Comparisons of Mechanical Properties of Tendon Structures
|ClinicalTrials.gov Identifier: NCT00451087|
Recruitment Status : Unknown
Verified December 2006 by National Taiwan University Hospital.
Recruitment status was: Recruiting
First Posted : March 23, 2007
Last Update Posted : January 30, 2008
|Condition or disease||Intervention/treatment||Phase|
|Patellofemoral Pain Syndrome||Procedure: leg press training Procedure: isokinetic training||Phase 1|
Patellofemoral pain syndrome (PFPS) is a common knee disorder. From the literature review, one may find inconsistent results among different research or clinical studies on the effect of therapeutic exercise for the patients with PFPS. A possible reason for the disagreement might be lack of a clear etiology of patellofemoral pain. At present, the most widely accepted concept for the genesis of patellofemoral pain is abnormal lateral tracking of the patella. One factor that causes this maltracking is soft tissue imbalance around the patella. Previous studies demonstrating the inconsistency of the amplitude of muscle activity and the timing of muscle firing for vastus medialis obliquus (VMO) and vastus lateralis (VL) may contribute to the imbalance of soft tissue. Another neuromuscular condition, however, the electromechanical delay of VMO and VL in patents with PFPS was not investigated extensively. We hypothesized that people with PFPS would have longer electromechanical delay of VMO than that of VL. The objective of this three-year project is to compare the electromechanical delay of VMO with that of VL in people with PFPS for the first year. In the second year, we will further investigate the viscoelastic properties of tendon structures, the key components induced this electromechanical delay, of VMO and VL in vivo. In the last year, we will research the effect of an exercise program on the mechanical properties of VMO and VL in people with PFPS.We expect to recruit 30 patients with PFPS as an experimental group and 30 healthy individuals as a control group in the both first and second years. In the third year, we will recruit 60 patients with PFPS, 30 of them to receive a specific exercise program and the others are in the control group.
The evoked electromechanical delay of VMO is defined as the time interval between the time when VMO receiving an electrical stimulation and the onset time of patellar movement due to the VMO contraction. The viscoelastic properties of tendon structures are investigated by an ultrasonographic study under voluntary contraction conditions. The torque output during isometric knee extension at 80° of flexion is measured by a dynamometer. The subject is instructed to produce a gradually increasing force from relaxed status to maximal voluntary contraction within 5 seconds, followed by a gradual relaxation also within 5 seconds. Simultaneously, the elongation of the deep aponeurosis of the VMO or VL is caught by the ultrasonic image which is synchronized with the torque signal by a clock timer for subsequent analysis. The stiffness, Young's modulus and hysteresis of the tendon structures are calculated to represent its viscoelastic properties.
Finally, the subject is prescribed an 8-week exercise program by EN-dynamic machine to perform knee extension from 45° to 0° of flexion. The training outcome is assessed with electromechanical delay of VMO and VL. And we will also investigate the effect of the exercise program on the mechanical properties of tendon structures.
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||120 participants|
|Intervention Model:||Parallel Assignment|
|Official Title:||Phase 1 Study: Comparison of Electromechanical Delay Phase 2 Study: Research in Viscoelasticity of Tendon Structures Phase 3 Study: Effects of Exercise Training in the Mechanical Properties|
|Study Start Date :||December 2006|
|Actual Primary Completion Date :||March 2007|
|Estimated Study Completion Date :||September 2009|
Procedure: leg press training
quadriceps muscle strengthening. 30min/ 3times/ week
|Active Comparator: 2||
Procedure: isokinetic training
quadriceps muscle training. 30 min/ 3 times/ week
- electromechanical delay [ Time Frame: minisecond ]
- quadriceps muscle force [ Time Frame: second ]
- the displacement of deep aponeurosis of vasti muscles [ Time Frame: second ]
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00451087
|Contact: Mei-Hwa Jan, Masterfirstname.lastname@example.org|
|Taipei, Taiwan, 100|
|Contact: Mei-Hwa Jan, Master 886-2-33228138 email@example.com|
|Study Director:||Mei-Hwa Jan, Master||School and Graduate Institude of Physical Therapy,NTU|