Patellofemoral pain. Patellofemoral disorders
Conditions
Interventions
Intervention 1: Intervention group: Tactile acuity training and standard physiotherapy exercises. Intervention 2: Control group: Standard physiotherapy exercises.
Sponsors
Shiraz University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 40 Years
Inclusion criteria
Inclusion criteria: Pain in the back or around the patella Increased pain in the back or around the patella with activities such as squatting, climbing stairs, sitting for long periods of time, or other functional activities that place stress on the patellofemoral joint in a flexed position Positive Grind test Complaints of pain in the front of the knee for more than 6 months Pain 3 to 7 on the NRS Minimum score of 40 on the Central sensitization Questionnaire Individuals between 18 and 40 years old Reported pain on palpation of the medial and lateral surfaces of the patella Gradual onset of symptoms without prior history of trauma or injury Positive Clark's clinical test Kujala score level between 50 and 80
Exclusion criteria
Exclusion criteria: Other knee joint pathologies Tenderness to touch in the soft tissue around the knee Any joint damage and pain Visceral pain Disorders in the vertebral column Previous lower limb surgery Taking nonsteroidal anti-inflammatory drugs in the last two weeks Any causes of neuropathy and disorders in the sensory-motor system Neurological diseases Rheumatological and collagen vascular diseases Difference in length of lower limbs History of cancer and chemotherapy Substance and alcohol abuse Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Graphesthesia. Timepoint: Before intervention; Immediately after intervention; 2 weeks after intervention. Method of measurement: Identifying the correct number of letters and numbers drawn on the skin.;Two point discrimination. Timepoint: Before intervention; Immediately after intervention; 2 weeks after intervention. Method of measurement: Sliding caliper.;Point-to-point sensation. Timepoint: Before intervention; Immediately after intervention; 2 weeks after intervention. Method of measurement: Monofilament.;Pain. Timepoint: Before intervention; Immediately after intervention; 2 weeks after intervention. Method of measurement: NRS. | — |
Secondary
| Measure | Time frame |
|---|---|
| Function. Timepoint: Before intervention; Immediately after intervention; 2 weeks after intervention. Method of measurement: Kujala questionnaire.;Descending pain inhibitory pathway activity. Timepoint: Before intervention; Immediately after intervention; 2 weeks after intervention. Method of measurement: Conditioned pain modulation. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMarzieh Mohamadi
Shiraz University of Medical Sciences
Outcome results
None listed