<?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>IRCT20240603061996N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2024-07-10</date_registration>
      <primary_sponsor>faculty of Sport Sciences, Islamic Azad University,Khorasgan Branch, Isfahan, Iran</primary_sponsor>
      <public_title>Effect of knee stabilization exercises with blood flow restriction on patellofemoral pain syndrome in bodybuilding athletes</public_title>
      <acronym></acronym>
      <scientific_title>Effect of knee stabilization exercises with blood flow restriction on patellofemoral pain syndrome in bodybuilding athletes</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2021-11-17</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>40</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/77197</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Triple blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: A simple randomization method will be used to assign participants to three groups. Random allocation software will be used to create random sequences. The central randomization method will also be used to hide the allocation concealment, Blinding description: The subjects will be randomly assigned to one of the three study groups . The subjects will not be aware of the type of intervention of other groups.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Patellofemoral Pain Syndrome.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: The exercises include hip external rotation while lying on the side, hip external rotation while sitting on the table, step down, knee extension between 0 and 30 degrees, and isometric contraction with a ball(subjects hold a ball between their knee), they perform all exercises with 30% of 1RM. This training  performed 6 weeks and 3 sessions per week (1 hour per session). Intervention 2: Control group: The traditional exercises include hip strengthening exercises and quadriceps strengthening exercises. The intensity of their exercise is in a comfortable and painless condition. This training  performed 6 weeks and 3 sessions per week (1 hour per session). Intervention 3: Intervention group: The training programs with blood flow restriction (BFR) as described before were used in conjunction with blood flow occlusion during exercises. The Katsu device was used for blood flow occlusion. Arterial occlusion pressure was measured by placing a pneumatic cuff on the proximal thigh in a standing position. The cuff pressure was set to 120 mmHg at the beginning of the exercises (this pressure was chosen based on previous research results and the capability of the present study's participants, and the training load was adjusted accordingly). The cuff was removed 30 seconds after the last set of each exercise and reapplied before the first set of the next exercise. Note: Approximately 10% of the participants reported a pain level of 7 or 8. For these individuals, the training pressure was reduced according to the physician's advice, and the exercises were performed with lower pressure. Additionally, since all exercises were performed in the last 30 degrees of knee extension, the reaction force between the patella and femur was minimized, resulting in significantly less pain compared to daily activities. This training  performed 6 weeks and 3 sessions per week (1 hour per session).</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>Yes - There is a plan to make this available</results_IPD_plan>
      <results_IPD_description>What will be shared:
After Completion of Interventions And Final Evaluation, The Data Will Be Shared Through The Articles To Provide a Comprehensive Treatment Process.

When:
The Results of This Study Will Be Available In Journals 6 Months After Publication

To whom:
The Results of The Studies Will Be Accessible to All Individuals in The Community Without Any Restrictions

Conditions:
The Documentation Provided Can Be Applicable to Many Musculoskeletal Pain Syndromes as a Comprehensive Treatment Intervention That Considers Several Factors. These Interventions Are Applicable If Prescribed And Monitored By Physicists .

Where to obtain:
Individuals Can Refer to The Islamic Azad University(khorasgan branch) Bookstore And Scientific Research Journals For Gaining Results.

How to obtain:
The Refer To The Islamic Azad  University (khorasgan branch) Bookstore

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Abouzar saadatian</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Faculty of human science, Student Blvd,</address>
        <city>Yasouj</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>7493475918</zip>
        <telephone>+98 74 3100 1550</telephone>
        <email>Aboozar.saadat67@gmail.com</email>
        <affiliation>Yasouj university</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Abouzar Saadatian</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Department of Sport sciences, Faculty of human Sciences, Student street</address>
        <city>Yasouj</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>7591874934</zip>
        <telephone>+98 74 3100 1550</telephone>
        <email>a.saadatian@yu.ac.ir</email>
        <affiliation>Yasouj University</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Bodybuilding athletes with patellofemoral pain syndrome in rang age 18-28 years</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>28 years</agemax>
      <gender>Male</gender>
      <exclusion_criteria>History or current presence of meniscus, Ligament, or other knee injuries and/or knee surgery</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code></hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword></hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Rehabilitation</i_code>
      <i_code>Rehabilitation</i_code>
      <i_code>Rehabilitation</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: The exercises include hip external rotation while lying on the side, hip external rotation while sitting on the table, step down, knee extension between 0 and 30 degrees, and isometric contraction with a ball(subjects hold a ball between their knee), they perform all exercises with 30% of 1RM. This training  performed 6 weeks and 3 sessions per week (1 hour per session)</i_keyword>
      <i_keyword>Control group: The traditional exercises include hip strengthening exercises and quadriceps strengthening exercises. The intensity of their exercise is in a comfortable and painless condition. This training  performed 6 weeks and 3 sessions per week (1 hour per session)</i_keyword>
      <i_keyword>Intervention group: The training programs with blood flow restriction (BFR) as described before were used in conjunction with blood flow occlusion during exercises. The Katsu device was used for blood flow occlusion. Arterial occlusion pressure was measured by placing a pneumatic cuff on the proximal thigh in a standing position. The cuff pressure was set to 120 mmHg at the beginning of the exercises (this pressure was chosen based on previous research results and the capability of the present study's participants, and the training load was adjusted accordingly). The cuff was removed 30 seconds after the last set of each exercise and reapplied before the first set of the next exercise. Note: Approximately 10% of the participants reported a pain level of 7 or 8. For these individuals, the training pressure was reduced according to the physician's advice, and the exercises were performed with lower pressure. Additionally, since all exercises were performed in the last 30 degrees of knee extension, the reaction force between the patella and femur was minimized, resulting in significantly less pain compared to daily activities. This training  performed 6 weeks and 3 sessions per week (1 hour per session)</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Pain. Timepoint: The primary outcome measurement time points will be conducted before the intervention and 8 weeks after the intervention. Method of measurement: Pain will be assessed using the Visual Analog Scale (VAS).</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Balance, Proprioception, Strength, and Knee kinematics. Timepoint: The secondary outcome measurement time points will be conducted before the intervention and 8 weeks after the intervention. Method of measurement: For assessment, the Y Balance Test will be used for dynamic balance, the Stork Test for static balance, a goniometer for proprioception, automated video analysis for dynamic systems to assess kinematics, and a handheld dynamometer for muscle strength.</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>faculty of Sport Sciences, Islamic Azad University,Khorasgan Branch, Isfahan, Iran</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2022-11-06</approval_date>
        <contact_name>Ethics Committee of Islamic Azad University, Isfahan (Khorasgan) Branch</contact_name>
        <contact_address>Faculty oof Nursing, Arghavanieh, Jey St, Isfahan, Iran Isfahan Isfehan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
