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IRCT20230725058919N1 IRCT 2023-08-16 Shahid Beheshti University of Medical Sciences Comparison of neuromuscular training and conventional exercise therapy of hip abductor muscles in patients with patellofemoral pain syndrome Comparison of neuromuscular training by biofeedback method and conventional exercise therapy of hip abductor muscles on pain, function and electrical activity of the muscle in patients with patellofemoral pain syndrome 2023-08-22 anticipated 30 Complete https://irct.ir/trial/71664 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: A simple randomization is done with Non-transparent and sealed envelope tools in such a way that the letters A and B are inserted in the envelopes and patients are asked to select an envelope that the intervention group A and the group B they will be tested, Blinding description: Since the patient knows which group he is in but the evaluator dose not know so this study is one-way blind. N/A Anterior knee pain syndrome (patellofemoral pain syndrome). Intervention 1: Intervention group: Functional exercise therapy group with biofeedback: participants in 10 sessions and 3 sessions per week, in addition to regular physical therapy (the same in both groups), receive functional exercises of going up and down the stairs, walking and going up and down the stairs to the side along with biofeedback. In each of the activities, the patient is asked to increase the activity of the gluteus medius muscle, to activate the muscle early and even if possible to maintain the activity of the muscle until the end of the respective activity. The activities of going up and down the stairs and going up and down the stairs to the side are done as 4 sets with 5 repetitions and a 30-second rest between sets, and the walking activity as 4 repetitions of 90 seconds and a 30-second rest between repetitions. Each session lasts approximately 180 minutes. Intervention 2: Control group: Gluteus medius muscle strengthening exercise group: participants in 10 sessions and 3 sessions per week, in addition to regular physical therapy (the same in both groups), receive Gluteus medius muscle strengthening exercise group. The exercises become progressively more difficult, and when the patient can repeat the desired exercise 15 times without problems, the exercises will become more difficult and the external force will be gradually added (if 15 repetitions are done without problems, 1 pound of external resistance will be added). The exercises in order of difficulty are: abduction and external rotation in side lying position (clamshell), full thigh abduction with straight knee, thigh abduction in quadruped position. Each session lasts approximately 180 minutes. Yes - There is a plan to make this available What will be shared: All above will be published in the article. When: After the article publication To whom: Researchers and students in academic centers Conditions: Other researchers and therapists in the rehabilitation and medical field can use this use the data of this study after the article publication. Where to obtain: After the article publication, people can find the article by searching in internet and access the data. How to obtain: After the article publication, people can find the article by searching in internet and access the data. Comments:
public Hossein Rabeie Far
School of Rehabilitation., Shahid Beheshti University of Medical Sciences., Damavand St., Emam Hossein Sq
Tehran Iran (Islamic Republic of) 1616913111 +98 21 8863 1084 pt.rabieifar@sbmu.ac.ir Shahid Beheshti University of Medical Sciences scientific Hoda Niknam
School of Rehabilitation., Shahid Beheshti University of Medical Sciences., Damavand St., Emam Hossein Sq
Tehran Iran (Islamic Republic of) 1616913111 009877561723 hodaniknam@sbmu.ac.ir Shahid Beheshti University of Medical Sciences Iran (Islamic Republic of) 18-40 years old Anterior knee pain during at least 3 of the following: stair ascent or descent; squatting; kneeling; jumping; running Visual analog score ranging from 3 to 10 A history of at least 3 days of continuous pain in front of the knee (not caused by trauma) in the last 3 months, which is gradual. Not receiving medical and physical treatment in the last three months BMI 20-30 Positive patellar Grind test 18 years 40 years Both Patella tendon pathology Chondral damage of the knee joint Osteoarthritis of the knee joint Pain referred from the spine to the lower limbs Neuromuscular, rheumatology or metabolic diseases such as diabetes and neuropathy Dislocation or subluxation of the patella and signs of meniscus or ligament damage Trauma caused by injury or surgery in the lower limb in the last 12 months M22.2 Patellofemoral disorders Rehabilitation Rehabilitation Intervention group: Functional exercise therapy group with biofeedback: participants in 10 sessions and 3 sessions per week, in addition to regular physical therapy (the same in both groups), receive functional exercises of going up and down the stairs, walking and going up and down the stairs to the side along with biofeedback. In each of the activities, the patient is asked to increase the activity of the gluteus medius muscle, to activate the muscle early and even if possible to maintain the activity of the muscle until the end of the respective activity. The activities of going up and down the stairs and going up and down the stairs to the side are done as 4 sets with 5 repetitions and a 30-second rest between sets, and the walking activity as 4 repetitions of 90 seconds and a 30-second rest between repetitions. Each session lasts approximately 180 minutes. Control group: Gluteus medius muscle strengthening exercise group: participants in 10 sessions and 3 sessions per week, in addition to regular physical therapy (the same in both groups), receive Gluteus medius muscle strengthening exercise group. The exercises become progressively more difficult, and when the patient can repeat the desired exercise 15 times without problems, the exercises will become more difficult and the external force will be gradually added (if 15 repetitions are done without problems, 1 pound of external resistance will be added). The exercises in order of difficulty are: abduction and external rotation in side lying position (clamshell), full thigh abduction with straight knee, thigh abduction in quadruped position. Each session lasts approximately 180 minutes. Intensity of pain. Timepoint: Before the start of the intervention and after the end of the 10 intervention sessions (23 days after the start of the sessions). Method of measurement: Visual Analogue Scale. Knee function. Timepoint: Before the start of the intervention and after the end of the 10 intervention sessions (23 days after the start of the sessions). Method of measurement: KOOS questionnaire. Electromyographic activity of muscles. Timepoint: Before the start of the intervention and after the end of the 10 intervention sessions (23 days after the start of the sessions). Method of measurement: Electromyography. Shahid Beheshti University of Medical Sciences Approved 2023-03-05 Ethics committee of Shahid Beheshti University of Medical Sciences Shahid Beheshti University of Medical Sciences., Arabi Ave., Daneshjoo Blvd., Velenjak Tehran Tehran Iran (Islamic Republic of)