Physical therapy alters recruitment of the vasti in patellofemoral pain syndrome

2002 ◽  
Vol 34 (12) ◽  
pp. 1879-1885 ◽  
Author(s):  
SALLIE M. COWAN ◽  
KIM L. BENNELL ◽  
KAY M. CROSSLEY ◽  
PAUL W. HODGES ◽  
JENNY MCCONNELL
Keyword(s):  
Physical Therapy ◽  
Pain Syndrome ◽  
Patellofemoral Pain Syndrome ◽  
Patellofemoral Pain

scholarly journals Botulinum toxin injections as salvage therapy is beneficial for management of patellofemoral pain syndrome

2021 ◽  
Vol 33 (1) ◽  
Author(s):  
Yuval Kesary ◽  
Vivek Singh ◽  
Tal Frenkel-Rutenberg ◽  
Arie Greenberg ◽  
Shmuel Dekel ◽  
...  
Keyword(s):  
Botulinum Toxin ◽  
Physical Therapy ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Pain Syndrome ◽  
Patellofemoral Pain Syndrome ◽  
Patellofemoral Pain ◽  
Post Treatment ◽  
Functional Scores

Abstract Purpose Patellofemoral pain syndrome (PFPS) is a common pathology usually presenting with anterior or retropatellar pain. It is associated with a relative imbalance between the vastus medialis oblique (VMO) and the vastus lateralis (VL) muscles. This can lead to considerable morbidity and reduced quality of life (QOL). This study aims to assess the long-term functional outcome of PFPS treated with VL muscle botulinum toxin A (BoNT-A) injection. Materials and methods A retrospective review was performed on 26 consecutive patients (31 knees) with a mean age of 50.1 years (± 19.7 years) who were treated with BoNT-A injections to the VL muscle followed by physiotherapy between 2008 and 2015. Pre- and post-treatment pain levels (numerical rating scale, NRS), QOL (SF-6D), and functional scores (Kujala and Lysholm questionnaires) were measured. Demographics, physical therapy compliance, previous surgeries, perioperative complications, and patient satisfaction levels were collected. Results The mean follow-up time was 58.8 ± 36.4 months. There were significant improvements in all the examined domains. The average pain score (NRS) decreased from 7.6 to 3.2 (P < 0.01), and the Kujala, Lysholm, and SF-6D scores improved from 58.9 to 82.7 (P < 0.001), 56.2 to 83.2 (P < 0.001), and 0.6 to 0.8 (P < 0.001), respectively. Similar delta improvement was achieved irrespective of gender, age, compliance to post-treatment physical therapy, or coexisting osteoarthritis. Patients who presented with a worse pre-treatment clinical status achieved greater improvement. Prior to BoNT-A intervention, 16 patients (18 knees) were scheduled for surgery, of whom 12 (75%, 13 knees) did not require further surgical intervention at the last follow-up. Conclusions A single intervention of BoNT-A injections to the VL muscle combined with physiotherapy is beneficial for the treatment of patients with persistent PFPS. Level III evidence Retrospective cohort study.

scholarly journals AVALIAÇÃO E TRATAMENTO FISIOTERAPÊUTICO NA SÍNDROME DE DOR PATELOFEMORAL: ESTUDO DE CASO

2016 ◽  
Vol 14 ◽  
pp. 394
Author(s):  
Keyla Mara Dos Santos ◽  
Tamiris Bepler Martins ◽  
Libak Abou ◽  
Juliete Palandi ◽  
Raysa Silva Venâncio ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Pain Syndrome ◽  
Patellofemoral Pain Syndrome ◽  
Patellofemoral Pain ◽  
Assessment Data ◽  
Therapy Assessment ◽  
Physical Therapy Treatment ◽  
Therapy Sessions ◽  
Patellar Mobility ◽  
Therapy Treatment

Introduction: The patellofemoral pain syndrome is a common condition in orthopedic practice, is defined as a pain or retropatellar in the absence of other diseases of the knee, multifactorial. Objectives: The aim of this study was to investigate the influence of a physiotherapy intervention in a patient with patellofemoral pain syndrome. Methods: We performed a descriptive study, through a case report with physical therapy assessment data and the description of the techniques used during treatment. Results: The results showed range of motion improves, the manifestations of pain and patellar mobility. Conclusion: The proposed physical therapy treatment given to this patient proved to be efficient, but a greater number of physical therapy sessions is required in order to obtain better results.

The Effectiveness of Exercise in Treating Patellofemoral-Pain Syndrome

2004 ◽  
Vol 13 (4) ◽  
pp. 323-342 ◽  
Author(s):  
Janice Kaye Loudon ◽  
Byron Gajewski ◽  
Heather L. Goist-Foley ◽  
Karen Lee Loudon
Keyword(s):  
Physical Therapy ◽  
Outcome Measures ◽  
Statistical Difference ◽  
Weight Bearing ◽  
Exercise Program ◽  
Pain Syndrome ◽  
Patellofemoral Pain Syndrome ◽  
Patellofemoral Pain ◽  
Home Exercise ◽  
Analog Scale

Objective:To determine the effect of exercise on patients with patellofemoral-pain syndrome (PFPS).Patients:29 subjects with unilateral PFPS, assigned to control, home-exercise (HE), or physical therapy (PT) group.Intervention:8-wk exercise program.Main Outcome Measures:A knee survey, visual analog scale (VAS), and 5 weight-bearing tests.Results:MANOVA indicated an overall statistical difference between groups (P< .05). The HE and PT groups experienced less pain than control, and PT experienced less pain than HE (P< .05). In overall knee function and most weight-bearing tests, HE and PT were stronger and more functional than control (P< .05). For anteromedial lunge only PT was stronger and more functional than control (P< .05).Conclusions:Intervention helps PFPS, but there appear to be no differences between home and in-clinic interventions.

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