The Effect of Diacutaneous Fibrolysis on Patellar Position Measured Using Ultrasound Scanning in Patients With Patellofemoral Pain Syndrome

2019 ◽  
Vol 28 (6) ◽  
pp. 564-569 ◽  
Author(s):  
Pablo Fanlo-Mazas ◽  
Elena Bueno-Gracia ◽  
Alazne Ruiz de Escudero-Zapico ◽  
José Miguel Tricás-Moreno ◽  
María Orosia Lucha-López
Keyword(s):  
Pain Intensity ◽  
Pain Syndrome ◽  
Patellofemoral Pain Syndrome ◽  
Patellofemoral Pain ◽  
Ultrasound Scanning ◽  
Position Measurement ◽  
Patellar Position ◽  
Significant Difference ◽  
And Function

Context: Tightness or lack of flexibility of several muscles of the thigh has been associated with patellofemoral joint pain. A tight iliotibial band can lead to laterally located patella and an abnormal patellar tracking pattern. Diacutaneous fibrolysis (DF) is commonly used to reduce muscle tightness, but no studies have evaluated the effects of this technique in the treatment of patients with patellofemoral pain syndrome. Objective: To assess the effect of DF on patellar position in patients with patellofemoral pain syndrome. Design: A single-group, pretest–posttest clinical trial. Setting: University of Zaragoza. Participants: A total of 46 subjects with patellofemoral pain (20 males, 26 females; age: 27.8 [6.9] y). Intervention: Three sessions of DF. Main Outcome Measures: Patellar position measurement using real-time ultrasound scanning; pain intensity measured with visual analog scale and function measured with the Anterior Knee Pain Scale. Results: The application of 3 sessions of DF significantly increased the patellar position at posttreatment evaluation (P < .001) and at 1-week follow-up (P < .001). There was not a significant difference on patellar position between posttreatment and follow-up measurements (P = .28). There were also a statistically significant decrease in pain and increase in function at posttreatment and at 1-week follow-up measurements (P < .001). Conclusion: This study found that patellar position, pain intensity, and function were significantly improved after 3 sessions of DF and at 1-week follow-up.

scholarly journals Treatment of Patellofemoral Pain Syndrome with Dielectric Radiofrequency Diathermy: A Preliminary Single-Group Study with Six-Month Follow-Up

Medicina ◽  
2021 ◽  
Vol 57 (5) ◽  
pp. 429
Author(s):  
Manuel Albornoz-Cabello ◽  
Cristo Jesús Barrios-Quinta ◽  
Isabel Escobio-Prieto ◽  
Raquel Sobrino-Sánchez ◽  
Alfonso Javier Ibáñez-Vera ◽  
...  
Keyword(s):  
Knee Flexion ◽  
Pain Perception ◽  
Pain Syndrome ◽  
Patellofemoral Pain Syndrome ◽  
Patellofemoral Pain ◽  
Drug Intake ◽  
Lower Extremity Function ◽  
Post Intervention ◽  
And Function

Background and Objectives: Notwithstanding patellofemoral pain syndrome (PFPS) being one of the most common causes of pain in the front of the knee in outpatients, few studies have shown the effects of radiofrequency on knee pain and function in this population. The aim of the present study was to determine whether outpatients diagnosed with PFPS obtained improvement in pain and function after treatment by dynamic application of monopolar dielectric diathermy by emission of radiofrequency (MDR). Materials and Methods: An experimental study was conducted with 27 subjects with PFPS. Subjects were treated with 10 sessions of MDR in dynamic application. The visual analogue scale (VAS), the Kujala scale, the DN4 questionnaire, the lower extremity function scale (LEFS), the range of movement (ROM) in knee flexion and extension and the daily drug intake were measured pre- and post-intervention and at the time of the follow-up (six months). Results: Statistically significant differences were found in pain perception (VAS: F1,26 = 92.43, p < 0.000, ŋ2 = 0.78 and DN4: F1.26 = 124.15, p < 0.000, ŋ2 = 0.82), as well as improvements in functionality (LEFS: F1.26 = 72.42, p < 0.000, ŋ2 = 0.74 and Kujala: F1.26 = 40.37, p < 0.000, ŋ2 = 0.61]) and in ROM (Flexion: F1.26 = 63.15, p < 0.000, ŋ2 = 0.71). No statistically significant changes in drug intake were found. Conclusions: The present study shows that the dynamic application of MDR seems effective in reducing pain and increasing functionality and knee flexion in patients with PFPS, after a follow-up of six months.

