Status:

COMPLETED

The Comparison of Hip and Knee Focused Exercises Versus Hip and Knee Focused Exercises With the Use of Blood Flow Restriction Training in Adults With Patellofemoral Pain

Lead Sponsor:

European University Cyprus

Conditions:

Patellofemoral Pain Syndrome

Eligibility:

All Genders

18-40 years

Phase:

NA

Brief Summary

Hip and Knee strengthening exercises are implemented in Patellofemoral Pain (PFP) rehabilitation but exercising in high loads to achieve muscle changes in strength may lead to increased patellofemoral...

Detailed Description

This a randomized controlled clinical trial with first primary end point at four weeks and second primary end point at two months. Sample size was determined through power analysis. The Minimal Clini...

Eligibility Criteria

Inclusion

  • Volunteers to be included can be either male or female, must be 18-40 years of age and should have at least a 4 week, history of peri or retro-patella non traumatic pain, with intensity of worst pain during the previous week at 3cm on the Visual Analogue Scale (VAS).
  • Pain should be aggravated by at least two of the following functional tasks: squatting, kneeling, prolonged sitting, stair ascending or descending, hopping or running.
  • During physical examination pain must be present with either palpation of the patella facets or with the patella compression test or a deep squat.
  • Volunteers with bilateral symptoms will be documented but the limb with the worst pain will be used for analysis.
  • Inclusion criteria are based on latest PFP guidelines

Exclusion

  • Athletes will be excluded, as well as participants with a high level of physical activity based on assessment of the International Physical Activity Questionnaire (IPAQ) in Greek. This will be performed on the day of initial screening. Their exclusion is based on the fact that they may not respond to the level of intensity of the exercises provided in this study and for homogeneity of the sample.
  • Volunteers with the following characteristics will also be excluded:
  • History or current meniscus ligament or other knee injury and/or surgery.
  • Other knee pathology such as knee osteoarthritis, Osgood- Schlatter or Sinding-Larsen-Johanssen syndrome or tendinopathy of muscles surrounding the knee. Knee instability, feeling of "giving way", history of subluxation or dislocation of the knee joint or joint edema.
  • Extended use of NSAID or cortisone.
  • Referred pain from lumbar spine or another region.
  • Patella dysplasia, rheumatoid arthritis or neurological syndromes or diseases
  • During clinical examination volunteers with pain located on the patella tendon that is eliminated with isometric contraction, the pes anserinus, the Iliotibial Band (ITB), or with a positive medial or lateral patella apprehension test will also be excluded
  • Volunteers that had previous treatment for PFP in the past 6 months will also be excluded to avoid non responders and carryover effects from previous treatments.
  • Volunteers with unexplained chest pains
  • Cardiovascular disease, renal disease, vascular surgery or disease
  • Deep Venous Thrombosis (DVT) or high risk for DVT, resent surgery ≤6 months, - High blood pressure (≥140/90mmHg) dizzy spells, history of fainting or dizziness with exercise
  • Pregnancy
  • Any contraindication to exercise

Key Trial Info

Start Date :

November 29 2019

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

February 29 2020

Estimated Enrollment :

60 Patients enrolled

Trial Details

Trial ID

NCT04340453

Start Date

November 29 2019

End Date

February 29 2020

Last Update

April 9 2020

Active Locations (1)

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European University Cyprus

Nicosia, Engomi, Cyprus, 2404