History
# Registration date Revision Id
2 2023-12-08, 1402/09/17 288419
1 2023-07-28, 1402/05/06 273212
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  • Protocol summary

    Comparison of the effect of a course of corrective exercises with and without foot orthosis on the improvement of pain and function of patellofemoral pain syndrome.
    Comparison of the effect of proximal hip-core strengthening exercises with and without foot orthosis on improving pain and performance of women with patellofemoral pain syndrome
    مقایسه اثر یک دوره تمرینات اصلاحی با و بدون ارتز کف پایی بر بهبود درد و عملکرد سندروم درد کشککی رانی
    مقایسه اثر تمرینات تقویتی پروگزیمال هیپ-مرکزی با و بدون ارتز کف پایی بر بهبود درد و عملکرد زنان مبتلا به سندروم درد کشککی رانی
    Clinical trial with control group and, with parallel groups, double-blind, randomized, on 111 patients. Random allocation was used for randomization
    A clinical trial with the control group, with parallel groups, single-blind, randomized, on 117 patients. SNOSE will used for randomization
    کارآزمایی بالینی دارای گروه کنترل و، با گروه های موازی ، دو سویه کور ، تصادفی شده، بر روی 111 بیمار. برای تصادفی سازی از Random allocatio استفاده شد.
    یک کارآزمایی بالینی دارای گروه کنترل، با گروه های موازی ، یک سویه کور ، تصادفی شده، بر روی ۱۱۷ بیمار. برای تصادفی سازی از پاکت های مهر و موم شده استفاده می شود.
    he work was carried out in sports clubs and orthopedic clinics. The patients are randomly divided into three groups of 37 people using the Random Allocation software. The first patient who meets the entry criteria will be allocated treatments in the order of randomization.
    The work will be done in sports clubs and orthopedic clinics. The patients will be randomly divided into three groups of 39 people using a sequentially numbered, opaque, sealed envelope (SNOSE) technique. The study will be single-blind.
    محل انجام کار درمراکز حرکات اصلاحی باشگاهای ورزشی و کلینیک های ارتوپدی بود .بیماران به صورت تصادفی با استفاده از نرم افزار Random allocation به سه گروه 37 نفری تقسیم میشوند .از اولین بیمار که واجد معیار های ورود به تخصیص درمان ها به ترتیب تصادفی سازی آغاز میشود و درون هر پاکت نوع درمان مشخص شده است که پس از بازکزدن پاکت درمان موجود در آن اجرا خواهد شد.و نحوه کورسازی دو سویه کور بود .
    محل انجام کار درمراکز حرکات اصلاحی باشگاهای ورزشی و کلینیک های ارتوپدی خواهد بود .بیماران به صورت تصادفی با استفاده از پاکت های مهر و موم شده به سه گروه ۳۹ نفری تقسیم میشوند. مطالعه یک سویه کور خواهد بود .
    Criteria for entering the study: 1. Age range between 18 and 40 years 2. Having knee pain for at least 6 weeks or more 3. Having anterior knee pain with non-traumatic origin 4. Not having a history of injury and surgery on the spine and lower limbs 5. Exacerbation of pain with at least 2 of the following activities including: running, jumping, walking on a hill or stairs, sitting for a long time, kneeling, squatting Exit criteria If they have the following, they will be excluded from the study. Knee meniscus and ligament or tendon damage, patella dislocation (patellar instability), Osgood Schlatter disease, Pelica syndrome, Larsen-Johnson syndrom, knee joint effusion.
