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Objective this study is to analyze the effects of an intervention protocol with neuromuscular electrical stimulation in the vastus medialis obliquus and gluteus medius (GM) associated with exercises on electromyographic activity, muscle performance, self-reported functionality and pain of women with patellofemoral pain.
This is a randomized, blinded trial in which 40 women, aged 18-30 years, will be randomized into 2 groups: Stimulation and Exercise Group (SEG) - will perform an exercise protocol associated with stimulation in the vastus medialis (VM) and gluteus medius (GM) muscles. Exercises Group (ExG) - will perform the same protocol of exercises of the previous group, however, without association with neuromuscular electrical stimulation. The intervention will occur twice a week for eight weeks. All volunteers will be submitted to the evaluation of the electromyographic activity of the VM, the GM and the vastus lateralis, the dynamometric parameters, the intensity of the pain and the functionality, in four moments: 72h hours before the beginning of the intervention; after 4 weeks of intervention; after 8 weeks of intervention; after 16 weeks from the start of the intervention (eight weeks after the end of the protocol). In this way, the investigators will investigate the applicability of the proposed trial with the use of neuromuscular electrical stimulation and identify the effects of this resource in the treatment of PFP.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Neuromuscular electrical stimulation | Experimental | 8-week exercise program, twice a week, with neuromuscular eletrical stimulation on vastus medialis and gluteus medius. |
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| Exercise | Active Comparator | 8-week exercise program, twice a week. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Neuromuscular electrical stimulation | Other | Exercise protocol associated with neuromuscular electrical stimulation on vastus medialis and gluteus medius. Parameters: rectangular pulse shape, biphasic, symmetrical, pulse duration of 200ÎĽs, interbust interval of 10ms and frequency of 2.500Hz modulated in 50 bursts. |
| Measure | Description | Time Frame |
|---|---|---|
| Knee pain | Evaluation of pain level in the knee using the Numerical Pain Scale, graded from 0 to 10, where 0 indicates absence of pain and 10 indicates the worst pain imaginable. | Change from baseline in knee pain at 8 weeks. |
| Knee function | Evaluation of knee function using the Anterior Knee Pain Scale, that is a questionnaire encompassing 13 items related to different levels of knee function, with scores ranging from zero (representing the highest possible deficit) to 100 (meaning that the subject does not present any deficit). | Change from baseline in knee function at 8 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Root Mean Square (RMS) | Evaluation of the amplitude oh the electromyographic sinal (RMS) of vastus medialis, vastus lateralis and gluteus medius. | Change from baseline in RMS at 8 weeks. |
| Time of muscle activation (Onset) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jamilson S Brasileiro, PhD | Contact | 55+848433422008 | brasileiro@ufrnet.br |
| Name | Affiliation | Role |
|---|---|---|
| Jamilson S Brasileiro, PhD | Universidade Federal do Rio Grande do Norte | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Universidade Federal do Rio Grande do Norte | Recruiting | Natal | Rio Grande do Norte | 59078-970 | Brazil |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38876657 | Derived | Melo SA, Macedo LB, Bullhoes LCC, Cavalcanti RL, Azevedo Rodolfo JI, Brasileiro JS. Effects of neuromuscular electrical stimulation on patellofemoral pain: A randomized controlled trial. J Bodyw Mov Ther. 2024 Jul;39:390-397. doi: 10.1016/j.jbmt.2024.03.022. Epub 2024 Mar 19. |
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| ID | Term |
|---|---|
| D046788 | Patellofemoral Pain Syndrome |
| ID | Term |
|---|---|
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
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| ID | Term |
|---|---|
| D015444 | Exercise |
| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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| Exercise | Other | Same protocol of exercises of the other group, without association of electrical stimulation. |
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Evaluation of time of muscle activation electromyographic (onset) of vastus medialis, vastus lateralis and gluteus medius.
| Change from baseline in onset of the electromyographic at 8 weeks. |
| Isokinetic performance | Evaluation of isokinetic variable peak torque normalized for body weight (%) of knee extensors and hip abductors. | Change from baseline in peak torque normalized for body weight at 8 weeks. |
| Isokinetic performance | Evaluation of isokinetic variable average peak torque (Nm) of knee extensors and hip abductors. | Change from baseline in average peak torque at 8 weeks. |
| Isokinetic performance | Evaluation of isokinetic variable average power (W) of knee extensors and hip abductors. | Change from baseline in average power at 8 weeks. |
| Isokinetic performance | Evaluation of isokinetic variable total work (J) of knee extensors and hip abductors. | Change from baseline in total work at 8 weeks. |
| Federal University of Rio Grande do Norte | Recruiting | Natal | Rio Grande do Norte | 59140-840 | Brazil |
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