Effectıveness of Foot Core Exercises on paın and functıonal Performance ın patıents wıth Patellofemoral paın Syndrome

Study Overview
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Brief Summary
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30 participants wit Patellofemoral Pain Syndrome will be included in this study.Participants will be randomly divided and divided into 2 groups: The first group contains; quadrıceps ısometrıc exercıses ın supıne posıtıon, NMES electrıcal current, soft tıssue therapy-patellar mobılısatıon and the second group contains:quadrıceps ısometrıc exercıses ın supıne posıtıon, NMES electrıcal current, soft tıssue therapy-patellar mobılısatıon and foot core exercıses (short foot exercise, towel curls, toe spread and squeeze, balance board training).

Detailed Description
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This study will be carried out in Mersin Medikalpark Hospital and this research planned as a prospective, randomized controlled trial.30 participants with Patellofemoral Pain Syndrome (PFPS) will be included in this study.Some inclusion and exclusion criterias were determined for our study.İnclusion criterias are volunteering to participate in research,participants between 20-59 years old with PFPS will be included if they had anterior knee pain during at least 2 funtional activities including step-up and step-down, squatting,kneeling,jumping or running of at least 1 months' duration,individuals who are active for 30 minutes almost every day of the week,individuals who has with chondromalacia patella grade 1-2-3 and lateral patellar compression syndrome.Exclusion criterias are acute musculoskeletal injury affecting the lower extremity in the last 4 months, having a balance or vestibular disorder,low quality of life,limited lower extremity movements.Participants will be randomly divided and divided into 2 groups: The first group contains; quadrıceps ısometrıc exercıses ın supıne posıtıon, NMES electrıcal current, soft tıssue therapy-patellar mobılısatıon and the second group contains:quadrıceps ısometrıc exercıses ın supıne posıtıon, NMES electrıcal current, soft tıssue therapy-patellar mobılısatıon and foot core exercıses (short foot exercise, towel curls, toe spread and squeeze, balance board training).Some measurement parameters will be used in this study. VAS scale will be used to assess pain.10 meter walk test,timed up and go test, stair climb test and Internatıonal Physical Actıvıty Questionnaire(IPAQ) will be used to assess functional performance.Knee and ankle muscle test and range of motions will assessed and quality of life will evaluated with SF-36 short form scale.All measurements will be made again after 6 weeks.

Official Title
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Effectıveness of Foot Core Exercises on paın and functıonal Performance ın patıents wıth Patellofemoral paın Syndrome

Conditions
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Patellofemoral Pain Syndrome

Intervention / Treatment
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* Other: Foot core exercises
* Other: Conventional Physiotherapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: İnclusion criterias are volunteering to participate in research,participants between 20-59 years old with PFPS will be included if they had anterior knee pain during at least 2 funtional activities including step-up and step-down, squatting,kneeling,jumping or running of at least 1 months' duration,individuals who are active for 30 minutes almost every day of the week,individuals who has with chondromalacia patella grade 1-2-3 and lateral patellar compression syndrome Exclusion Criteria: Exclusion criterias are acute musculoskeletal injury affecting the lower extremity in the last 4 months,having a balance or vestibular disorder,low quality of life,limited lower extremity movements.

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 59 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
Interventional Model Description: Participants with Patellofemoral Pain Syndrome (PFPS) will be randomly divided into 2 groups.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Exercise Group<br>Foot core exercises consist of 4 movements; short foot exercise, towel curls, toe spread and squeeze, balance board training | Other: Foot core exercises<br>* 2 groups; First group is an intervention group who has contain foot core exercises and the other group is a control group.<br>Other: Conventional Physiotherapy<br>* Electrotherapeutic modalities and range of motion exercises<br>|
| Active Comparator: Control Group<br>Conventional Physiotherapy Program | Other: Conventional Physiotherapy<br>* Electrotherapeutic modalities and range of motion exercises<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Visual Analog Scale | The scale called VAS will be used for pain assessment. Patirnt will select the number between 0 and 10. While 0 means no pain, 10 means worst pain. | 6 weeks | 
| 10 meter walk test | Walking test for assess functional performance | 6 weeks | 
| Timed up and go test | Walking test for assess functional performance | 6 weeks | 
| Stair climb test | Step in and out for assess functional performance | 6 weeks | 
| International Physical Activity Questionnaire | This is a scale for functional performance | 6 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| SF-36 short form | Quality of life | 6 weeks | 
| Knee and ankle ROM | Knee and ankle range of motion values | 6 weeks |