    Criteria for entering the study: 1. Age range between 18 and 40 years 2. Having knee pain for at least 6 weeks or more 3. Having anterior knee pain with non-traumatic origin 4. Not having a history of injury and surgery on the spine and lower limbs 5. Exacerbation of pain with at least 2 of the following activities including running, jumping, walking on stairs, sitting for a long time, kneeling, squatting 6. Navicular drop greater than 9 mm and foot posture index greater than 6 Exit criteria If they have the following, they will be excluded from the study. Knee meniscus and ligament or tendon damage, patella dislocation (patellar instability), Osgood Schlatter disease, Pelica syndrome, Larsen-Johnson syndrome, knee joint effusion.
    معیار های ورود به مطالعه : 1.دامنه سنی بین 18 تا 40 سال 2.داشتن زانو درد حداقل 6 هفته یا بیشتر 3.داشتن درد قدامی زانوبا منشا غیر ضربه ایی 4.نداشتن سابقه آسیب و جراحی درستون فقرات و اندام تحتانی 5.تشدید درد با حداقل 2 مورد از فعالیت های زیر شامل: دویدن، پریدن، راه رفتن روی تپه یا پله، نشستن های طولانی مدت، زانو زدن، چمبامه زدن معیار هار خروج در صورت داشتن موارد زیر از مطالعه حذف میشوند . آسیب مینیسک زانو ورباط یا تاندون ،درفتگی کشکک (بی ثباتی کشکک) بیماری ازگودشلاتر ، سندروم پلیکا ،سندروم سیندینگ لارسن جانسون ،افیوژن مفص زانو .
    معیار های ورود به مطالعه : 1.دامنه سنی بین 18 تا 40 سال 2.داشتن زانو درد حداقل 6 هفته یا بیشتر 3.داشتن درد قدامی زانوبا منشا غیر ضربه ایی 4.نداشتن سابقه آسیب و جراحی درستون فقرات و اندام تحتانی 5.تشدید درد با حداقل 2 مورد از فعالیت های زیر شامل: دویدن، پریدن، راه رفتن روی تپه یا پله، نشستن های طولانی مدت، زانو زدن، چمبامه زدن 6. افت ناوی بیشتر از ۹ میلی متر و امتیاز بیشتر از ۶ از شاخص پاسچر پا معیار هار خروج در صورت داشتن موارد زیر از مطالعه حذف میشوند . آسیب مینیسک زانو ورباط یا تاندون ،درفتگی کشکک (بی ثباتی کشکک) بیماری ازگودشلاتر ، سندروم پلیکا ،سندروم سیندینگ لارسن جانسون ،افیوژن مفص زانو .
    he first intervention group: includes a group of people with patellofemoral pain syndrome who receive a course of corrective exercise. The second intervention group: includes a group of people with patellofemoral pain syndrome who receive a course of corrective exercise and foot orthosis. The third intervention group: includes a group of people with patellofemoral pain syndrome who continue their normal lifestyle and do not receive any treatment.
    The first intervention group: Participants in this group receive hip and core proximal strengthening exercises. The second intervention group: In addition to hip and core proximal strengthening exercises, the participants of this group also will receive foot orthosis. The third intervention group: includes a group of people with patellofemoral pain syndrome who continue their normal lifestyle and do not receive any treatment.
    گروه مداخله اول : شامل یک گروه از افراد مبتلا به سندروم درد کشککی رانی که یک دوره تمرین اصلاحی دریافت میکنند . گروه مداخله دوم : شامل یک گروه از افراد مبتلا به سندروم درد کشککی رانی که یک دوره تمرین اصلاحی و ارتز کف پایی دریافت میکنند. گروه مداخله سوم : شامل یک گروه از افراد مبتلا به سندروم درد کشککی رانی که به شیوه زندگی خود به طور معمول ادامه داده و هیچ درمانی را دریافت نمیکنند.
    گروه مداخله اول : شرکت کنندگان این گروه یک دوره تمرین تقویتی پروگزیمال هیپ و مرکزی دریافت میکنند . گروه مداخله دوم : شرکت کنندگان این گروه علاوه بر یک دوره تمرین تقویتی پروگزیمال هیپ و مرکزی، ارتز کف پایی نیز دریافت خواهند کرد. گروه مداخله سوم : شامل یک گروه از افراد مبتلا به سندروم درد کشککی رانی که به شیوه زندگی خود به طور معمول ادامه داده و هیچ درمانی را دریافت نمیکنند.
    pain and functional
    Pain ; Performance
    درد و عملکرد
    درد ؛ عملکرد
  • General information

