The comparison of Neoprene palumbo and Genu direxa stable orthosis effects on pain and activity of daily living in patients with patellofemoral syndrome
A randomized blinded clinical trial
Keywords:
neoprene palumbo orthosis, Genu direxa stable orthosis, patellofemoral pain syndromeAbstract
Background: Patellofemoral pain syndrome (PFPS) is one of the most common disorders of the knee. Conservative approaches, as well as surgery, can decrease pain and the syndrome’s progress effectively.
Objective: The aim of this study was to determine the effectiveness of neoprene palumbo orthosis (NPO) and Genu direxa stable orthosis (GDSO) on pain and the activities of daily living (ADL).
Methods: Thirty patients (males, ages 18 to 40) participated in this randomized blinded clinical trial. All of them were diagnosed with patella femoral pain syndrome. The participants were divided randomly into two groups of 15, with one group using neoprene palumbo (intervention group) and the other group using Genu direxa stable orthoses (control group). Using the Visual Analogue Scale (VAS) and the Knee injury and Osteoarthritis Outcome Score (KOOS), pain intensity and activities of daily living (ADL) and joint stiffness were analyzed before treatment and after three weeks of treatment. Data were analyzed using paired samples t-test and independent samples t-test.
Results: Both orthoses reduced the patients’ pain. Both group showed meaningful improvement in pain reduction and ADL increase after using orthosis in each group. In comparing the variables, no significant differences were found between pain severity and ADL (p = 0.592, p = 0.887). In both groups, the mean of pain severity was different before, during, and after using orthosis (p < 0.05).
Conclusion: The results of this study indicated that Neoprene palumbo and genudirexa stable orthoses improved the signs of patello femoral pain syndrome, including pain intensity and ADL.
Trial registration: The trial was registered at the Iranian Registry of Clinical Trials (http://www.irct.ir) and Current Controlled Trials IRCT138810112946N1.
Fund: Funding for the research was provided by the Iran University of Medical and Health Services (NO: 89325-34).
References
Hinman R, Crossley K, McConnell J, Bennell K. Does the application of tape influence quadriceps
sensorimotor function in knee osteoarthritis? Rheumatology. 2004;43(3):331-6. doi:
1093/rheumatology/keh033. PMID: 14566032.
Schache AG, Dorn TW, Williams GP, Brown NA, Pandy MG. Lower-limb muscular strategies for
increasing running speed. J Orthop Sports Phys Ther. 2014;44(10):813-24. doi: 10.2519/jospt.2014.5433.
PMID: 25103134.
Turek SL. Orthopedics principles and their application. 4th ed, Philadelphia: Lippincott J.B; 1989.
Donell ST, Glasgow MM. Isolated patellofemoral osteoarthritis. Knee. 2007;14(3):169-76. doi:
3109/17453671003628756. PMCID: PMC2852157.
Ghasemi M, Bell F, Hullin M. Biomechanics of the lower limb in patients with anterlor knee pain. Gait
Posture. 1995;3(3):186-7. doi:10.1016/0966-6362(95)99127-7.
Magee DJ. Orthopedic physical assessment: Elsevier Health Sciences; 2014.
Herrington L, Malloy S, Richards J. The effect of patella taping on vastus medialis oblique and vastus
laterialis EMG activity and knee kinematic variables during stair descent. J Electromyogr Kinesiol.
;15(6):604-7. doi: 10.1016/j.jelekin.2005.05.002. PMID: 16061396.
Earl JE, Piazza SJ, Hertel J. The Protonics knee brace unloads the quadriceps muscles in healthy subjects. J
Athl Train. 2004;39(1):44. PMID: 15085211, PMCID: PMC385261.
Nester C, Van Der Linden M, Bowker P. Effect of foot orthoses on the kinematics and kinetics of normal
walking gait. Gait Posture. 2003;17(2):180-7. doi: 10.1016/S0966-6362(02)00065-6. PMID: 12633779.
Powers CM, Chen P-Y, Reischl SF, Perry J. Comparison of foot pronation and lower extremity rotation in
persons with and without patellofemoral pain. Foot Ankle Int. 2002;23(7):634-40. PMID: 12146775.
Bunch WH, Keagy RD. Principles of orthotic treatment, 1st ed. Baltimore. Lippincott Wiliams & Wilkins;
Negahban H, Mostafaee N, Sohani SM, Mazaheri M, Goharpey S, Salavati M, et al. Reliability and validity
of the Tegner and Marx activity rating scales in Iranian patients with anterior cruciate ligament injury.
Disabil Rehabil Assist Technol. 2011;33(22-23):2305-10. doi: 10.3109/09638288.2011.570409. PMID:
Health N, Council MR. National statement on ethical conduct in human research. Intern Med J. 2007. doi:
1111/j.1445-5994.2011.02528.x. PMID: 21762341.
OF CWPOE. MEDICINAL PRO-DUCTS. EEC note for guidance: good clinical practice for trials on
medicinal products in the European Community. CPMP Working Party on Efficacy of Medicinal Products.
Pharmacol Toxicol. 1999; 67:361-72. PMID: 2077532.
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