee pain lasting more than 6 weeks
- •Anterior or retropatellar knee pain is present in at least two activities (stair descending, stair climbing, squatting, running, jumping, sitting for a long time
- •Presence of malalignment of patellofemoral joint in MRI examination [Bisect offset index (BOİ) ≥57 and / or patellar tilt angle (PTA) ≥15]
排除标准
- •xclusion Criteria:
- •presence of knee trauma history and/or previous knee surgery
- •presence limitation in knee joint range of motion
- •presence of meniscopathy or lesion in knee ligaments
- •presence of patellar subluxation or dislocation
- •presence of a neuromuscular (upper or lower motor neuron lesions), cardiovascular or rheumatological disease
- •pregnancy status
- •presence of MRI contraindications
结局指标
主要结局
Change in Lateral patellofemoral angle (LPFA)
时间窗: Change from baseline LPFA at 6 weeks
It is the angle between the line connecting the top points of the femoral condyles and the line drawn along the lateral facet of the patella. In general, the patellofemoral angle is more than 8 ° and is open laterally. Medial patency monitoring or an angle less than 8 ° is considered an abnormal slope.
Change in Lateral patellar displacement (LPD)
时间窗: Change from baseline LPD at 6 weeks
In the axial plan, a line connecting the top of the medial and lateral condyles and a vertical line is drawn from this at the top of the medial femoral condyle. The distance between this perpendicular line and the medial edge of the patella is measured. This distance should not be more than 1 mm in normal knees.
Change in Bisect offset index (BOI)
时间窗: Change from baseline BOI at 6 weeks
A reference line is drawn through the posterior of the femoral condyles in the axial plan. A line is drawn from the widest diameter of the patella. A perpendicular third line drawn from the deepest point of the trochlear groove divides the widest diameter of the patella into 2 parts (α, β). Bisect offset is defined as the ratio of the lateral part of the patella to the patellar width and is calculated by the formula \[α / (α + β) x100\]. Being above 57° is a risk factor for pain and patellofemoral joint degeneration.
Change in Patellar tilt angle (PTA)
时间窗: Change from baseline PTA at 6 weeks
The patellar tilt angle is the angle between the posterior line of the femoral condyles and the widest mediolateral line of the patella. Below 15 degrees is considered normal.
次要结局
- Visual analog scale (VAS)(Just before the treatment and at the end of 6-week treatment.)
- Y balance test (YBT)(Just before the treatment and at the end of 6-week treatment.)
- Kujala Patellofemoral Score (KPS)(Just before the treatment and at the end of 6-week treatment.)
- Sulcus angle (SA)(Just before the treatment and at the end of 6-week treatment.)
- Q angle(Just before the treatment and at the end of 6-week treatment.)
- Nottingham Health Profile (NHP)(Just before the treatment and at the end of 6-week treatment.)
- Timed up and go test (TUG)(Just before the treatment and at the end of 6-week treatment.)
- Genu Valgum/Varum(Just before the treatment and at the end of 6-week treatment.)
- Patella type(Just before the treatment and at the end of 6-week treatment.)
- Trochlear depth (TD)(Just before the treatment and at the end of 6-week treatment.)
- Stair climb test (SCT)(Just before the treatment and at the end of 6-week treatment.)
研究者
Ertuğrul Demirdel
Assistant Professor
Ankara Yildirim Beyazıt University