    1
    1
    111
    117
    2023-10-22, 1402/07/30
    2024-01-20, 1402/10/30
    empty
    The initial number of registered participants was regardless of the amount of attrition, which is why 6 people were added to the number of participants. Also, due to the need for more time to complete the number of participants, this period was increased.
    empty
    تعداد شرکت کنندگان ثبت شده اولیه بدون درنظر گرفتن مقدار ریزش بود که به همین دلیل ۶ نفر اضافه شد. همچنین با توجه به نیاز به زمان بیشتر برای تکمیل تعداد شرکت کنندگان این بازه زمانی افزایش داده شد.
    Age range between 18 and 40 years
    Having knee pain for at least 6 weeks or more
    Having anterior knee pain with non-traumatic origin
    Not having a history of injury and surgery on the spine and lower limbs
    Exacerbation of pain with at least 2 of the following activities including: running, jumping, walking on a hill or stairs, sitting for a long time, kneeling, squatting
    Clark's test is positive
    Age range between 18 and 40 years
    Having knee pain for at least 6 weeks or more
    Having anterior knee pain with non-traumatic origin
    Not having a history of injury and surgery on the spine and lower limbs
    Exacerbation of pain with at least 2 of the following activities including: running, jumping, walking on a hill or stairs, sitting for a long time, kneeling, squatting
    Clark's test is positive
    Navicular drop more than 9 mm
    A score greater than 6 from the foot posture index
    Pain score greater than 3 on the visual analog scale
    دامنه سنی 18 تا 40 سال .
    داشتن زانو درد حداقل 6 هفته یا بیشتر
    داشتن درد قدامی زانوبا منشا غیر ضربه ایی
    داشتن سابقه آسیب و جراحی درستون فقرات و اندام تحتانی
    شدید درد با حداقل 2 مورد از فعالیت های زیر شامل: دویدن، پریدن، راه رفتن روی تپه یا پله، نشستن های طولانی مدت، زانو زدن، چمبامه زدن
    مثبت بودن تست کلارک
    دامنه سنی 18 تا 40 سال
    داشتن زانو درد حداقل 6 هفته یا بیشتر
    داشتن درد قدامی زانو با منشا غیر ضربه ایی
    داشتن سابقه آسیب و جراحی درستون فقرات و اندام تحتانی
    درد در حداقل 2 مورد از فعالیت های زیر شامل: دویدن، پریدن، راه رفتن روی تپه یا پله، نشستن های طولانی مدت، زانو زدن، چمبامه زدن
    مثبت بودن تست کلارک
    افت ناوی بیشتر از ۹ میلی متر
    امتیاز بیشتر از ۶ از شاخص پاسچر پا
    امتیاز درد بیشتر از ۳ در مقیاس بصری سنجش درد
    آسیب مینیسک ورباط یا تاندون زانو.
    درفتگی کشکک (بی ثباتی کشکک)
    یماری ازگودشلاتر
    سندروم سلیکا
    سندروم سیندینگ لارسن جانسون
    فیوژن مفص زانو .
    آسیب مینیسک ورباط یا تاندون زانو.
    درفتگی کشکک (بی ثباتی کشکک)
    یماری ازگودشلاتر
    سندروم سلیکا
    سندروم سیندینگ لارسن جانسون
    افیوژن مفص زانو .
    The patients are randomly divided into three groups of 37 people using the Random Allocation software. From the first patient who meets the entry criteria, the allocation of treatments starts in the order of randomization, and the type of treatment is specified in each envelope. The treatment package in it will be implemented.(The envelopes are marked as A B C)
    To allocate participants to each study group by a third party who is not present in the study, sealed, numbered, and opaque envelopes will be prepared based on the number of patients. Notably, the envelope will contain a slip of paper on which the treatment will be written in coded letters (namely, ABC). Then, each participant will randomly select an envelope like a lottery and will be allocated to one of three groups (Group I: PSEFO, Group II: PSEs, or Group III: CG) according to the code in each envelope.
    بیماران به صورت تصادفی با استفاده از نرم افزار Random allocation به سه گروه 37 نفری تقسیم میشوند .از اولین بیمار که واجد معیار های ورود به تخصیص درمان ها به ترتیب تصادفی سازی آغاز میشود و درون هر پاکت نوع درمان مشخص شده است که پس از بازکزدن پاکت درمان موجود در آن اجرا خواهد شد.(پاکت ها علامت گذاری شده اند به صورت الف ب ج )
    برای تخصیص شرکت کنندگان به هر گروه مطالعه توسط شخص ثالثی که در مطالعه حضور ندارد، پاکت های مهر و موم شده، شماره گذاری شده و مات بر اساس تعداد بیماران تهیه می شود. قابل ذکر است، پاکت حاوی یک برگه کاغذ است که روی آن درمان با حروف رمزگذاری شده (یعنی ABC) نوشته خواهد شد. سپس، هر شرکت‌کننده به‌طور تصادفی یک پاکت مانند قرعه‌کشی انتخاب می‌کند و با توجه به کد موجود در هر پاکت، به یکی از سه گروه (گروه اول: PSEFO، گروه دوم: PSEs، یا گروه III: CG) اختصاص می‌یابد.
  • Secondary outcomes

