]>
IRCT20190222042801N1 IRCT 2020-12-17 Ahvaz University of Medical Sciences the effect of physiotherapy on knee pain the effect of treatment based on movement system impairment classification theory in people with knee pain (a randomized control trial) 2019-04-21 anticipated 60 Complete https://irct.ir/trial/37732 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: the sampling method in the present study is consecutive. It means that the expert colleague gets present at the patients' referral site (Shahid Beheshti rehabilitation clinic) from the beginning of the study, and patients who are eligible to participate in the study are identified and then, invited to participate in the study. Therefore, randomization is occurred consecutively. It should be noted that only one rehabilitation center is sampled in this study. In this study, simple randomization method is used and randomization unit is individual. In this way,the eligible participant with diagnosis of having one of the three identified movement impairment syndrome is classified to a primary group with the other ones with the same impairment first. then in each group with the same movement impairment people are numbered by order of their referral. individuals who the odd number assigned to them are included in intervention group and participants with the even numbers are included in control groups.for example, if the primary diagnosis is rotational syndrome with varus,number one is assigned to the first participant with this movement impairment and number two assigned to the second one with the same diagnosis. so the first odd number is included in intervention group for rotational syndrome with varus and the second person with this syndrome with even number two is included to control group of the same subcategory and the way is continued until the assigned number of each group are entered in to the study for this diagnosis group. randomization for other subcategories are done the same way based on their primary diagnosis and by order of their referral, Blinding description: In the present study، the expert experienced colleague who has passed more than 100 hours instructions in clinical diagnosis of movement system impairment is responsible to do: 1-Systematic examinations and diagnosis the movement system impairments of the clients 2- Randomization of participants into intervention or control groups. All of these procedures are done based on the study inclusion criterion and clinical recognition conceptions of the movement system impairment theory, furthermore; the researcher is blind to them. But all treatment sessions are done completely by the researcher. All intervention groups are treated specifically based on the movement system impairment classification theory for knee pain and all control groups treatments are based on routine treatment protocols for knee pain suggested by physiotherapy reference texts. Data collection in predetermined times is done by another co worker who is blind same as the researcher. Outcome measure assessment and data analysis are done by statistics consultant of the project but the researcher is also blind to all of these. N/A knee pain. Intervention 1: Intervention group 1: Patients with knee rotation syndrome with valgus who are given specific treatment based on movement system impairment classification theory within 10 sessions in 6 weeks. Each session takes one hour and a half including specific treatments plus routine ones. Specific treatments including: 1- Improve muscle performance of hip lateral rotators and abductors 2- Improve extensibility of iliotibial ( I.T.B) band 3- Posterior x taping of knee 4- Education and modification of functional activities that contribute to impaired motion of knee 5- address pronation foot; Routine physiotherapy treatments including: 1- Hot pack 2- Electrical stimulation ( inferential current around knee and functional electrical stimulation on knee muscles) 3- Ultrasound wave with 3 MHz frequency with continuous mode on lateral and posterior aspect of knee In the earlier four weeks, every week we should accomplish two treatment sessions and during two weeks after, each week one treatment session is done . Intervention 2: Intervention group 2: Patients with knee rotation syndrome with varus who are given specific treatment based on movement system impairment classification theory within 10 sessions in 6 weeks. Each session takes one hour and a half including specific treatments plus routine ones. Specific treatments including: 1- Improve muscle performance of hip lateral rotators and abductor 2- Improve extensibility of iliotibial ( I.T.B) band 3- Posterior x taping of knee 4- Education and modification of functional activities that contribute to impaired motion of knee 5- Improve shock absorb- heel to toe pattern; Routine physiotherapy treatments including: 1- Hot pack 2- Electrical stimulation ( inferential current around knee and functional electrical stimulation on knee muscles) 3- Ultrasound wave with 3 MHz frequency with continuous mode on lateral and posterior aspect of knee In the earlier four weeks, every week we should accomplish two treatment sessions and during two weeks