Clinical trial NCT06031935: Yoga for Adolescent Knee Pain
Official title: Yoga for Adolescent Anterior Knee Pain
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Anterior Knee Pain Syndrome
Keywords: Adolescent
Lead sponsor: University of Texas at Austin
Sponsor class: OTHER
First posted: 2023-09-11
Enrollment: 40
Sex: ALL
Minimum age (years): 10
Maximum age (years): 17
Standard ages: CHILD
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: Adolescent atraumatic anterior knee pain is a common yet cumbersome diagnosis that is currently managed with home exercises and physical therapy. The goal of this project is to present patients with an alternative treatment in the form of yoga available in an online video format. This new treatment, in the form of online yoga videos, may be more preferred for some patients and allow for higher compliance with home exercises aimed at treating anterior knee pain.

Detailed description: Adolescent atraumatic anterior knee pain is a common yet cumbersome diagnosis that is currently managed with home exercises and physical therapy. The goal of this project is to test the compliance and efficacy of an alternative treatment in the form of yoga available in an online video format. This study will help further the treatment understanding of one of the most common patient clinical presentations, atraumatic anterior knee pain in adolescents. This is a cumbersome patient presentation that is frustrating for both the patient and treating team in that there is no concrete treatment algorithm that works for everyone. Online yoga videos may be more preferred for some patients and allow for higher compliance with home exercises aimed at treating anterior knee pain. With this study, the investigators hope to ensure that the yoga videos provide equal, or more, pain relief and flexibility at the completion of the program.

It is hypothesized that patients completing the yoga program will have equivalent or greater flexibility, compliance, and pain relief when compared with current treatment recommendations for anterior knee pain.

This study aims to assess the success of a video-based eight-week home yoga program at improving compliance, increasing flexibility and functionality of knee movements. Compliance will be tracked through recorded access to the specific YouTube videos hosted through the CTPO YouTube Channel. Anterior knee pain patients will be given a link to two yoga videos and will be asked to do them at home, or wherever convenient for 8 weeks, 3-4 times a week.

Eligibility criteria: Inclusion Criteria:

* Children with non-structural anterior knee pain

Exclusion Criteria:

* Any intra-articular injuries
* No access to internet
* Non-english speaking

Primary outcomes:
measure: Patient Flexibility
timeFrame: Baseline and 8 weeks
Secondary outcomes:
measure: Number of views of yoga videos
timeFrame: Log will be recorded weekly for 8 weeks.
measure: International Knee Documentation Committee (pedi-IKDC) Survey Score
timeFrame: baseline, 8 weeks and 4 months
measure: Yoga video satisfaction survey
timeFrame: 8 weeks and 4 months
measure: Patient-Reported Outcomes Measurement Information Systems (PROMIS) pain interference scale
timeFrame: baseline, 8 weeks and 4 months
Other outcomes:
Locations:
city: Austin
country: United States
facility: Central Texas Pediatric Orthopedics
state: Texas
Study officials:
affiliation: University of Texas at Austin, Central Texas Pediatric Orthopedics
name: Matthew D Ellington, MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Galantino ML, Galbavy R, Quinn L. Therapeutic effects of yoga for children: a systematic review of the literature. Pediatr Phys Ther. 2008 Spring;20(1):66-80. doi: 10.1097/PEP.0b013e31815f1208.
citation: Donohue B, Miller A, Beisecker M, Houser D, Valdez R, Tiller S, Taymar T. Effects of brief yoga exercises and motivational preparatory interventions in distance runners: results of a controlled trial. Br J Sports Med. 2006 Jan;40(1):60-3; discussion 60-3. doi: 10.1136/bjsm.2005.020024.
citation: Hainsworth KR, Liu XC, Simpson PM, Swartz AM, Linneman N, Tran ST, Medrano GR, Mascarenhas B, Zhang L, Weisman SJ. A Pilot Study of Iyengar Yoga for Pediatric Obesity: Effects on Gait and Emotional Functioning. Children (Basel). 2018 Jul 4;5(7):92. doi: 10.3390/children5070092.