    #1
    functional
    Disability
    عملکرد
    ناتوانی
    kujala scoring questionnaire
    Kujala questionnaire
    پرسشنامه امتیازدهی کوجالا
    پرسشنامه کوجالا
    #2
    functional
    Balance
    عملکرد
    تعادل پویا
    #3
    Vanukurf questionnaire
    Kujala questionnaire
    پرسشنامه ونکورف
    پرسشنامه کوجالا
  • Intervention groups

    #1
    Intervention group: The first intervention group includes a group that receives corrective exercises.
    Intervention group: Intervention group: The first intervention group receives proximal hip and core strengthening exercises for eight weeks.
    گروه مداخله: گروه مداخله اول شامل یک گروه که تمرینات اصلاحی دریافت میکند.
    گروه مداخله: گروه مداخله اول تمرینات تقویتی پروگزیمال لگن و ناحیه مرکزی را به مدت هشت هفته دریافت می کنند.
    #2
    Intervention group: The second intervention group receives a corrective exercise group with a foot orthosis.
    Intervention group: The second intervention group receives foot orthotics in addition toproximal strengthening hip and core exercises.
    گروه مداخله: گروه مداخله دوم یک گروه تمرین اصلاحی را با ارتز کف پایی باهم دریافت میکنند.
    گروه مداخله: گروه مداخله دوم علاوه بر تمرینات تقویتی پروگزیمال لگن و ناحیه مرکزی، ارتز کف پایی نیز دریافت میکنند.

Protocol summary

Study aim
Comparison of the effect of proximal hip-core strengthening exercises with and without foot orthosis on improving pain and performance of women with patellofemoral pain syndrome
Design
A clinical trial with the control group, with parallel groups, single-blind, randomized, on 117 patients. SNOSE will used for randomization
Settings and conduct
The work will be done in sports clubs and orthopedic clinics. The patients will be randomly divided into three groups of 39 people using a sequentially numbered, opaque, sealed envelope (SNOSE) technique. The study will be single-blind.
Participants/Inclusion and exclusion criteria
Criteria for entering the study: 1. Age range between 18 and 40 years 2. Having knee pain for at least 6 weeks or more 3. Having anterior knee pain with non-traumatic origin 4. Not having a history of injury and surgery on the spine and lower limbs 5. Exacerbation of pain with at least 2 of the following activities including running, jumping, walking on stairs, sitting for a long time, kneeling, squatting 6. Navicular drop greater than 9 mm and foot posture index greater than 6 Exit criteria If they have the following, they will be excluded from the study. Knee meniscus and ligament or tendon damage, patella dislocation (patellar instability), Osgood Schlatter disease, Pelica syndrome, Larsen-Johnson syndrome, knee joint effusion.
Intervention groups
The first intervention group: Participants in this group receive hip and core proximal strengthening exercises. The second intervention group: In addition to hip and core proximal strengthening exercises, the participants of this group also will receive foot orthosis. The third intervention group: includes a group of people with patellofemoral pain syndrome who continue their normal lifestyle and do not receive any treatment.
Main outcome variables
Pain ; Performance

