scholarly journals Is Isolated Hip Strengthening or Traditional Knee-Based Strengthening More Effective in Patients With Patellofemoral Pain Syndrome? A Systematic Review With Meta-analysis

2021 ◽  
Vol 9 (7) ◽  
pp. 232596712110175
Author(s):  
Yuyan Na ◽  
Changxu Han ◽  
Yuting Shi ◽  
Yong Zhu ◽  
Yizhong Ren ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Pain Syndrome ◽  
Patellofemoral Pain Syndrome ◽  
Pain Scale ◽  
Pooled Analysis ◽  
Patellofemoral Pain ◽  
Cochrane Library ◽  
Level Of Evidence ◽  
Hip Strengthening

Background: Focus on the importance of hip muscle strength in patients with patellofemoral pain syndrome (PFPS) has recently increased. It is unknown whether patients with PFPS will benefit more from hip strengthening compared with traditional knee-based strengthening. Purpose: To compare the efficiency of isolated hip strengthening versus traditional knee-based strengthening for patients with PFPS. Study Design: Systematic review; Level of evidence, 2. Methods: We conducted a search for studies comparing isolated hip strengthening and knee-based strengthening by using the MEDLINE, Embase, and Cochrane Library electronic databases. The methodological quality of included studies was assessed using the PEDro scale. Predetermined variables from each study were extracted and analyzed. Results: A total of 5 comparative studies were included in this review; all studies were of moderate to high quality and reflected good internal and external validity. Pain (visual analog scale [VAS]) and function (Anterior Knee Pain Scale) scores improved in both the hip and knee groups after strengthening intervention, although no statistically significant differences were seen between groups in the pooled analysis. In 2 studies, VAS pain scores were reduced earlier for patients in the hip group than for those in the knee group ( P < .05). In 1 study, improvement in Western Ontario and McMaster Universities Osteoarthritis Index function scores in the hip group was statistically superior compared with those in the knee group after intervention and at 6-month follow-up ( P < .05). In 2 studies, patients in the hip group exhibited statistically greater hip abductor and extensor strength than did those in the knee group after intervention ( P < .05). Conclusion: The best-available evidence suggests that overall, isolated hip strengthening and knee strengthening were equivalent for treatment of PFPS.

scholarly journals Effects of Kinesio Taping versus McConnell Taping for Patellofemoral Pain Syndrome: A Systematic Review and Meta-Analysis

2015 ◽  
Vol 2015 ◽  
pp. 1-11 ◽  
Author(s):  
Wen-Dien Chang ◽  
Fu-Chen Chen ◽  
Chia-Lun Lee ◽  
Hung-Yu Lin ◽  
Ping-Tung Lai
Keyword(s):  
Systematic Review ◽  
Motor Function ◽  
Muscle Activity ◽  
Meta Analysis ◽  
Pain Syndrome ◽  
Patellofemoral Pain Syndrome ◽  
Patellofemoral Pain ◽  
Cochrane Central Register ◽  
Kinesio Taping ◽  
Central Register

Objectives. To conduct a systematic review comparing the effects of Kinesio taping with McConnell taping as a method of conservative management of patients with patellofemoral pain syndrome (PFPS).Methods. MEDLINE, PUBMED, EMBASE, AMED, and the Cochrane Central Register of Control Trials electronic databases were searched through July 2014. Controlled studies evaluating the effects of Kinesio or McConnell taping in PFPS patients were retrieved.Results. Ninety-one articles were selected from the articles that were retrieved from the databases, and 11 articles were included in the analysis. The methods, evaluations, and results of the articles were collected, and the outcomes of patellar tapings were analyzed. Kinesio taping can reduce pain and increase the muscular flexibility of PFPS patients, and McConnell taping also had effect in pain relief and patellar alignment. Meta-analysis showed small effect in pain reduction and motor function improvement and moderate effect in muscle activity change among PFPS patients using Kinesio taping.Conclusions. Kinesio taping technique used for muscles can relieve pain but cannot change patellar alignment, unlike McConnell taping. Both patellar tapings are used differently for PFPS patients and substantially improve muscle activity, motor function, and quality of life.

Clinical test for diagnosis of patellofemoral pain syndrome: Systematic review with meta-analysis

2013 ◽  
Vol 14 (1) ◽  
pp. 54-59 ◽  
Author(s):  
Guilherme S. Nunes ◽  
Eduardo Luiz Stapait ◽  
Michel Hors Kirsten ◽  
Marcos de Noronha ◽  
Gilmar Moraes Santos
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Pain Syndrome ◽  
Patellofemoral Pain Syndrome ◽  
Patellofemoral Pain ◽  
Clinical Test

scholarly journals Systematic Review of the Effect of Taping Techniques on Patellofemoral Pain Syndrome

