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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00662493
Registration number
NCT00662493
Ethics application status
Date submitted
15/04/2008
Date registered
21/04/2008
Date last updated
21/04/2008
Titles & IDs
Public title
A Comparison of Two Exercise Programs on Knee Motor Control
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Scientific title
The Effect of Specific Versus Generalised Quadriceps Exercise on Neural Control of the Vasti
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Secondary ID [1]
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020077
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Knee Pain
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Patellofemoral Pain
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Condition category
Condition code
Musculoskeletal
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Other muscular and skeletal disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
BEHAVIORAL - Motor control retraining program
BEHAVIORAL - Quadriceps strengthening program
Experimental: 1 - Motor control retraining program
BEHAVIORAL: Motor control retraining program
Specific retraining of VMO activation in a low-load situation,and progressed to integrate more functional positions. Use of dual channel biofeedback was incorporated
BEHAVIORAL: Quadriceps strengthening program
4 exercises focused on quadriceps strengthening commencing at a resistance of 60% 1 repetition maximum. Each exercise was performed for 3 sets of 10 repetitions
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Intervention code [1]
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BEHAVIORAL
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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latency between the onset of VMO electromyographic activity relative to that of VL during stair ascent and stair descent measured using surface electrodes
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Assessment method [1]
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Timepoint [1]
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6 weeks with 8 week followup
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Secondary outcome [1]
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Concentric and eccentric quadriceps muscle strength as assessed by isokinetic dynamometry
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Assessment method [1]
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Timepoint [1]
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6 weeks with 8 week followup
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Eligibility
Key inclusion criteria
* aged between 16-40 years, with the upper age limit to reduce the likelihood of osteoarthritic changes in the patellofemoral joint
* a self-reported history of anterior or retropatellar knee pain with insidious onset of symptoms and with at least one episode of pain in the past 12 months where pain was aggravated by at least two of the following: prolonged sitting, stairs, squat, running, kneeling and hopping/jumping
* currently asymptomatic for at least 8 weeks prior to assessment
* delay in the onset of VMO EMG relative to that of VL of greater than 10 ms during either the ascent or descent of a stair stepping task
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Minimum age
16
Years
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Maximum age
40
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
* current knee pain
* history of knee surgery or other knee injury in previous 12 months
* physiotherapy treatment for knee pain in the past 12 months
* history of patellar dislocation/subluxation
* clinical evidence of meniscal lesion, ligamentous instability, traction apophysitis around the patellofemoral complex, patellar tendon pathology, chondral damage, osteoarthritis and spinal referred pain
* current lower limb pathology affecting their ability to satisfactorily complete the testing or exercise protocol
* current use of non-steroidal anti-inflammatory or corticosteroid drugs
* inability to communicate and comprehend written or verbal instructions in English
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/03/2003
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/12/2005
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Sample size
Target
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Accrual to date
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Final
60
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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University of Melbourne - Melbourne
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Recruitment postcode(s) [1]
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3010 - Melbourne
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Funding & Sponsors
Primary sponsor type
Other
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Name
University of Melbourne
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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National Health and Medical Research Council, Australia
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
Pain at the front of the knee is a common condition treated by physical therapists. Treatment may consist of generalised strengthening exercises directed at the quadriceps muscle or specific retraining aimed at restoring motor control at the knee. This study compared these two exercise programs in a group of people who were painfree at the time to evaluate their effect on motor control. It was hypothesised that only the motor retraining program would influence motor control at the knee.
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Trial website
https://clinicaltrials.gov/study/NCT00662493
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Trial related presentations / publications
Bennell K, Duncan M, Cowan S, McConnell J, Hodges P, Crossley K. Effects of vastus medialis oblique retraining versus general quadriceps strengthening on vasti onset. Med Sci Sports Exerc. 2010 May;42(5):856-64. doi: 10.1249/MSS.0b013e3181c12771.
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Public notes
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Contacts
Principal investigator
Name
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Kim L Bennell, PhD
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Address
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University of Melbourne
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT00662493
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