General information

Reason for update
The initial number of registered participants was regardless of the amount of attrition, which is why 6 people were added to the number of participants. Also, due to the need for more time to complete the number of participants, this period was increased.
Acronym
IRCT registration information
IRCT registration number: IRCT20230604058380N1
Registration date: 2023-07-28, 1402/05/06
Registration timing: prospective

Last update: 2023-12-14, 1402/09/23
Update count: 1
Registration date
2023-07-28, 1402/05/06
Registrant information
Name
mansoureh barati ashtiani
Name of organization / entity
Gilan University
Country
Iran (Islamic Republic of)
Phone
+98 918 698 9204
Email address
manbarati1377@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2023-08-21, 1402/05/30
Expected recruitment end date
2024-01-20, 1402/10/30
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
comparison of the effect of a course of course of corrective exercises with and without foot orthosis on the improvement of pain and performance of patients with patellofemoral pain syndrome.
Public title
Comparison of the effect of a course of corrective exercises with and without foot orthosis on people with patellofemoral pain syndrome.
Purpose
Supportive
Inclusion/Exclusion criteria
Inclusion criteria:
Age range between 18 and 40 years Having knee pain for at least 6 weeks or more Having anterior knee pain with non-traumatic origin Not having a history of injury and surgery on the spine and lower limbs Exacerbation of pain with at least 2 of the following activities including: running, jumping, walking on a hill or stairs, sitting for a long time, kneeling, squatting Clark's test is positive Navicular drop more than 9 mm A score greater than 6 from the foot posture index Pain score greater than 3 on the visual analog scale
Exclusion criteria:
Knee meniscus and ligament or tendon injury patellar dislocation (patellar instability) Osgoodschlatter disease Celica syndrome, Larsen-Johnson syndrom knee joint effusion
Age
From 18 years old to 40 years old
Gender
Female
Phase
N/A
Groups that have been masked
  • Outcome assessor
  • Data analyser
Sample size
Target sample size: 117
Randomization (investigator's opinion)
Randomized
Randomization description
To allocate participants to each study group by a third party who is not present in the study, sealed, numbered, and opaque envelopes will be prepared based on the number of patients. Notably, the envelope will contain a slip of paper on which the treatment will be written in coded letters (namely, ABC). Then, each participant will randomly select an envelope like a lottery and will be allocated to one of three groups (Group I: PSEFO, Group II: PSEs, or Group III: CG) according to the code in each envelope.
Blinding (investigator's opinion)
Single blinded
Blinding description
In this study, the outcome evaluator is blind, so that he does not know how the subjects are assigned to the groups and what treatment intervention each group of subjects will receive. In this way, during the evaluation before and after the period of interventions, they do not make mistakes in their judgments in favor of a specific therapeutic intervention.
Placebo
Not used
Assignment
Parallel
Other design features
NO

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics Committee of Gilan University of Medical Sciences
Street address
1st block, 13th floor, Central Headquarters of the Ministry of Health, Treatment and Medical Education, Simai Iran St., between South Flank and Zarafshan, Quds town, Tehran
City
Rasht
Province
Guilan
Postal code
1467664961
Approval date
2023-05-28, 1402/03/07
Ethics committee reference number
IR.GUILAN.REC.1402.021

Health conditions studied

1

Description of health condition studied
Patellofemoral pain syndrome
ICD-10 code
ICD-10 code description

Primary outcomes

1

Description
pain
Timepoint
Pain measurement before and after exercises and intervention
Method of measurement
Visual Analog Scale (VAS)

Secondary outcomes

1

Description
Disability
Timepoint
Measurement of functional before and after exercises and intervention
Method of measurement
Kujala questionnaire

