Star Excursion Balance for Patellofemoral Pain Syndrome

Study Overview
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Brief Summary
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Patellofemoral pain syndrome (PFPS) is a common and painful musculoskeletal condition that affects physically active young adults and causes pain front of the knee. Patients with PFPS has bilateral impairment in proprioception, as well as more in the affected knee than the normal; also the decrease of muscular strength, range of motion, and neuromuscular control are known to result with impaired static and dynamic balance.This study aimed to investigate the efficacy of a-four week YDT balance exercises on pain, quality of life and functional state in patients with PFPS with impaired balance.

Detailed Description
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Patellofemoral pain syndrome (PFPS) is a common and painful musculoskeletal condition that affects physically active young adults and causes pain front of the knee. Patients with PFPS has bilateral impairment in proprioception, as well as more in the affected knee than the normal; also the decrease of muscular strength, range of motion, and neuromuscular control are known to result with impaired static and dynamic balance. We aimed to investigate the efficacy of a-four week YDT balance exercises on pain, quality of life and functional state in patients with PFPS with impaired balance. Patients with PFPS diagnosed will included in the study. Participants will randomized into the YDT exercise group (n = 24), the KAT 2000 exercise group (n = 24) and the combined exercise group (n = 24). Before the study, all groups of patients will given exercises such as quadriceps, vastus medialis oblique (VMO), hip abductor, extensor and external rotator strengthening exercises. All patient groups received balance training for four weeks, three days a week. Pain intensity will be measure on Visual Analog Scale (VAS). Functional capacity will be evaluated by using the Western Ontario McMaster Osteoarthritis Index (WOMAC) and Kujala Patellofemoral Score (KPS). Static balance performance will be evaluated by using Kinesthetic Ability Trainer 2000 (KAT 2000) and dynamic balance performance will be evaluated by using Berg Balance Scale (BBS) and KAT 2000. The quality of life will assessed using Nottingham Health Profile (NHP).

Official Title
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Effect of Star Excursion Balance Test on Balance, Quality of Life and Functional Status in Patients With Patellofemoral Pain Syndrome

Conditions
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Patellofemoral Pain Syndrome

Intervention / Treatment
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* Other: Star excursion balance test
* Other: Kinesthetic Ability Trainer 2000
* Other: SEBT and KAT 2000


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Between 20 -50 years Retropatellar pain Positive Clark test, J finding, increased Q angle, positive patellar compression and comphrension test Mild or moderate Berg Balance Scale Scores body mass index <30 Mini mental state test score >24 Exclusion Criteria: Effusion on patellefemoral site Severe neurologic disease Trauma history Lower extremity surgery history Lower extremity fracture history severe vitamin B12 deficiency another disease led to balance deficit

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 50 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: SEBT exercise group<br>Star Excursion Balance Test will be used | Other: Star excursion balance test<br>* Star excursion balance test,<br>|
| Active Comparator: KAT 2000 exercise group<br>Kinesthetic ability trainer will be used | Other: Kinesthetic Ability Trainer 2000<br>* Kinesthetic Ability Trainer 2000<br>|
| Active Comparator: combined exercise group<br>Both star Excursion Balance Test exercise and Kinesthetic ability trainer will be used. | Other: SEBT and KAT 2000<br>* Star excursion balance test and Kinesthetic Ability Trainer 2000<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Berg Balance Scale | Berg Balance Scale | 1 month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| patient's global assessment | patient's global assessment | 1 month | 
| doctor's global assessment | doctor's global assessment | 1 month | 
| Western Ontario McMaster Osteoarthritis Index |  | 1 months | 
| Kujala Patellofemoral Score | Kujala Patellofemoral Score | 1 month | 
| Nottingham Health Profile | Nottingham Health Profile | 1 month | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Balance, Patellofemoral pain syndrome, Star excursion balance test, Kinesthetic Ability Trainer 2000