scholarly journals Influence of body mass index on patellofemoral pain

2020 ◽  
Vol 33 ◽  
Author(s):  
Lucas Simões Arrebola ◽  
Rogério Teixeira de Carvalho ◽  
Vitória Cristina de Oliveira Lima ◽  
Karen Alexandra Neregato Percivale ◽  
Vanessa Gonçalves Coutinho de Oliveira ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Rating Scale ◽  
Pain Syndrome ◽  
Patellofemoral Pain Syndrome ◽  
Patellofemoral Pain ◽  
World Health ◽  
Significant Difference ◽  
Pain At Rest ◽  
And Function

Abstract Introduction: Patellofemoral Pain Syndrome is characterized by retro-patellar and peripatellar pain during squatting, kneeling and running whose intensity can be related to Body Mass Index (BMI). Objective: To evaluate the relationship between overweight, pain and function in women with Patellofemoral Pain Syndrome (PFPS). Method: Cross-sectional observational study of fifty-four women with PFPS assessed in the period between January and December 2015, in the physiotherapy outpatient clinic of a tertiary hospital in the city of São Paulo. To verify the variables of pain at rest, at effort and function, the Numerical Pain Rating Scale (NPRS) and the Kujala Anterior Knee Pain Scale (AKPS) were used. The participants were divided into two groups, according to the BMI categories defined by the World Health Organization (WHO): Group 1, composed of women with normal BMI (18-24.9 kg/m²), with 36 patients, and group 2 composed of overweight women (25-29.9 k/m²), with 18 patients. Comparison between groups of pain at rest and effort and AKPS were performed using Student's t-test and Mann-Witney with statistical significance p < 0,05. Results: There was no statistically significant difference between groups for the pain at rest and effort and for AKPS. Conclusion: BMI does not impact pain intensity and function in women with PFPS.

scholarly journals The Effect and Durability of Hip and Core Exercises on Pain and Performance in Females With Patellofemoral Pain Syndrome

2020 ◽  
Vol 10 (3) ◽  
pp. 145-158
Author(s):  
Anita Raisi ◽  
◽  
Seyed Sadradin Shojaedin ◽  
Reza Habibi ◽  
◽  
...  
Keyword(s):  
Pain Syndrome ◽  
Patellofemoral Pain Syndrome ◽  
Patellofemoral Pain ◽  
Core Stability ◽  
Analysis Of Covariance ◽  
The Core ◽  
Significant Difference ◽  
Stability Training ◽  
And Performance ◽  
And Function

Purpose: Patellofemoral Pain Syndrome (PFPS) is among the most frequent knee problems in active individuals. PFPS is a multifactorial syndrome with various treatments. This study compared the effects of two training methods of central stability and hip on pain and performance among women with PFPS. Methods: In the present quasi-experimental study, 27 women with PPS aged between 20 and 30 years were selected as the statistical sample. The study subjects were randomly divided into three groups; core stability training, hip training, and controls. Two experimental groups performed the selected training in 8 weeks and three sessions per week. The Visual Analogue Scale (VAS) and Lower Extremity Functional Scale (LEFS) were used to measure pain and function in the study participants, respectively. The obtained data were analyzed using repeated-measures Analysis of Variance (ANOVA) and Multivariate Analysis of Covariance (MANCOVA) at a significance level of P≤0.05. Results: The MANCOVA results suggested a significant improvement in the measured variables in the experimental groups, compared to the controls (P<0.05); However, there was no significant difference concerning the effect and durability between the two experimental groups on the severity of pain (P<0.05); however, function significantly improved in the core stability training group (P<0.05). Conclusion: The obtained data indicated the beneficial effects of both core and hip training on pain intensity and function in the explored female patients with PFPS. This effect could be due to the increased control and coordination of the knee’s proximal joints. The comparison between the groups of the core and hip training highlighted that core training had a greater impact on the function than the hip.

scholarly journals Combined Hip Abductor and External Rotator Strengthening and Hip Internal Rotator Stretching Improves Pain and Function in Patients With Patellofemoral Pain Syndrome: A Randomized Controlled Trial With Crossover Design

2021 ◽  
Vol 9 (4) ◽  
pp. 232596712198972
Author(s):  
Anis Jellad ◽  
Amine Kalai ◽  
Mohamed Guedria ◽  
Mahbouba Jguirim ◽  
Sana Elmhamdi ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Pain Syndrome ◽  
Patellofemoral Pain Syndrome ◽  
Patellofemoral Pain ◽  
Level Of Evidence ◽  
Randomized Controlled ◽  
Group Standard ◽  
Hip Muscle ◽  
And Function