2

Description
Balance
Timepoint
Measurement of functional before and after exercises and intervention
Method of measurement
Y balance test

3

Description
functional
Timepoint
Measurement of functional before and after exercises and intervention
Method of measurement
step down test at 30 second

4

Description
functional
Timepoint
Measurement of functional before and after exercises and intervention
Method of measurement
Single leg squat test

5

Description
functional
Timepoint
Measurement of functional before and after exercises and intervention
Method of measurement
bilateral squat test

6

Description
Q angle
Timepoint
Measurement of Q angle before and after exercises and intervention
Method of measurement
Measuring the angle Q with a goniometer

7

Description
Flat foot
Timepoint
Measurement before and after exercises and intervention
Method of measurement
Navicular drop

8

Description
Quality of life
Timepoint
Measurement before and after exercises and intervention
Method of measurement
Quality of life questionnaire (SF_36)

9

Description
functional
Timepoint
Measurement of functional before and after exercises and intervention
Method of measurement
anteromidial lunge test

10

Description
disability
Timepoint
Measurement disability of before and after exercises and intervention
Method of measurement
Kujala questionnaire

Intervention groups

1

Description
Intervention group: Intervention group: The first intervention group receives proximal hip and core strengthening exercises for eight weeks.
Category
Rehabilitation

2

Description
Intervention group: The second intervention group receives foot orthotics in addition toproximal strengthening hip and core exercises.
Category
Rehabilitation

3

Description
Control group: These people continue their way of life as usual.
Category
Lifestyle

Recruitment centers

1

Recruitment center
Name of recruitment center
Corrective movements center and sports clubs
Full name of responsible person
Behnaz Tabatabai
Street address
Khoram Street, Hakim building, third floor
City
Arak
Province
Markazi
Postal code
3814813685
Phone
+98 903 499 0769
Email
manbarati1377@gmail.com

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
University of guilan
Full name of responsible person
Farhad Rahmani Nia
Street address
Kilometer 5, Grand University, Qazvin-Rasht road
City
Rasht
Province
Guilan
Postal code
4199613776
Phone
+98 13 3369 0274
Email
pr@guilan.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
University of guilan
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Gilan University
Full name of responsible person
mansoureh barati ashtiani
Position
Student
Latest degree
Master
Other areas of specialty/work
Corrective Exercises
Street address
Kilometer 5 of Qazvin Highway - Rasht, Faculty of Physical Education and Sports, Pilan
City
rasht
Province
Guilan
Postal code
4199613776
Phone
+98 903 499 0769
Fax
+98 13 3369 0451
Email
manbarati1377@gmail.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
University of Gilan
Full name of responsible person
Hasan Daneshmandi
Position
full Profesor
Latest degree
Ph.D.
Other areas of specialty/work
Corrective Exercises
Street address
Kilometer 5, Bezgarah, Qazvin, Rasht, Faculty of Sports Sciences and Physical Education, Gilan
City
Rasht
Province
Guilan
Postal code
guilan.central.lab@g
Phone
0133369027
Email
daneshmandi_ph@yahoo.com

Person responsible for updating data

Contact
Name of organization / entity
the university of guilan
Full name of responsible person
mansoureh barati ashtiani
Position
student
Latest degree
Master
Other areas of specialty/work
Corrective exercises
Street address
Kilometer 5 of Qazvin Highway - Rasht, Faculty of Physical Education and Sports, Pilan
City
rasht
Province
Guilan
Postal code
4199613776
Phone
+98 903 499 0769
Email
guilan.central.lab@gmail.com

Sharing plan

Deidentified Individual Participant Data Set (IPD)
No - There is not a plan to make this available
Justification/reason for indecision/not sharing IPD
No, there is no plan to publish
Study Protocol
No - There is not a plan to make this available
Statistical Analysis Plan
No - There is not a plan to make this available
Informed Consent Form
No - There is not a plan to make this available
Clinical Study Report
No - There is not a plan to make this available
Analytic Code
No - There is not a plan to make this available
Data Dictionary
No - There is not a plan to make this available
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