Evaluation of a Treatment Algorithm for Patients With Patellofemoral Pain Syndrome

Completed · Not applicable

Conditions studied: Patellofemoral Pain Syndrome

In brief

Patients with PFPS demonstrate quadriceps and hip musculature weakness, altered lower extremity (LE) kinematics, and decreased LE flexibility. Psychosocial factors have also been identified as an important factor in patients with PFPS. The authors hypothesize that an ordered approach addressing each of these impairments sequentially will result in greater improvement in PFPS symptoms. The results of the investigators pilot study assessing the feasibility of using a sequential approach showed a full randomized controlled trial is warranted, the authors now plan to proceed with a full trial. The objective of this study is to assess the efficacy of a sequential approach in the treatment of Patellofemoral Pain Syndrome. Methods: Patients will be randomized to a sequential treatment approach using a PFPS treatment algorithm (PFPS Algorithm) designed by the authors or typical physical therapy care. Due to the constant evaluation necessary no blinding will be performed. Patients will attend therapy two times per week for six weeks. Pain, Anterior Knee Pain Scale (AKPS), and Global Rating of Change (GROC) will be measured at evaluation and discharge, 3 month follow-up and 6 month follow-up.

Key facts

Study ID

NCT02461095

Run by

Nationwide Children's Hospital

People needed

55

Starts

2015-06-01

Expected to finish

2017-10-01

Last updated by the study team

2018-01-24

Who can join

Age: 12 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Clinical Diagnosis of Patellofemoral Pain Syndrome

You may not qualify if…

• Tenderness to palpation of patellar tendon, inferior pole of patella, or tibial tubercle as primary complaint
• Patient is pregnant or nursing
• Patient has other current lower extremity injuries
• History of patellar subluxation or dislocations
• History of knee surgery
• Inability to follow directions

Where it is running

• Nationwide Children's Hospital Sports and Ortho PT East Broad — Columbus, Ohio, United States
• Nationwide Children's Hospital Sports and Ortho PT Dublin — Dublin, Ohio, United States
• Nationwide Children's Hospital Sports and Ortho PT New Albany — New Albany, Ohio, United States
• Nationwide Children's Hospital Sports and Orthopedic PT Westerville location — Westerville, Ohio, United States

Full record on ClinicalTrials.gov

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