Patellofemoral Pain
Conditions
Keywords
Patellofemoral pain, core, quality of life, exercise, strength, pilates
Brief summary
This study aimed to investigate the effectiveness of Pilates exercises in Patellofemoral pain patients compared to hip and knee combined exercises in improving pain, muscle strength, flexibility, function and quality of life in short term.
Detailed description
Patellofemoral pain is a common condition characterized by pain in anterior knee, around the kneecap. It is known that exercise is beneficial in rehabilitation in general. Exercise programs applied to patients with PFP should include hip and knee-targeted combined exercises. Nowadays, Pilates is used as an effective rehabilitation tool for individuals with musculoskeletal problems, especially in reducing pain and improving function. Therefore, we believe that Pilates exercises can be effective in PFP Considering that PFP is a chronic condition and exercise therapy is one of the main strategies in the treatment. Pilates may be preferred as one of the alternative treatment method. This randomized controlled study was designed to compare the effects of two different treatment protocols, Group-I (Supervised Rehabilitation) and Group-II (Pilates Exercises). Patients who applied to the Istanbul Physical Therapy and Rehabilitation Training and Research Hospital, Sports Medicine outpatient clinic and were diagnosed with PFP by a specialist physician based on the patient histories, physical examinations, and diagnostic imaging. The estimated desired sample size was at least 14 participants per group. We anticipated a dropout rate of 20%. Therefore, 34 participants were required for each group (Supervised Rehabilitation n=17, Pilates Exercises n=17) of both sexes, ages ranging from 18-45 years. A computer generated randomization list was used to divide the patients into two groups (https://www.randomizer.org/). An 'Informed Consent Form' was obtained from patients by explaining the purpose of the study, the duration of the study, the treatments to be applied, and possible side effects.
Interventions
OTHERPilates Exercise
The program will be applied with the Pilates exercises every week. All patients were evaluated before and after the treatment (6 weeks).
The program will be applied with the progression of the supervised rehabilitation in the 4th week
Sponsors
Istanbul University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Randomized and trial
Eligibility
Sex/Gender
ALL
Age
18 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* Having characteristic signs of PFP (retropatellar or peripatellar pain) * Presence of at least 3 points of retropatellar or peripatellar pain on the Numbered Pain Rating Scale (NPRS) with squatting, climbing stairs, prolonged sitting, or functional activity that burdens the PFP * Presence of any of the criteria such as tenderness, small effusion in the patellar facet palpation
Exclusion criteria
* Patellofemoral dislocation, subluxation, intra-articular knee pathology * Previous lower extremity surgery, and knee-related trauma * A history of hip pathology or neurological disorders * Knee trauma in the last 1 month
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Functional assessment | 6 weeks | Kujala Anterior Knee Pain Scale is used to assess the functional disability levels of the patients. |
| Pain assessment | 6 weeks | The numerical NPRS is used to measure and monitor the severity of pain. The patients will be asked to rate the severity of the current pain level between 0 and 10 (0 being no pain and 10 being the worst imaginable pain). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Muscle strength assessment | 6 weeks | Quadriceps strength will be measured using the Lafayette Manual Muscle Tester (Lafayette Instrument-model 01165, USA) handheld dynamometer. |
| Muscle flexibility assessment | 6 weeks | The flexibility of the hamstring muscles' length will be measured with the Sit and Reach Test. |
| Quality of life assessment | 6 weeks | The short form SF-36v2 will be used to assess the quality of life. The scale, designed to assess the quality of life, covers physical, social, and psychological conditions. |
Countries
Turkey (Türkiye)
Outcome results
None listed