Chondromalacia Patellae
Conditions
Keywords
prolotherapy, knee pain, ultrasound, exercise
Brief summary
Dextrose prolotherapy is a form of treatment in which hypertonic dextrose solution is used as a stimulant solution and regeneration is increased by stimulating the body's natural healing mechanisms after injection. The aim of this study is to compare the dextrose prolotherapy applied with home exercise program and saline injections as a control group in patients who applied to our clinic with knee pain and diagnosed with chondromalacia patella, and to investigate the effectiveness of dextrose and saline on the job to determine the superiority of the injections to each other.
Detailed description
The study was designed as prospective, randomized, controlled trial. 48 people who met the inclusion criteria were randomized into two groups of 24 people. The first group will be designated as Dextrose Prolotherapy Group and dextrose prolotherapy and exercise program will be applied to these patients. Patients in the second group will be designated as the Serum Physiological Group, and injections with saline and home exercise program will be applied in accordance with the prolotherapy protocol.Participants were evaluated with Visual Analogue Scale (VAS), Patello Femoral Pain Severity Scale (PFPSS), Kuala Patellofemoral Scoring System (KPSS) and Short Form 36 (SF-36).Knee cartilage thickness measurements and the presence of suprapatellar effusion of the participants whose evaluations are completed will be evaluated bilaterally by ultrasonography and the findings will be recorded.
Interventions
PROCEDUREDextrose Prolotherapy
In the patients in the prolotherapy injection group, at the 1st, 4th and 7th weeks, the insertion points of the ligaments and tendons that are sensitive with pressure around the knee (medial collateral ligament (2), lateral collateral ligament (2), quadriceps tendon (1) and patellar tendon (1)) A total of 6 ml of 5% dextrose, 1 ml each, will be applied periarticularly. In addition, home exercise program will be given to this group.
PROCEDURESerum Physiological Group (placebo control group)
In the patients in serum physiological injection group, at the 1st, 4th and 7th weeks, the insertion points of the ligaments and tendons that are sensitive with pressure around the knee (medial collateral ligament (2), lateral collateral ligament (2), quadriceps tendon (1) and patellar tendon (1)) A total of 6 ml of saline will be applied periarticularly. In addition, home exercise program will be given to this group.
Sponsors
Gaziler Physical Medicine and Rehabilitation Education and Research Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Female / male aged\> 18 years * Diagnosis of chondromalacia patella after physical examination and imaging (direct radiography, MRI) * Those whose symptoms persist\> 3 months * Does not have a disease that will prevent him from exercising * Participation in the study voluntarily and regularly
Exclusion criteria
* Pregnant patients * History of previous knee surgery * Having received physical therapy from the knee area in the last 3 months * Drug allergy * Previous prolotherapy or any injection up to 3 months ago * Those with pain reflected from waist or hip * Patients with neuropathic pain * Tumor, infectious, psychiatric illness, history of bleeding diathesis * Having a trauma history in the last 6 months * Those with systemic diseases such as diabetes, hepatitis, coagulopathy * Those with cerebrovascular event disease in which bleeding continues actively * Those who received NSAID treatment within the last week * Patients with a BMI\> 40 * Finding leg length difference
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Knee Pain | initial, 4th week 7th week 24th week pain change | Severity of pain was assessed using the standard 10 cm VAS with 0 meant no pain at one end, and 10 meant unbearable pain at the other end |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patello Femoral Pain Intensity Scale | initial, 4th week 7th week 24th week pain change | Patello Femoral Pain Intensity Scale to evaluate patients' pain in climbing / descending stairs, squatting, walking, jogging, sprinting, sports, sitting for 20 minutes with knees flexed at 90 °, standing on the knee, resting and resting after an activityStair climbing / descending, crouching, walking, jogging, sprinting, sports, sitting for 20 minutes with knees flexed at 90 °, standing on the knee, resting and resting after an activity, travel 10 cm as standard 0 no pain at one end, 10 At the other end it was rated as excruciating pain with a total score of 100. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Kuala Patellofemoral Scoring System | initial, 4th week 7th week 24th week changes | Kuala Patellofemoral Scoring System was used to determine the functional levels of the patients. Participants were evaluated over a minimum of 0 and a maximum of 100 points. |
| Short Form-36 (SF-36) | initial, 4th week 7th week 24th week changes | Short Form (SF-36) was used to investigate the quality of life of the patients.The reliability and validity of the Turkish version of SF-36 has been demonstrated. SF-36 consists of 36 questions on eight different subscales including physical functioning, role limitations due to physical health problems, bodily pain, general health perceptions, energy and fatigue, vitality, social functioning, role limitations due to emotional problems and general mental health. Each subscale of SF-36 is scored between 0 and 100, and higher scores show better QoL. |
Countries
Turkey (Türkiye)
Outcome results
None listed