Physiotherapy (TFG)

Comparison of closed kinetic chain quadriceps and gluteal strength training with open kinetic chain quadriceps and gluteal strength training on pain in runners with patellofemoral knee osteoarthritis: a randomized controlled trial

2025-03-19T13:30:56Z

Comparison of closed kinetic chain quadriceps and gluteal strength training with open kinetic chain quadriceps and gluteal strength training on pain in runners with patellofemoral knee osteoarthritis: a randomized controlled trial Patyk, Baptiste INTRODUCTION: Quadriceps and gluteal strength training is considered one of the main treatments for improving symptoms in patients suffering from knee osteoarthritis (KOA). This type of intervention appears to be of interest to runners suffering from this pathology, in view of the benefits of strength training in their discipline, particularly with its emphasis on eccentric work. However, most studies have focused on the effects of open kinetic chain (OKC) strength training on non-athletic subjects and on patients suffering from tibiofemoral KOA (TF KOA). The aim of this study is to compare the effects of two quadriceps and gluteal strength trainings, one in OKC and the other in closed kinetic chain (CKC), on pain, quadriceps and gluteal strength, function and running biomechanics in runners with patellofemoral KOA (PF KOA). METHODS: This study will be a randomized, controlled, multi-centre, single blind (assessors) trial with repeated assessment at baseline, week 12 and week 25. To be included in the study, subjects (males or females) must be aged between 30 and 50, have a running training volume between 50 and 100 kilometres, present a PF KOA of at least grade 2 on the Kellgren-Lawrence scale and already have at least one session of lower-limb strength training per week in the gym. Each subject will be allocated to one of the two study groups and will perform, on their side, CKC or OKC quadriceps and gluteal training for 12 weeks, with 2 sessions per week in addition to their running training. Pain, using the Brief Pain Inventory Short Form (BPISF), will be assessed as a primary outcome. Quadriceps and gluteal strength with the BiodexSystem 4 dynamometer, function with the Knee Injury and Osteoarthritis Outcome Score (KOOS) questionnaire and running biomechanics with the RunScribe wearable device will be evaluated as secondary outcomes. Statistical analysis will be performed with repeated measures ANOVA and statistical significance at 0.05. DISCUSSION: The expected results are that CKC quadriceps and gluteal strength training will result in greater improvement on pain, quadriceps and gluteal strength, function and running biomechanics compared to OCK quadriceps and gluteal strength training in runners with PF KOA

Do postural exercises aiming to reduce forward head posture help reduce pain in chronic temporomandibular disorder patients ? A randomized controlled trial

2025-03-19T13:21:35Z

Do postural exercises aiming to reduce forward head posture help reduce pain in chronic temporomandibular disorder patients ? A randomized controlled trial Berthon, Elisabeth Introduction: Chronic temporomandibular disorders (TMD) are defined as a group of conditions affecting the temporomandibular joint (TMJ) and the related structures. They affect a considerable part of the population and create pain, discomfort and an overall difficult day to day life. Usually, the more common treatments are centered around the jaw and disregard the different structures that may affect the symptoms too, like the posture. Objective: The goal of this study is to define whether or not adding an intervention aiming to reduce forward head posture (FHP) helps reduce the pain in chronic TMD patients. The function of the masticatory system, the quality of life and the craniovertebral angle (CVA) are also outcomes that will be measured. The participants will be divided into 2 randomized groups to test the effectiveness of an 8 weeks treatment program targeting the jaw and the posture with scapular stabilization exercises. Methods: This randomized controlled trial will include patients with chronic TMD presenting FHP. The main outcome is pain, the secondary outcomes are function, quality of life and the craniovertebral angle to measure the FHP. The patients will be evaluated using the Graded Chronic Pain Scale version 2 (GCPS), the Jaw Functional Limitation Scale (JF-20), the CVA and the Short Form 12 Items Version 2 Health Survey (SF-12v2). There will be 4 assessments: at baseline (one day before the beginning of the intervention), at 4 weeks, at 8 weeks (one day after the final session) and at 6 months for the follow up. The mixed Anova test will be used for the data analysis with a p value <0.05 for significance. The investigators will be blinded during the study and the patients randomized. Discussion: The results expected are: significant differences between the intervention group and the control group in terms of reduction of pain, as well as a better function of the masticatory system and quality of life. The FHP is expected to be reduced significantly for the intervention group and seen through an augmentation of the CVA

