Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
The purpose of this study is to investigate the effects of a Functional Stabilization training program (FST) and a comprehensive corrective exercise program in PF pain and DKV.
PF pain impairs performance and quality of life and can predispose individuals to early PF osteoarthritis and Dynamic knee valgus has been identified as a modifiable risk factor for PF pain and serious knee injury .
Current rehabilitation strategies show mixed results. Solo hip strengthening programs may not correct Dynamic knee valgus. While both Functional Stabilization training (FST) and comprehensive corrective programs (CCEP) show potential benefits, direct comparisons are lacking. The FST suggested superior outcomes with functional training, but it did not specifically target DKV. Conversely, the CCEP demonstrated kinematic improvements, but included asymptomatic participants and lacked patient reported outcomes.
By directly comparing Functional Stabilization training (FST) with the CCEP, this study aims to provide clinicians with evidence based guidance on the most effective exercise strategy for improving lower limb kinematics and reducing pain. The findings could inform best practice guidelines and enhance outcomes.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard Care (SC) | Active Comparator | Standard care exercise program for patellofemoral pain. Participants receive 24 supervised sessions (3 sessions/week for 8 weeks), ~45-60 minutes/session." (If you want 1 extra line: "Exercises follow a conventional PFP program based on Baldon et al.") |
|
| Functional Stabilization Training (FST) | Experimental | Functional stabilization/neuromuscular training to optimize movement patterns and dynamic alignment. 24 supervised sessions (3/week for 8 weeks), ~45-60 minutes/session. Includes warm-up/cool-down (~15 min) and ~45 min exercises. Intensity/progression increases every 2 weeks; exercises progress from ~2 sets (10-20 reps) with ~5-sec isometric holds to ~3 sets of ~12 reps with ~10-sec holds and added external load (weights/elastic resistance) |
|
| Comprehensive Corrective Exercise Program (CCEP) | Experimental | Comprehensive corrective exercise program targeting strength, flexibility, neuromuscular control, and alignment across the kinetic chain for dynamic knee valgus. 24 supervised sessions (3/week for 8 weeks), ~45-60 minutes/session. Three phases: weeks 1-2 sensorimotor/non-weight-bearing alignment + feedback + isometrics; weeks 3-6 progressive weight-bearing with increased load/complexity and emphasis on co-contraction/reciprocal activation; weeks 7-8 functional tasks to maintain gains and challenge multi-planar control. Visual/verbal/tactile feedback provided; progression only with correct technique |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Standard Care Exercise Program (SC) | Behavioral | Supervised standard care exercise therapy for patellofemoral pain, delivered 3 sessions/week for 8 weeks (24 sessions), ~45-60 minutes/session. |
| Measure | Description | Time Frame |
|---|---|---|
| Peak Knee Abduction (Valgus) Angle (3D motion analysis) | Change in peak knee abduction (valgus) angle of the stance limb measured using a 3D motion capture system (Vicon) during functional tasks (single-leg squat and drop/vertical jump landing). Lower values indicate reduced dynamic knee valgus. | Baseline and 8 weeks |
| Hip and Pelvis Kinematics (3D motion analysis) | Change in peak hip adduction, peak hip internal rotation, contralateral pelvic drop, and trunk lateral lean during the functional tasks measured by 3D motion capture. | Baseline and 8 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Kujala Patellofemoral Scale (KPS) | Change in patient-reported knee function using the Arabic Kujala Patellofemoral Scale (0-100) | Baseline and 8 weeks |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ahmed Alshab, PhD Cand | Contact | +201008816911 | ahmed.s.alshabb@gmail.com | |
| Enas Fawzy, PhD | Contact | enas.fawzy@pt.cu.edu.eg |
Not provided
Not provided
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34268014 | Background | Sahabuddin FNA, Jamaludin NI, Amir NH, Shaharudin S. The effects of hip- and ankle-focused exercise intervention on dynamic knee valgus: a systematic review. PeerJ. 2021 Jul 5;9:e11731. doi: 10.7717/peerj.11731. eCollection 2021. | |
| 28841508 | Background | Rabelo NDDA, Costa LOP, Lima BM, Dos Reis AC, Bley AS, Fukuda TY, Lucareli PRG. Adding motor control training to muscle strengthening did not substantially improve the effects on clinical or kinematic outcomes in women with patellofemoral pain: A randomised controlled trial. Gait Posture. 2017 Oct;58:280-286. doi: 10.1016/j.gaitpost.2017.08.018. Epub 2017 Aug 18. |
| Label | URL |
|---|---|
| Dynamic knee valgus kinematics and their relationship to pain in women with patellofemoral pain compared to women with chronic hip joint pain | View source |
Not provided
Not provided
| ID | Term |
|---|---|
| D046788 | Patellofemoral Pain Syndrome |
| D056304 | Genu Valgum |
| ID | Term |
|---|---|
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D001847 | Bone Diseases |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Functional Stabilization Training (FST) | Behavioral | Supervised functional stabilization/neuromuscular exercise program focusing on lower-limb alignment and movement control. 3 sessions/week for 8 weeks (24 sessions), ~45-60 minutes/session, progressive difficulty/load |
|
|
| Comprehensive Corrective Exercise Program (CCEP) | Behavioral | Supervised comprehensive corrective exercise program targeting flexibility, strength, and neuromuscular control across the kinetic chain to address dynamic knee valgus. 3 sessions/week for 8 weeks (24 sessions), ~45-60 minutes/session, phase-based progression |
|
| 31034336 | Background | Emamvirdi M, Letafatkar A, Khaleghi Tazji M. The Effect of Valgus Control Instruction Exercises on Pain, Strength, and Functionality in Active Females With Patellofemoral Pain Syndrome. Sports Health. 2019 May/Jun;11(3):223-237. doi: 10.1177/1941738119837622. Epub 2019 Apr 29. |
| 24568258 | Background | Baldon Rde M, Serrao FV, Scattone Silva R, Piva SR. Effects of functional stabilization training on pain, function, and lower extremity biomechanics in women with patellofemoral pain: a randomized clinical trial. J Orthop Sports Phys Ther. 2014 Apr;44(4):240-251, A1-A8. doi: 10.2519/jospt.2014.4940. Epub 2014 Feb 25. |