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Introduction: the management of Patellofemoral Pain (PFP) is focused on therapeutic exercise (TE) to improve muscle strength and motor control. Recent studies suggest that the addition of radiofrequency diathermy (RFD) obtain greater short-term improvements in knee pain than TE alone. As there is no follow up data, the aim of this research is to assess the long-term effects of adding RFD to TE on pain, function and quality of life on PFP patients.
Methods: a single-blind randomized controlled trial will be conducted. Participants diagnosed of PFP will be allocated in either a TE group or a RFD+TE one. Sociodemographic data, knee pain, and lower limb function will be collected. Each group will performed 20 min of daily knee and hip supervised TE along three weeks with the addition of ten sessions of RFD for the RFD+TE group.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental | Experimental | Application of radiofrequency diathermy in addition to the exercises protocol same Exercise protocol than control group. Ten sessions of treatment were applied: daily the first week (Monday to Friday), three the second week (Monday, Wednesday, Friday) and two the last week (Monday and Thursday) |
|
| Control | Active Comparator | Exercise protocol consisting of: eccentric and concentric strengthening of quadriceps (three squat series of 20 repetitions), hamstrings (three series of 20 seconds performing the bridge exercise), gluteus medius (three series of 20 seconds performing the clam exercise), gastrocnemius and soleus (three series of stretching exercises for 1 minute each). These exercises will be performed along 20 minutes approximately with a minute of rest between each exercise series, never exceeding 3mm in VAS. Participants have to assist to a local facility center to be supervised at doing the exercises daily (from Monday two Friday) along three weeks. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Diathermy by emission of Radiofrequency | Device | Applied only to experimental group |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Knee pain | Pain measured with Visual Analogue Scale | Baseline |
| Knee pain | Pain measured with Visual Analogue Scale | At three weeks |
| Knee pain | Pain measured with Visual Analogue Scale | Through study completion, an average of 6 months |
| Knee function | Knee function measured with "Lower Extremity Functional Scale" | Baseline |
| Knee function | Knee function measured with "Lower Extremity Functional Scale" | At three weeks |
| Knee function | Knee function measured with "Lower Extremity Functional Scale" | Through study completion, an average of 6 months |
| Knee function | Knee function measured with "Kujala score" | Baseline |
| Knee function | Knee function measured with "Kujala score" | At three weeks |
| Knee function |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centro de Salud San José de la Rinconada | Seville | 41300 | Spain |
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Double-blind Randomized Controlled Trial
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Participants were unaware of the treatment group. Researchers in charge of assessment were blinded. Investigator in charge of data analysis was blinded about treatments. Only care providers known about the different treatments
| Therapeutic exercise |
| Other |
Applied to both arms/groups |
|
Knee function measured with "Kujala score"
| Through study completion, an average of 6 months |
| ID | Term |
|---|---|
| D046788 | Patellofemoral Pain Syndrome |
| ID | Term |
|---|---|
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
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| ID | Term |
|---|---|
| D005081 | Exercise Therapy |
| ID | Term |
|---|---|
| D012046 | Rehabilitation |
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
| D005791 | Patient Care |
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
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