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IRCT20220628055300N1 IRCT 2022-07-27 Shiraz University of Medical Sciences The effects of exercise therapy plus Quadriceps , Gluteus Medius and Quadratus Lumborum self-myofascial-release in patellofemoral pain through telerehabilitation The effects of exercise therapy plus Quadriceps , Gluteus Medius and Quadratus Lumborum self-myofascial-release on pain , function and balance in patients with patellofemoral pain through telerehabilitation 2022-08-23 anticipated 60 Complete https://irct.ir/trial/64540 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Using of randomization software,60 numbers are dedicated to each case and the program defines 15 blocks of 4, 2 of which are allocated to exercise therapy plus Quadriceps , Gluteus Medius and Quadratus Lumborum self-myofascial-release through telerehabilitation group and the other 2 people are placed in exercise therapy through telerehabilitation group, Blinding description: The person who evaluates the patients is completely unaware of grouping patients and their allocation. N/A Patellofemoral pain. Intervention 1: Intervention group: exercise therapy with Quadriceps, Gluteus Medius, Quadratus Lumborum self-myofascial release through telerehabilitation in patients with patellofemoral pain. On assessment day, they are given pamphlet including exercises and pictures related to them and advice about changing their poor habits such as avoiding sitting for a long time and sitting on a short chair then they will be received videos including exercise program and self-myofascial release every week for four weeks also video calls are made to them every week to ensure the correct way of doing the exercises .These people are asked to do exercises 3 times a week and before starting, use a cold pack on their knees for 20 minutes. Also, these people do self-myofascial release techniques on 2 of the 3 days. Intervention 2: Control group: exercise therapy through telerehabilitation in patients with patellofemoral pain. Pamphlet, exercise therapy program, exercises frequency, exercises video and video call for this group is the same as intervention group. They just do not perform self-myofascial release techniques. No - There is not a plan to make this available Justification or reason for not sharing IPD is There is no further information
public Sara Abolahrari-Shirazi
School of Rehabilitation, Abiverdi 1 St., Chamran Blvd
Shiraz Iran (Islamic Republic of) ۱۷۳۳-۷۱۳۴۵ +98 71 3627 1551 SAhrari@Sums.ac.ir Shiraz University of Medical Sciences scientific Sara Abolahrari-Shirazi
School of Rehabilitation, Abiverdi 1 St., Chamran Blvd
Shiraz Iran (Islamic Republic of) 71345-1733 +98 71 3627 1552 SAhrari@Sums.ac.ir Shiraz University of Medical Sciences Iran (Islamic Republic of) People between the ages of 18 and 45 (both sexes). The onset of pain is more than 1 month which is aggravated by at least two of these activities prolonged sitting, squatting , kneeling ,running ,upstairs and downstairs ,jumping and landing also pain is at least 30 from 100 on visual analogue scale during activities. Unilateral anterior knee pain, prepatellar or retro patellar pain that person reports at least 30 from 100 on pain visual analogue scale in the last week. If the pain is bilateral, the side with more pain is considered. Positive Clarke's sign KUJALA questionnaire score is less than 85 The presence of trigger points in Gluteus Medius muscle of the affected side, Quadratus Lumborum on the opposite side and at least one part of the Quadriceps muscle. People have ability to use the Internet and virtual communication. 18 years 45 years Both History of back, hip, ankle or other anatomical knee structures injury in previous 6 months History of lower limb trauma in recent 6 months History of knee surgery History of lower limb surgery Meniscus or knee ligaments injury Patellar tendinopathy History of patellar dislocation History of knee intra-articular injection in last 3 months Systemic or local infections Referral pain from lumbar region Writing and speaking inability Systemic diseases such as Rheumatoid Arthritis and other inflammatory joint diseases Neurological disease such as Multiple Sclerosis, history of stroke and any other nervous system problem Person has received physiotherapy due to his problem since 6 months ago. Sever lower limb deformity People who are suffering from cancer or history of chemotherapy M25.56 Pain in knee Rehabilitation Rehabilitation Intervention group: exercise therapy with Quadriceps, Gluteus Medius, Quadratus Lumborum self-myofascial release through telerehabilitation in patients with patellofemoral pain. On assessment day, they are given pamphlet including exercises and pictures related to them and advice about changing their poor habits such as avoiding sitting for a long time and sitting on a short chair then they will be received videos including exercise program and self-myofascial release every week for four weeks also video calls are made to them every week to ensure the correct way of doing the exercises .These people are asked to do exercises 3 times a week and before starting, use a cold pack on their knees for 20 minutes. Also, these people do self-myofascial release techniques on 2 of the 3 days. Control group: exercise therapy through telerehabilitation in patients with patellofemoral pain. Pamphlet, exercise therapy program, exercises frequency, exercises video and video call for this group is the same as intervention group. They just do not perform self-myofascial release techniques. Pain. Timepoint: Before treatment, immediately after the last treatment session and two weeks after the end of the treatment. Method of measurement: Visual Analogue Scale. Pressure pain Threshold. Timepoint: Before treatment and immediately after the last treatment session. Method of measurement: Algometer. Function. Timepoint: Before treatment, immediately after the last treatment session and two weeks after the end of the treatment. Method of measurement: KUJALA questionnaire. Lower extremity function. Timepoint: Before treatment, immediately after the last treatment session and two weeks after the end of the treatment. Method of measurement: Lower Extremity Functional Scale. Balance. Timepoint: Before treatment, immediately after the last treatment session and two weeks after the end of the treatment. Method of measurement: Modified Star Excursion Balance Test. Shiraz University of Medical Sciences Approved 2022-07-03 Ethics committee in Research, Shiraz Faculty of Rehabilitation Sciences Abiverdi1 Street, Chamran Blvd Shiraz Fars Iran (Islamic Republic of)