About this trial
This randomized controlled superiority trial will compare a 6-week digital health rehabilitation program with a 6-week self-guided exercise program in adults with patellofemoral pain. Assessments will be performed at baseline, 6 weeks, and 18 weeks. The primary outcome will be change in AKPS from baseline to 6 weeks. Secondary outcomes will include pain intensity, self-reported function, psychological outcomes, quality of life, muscle strength, adherence, and adverse events.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 18-45 years
Clinical diagnosis of patellofemoral pain
Symptoms for at least 3 months
Anterior or retropatellar knee pain provoked by at least two aggravating activities such as stair ambulation, squatting, running, jumping, or prolonged sitting
Disqualifiers
Previous knee surgery
Patellar dislocation or obvious instability
Ligament injury, clinically important meniscal injury, moderate to severe knee osteoarthritis, or other major structural knee pathology
Major hip, ankle, or lumbar disorders substantially affecting lower-limb function
Trial design
Parallel
Treatments tested in this trial
Digital health
BehavioralParticipants will receive a 6-week digital health program delivered through a smartphone application mini-program. The intervention will include: * PFP education (condition information, pain management, load management, and activity advice) * Progressive exercise advancement according to pain response and performance * Video demonstration and structured session guidance * Symptom tracking and exercise logging * Automated reminders and adherence support * Remote therapist feedback when required
Self-guided exercise
BehavioralParticipants will receive a 6-week self-guided home exercise program with initial instruction delivered in printed format. Participants will be advised to perform the exercises independently at home. No ongoing digital supervision, tailored feedback, or structured adherence prompts will be provided.
Treatment groups
Trial outcomes
Primary outcomes
Anterior Knee Pain Scale
Secondary outcomes
Knee injury and Osteoarthritis Outcome Score
Tampa Scale for Kinesiophobia
Pain Catastrophizing Scale
Muscle strength
Locations
Sponsors and contacts
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