after, each week one treatment session is done . Intervention 3: Intervention group 3: patients with patellar lateral glide syndrome who are given specific treatment based on movement system impairment classification theory within 10 sessions in 6 weeks. Each session takes one hour and a half including specific treatments plus routine ones. Specific treatments including: 1-Limit prolonged knee flexion 2-Improve muscle performance of quadriceps 3- Improve extensibility of iliotibial band 4- Mobilization- patellar medial glide 5- Medial taping of patella; Routine physiotherapy treatments including: 1- Hot pack 2- Electrical stimulation ( inferential current around knee and functional electrical stimulation on knee muscles) 3- Ultrasound wave with 3 MHz frequency with continuous mode on lateral and posterior aspect of knee In the earlier four weeks, every week we should accomplish two treatment sessions and during two weeks after, each week one treatment session is done . Intervention 4: Control group 1: patients with knee rotation syndrome with valgus who are given the same routine physiotherapy treatment regardless of their movement impairment. Each session takes one hour and a half including: 1-Hot pack 2-Electrical stimulation ( inferential current around knee and functional electrical stimulation on knee muscles) 3- Ultrasound wave with 3 MHz frequency with continuous mode on lateral and posterior aspect of knee 4- Quadriceps strengthening exercise and stretching posterior muscles of the knee In the earlier four weeks, every week we should accomplish two treatment sessions and during two weeks after, each week one treatment session is done . Intervention 5: Control group 2: patients with knee rotation syndrome with varus who are given the same routine physiotherapy treatment regardless of their movement impairment. Each session takes one hour and a half including: 1-Hot pack 2-Electrical stimulation ( inferential current around knee and functional electrical stimulation on knee muscles) 3- Ultrasound wave with 3 MHz frequency with continuous mode on lateral and posterior aspect of knee 4- Quadriceps strengthening exercise and stretching posterior muscles of the knee In the earlier four weeks, every week we should accomplish two treatment sessions and during two weeks after, each week one treatment session is done . Intervention 6: Control group 3: patients with patellar lateral glide syndrome who who are given the same routine physiotherapy treatment regardless of their movement impairment. Each session takes one hour and a half including: 1-Hot pack 2-Electrical stimulation ( inferential current around knee and functional electrical stimulation on knee muscles) 3- Ultrasound wave with 3 MHz frequency with continuous mode on lateral and posterior aspect of knee 4- Quadriceps strengthening exercise and stretching posterior muscles of the knee In the earlier four weeks, every week we should accomplish two treatment sessions and during two weeks after, each week one treatment session is done . No - There is not a plan to make this available Justification or reason for not sharing IPD is No more information
public Dr. Mohammad Jafar Shaterzadeh
Physiotherapy Group., Rehabilitation Faculty., Jondishapour University of Medical Science., Golestan street., Golestan Highway
Ahwaz Iran (Islamic Republic of) 33133 -61357 +98 33743103 Shaterzadeh.pt@gmail.com Ahvaz University of Medical Sciences scientific Dr Khosrow Khademi Kalantari
Physiotherapy Group., Rehabilitation Faculty., Shahid Beheshti Univercity of Medical Science., Damavand St ( in front of Buali Hospital)
Tehran Iran (Islamic Republic of) 1616913111 +98 23 87121 Khosro_khademi@yahoo.co.uk Shahid Beheshti University of Medical Sciences Iran (Islamic Republic of) patients with knee rotation syndrome or pateller lateral glide syndrome knee pain during running or jumping knee pain at least 3 on visual analog scale 18 years 50 years Both Pregnancy M25.56 knee Pain Rehabilitation Rehabilitation Rehabilitation Rehabilitation Rehabilitation Rehabilitation Intervention group 1: Patients with knee rotation syndrome with valgus who are given specific treatment based on movement system impairment classification theory within 10 sessions in 6 weeks. Each session takes one hour and a half including specific treatments plus routine ones. Specific treatments including: 1- Improve muscle performance of hip lateral rotators and abductors 2- Improve extensibility of iliotibial ( I.T.B) band 3- Posterior x taping of knee 4- Education and modification of functional activities that contribute to impaired motion of knee 5- address pronation foot; Routine physiotherapy treatments including: 1- Hot pack 2- Electrical stimulation ( inferential current around knee and functional electrical stimulation on knee muscles) 3- Ultrasound wave with 3 MHz frequency with continuous mode on lateral and posterior aspect of knee In the earlier four weeks, every week we should accomplish two treatment sessions and during two weeks after, each week one treatment session is done . Intervention group 2: Patients with knee rotation syndrome with varus who are given specific treatment based on movement system