Clinical trial NCT05120583: Pilates-based Core Strengthening on Patellofemoral Pain Syndrome
Official title: Incorporation of Pilates-based Core Strengthening Exercises Into the Rehabilitation Protocol for Adolescents With Patellofemoral Pain Syndrome: a Randomized Clinical Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Patellofemoral Pain Syndrome
Keywords: patellofemoral pain syndrome
Pilates exercises
functional status
Lead sponsor: Qassim University
Sponsor class: OTHER
Collaborators: name: Cairo University
name: Prince Sattam Bin Abdulaziz University
First posted: 2021-11-15
Enrollment: 34
Sex: ALL
Minimum age (years): 14
Maximum age (years): 17
Standard ages: CHILD
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Patellofemoral pain syndrome (PFPS) is one of the most common musculoskeletal pain conditions that tend to become a chronic problem. PFPS is common among young adolescents, particularly in physically active individuals aged 12 to 17 years old with more prevalence among females, as it affects females 1.5 - 3 times when compared to males.

Detailed description: Adolescents with PFPS usually complain of retro-patellar pain (behind the kneecap) or peripatellar pain (around the kneecap) and crepitation in the knee joint, and also there is discomfort while sitting with a flexed knee for a long time. Symptoms are usually exacerbated by activities that increase the load on patellofemoral joints such as weight-bearing activities, squatting, walking up or downstairs, and running.

PFPS takes place whenever the muscles around the knee fail to keep the kneecap properly aligned, leading to abnormal lateral tracking of the patella.Overuse such as running and jumping sports, the trauma of kneecaps such as fracture, dislocation, or knee surgery may also predispose to PFPS.

Eligibility criteria: Inclusion Criteria:

* Pain felt anterior to knee joint.
* Pain felt retro-patellar.
* Pain felt during rest and increased with activities like prolonged sitting, squatting, running, and stair climbing.
* Insidious onset lasting for more than 6 weeks.
* Without any traumatic incidence.
* Not participating in a physical therapy program for the past three months.

Exclusion Criteria:

* If they had a meniscal tear.
* Cruciate/collateral ligaments involvement.
* Knee osteoarthritis.
* Rheumatoid arthritis.
* A history of knee or hip surgery.
* Patellar dislocation/subluxation.
* Traction apophysitis encompassing the patellofemoral complex.
* Any pathology in the patellar tendon.
* Spinal referred pain.

Primary outcomes:
measure: Pain assessment
timeFrame: at baseline
measure: Pain assessment
timeFrame: after 12 weeks
measure: Muscle strength assessment
timeFrame: at baseline
measure: Muscle strength assessment
timeFrame: after 12 weeks
Secondary outcomes:
measure: Functional status
timeFrame: at baseline
measure: Functional status
timeFrame: after 12 weeks
measure: health-related quality of life
timeFrame: at baseline
measure: health-related quality of life
timeFrame: after 12 weeks
Other outcomes:
Locations:
city: Al-Kharj
country: Saudi Arabia
facility: Outpatient Clinic of College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University
state: Riyadh
Study officials:
affiliation: Cairo University
name: Alshimaa Azab, PhD
role: STUDY_DIRECTOR
References:
citation: Park SK, Stefanyshyn DJ. Greater Q angle may not be a risk factor of patellofemoral pain syndrome. Clin Biomech (Bristol). 2011 May;26(4):392-6. doi: 10.1016/j.clinbiomech.2010.11.015. Epub 2010 Dec 21.
citation: Rabelo ND, Lima B, Reis AC, Bley AS, Yi LC, Fukuda TY, Costa LO, Lucareli PR. Neuromuscular training and muscle strengthening in patients with patellofemoral pain syndrome: a protocol of randomized controlled trial. BMC Musculoskelet Disord. 2014 May 16;15:157. doi: 10.1186/1471-2474-15-157.
citation: Van Der Heijden RA, Lankhorst NE, Van Linschoten R, Bierma-Zeinstra SM, Van Middelkoop M. Exercise for treating patellofemoral pain syndrome: an abridged version of Cochrane systematic review. Eur J Phys Rehabil Med. 2016 Feb;52(1):110-33. Epub 2015 Jul 9.