Actively Recruiting

Phase 3
Age: 18Years - 40Years
All Genders
ID03184545

A Prospective Randomized Study Comparing Electrical Stimulation of Vastus Medialis Obliquus Muscle Plus Physical Therapy Versus Physical Therapy Alone in Patellofemoral Pain Syndrome

Led by Northwell Health · Updated on 2024-12-03

92

Participants Needed

1

Research Sites

52 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the effectiveness of an electrical muscle stimulation (EMS) device in patients with patellofemoral pain syndrome, also known as anterior knee pain. This condition is common among young athletes and is believed to involve weakness in the vastus medialis obliquus muscle. The study aims to determine if adding EMS to standard physical therapy (PT) can speed recovery and improve outcomes compared to PT alone. This is a phase 3 randomized study with a larger sample size than previous research to better assess the device's impact. Participants are assigned to one of two groups: one receiving both EMS and physical therapy, and the other receiving only physical therapy. The EMS device used is the Flex MT Plus, an FDA-approved neuromuscular stimulator applied to the vastus medialis obliquus muscle for 20 minutes, three times daily, five days a week, over 12 weeks at 40 Hz with specific pulse settings. Physical therapy consists of standard exercises for strengthening. During the study, participants will be followed for up to 12 months after enrollment, with a total study duration of two years. Researchers will assess outcomes including the Kujala patellofemoral score, visual analog pain scale during daily activities, and isometric knee strength. Secondary outcomes include the rate and timing of return to sports activities. Safety and progress will be monitored regularly throughout the study.

CONDITIONS

Brief Title

Comparing the Outcome of Electrical Stimulation and Physical Therapy in Patellofemoral Pain Syndrome

Who Can Participate

Age: 18Years - 40Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Bilateral or unilateral anterior knee pain lasting more than 3 months
  • Age between 18 and 40 years
  • At least 3 of the following: pain with prolonged sitting with knees bent, pain going downstairs, pain with kneeling or squatting, or pain during sports activities
  • No history of injury
  • No history of knee surgery
Not Eligible

You will not qualify if you...

  • History of patellar dislocation or subluxation
  • Associated bursitis or tendinitis near the knee
  • Ligament problems
  • Intra-articular knee pathology
  • Pregnancy
  • History of knee surgery
  • Steroid medication taken orally or injected in the knee within the last 3 months
  • Presence of implanted devices like pacemakers

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - 12 weeks

Participants receive physical therapy exercises. One group also receives electrical muscle stimulation applied to the vastus medialis obliquus muscle for 20 minutes, 3 times daily, 5 days a week for 12 weeks.

Weekly visits for up to 12 weeks

Follow-up

Duration - 12 months

Participants are followed for 12 months after enrollment to assess outcomes such as pain, knee strength, and return to sports activities.

Periodic follow-up visits over 12 months

Trial Site Locations

Total: 1 location

1

New York Bone and Joint Specialists

New York, New York, United States, 10019

Actively Recruiting

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Research Team

L

Leon Popovitz, MD

R

Rupesh Tarwala, MD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Published Research Related To This Trial

A comparison of two types of electrical stimulation of the quadriceps in the treatment of patellofemoral pain syndrome. A pilot study.

M J Callaghan, J A Oldham, J Winstanley

https://pubmed.ncbi.nlm.nih.gov/11777094

Effectiveness of electric stimulation of the vastus medialis muscle in the rehabilitation of patients after total knee arthroplasty.

Kyriakos Avramidis, Paul W Strike, Paul N Taylor...

https://pubmed.ncbi.nlm.nih.gov/14669193

Comparison of efficiency of Kinesio® taping and electrical stimulation in patients with patellofemoral pain syndrome.

Tuğba Kuru, Ayşe Yalıman, E Elçin Dereli

https://pubmed.ncbi.nlm.nih.gov/23268824

Effects of electrical stimulation of vastus medialis obliquus muscle in patients with patellofemoral pain syndrome: an electromyographic analysis.

Fabiana R Garcia, Fábio M Azevedo, Neri Alves...

https://pubmed.ncbi.nlm.nih.gov/21340241

The efficacy of treatment of different intervention programs for patellofemoral pain syndrome--a single blinded randomized clinical trial. Pilot study.

Feazadeh Avraham, Saposhnik Aviv, Pnina Ya'akobi...

https://pubmed.ncbi.nlm.nih.gov/17721640

The effects of quadriceps strengthening on pain, function, and patellofemoral joint contact area in persons with patellofemoral pain.

Joseph K W Chiu, Yiu-Ming Wong, Patrick S H Yung...

https://pubmed.ncbi.nlm.nih.gov/22248804