impairment classification theory within 10 sessions in 6 weeks. Each session takes one hour and a half including specific treatments plus routine ones. Specific treatments including: 1- Improve muscle performance of hip lateral rotators and abductor 2- Improve extensibility of iliotibial ( I.T.B) band 3- Posterior x taping of knee 4- Education and modification of functional activities that contribute to impaired motion of knee 5- Improve shock absorb- heel to toe pattern; Routine physiotherapy treatments including: 1- Hot pack 2- Electrical stimulation ( inferential current around knee and functional electrical stimulation on knee muscles) 3- Ultrasound wave with 3 MHz frequency with continuous mode on lateral and posterior aspect of knee In the earlier four weeks, every week we should accomplish two treatment sessions and during two weeks after, each week one treatment session is done . Intervention group 3: patients with patellar lateral glide syndrome who are given specific treatment based on movement system impairment classification theory within 10 sessions in 6 weeks. Each session takes one hour and a half including specific treatments plus routine ones. Specific treatments including: 1-Limit prolonged knee flexion 2-Improve muscle performance of quadriceps 3- Improve extensibility of iliotibial band 4- Mobilization- patellar medial glide 5- Medial taping of patella; Routine physiotherapy treatments including: 1- Hot pack 2- Electrical stimulation ( inferential current around knee and functional electrical stimulation on knee muscles) 3- Ultrasound wave with 3 MHz frequency with continuous mode on lateral and posterior aspect of knee In the earlier four weeks, every week we should accomplish two treatment sessions and during two weeks after, each week one treatment session is done . Control group 1: patients with knee rotation syndrome with valgus who are given the same routine physiotherapy treatment regardless of their movement impairment. Each session takes one hour and a half including: 1-Hot pack 2-Electrical stimulation ( inferential current around knee and functional electrical stimulation on knee muscles) 3- Ultrasound wave with 3 MHz frequency with continuous mode on lateral and posterior aspect of knee 4- Quadriceps strengthening exercise and stretching posterior muscles of the knee In the earlier four weeks, every week we should accomplish two treatment sessions and during two weeks after, each week one treatment session is done . Control group 2: patients with knee rotation syndrome with varus who are given the same routine physiotherapy treatment regardless of their movement impairment. Each session takes one hour and a half including: 1-Hot pack 2-Electrical stimulation ( inferential current around knee and functional electrical stimulation on knee muscles) 3- Ultrasound wave with 3 MHz frequency with continuous mode on lateral and posterior aspect of knee 4- Quadriceps strengthening exercise and stretching posterior muscles of the knee In the earlier four weeks, every week we should accomplish two treatment sessions and during two weeks after, each week one treatment session is done . Control group 3: patients with patellar lateral glide syndrome who who are given the same routine physiotherapy treatment regardless of their movement impairment. Each session takes one hour and a half including: 1-Hot pack 2-Electrical stimulation ( inferential current around knee and functional electrical stimulation on knee muscles) 3- Ultrasound wave with 3 MHz frequency with continuous mode on lateral and posterior aspect of knee 4- Quadriceps strengthening exercise and stretching posterior muscles of the knee In the earlier four weeks, every week we should accomplish two treatment sessions and during two weeks after, each week one treatment session is done . Pain intensity. Timepoint: Before treatment beginning, at the end of the third week in the middle of treatment period, at the end of the sixth week after treatment finishing and at the twelfth week the end of follow up period. Method of measurement: with visual analog scale. Disability level. Timepoint: Before treatment beginning, at the end of the third week in the middle of treatment period, at the end of the sixth week after treatment finishing and at the twelfth week the end of follow up period. Method of measurement: with knee injury and osteoarthritis outcome score questionnaire. Function level. Timepoint: Before treatment beginning, at the end of the third week in the middle of treatment period, at the end of the sixth week after treatment finishing and at the twelfth week, the end of follow up period. Method of measurement: with lower extremity functional scale questionnaire. Knee joint frontal plane projection angle. Timepoint: Before treatment beginning, at the end of the sixth week after treatment finishing and the end of the twelfth week, after follow up period. Method of measurement: with video camera and Kinovea software. Ahvaz University of Medical Sciences Approved 2019-01-15 Ethics Committee of Ahwaz University of Medical Sciences Jondishapour University of Medical Sciences., Golestan St., Golestan Hwy Ahwaz Khouzestan Iran (Islamic Republic of)