Patellofemoral Pain Syndrome
Conditions
Keywords
patellofemoral pain syndrome, Pilates exercises, functional status
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.
Interventions
OTHERPilates exercises
Side kick internal/ external rotation with Pilate's band
OTHERTraditional physical therapy program
strength, flexibility
Sponsors
Cairo University
Prince Sattam Bin Abdulaziz University
Qassim University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
14 Years to 17 Years
Healthy volunteers
No
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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain assessment | at baseline | assessed by using a visual analog scale, 10-cm VAS scale, with 0 indicating no pain and 10 for worst pain sensation |
| Muscle strength assessment | at baseline | assessed using a calibrated handheld dynamometer |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Functional status | at baseline | evaluated using the Arabic version of the Anterior Knee pain Questionnaire, The score ranges from 0 to 100, with 0 indicating complete functional limitation and 100 indicating no pain and no functional limitation. |
| health-related quality of life | at baseline | assessed by using the self-report Pediatric Quality of Life Inventory, it includes 23 items distributed among 4 domains \[physical (8 items), emotional (5 items), social (5 items), and school functions (3 items)\]. Each item is rated on a 5- points scale (0 means never, and 4 means almost always). Items are transformed linearly to 0-100 scale (0 = 100, 1 = 75, 2 = 50, 3 = 25, and 4 = 0). |
Countries
Saudi Arabia
Outcome results
None listed