The effects of whole body vibrations on type 2 diabetes adults with painful peripheral neuropathies: a randomised controlled trial

2023-07-05T10:54:51Z

The effects of whole body vibrations on type 2 diabetes adults with painful peripheral neuropathies: a randomised controlled trial Bernard, Maelle BACKGROUND: Neuropathies can have a large detrimental effect in diabetic populations. Non pharmacological and pharmacological treatments to ease neuropathic symptoms are on the rise, however optimal interventions to improve pain and quality of life in these individuals have not yet been found as there is still a lack of convincing results and research. The aim of this trial is to deepen our knowledge on potential modalities to help these patients. It will attempt to determine the effect of whole body vibrations in comparison to sham whole body vibrations (WBV) on painful neuropathies in type 2 diabetes mellitus (T2DM) subjects. METHODS: This study is a multi centre, randomized, double-blinded (patients and assessors), controlled trial with a 1:1 ratio. Participants will be sedentary adults over 50 diagnosed with T2DM and associated painful peripheral neuropathy. They will be randomly allocated to one of two groups; the WBV intervention group and the sham WBV group. The intervention will last 6 weeks, there will be 3 sessions of 3x4mins of synchronous WBV or sham WBV per week. The primary outcome will be pain, which will be measured with the visual analogue scale (VAS) before and after every WBV/sham WBV session. Secondary outcomes will include quality of life, glycemic profile, plantar sensitivity, aerobic capacity, lower limb strength and balance. These will be measured with the NeuroQoL, a fasting blood glucose test and HbA1c test, nylon Semmes-weinstein monofilament test, O2peak test, sit to stand test as well as Berg balance scale respectively. These assessments will be made at baseline, 3 weeks and 6 weeks. A follow up assessment will take place 6 weeks after the end of the intervention. Data analysis to compare in between group results will be made using a student- t test. DISCUSSION: Synchronous WBV training is a feasible and cheap intervention that could potentially improve pain as well as QoL, glycemic profile, plantar sensitivity, aerobic capacity, lower limb strength and balance in T2DM patients with painful peripheral neuropathies

Surgical treatment versus conservative treatment for ACL rupture on female gymnasts: a study protocol for a randomized controlled trial

2022-09-29T15:47:49Z

Surgical treatment versus conservative treatment for ACL rupture on female gymnasts: a study protocol for a randomized controlled trial Marin Rodriguez, Tamara Javiera BACKGROUND: An ACL injury is one of the most common and devastating sports injuries, and the incidence points to be much higher in females than in male counterparts. The incidence points to 2-8 times more likely to occur on female subjects . This study aimed to compare the effectiveness of a Surgical treatment of an Anterior Cruciate Ligament (ACL) rupture compared with a Non-surgical treatment to evaluate the function level of the knee in order to reduce the time taken to Return to Play and the continuity of the sportive practice in female gymnasts in the long term. METHODS: This study is a study protocol for a Randomised Controlled Trial, with repeated assessment at the beginning and end of the treatment posterior to the injury and a minimum of 5 years follow up of sporting activity. The inclusion criteria for the participants will be female athletes from different sport centers in Barcelona that suffered an ACL rupture, age from 14-19 due then during this period the risk seems to be at its peak with a level III of ACL injury. The treatment will be divided into “Control Group” (Surgical treatment of ACL rupture + Physical Therapy) and “Treatment Group” (Physical Therapy or Non-surgical treatment of ACL rupture). The outcomes will be measured with the International Knee Documentation Committee (IKDC) questionnaire and the Anterior Cruciate Ligament Return to Sport After Injury (ACL - RSI) to measure functionality and stability of the joint and the time that takes to reach this maximum level. DISCUSSION: It is expected to find higher levels of function on the Treatment Group with the Conservative treatment in order to achieve a decreased time to return to play, compared to the Control group that will follow a Surgical treatment + Physical Therapy. It is also expected to find that the Treatment group will have a greater percentage of individuals that keep practicing the sport in the long term