Background: Active rehabilitation has an important role in the management of patellofemoral pain syndrome (PFPS). Although some studies have shown the benefit of hip-muscle strengthening, the effect of combining hip-muscle stretching with strengthening has not yet been defined. Purpose: To evaluate the effect of combined strengthening of the hip external rotators and abductors and stretching of the hip internal rotators on pain and function in patients with PFPS. Study Design: Randomized controlled trial; Level of evidence, 2. Methods: A total of 109 patients with PFPS (75 female and 34 male; mean age, 31.6 ± 10.8 years) were first randomly assigned to protocol A (n = 67) of the A-B arm (AB group; standard rehabilitation) or protocol B (n = 42) of the B-A arm (BA group; standard rehabilitation with strengthening of the hip external rotators and abductors and stretching of the hip internal rotators). Each protocol consisted of 3 sessions a week for 4 weeks. After a washout period, corresponding to a symptom-free period, rehabilitation programs were crossed over. A visual analog scale (VAS) evaluating perceived pain, the Functional Index Questionnaire (FIQ), and the Kujala score were administered at baseline, the end of each rehabilitation protocol, and 12 weeks after the completion of the second protocol for each group. Results: Until the final follow-up, VAS, FIQ, and Kujala scores were significantly improved in both the A-B and B-A arms ( P < .05 for all). Compared with protocol A, protocol B provided significant improvement in terms of pain and function in both the BA (VAS and Kujala; P < .001) and AB (VAS and Kujala; P < .001) groups. Conclusion: Combined strengthening of the hip abductors and external rotators with stretching of the hip internal rotators provided better outcomes, which were maintained for at least 12 weeks, in terms of pain and function in patients with PFPS.

scholarly journals Influence of Medial Wedge Support on Pain and Function in Patients with Patellofemoral Pain Syndrome

2019 ◽  
Vol 87 (March) ◽  
pp. 919-925
Author(s):  
MOSTAFA I. EL-SHAFEY, M.Sc. NADIA A. FAYAZ, Ph.D. ◽  
EBTESSAM F. GOMAA, Ph.D. AHMED H. HAFEZ, M.D.
Keyword(s):  
Pain Syndrome ◽  
Patellofemoral Pain Syndrome ◽  
Patellofemoral Pain ◽  
And Function

Comparison of dry needling and ischaemic compression techniques on pain and function in patients with patellofemoral pain syndrome: a randomised clinical trial

2020 ◽  
Vol 38 (6) ◽  
pp. 371-379
Author(s):  
Shabnam Behrangrad ◽  
Maryam Abbaszadeh-Amirdehi ◽  
Amin Kordi Yoosefinejad ◽  
Seyed Mokhtar Esmaeilnejadganji
Keyword(s):  
Functional Status ◽  
Mechanical Stimulation ◽  
Rating Scale ◽  
Pressure Pain Threshold ◽  
Pain Syndrome ◽  
Patellofemoral Pain Syndrome ◽  
Patellofemoral Pain ◽  
Dry Needling ◽  
Myofascial Trigger Points

Background: To compare the effectiveness of ischaemic compression (IC) applied directly to the knee versus dry needling (DN) with respect to pain, functional status and sensitivity to mechanical stimulation of vastus medialis obliquus (VMO) myofascial trigger points (MTrPs) in patients with patellofemoral pain syndrome (PFPS). Methods: A total of 54 patients with unilateral PFPS aged 20–30 years were selected randomly from patients referred to physical therapy clinics of Babol University of Medical Sciences in Iran. Twenty-seven patients were allocated to either IC or DN groups. Three sessions of treatment were applied over 1 week with follow-up at 1 week, 1 month and 3 months. Primary outcome measures comprised the Kujala questionnaire score for functional status, numerical pain rating scale (NPRS) for pain intensity and pressure pain threshold (PPT) for sensitivity to mechanical stimulation; these were measured and recorded before treatment and 1 week, 1 month and 3 months after the last treatment session. Results: There were no statistically significant differences in the between-group comparisons of any variables at the various follow-up points. Both groups (n = 27 participants each) had significant improvements (p < 0.05) in pain, functional status and PPT values at follow-up. Conclusions: There were no differences in markers of pain, function or pressure sensitivity over a 3-month follow-up period between patients with PFPS treated with DN and IC. Temporal improvements in both groups suggested that the two techniques may be similarly effective for the treatment of PFPS.

Knee arthroscopy and exercise versus exercise only for chronic patellofemoral pain syndrome: 5-year follow-up

2011 ◽  
Vol 46 (4) ◽  
pp. 243-246 ◽  
Author(s):  
Jyrki A Kettunen ◽  
Arsi Harilainen ◽  
Jerker Sandelin ◽  
Dietrich Schlenzka ◽  
Kalevi Hietaniemi ◽  
...  
Keyword(s):  
Knee Arthroscopy ◽  
Pain Syndrome ◽  
Patellofemoral Pain Syndrome ◽  
Patellofemoral Pain
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