An exercise protocol for the prevention of acute anterior knee pain (AKP) in military recruits undergoing phase 1 training
ISRCTN | ISRCTN61493628 |
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DOI | https://doi.org/10.1186/ISRCTN61493628 |
Secondary identifying numbers | 0603/40 |
- Submission date
- 16/03/2010
- Registration date
- 26/04/2010
- Last edited
- 22/07/2013
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Injury, Occupational Diseases, Poisoning
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Plain English summary of protocol
Not provided at time of registration
Contact information
Mr Russell Coppack
Scientific
Scientific
Rehabilitation Division
Defence Medical Rehabilitation Centre
Headley Court
Epsom
KT18 6JW
United Kingdom
Phone | +44 (0)7717 212036 |
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russ.coppack916@mod.uk |
Study information
Study design | Single-blind cluster randomised controlled trial |
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Primary study design | Interventional |
Secondary study design | Randomised controlled trial |
Study setting(s) | Other |
Study type | Prevention |
Participant information sheet | Not available in web format, please use the contact details below to request a patient information sheet |
Scientific title | An exercise protocol for the prevention of acute anterior knee pain (AKP) in military recruits undergoing phase 1 training: a single-blind cluster randomised controlled trial |
Study objectives | A targeted exercise intervention will result in a statistically significant reduction in the incidence of acute anterior knee pain (AKP), compared to non-intervention controls, in recruits undergoing phase 1 training. |
Ethics approval(s) | Ministry of Defence (MOD) Personnel Research Ethics Committee approved on the 10th February 2006 (ref: 0603/40) |
Health condition(s) or problem(s) studied | Anterior knee pain (AKP)/patellofemoral pain syndrome (PFPS) |
Intervention | Injury prevention intervention: The intervention group will undertake the existing common military training syllabus and the AKP preventative exercise protocol. This protocol will centre on the following components of training: 1. Quadriceps, hamstrings, gastrocnemius and iliotibial band (ITB) muscle stretching 2. Quadriceps, vastus medialis oblique (VMO) open and closed kinetic chain strengthening 3. Gluteal muscle strengthening The intervention will be completed on average 7 times per week during the warm-up and warm-down of each scheduled physical training period. Control group programme: The control group will complete the same common military syllabus with existing 'general' warm-up and warm-down exercises. 'Time exposed' to training, in both the intervention and control arms of the study, was defined as the length of time an individual spent in training with his or her original training group free of AKP. Patients were thus censored at the point they were removed from training (various time-points through the 14-week training period). Participants who successfully completed training with their original troop were censored at the point of exit (14 weeks). There was no follow-up after the 14-week point. |
Intervention type | Other |
Primary outcome measure | Incident case of AKP occuring during the 14-week period of phase 1 training |
Secondary outcome measures | Occupation outcome of training for each participant defined as: 1. Successful completion of training 2. Medical discharge (MD) 3. Discharge as of right (DAOR: a voluntary discharge at the request of the recruit) 4. Unfit for Army Service (UFAS: recruits incapable of meeting the training standards) 5. Back squadding (recruits held back in training) 6. Other (withdrawal from training for all other reasons) All assessed throughout the entire 14-week trial period. |
Overall study start date | 30/08/2006 |
Completion date | 01/10/2008 |
Eligibility
Participant type(s) | Patient |
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Age group | Adult |
Sex | Both |
Target number of participants | 2762 |
Key inclusion criteria | British Army recruits (aged 17 - 25 years, either sex) undergoing phase 1 training will fulfil the eligibility criteria for inclusion in the trial if they exhibit signs and symptoms of AKP with no evidence of any other specific pathologic condition. The inclusion criteria is: 1. Anterior or retropatellar pain arising from at least two of the following: prolonged sitting, stair-climbing, squatting, running, kneeling, hopping/jumping 2. Insidious onset of symptoms unrelated to a traumatic incident 3. Presence of pain on palpation of the patellar facets, on step down from a step, or during a double-legged squat |
Key exclusion criteria | 1. Signs and symptoms of meniscal or other intra-articular pathologic condition 2. Ligament laxity or tenderness 3. Tenderness over the patellar tendon, illiotibial band, or pes-anserinus tendons 4. Osgood-schlatters or Sinding Larsen-Johanssen syndromes 5. Knee joint effusion or hip/lumbar referred pain 6. History of patellar dislocation 7. Other structural damage to the knee |
Date of first enrolment | 30/08/2006 |
Date of final enrolment | 01/10/2008 |
Locations
Countries of recruitment
- England
- United Kingdom
Study participating centre
Rehabilitation Division
Epsom
KT18 6JW
United Kingdom
KT18 6JW
United Kingdom
Sponsor information
Army Recruitment Training Division (ARTD) (UK)
Other
Other
c/o Lt. Col John Etherington
Director of Defence Rehabilitation (DDR)
Defence Medical Rehabilitation Centre (DMRC)
Headley Court
Epsom
KT18 6JW
United Kingdom
Phone | +44 (0)1372 381019 |
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DMRC-DirectorDefenceRehab@mod.uk | |
Website | http://www.armedforces.co.uk/army/listings/l0136.html |
Funders
Funder type
Other
Army Recruitment Training Division (ARTD) (UK) (ref: D/ATRA/5/22/7/12; dated 09 Sep 2005)
No information available
Results and Publications
Intention to publish date | |
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Individual participant data (IPD) Intention to share | No |
IPD sharing plan summary | Not provided at time of registration |
Publication and dissemination plan | Not provided at time of registration |
IPD sharing plan |
Study outputs
Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
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Results article | pilot study results | 01/05/2011 | Yes | No |