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IRCT20140408017177N3 IRCT 2024-07-25 Shiraz University of Medical Sciences The effect of addition of lumbar support belt to core and knee exercises in recreational endurance runners with patellofemoral pain The effect of addition of lumbar support belt to core and knee exercises on pain, performance and balance in recreational endurance runners with patellofemoral pain 2024-08-22 anticipated 32 Complete https://irct.ir/trial/77019 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: The samples will be randomly assigned to one of the two study groups using the block randomization method using the online randomisation sealedenvelope.com in 8 blocks of 4, Blinding description: In this study, the evaluator, and the person who analyzes the data will be unaware of which group each participant is in. N/A Patellofemoral pain in in recreational endurance runners. Intervention 1: Intervention group, doing same control exercises in 10 sessions plus lumbar belt (everytime they run) for 4 weeks. Intervention 2: Control group:Exercises in both groups are performed for 4 weeks, in 10 sessions (once every 3 days), for about 19-25 minutes at home using checklists. These checklists are given to them to confirm the exercises and according to the exercise program,exercises will change on the 3rd and 6th sessions. 3 initial sessions (about 19 minutes) 1. Stretching of the hamstrings, iliotibial band and gastrocnemius muscles (hold for 30 seconds, repeat 5 times) 2. Sting of the quadriceps muscle (hold for 10 seconds, repeat 10 times) 3. Bridge while a ball is placed between the legs (3 repetitions, hold for 10 seconds) 4. Lying on the side and abduction of the hip joint (6 repetitions, holding for 10 seconds) 3 secondary sessions (about 21 minutes) 1. Straight leg lifting (3 sets) , 10 repetitions, hold for 10 seconds) 2. Step-up movement from the front (3 sets, 10 repetitions) 3. Raising the leg while lying on the side (3 sets, 10 repetitions) 4. Sitting down while a ball be between the legs (repeat 5 times, hold for 10 seconds). The last 4 sessions (about 25 minutes) 1. Squatting at 30 degree knee flexion (3 sets, hold for 10 seconds) 2. Step-up from the side (3 sets, hold for 10 seconds) 3. Contraction of the hip abduction muscles in standing position Isometrically (15 repetitions, hold for 5 seconds) 4. Alternately move the shoulder forward and backward while standing on the involved limb (15 repetitions, hold for 5 seconds) 5. While standing on the involved leg, trunk to the healthy side rotate while the hip joint is in internal rotation (15 repetitions, hold for 5 seconds) 6. Sit down while a ball is between the legs and the knees are straight (6 repetitions, hold for 10 seconds) 7. Sit down from the side while that the ball is between the legs and the knee is flat (hold 6 times for 10 seconds). Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no further information
public Iman Rezaei
Amirul Mominin (AS) Burn Accident Hospital, Shahid Doran Campus, School of Rehabilitation Sciences, Sadra City Road, Shiraz, Fars, Iran
Shiraz Iran (Islamic Republic of) 7198754361 +98 71 3212 2600 irezaei@sums.ac.ir Shiraz University of Medical Sciences scientific Iman Rezaei
Amirul Mominin (AS) Burn Accident Hospital, Shahid Doran Campus, School of Rehabilitation Sciences, Sadra City Road, Shiraz, Fars, Iran
Shiraz Iran (Islamic Republic of) 7198754361 +98 71 3212 2600 irezaei@sums.ac.ir Shiraz University of Medical Sciences Iran (Islamic Republic of) The age of the runner between 18 and 40 years Pain in the front of the knee when running and during at least three activities: going up and down stairs, running, squatting, kneeling and sitting for long periods of time. At least three months of pain in the front of the knee Pain intensity between 3 and 7 on the visual analog scale and a score of 50 to 80 on the Kojala questionnaire in the last month before the intervention Running at least 3 days a week for at least 30 and at most 55 minutes a day People with patellofemoral pain if their pain originates from behind the patella (i.e. pain behind the patella) No use of painkillers, two weeks before the start of the study 18 years 40 years Both Knee, lower limb and trunk surgery Structural disorders of the knee Presence of pathology in knee meniscus, ligaments and tendons A history of patellar dislocation or subluxation The presence of muscle tears, Osgoodschlatter syndrome, Johanson syndrome and Plica syndrome Systemic diseases such as diabetes, rheumatological disorders, etc Cardiopulmonary diseases Diseases of the visual system Alcoholism and smoking back pain pregnancy lumbar belt intolerance M22.2 Patellofemoral disorders Rehabilitation Rehabilitation Intervention group, doing same control exercises in 10 sessions plus lumbar belt (everytime they run) for 4 weeks. Control group:Exercises in both groups are performed for 4 weeks, in 10 sessions (once every 3 days), for about 19-25 minutes at home using checklists. These checklists are given to them to confirm the exercises and according to the exercise program,exercises will change on the 3rd and 6th sessions. 3 initial sessions (about 19 minutes) 1. Stretching of the hamstrings, iliotibial band and gastrocnemius muscles (hold for 30 seconds, repeat 5 times) 2. Sting of the quadriceps muscle (hold for 10 seconds, repeat 10 times) 3. Bridge while a ball is placed between the legs (3 repetitions, hold for 10 seconds) 4. Lying on the side and abduction of the hip joint (6 repetitions, holding for 10 seconds) 3 secondary sessions (about 21 minutes) 1. Straight leg lifting (3 sets) , 10 repetitions, hold for 10 seconds) 2. Step-up movement from the front (3 sets, 10 repetitions) 3. Raising the leg while lying on the side (3 sets, 10 repetitions) 4. Sitting down while a ball be between the legs (repeat 5 times, hold for 10 seconds). The last 4 sessions (about 25 minutes) 1. Squatting at 30 degree knee flexion (3 sets, hold for 10 seconds) 2. Step-up from the side (3 sets, hold for 10 seconds) 3. Contraction of the hip abduction muscles in standing position Isometrically (15 repetitions, hold for 5 seconds) 4. Alternately move the shoulder forward and backward while standing on the involved limb (15 repetitions, hold for 5 seconds) 5. While standing on the involved leg, trunk to the healthy side rotate while the hip joint is in internal rotation (15 repetitions, hold for 5 seconds) 6. Sit down while a ball is between the legs and the knees are straight (6 repetitions, hold for 10 seconds) 7. Sit down from the side while that the ball is between the legs and the knee is flat (hold 6 times for 10 seconds). Intensity of pain. Timepoint: pre-intervention, post-intervention, 4 weeks post-intervention. Method of measurement: Visual analog scale. Performance level. Timepoint: pre-intervention, post-intervention, 4 weeks post-intervention. Method of measurement: Step down performance test and Kujala questionnaire. Dynamic balance. Timepoint: Pre-intervention, Post-intervention, 4 weeks post-intervention. Method of measurement: Modified SEBT balance test. Speed. Timepoint: Pre-intervention, Post-intervention, 4 weeks post-intervention. Method of measurement: 50 meters test. Agility. Timepoint: Pre-intervention, Post-intervention, 4 weeks post-intervention. Method of measurement: T test. Shiraz University of Medical Sciences Approved 2024-05-25 Ethics Committee of Shiraz School of Rehabilitation Sciences Amirul Mominin (AS) Burn Accident Hospital, Shahid Doran Campus, School of Rehabilitation Sciences, Sadra City Road, Shiraz, Fars, Iran Shiraz Fars Iran (Islamic Republic of)