None listed
Conditions
Brief summary
The hypothesis is that an increase in gluteus maximus strength is a protective factor of the femoropatelar syndrome, that is to say, the symptomatology of the femoropatellar syndrome decreases when the strength of the gluteus maximus is higher. The main objective is to verify the effectiveness of a gluteus maximization strengthening protocol as a treatment of femoral patellar syndrome.
Interventions
Study of the effectiveness of gluteus maximus strengthening in femoro-patellar syndrome.
The sample (74 subjects) is randomly divided into two groups. In both groups, a physiotherapeutic treatment based on masotherapy, patella mobilizations, isometric quadriceps exercises, and Transcutaneous electrical nerve stimulation (TENS) will be carried out. Compex 3.0 ® will be used by applying the “smart TENS” analgesic function. The impulse form is biphasic and pulsed, the frequency is 80Hz, the amplit
Study of the effectiveness of gluteus maximus strengthening in femoro-patellar syndrome. The sample (74 subjects) is randomly divided into two groups. In both groups, a physiotherapeutic treatment based on masotherapy, patella mobilizations, isometric quadriceps exercises, and Transcutaneous electrical nerve stimulation (TENS) will be carried out. Compex 3.0 ® will be used by applying the “smart TENS” analgesic function. The impulse form is biphasic and pulsed, the frequency is 80Hz, the amplitude is 125 msec and finally, the intensity depends on the patient, because each of them has a different pain tolerance. The sessions will be carried out every 2 weeks, and in each of them the TENS will be applied for 15 minutes. In group 2 or intervention, you will also add some home exercises to strengthen the gluteus maximus. It will work with five variables, obtained by different tests: Y-Balance Test, Triple single-leg jump, Q angle measurement, measurement of gluteus maximus strength using a dynamometer, and questionnaire "Kujala Knee Pain". The study will be carried out by both of the physiotherapists in charge of the study. One of them will be responsible for making the measurements to be evaluated unaware of neither which group each subject belongs to, nor the results obtained in previous measurements; while the other physiotherapist will carry out the measurement of the gluteus maximus as well as the treatments, aware of which group each subject belongs to. Measurements of the different variables will be made once every 3 months. Treatment sessions will be every two weeks, each one of them lasting approximately 30 minutes. The whole study will be undergone in two physiotherapy clinics in Vigo, Spain. The intensity of the protocol will be hard (6 -7 Borg RPE Scale) and the total duration of the intervention will be 6 months. The frecuency of the sessions at home will be 10 minute sessions a day, 4 days a week. Also, the physiotherapist will send a reminder via text message to ensure that all patients complete the exercises. The gluteus maximus protocol exercises will be "Buttock Bridge", "walk sideways with miniband", "Hip extension with 90º knee flexion from standing with the ventral aspect of the trunk resting on the stretcher", "External hip rotation from quadruped" and "Clam".
Sponsors
University of Alcala de Henares
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Investigator)
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
- People between 18 and 65 years old. - People with femoropatellar syndrome of at least 6 months, diagnosed by a specialist doctor. - People who understand and are able to do the protocol exercises correctly. - People who have enough commitment to do the exercises proposed during the study. - People who are able to maintain standing or walking completely autonomously.
Exclusion criteria
- People with hip and / or ankle pathology. - People with a cardiac pathology which has been diagnosed either at the beginning of the study or as during it. - People who are pregnant. - People who have undergone surgery or knee infiltration. - People who show strong knee mobility limitations. - People who are currently undergoing rehabilitation related to knee pain.
Outcome results
None listed