<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT2017011732008N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2017-07-11</date_registration>
      <primary_sponsor>Bu_Ali Sina University</primary_sponsor>
      <public_title>Training Effect with EMG Biofeedback on Patella femoral Pain Syndrome</public_title>
      <acronym></acronym>
      <scientific_title>The Effects of a Strengthening Exercise Program with EMG Biofeedback to Correct Patellar Alignment and Reduces Knee Pain in Women with Patella femoral Pain Syndrome</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2015-01-01</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>22</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/25036</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Health service research.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Patello femoral disorders.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group 1: Strengthening Exercises for knee extensors&#13;
&#13;
These exercises were performed in both experimental groups (I and II) equally. The control group remained sedentary. &#13;
&#13;
The aim of these exercises were to increase the strength of the vastus medialis more than that of the vastus lateralis. Exercises were performed within 18 session with 3 sessions (1.5 hours each session) per week, lasting for 6 weeks. &#13;
In the first week, each session were including 3 sets of 10 repetitions (10 seconds each repetition) and the intensity of exercises were increased so that it reached to 5 sets of 30 repetitions at the last week. Intervention 2: Intervention group 2:  Biofeedback.&#13;
&#13;
During the exercises, individuals in one of the experimental groups (Experimental I) received biofeedback about the electrical activity of vastus medialis and lateralis. The second experimental group, as well as the control group did not receive any biofeedback. This biofeedback was including an online figure about the peak electromyography signals of the vastus medialis and lateralis muscles online during the exercise and the subject was advised to change her foot position so that the peak value of electrical activity of the target muscle (Vastus medialis) had the largest possible difference with the other muscle.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan></results_IPD_plan>
      <results_IPD_description></results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Banafsheh  Mohammadi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No 2, Mojahedan St, Mo'allem Blvd, Shahrekord, Iran</address>
        <city>Shahrekord</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>8814871511</zip>
        <telephone>+98 38 3334 8182</telephone>
        <email>banafsheh.mohammadi@yahoo.com</email>
        <affiliation>Bu-Ali Sina University</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Nader Farahpour</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Faculty of Physical Education and Sport Sciences,  Bu_Ali Sina University, Hamedan</address>
        <city>Hamedan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>65178-38695</zip>
        <telephone>+98 8108138292616</telephone>
        <email>naderfarahpour1@gmail.com</email>
        <affiliation>Bu_Ali Sina University</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Inclusion Criteria&#13;
1. Being female&#13;
2. Having the age range from18 to 30&#13;
3. Having a history of chronic pain in the anterior region of the right knee for more than three month&#13;
4. Getting a minimum score of three based on the VAS questionnaire&#13;
5. Having pain in at least two activities such as going up the stairs, going down the stairs, squatting, sitting on knees, bending the knee more than 90 degrees for a long time, running, and jumping&#13;
&#13;
Exclusion Criteria&#13;
1. Having a history of knee pathology except PFPS&#13;
2. Having a previous knee injury or surgery&#13;
3. Using anti-inflammatory drugs &#13;
4. Participating in Physical therapy sessions for lower organs in the last three  months &#13;
5. Having neuromuscular disorders which affect the individual's movement&#13;
6. Being pregnancy</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>30 years</agemax>
      <gender>Female</gender>
      <exclusion_criteria></exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>M22.2</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Patello femoral disorders</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Other</i_code>
      <i_code>Other</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group 1: Strengthening Exercises for knee extensors&#13;
&#13;
These exercises were performed in both experimental groups (I and II) equally. The control group remained sedentary. &#13;
&#13;
The aim of these exercises were to increase the strength of the vastus medialis more than that of the vastus lateralis. Exercises were performed within 18 session with 3 sessions (1.5 hours each session) per week, lasting for 6 weeks. &#13;
In the first week, each session were including 3 sets of 10 repetitions (10 seconds each repetition) and the intensity of exercises were increased so that it reached to 5 sets of 30 repetitions at the last week.</i_keyword>
      <i_keyword>Intervention group 2:  Biofeedback.&#13;
&#13;
During the exercises, individuals in one of the experimental groups (Experimental I) received biofeedback about the electrical activity of vastus medialis and lateralis. The second experimental group, as well as the control group did not receive any biofeedback. This biofeedback was including an online figure about the peak electromyography signals of the vastus medialis and lateralis muscles online during the exercise and the subject was advised to change her foot position so that the peak value of electrical activity of the target muscle (Vastus medialis) had the largest possible difference with the other muscle.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Q angle. Timepoint: Before intervention and 6 weeks after intervention. Method of measurement: Clinical evaluation.</prim_outcome>
      <prim_outcome>Congruance angle. Timepoint: Before intervention and 6 weeks after intervention. Method of measurement: X-Ray.</prim_outcome>
      <prim_outcome>Tilt angle. Timepoint: Before intervention and 6 weeks after intervention. Method of measurement: X-Ray.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Pain. Timepoint: Before intervention and 6 weeks after intervention. Method of measurement: VAS questionnaire.</sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Bu_Ali Sina University</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2014-11-23</approval_date>
        <contact_name>Hamedan University of Medical Sciences and Health Services</contact_name>
        <contact_address>University of Medical Sciences and Health Services, Sahid Fahmideh St., Hamedan Hamedan  Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
