Patellofemoral pain syndrome is a common knee condition that causes pain around or behind the kneecap, especially during activities such as walking, climbing stairs, squatting, or prolonged sitting. This condition can affect daily activities, movement quality, and psychological well-being.
The purpose of this study is to investigate the effects of a body awareness-based sensorimotor rehabilitation program on pain behavior, movement quality, and psychosocial outcomes in individuals with patellofemoral pain syndrome.
Participants will be randomly assigned to either an intervention group receiving body awareness-based sensorimotor rehabilitation or a control group receiving conventional physiotherapy exercises. The rehabilitation program will focus on improving body awareness, posture, balance, and controlled movement patterns.
Outcomes will be assessed before and after the intervention period. The main outcomes include changes in pain-related behaviors, movement quality, and psychosocial status.
The results of this study are expected to provide evidence on whether body awareness-based sensorimotor rehabilitation can be an effective approach for managing patellofemoral pain and improving both physical and psychological aspects of function.
Adults aged 18-45 years.
Clinical diagnosis of patellofemoral pain syndrome with anterior or retropatellar knee pain.
Knee pain lasting for at least 3 months.
Pain intensity of at least moderate level during functional activities such as stair climbing, squatting, or prolonged sitting.
History of knee surgery within the past 12 months.
Presence of other knee pathologies (e.g., ligament injury, meniscal tear, osteoarthritis).
Diagnosis of inflammatory or rheumatological diseases.
Neurological disorders affecting balance or movement.
Parallel
Sensorimotor Rehabilitation
Other interventionSensorimotor rehabilitation is a physiotherapy approach that aims to improve the integration of sensory input and motor output to enhance movement control and functional performance. It focuses on optimizing how the nervous system processes sensory information (such as proprioception, balance, and tactile input) to produce efficient and coordinated movements. This approach includes exercises that target postural control, balance, joint position sense, and neuromuscular coordination. The main goal is to restore normal movement patterns, reduce compensatory strategies, and improve functional stability during daily and sports-related activities. Sensorimotor rehabilitation is commonly used in the management of musculoskeletal conditions, particularly those involving movement dysfunction, pain, and impaired motor control, such as knee pain and patellofemoral pain syndrome.
Conventional Physiotherapy Exercise Program
Other interventionA structured conventional physiotherapy exercise program including strengthening, flexibility, balance, and functional movement exercises based on standard rehabilitation principles. The program is supervised by a physiotherapist and applied according to routine clinical exercise protocols.
Pain Behavior Score
Pain behavior refers to observable and self-reported behaviors related to pain experience, including pain intensity, pain-related avoidance, and functional responses to pain during daily activities. In this study, pain behavior will be evaluated to determine the effect of the intervention on participants' pain-related responses and functional adaptation. Pain-related behavior will be assessed using the Turkish Pain Behavior Questionnaire total score to evaluate changes in pain-related responses and avoidance behaviors.
Movement Quality Assessment Scale Total Score
Movement quality refers to the efficiency, control, and coordination of body movements during functional activities. In this study, movement quality will be assessed to evaluate changes in postural control, balance, and coordinated movement patterns as a result of the rehabilitation program. Movement quality will be assessed using a standardized movement quality assessment scale evaluating postural control, balance, and coordinated movement patterns.
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