Patellofemoral Pain Patellofemoral pain syndrome, Transcutaneous electrical stimulation, Cryotherapy, Arthrogenic Muscle Inhibition, Isokinetic muscle strength, Isometric muscle strength, Rate or torque development
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Present and reproduction of peripatellar or retropatellar pain in squatting and at least one functional task (running, kneeling, jumping, climbing or descending stairs, sitting for a long time, sitting with knees flexed, or other functional activities loading the patellofemoral joint in flexed position) 2. Ongoing patellar pain for at least 1 months 3. PFP with a pain severity of 40-79/100 (activity related) on visual analog scale (0 no pain, 100 intolerable pain) 4. Not participating in any PFP treatment within previous 1 month 5. Age 20-60 years old 6. BMI < 30 kg/m2 7. Participating in aerobics or athletic activities at least three times a week for at least 30 minutes. 8. Able to obtain Femoral H-reflex. 9. Able to use ice pack at home
Exclusion criteria
Exclusion criteria: 1. Signs or symptoms other distinct knee pathologies, which potentially cause anterior knee pain, such as iliotibial band friction syndrome, tendinitis, neuromas, intra-articular pathology including osteoarthritis, rheumatoid arthritis, traumatic injuries (such as injured ligaments, meniscal tears, patellar fractures and patellar luxation), plica syndromes and more rarely occurring pathologies 2. History of hip, knee, or ankle joint surgery 3. Hip, knee, or ankle joint deformity/dislocation 4. History of traumatic, inflammatory or infectious pathology in the lower extremities or any internal derangements 5. Concurrent lower limb injuries 6. Evidence of active inflammation (redness, swelling and edema) 7. Contraindication to TENs such as active malignancy or active infection at electrode placement site or contraindication to cryotherapy such as impaired circulation, peripheral vascular disease, hypersensitive to cold, skin anesthesia, open wound or skin conditions and local infection
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Knee pain (VAS) 0,8,12 weeks visual analog scale | — |
Secondary
| Measure | Time frame |
|---|---|
| Knee function 0,8,12 weeks Anterior knee pain scale,Femoral H-reflex 0,8,12 weeks The Nicolet EDX,Knee extensor isometric peak torque (Nm/kg) 0,8,12 weeks HUMAC NORM Isokinetic Dynamometer,Knee extensor, hip abductor and hip lateral rotator isokinetic peak torque (Nm/kg) 0,8,12 weeks HUMAC NORM Isokinetic Dynamometer,Central activation ratio 0,8,12 weeks HUMAC NORM Isokinetic Dynamometer | — |
Countries
Thailand
Contacts
Faculty of Medicine, Chulalongkorn University