2017 ◽  
Vol 9 (5) ◽  
pp. 456-461 ◽  
Author(s):  
Catherine A. Logan ◽  
Abhiram R. Bhashyam ◽  
Ashley J. Tisosky ◽  
Daniel B. Haber ◽  
Anna Jorgensen ◽  
...  
Keyword(s):  
Systematic Review ◽  
Pain Syndrome ◽  
Patellofemoral Pain Syndrome ◽  
Patellofemoral Pain ◽  
Exercise Group ◽  
Level Of Evidence ◽  
Comparison Groups ◽  
Group 3 ◽  
Group 2 ◽  
Group 1

Context: Taping is commonly used in the management of several musculoskeletal conditions, including patellofemoral pain syndrome (PFPS). Specific guidelines for taping are unknown. Objective: To investigate the efficacy of knee taping in the management of PFPS. Our hypothesis was that tension taping and exercise would be superior to placebo taping and exercise as well as to exercise or taping alone. Data Sources: The PubMed/MEDLINE, Cochrane, Rehabilitation and Sports Medicine Source, and CINAHL databases were reviewed for English-language randomized controlled trials (RCTs) evaluating the efficacy of various taping techniques that were published between 1995 and April 2015. Keywords utilized included taping, McConnell, kinesio-taping, kinesiotaping, patellofemoral pain, and knee. Study Selection: Studies included consisted of RCTs (level 1 or 2) with participants of all ages who had anterior knee or patellofemoral pain symptoms and had received nonsurgical management using any taping technique. Study Design: Systematic review. Level of Evidence: Level 2. Data Extraction: A checklist method was used to determine selection, performance, detection, and attrition bias for each article. A quality of evidence grading was then referenced using the validated PEDro database for RCTs. Three difference comparison groups were compared: tension taping and exercise versus placebo taping and exercise (group 1), placebo taping and exercise versus exercise alone (group 2), and tension taping and exercise versus taping alone (group 3). Results: Five RCTs with 235 total patients with multiple intervention arms were included. Taping strategies included McConnell and Kinesiotaping. Visual analog scale (VAS) scores indicated improvement in all 3 comparison groups (group 1: 91 patients, 39% of total, mean VAS improvement 44.9 [tension taping + exercise] vs 66 [placebo taping + exercise]; group 2: 56 patients, 24% of total, mean VAS improvement 66 [placebo taping + exercise] vs 47.6 [exercise alone]; and group 3: 112 patients, 48% of total, mean VAS improvement 44.9 [tension taping + exercise] vs 14.1 [taping alone]). Conclusion: This systematic review supports knee taping only as an adjunct to traditional exercise therapy for PFPS; however, it does not support taping in isolation.

EFETIVIDADE DO TRATAMENTO FISIOTERAPÊUTICO NA DISFUNÇÃO FEMOROPATELAR: UMA REVISÃO SISTEMÁTICA.

2019 ◽  
Vol 27 (2) ◽  
pp. 225
Author(s):  
Paloma Gonçalves Mendes ◽  
Júlia Maria Dos Santos ◽  
Caio Augusto Mendes De Carvalho ◽  
Lilian Ramiro Felício
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Pain Syndrome ◽  
Patellofemoral Pain Syndrome ◽  
Patellofemoral Pain

RESUMO A disfunção femoropatelar é descrita como uma condição de dor anterior no joelho, agravada por movimentos que aumentam as forças compressivas na articulação femoropatelar. Acomete principalmente mulheres jovens fisicamente ativas e sabe-se que sua etiologia é multifatorial, e fatores extrínsecos e intrínsecos ao corpo estão envolvidos. Em virtude da complexidade e inúmeras intervenções fisioterapêuticas, o objetivo dessa revisão sistemática foi discutir as evidências de maior relevância clínica na prática fisioterapêutica para intervenção baseada em exercícios nos pacientes com disfunção femoropatelar. O procedimento de busca e avaliação seguiu o método recomendado pelo Preferred Reporting Items for Systematic review and Meta-Analysis Protocols e dessa forma, realizou-se uma consulta a base eletrônica de dados PubMed, no idioma inglês, entre os anos de janeiro de 2005 a dezembro de 2017, com as palavras-chave: “patellofemoral pain syndrome”, “physiotherapy”, “exercise” e “treatment”. Para os critérios de inclusão adotou-se apenas ensaios clínicos randomizados, caracterizados por tratamento fisioterapêutico e intervenção baseada em exercícios e classificação maior ou igual a 7/10 na escala Physiotherapy Evidence Datebase. Foram encontrados na busca 269 ensaios clínicos randomizados, com 177 artigos selecionados por títulos relacionados ao tema. Após o processo de seleção e avaliação dos artigos, 11 estudos foram selecionados para discussão. Desses, 7 ensaios clínicos randomizados abrangeram exercícios de estabilização de quadril e joelho, sendo que 2 desses estudos acrescentaram exercícios de estabilização de tronco a intervenção. Portanto, o tratamento conservador é uma estratégia eficaz e uma intervenção baseada em exercícios envolvendo fatores proximais e locais ao joelho promovem alívio da dor e melhora da função em indivíduos com disfunção femoropatelar.

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