scholarly journals EFFECTIVENESS OF ILIOTIBIAL BAND STRETCHING AND STRENGTHENING EXERCISES IN PATELLOFEMORAL PAIN SYNDROME

2017 ◽  
Vol 10 (2) ◽  
pp. 161
Author(s):  
Devadhason Malarvizhi ◽  
Neha Bhatt
Keyword(s):  
Study Design ◽  
Pain Syndrome ◽  
Patellofemoral Pain Syndrome ◽  
Patellofemoral Pain ◽  
Iliotibial Band ◽  
Study Objective ◽  
Strengthening Exercises ◽  
Interferential Therapy ◽  
Post Test ◽  
Quasi Experimental

Objective: The study objective was to find out the effectiveness of iliotibial band stretching and strengthening exercises in patellofemoral pain syndrome.Methods: The study design was Quasi-experimental study design. 20 patients with patellofemoral pain syndrome were taken, with the age group of 18-40 years. 20 patients undergone pre- and post-test measurement of hip angle of adduction with the help of inclinometer and were given interferential therapy and iliotibial band stretching and strengthening exercises for 1-week duration. Outcome measures were inclinometer and visual analog scale (VAS).Results: Statistical analysis was done using Paired t-test which showed a significant improvement in VAS score (2.57±1.09) and angle of hip adductionpre- and post-test (−6.85±2.50).Conclusion: This study concluded that 1 week of stretching and strengthening of iliotibial band exercises were effective in reducing pain and increasing hip adduction angle in patellofemoral pain syndrome.Keywords: Iliotibial band, Interferential therapy, Test, Stretching and strengthening exercises, Inclinometer.

The effect of patellofemoral bracing on walking in individuals with patellofemoral pain syndrome

2013 ◽  
Vol 37 (6) ◽  
pp. 465-470 ◽  
Author(s):  
Mokhtar Arazpour ◽  
Tahmoures T Notarki ◽  
Ahmadali Salimi ◽  
Monireh A Bani ◽  
Hoda Nabavi ◽  
...  
Keyword(s):  
Knee Flexion ◽  
Sagittal Plane ◽  
Pain Syndrome ◽  
Step Length ◽  
Patellofemoral Pain Syndrome ◽  
Patellofemoral Pain ◽  
Initial Contact ◽  
Quasi Experimental ◽  
Knee Joint Kinematics ◽  
Spatial Parameters

Background: Although knee braces are used by individuals with patellofemoral pain syndrome, the effect of patellofemoral bracing on knee flexion during walking has not been elucidated. Aim: The purpose of this study was to evaluate the effect of patellofemoral bracing on sagittal plane knee joint kinematics and temporal spatial parameters during walking in individuals with patellofemoral pain syndrome. Study design: Quasi-experimental. Methods: Ten subjects with a diagnosis of patellofemoral pain syndrome were fitted with a knee brace incorporating an infrapatellar strap. Testing was performed at baseline and after 6 weeks of use. Gait analysis and a visual analog scale were used to assess outcomes in this study. Results: A 59.6% decrease in pain was reported by using bracing. Bracing significantly improved speed of walking ( p ≤ 0.001) and step length ( p ≤ 0.001). The mean cadence was also increased following 6 weeks of patellofemoral brace use, but this was not significant ( p = 0.077). Knee flexion angles improved during initial contact, loading response, and mid-swing ( p ≤ 0.001) after 6 weeks of patellofemoral brace use. Conclusion: Knee orthoses resulted in decreased pain, improved temporal spatial parameters (speed of walking and step length), and increased knee flexion angles during ambulation in patients with patellofemoral pain syndrome. Clinical relevance The results of this study demonstrate a positive effect of patellofemoral bracing in improving specific gait parameters and provide evidence to support its use as a conservative treatment.

scholarly journals Short - Term Effects of Eccentric Hip Abductors and Lateral Rotators Strengthening In Sedentary People with Patellofemoral Pain Syndrome on Pain and Function : A Randomized Control Trail

2016 ◽  
Vol 06 (01) ◽  
pp. 068-073
Author(s):  
Kavitha Shetty ◽  
Lawrence Mathias ◽  
Mahesh V. Hegde ◽  
Sukumar Shanmugam
Keyword(s):  
Statistical Significance ◽  
Pain Syndrome ◽  
Patellofemoral Pain ◽  
Control Group ◽  
Short Term ◽  
Strengthening Exercises ◽  
Post Test ◽  
Hip Abductor ◽  
And Function ◽  
Experimental Group

Abstract Purpose: To investigate the influence of additional eccentric strengthening to the hip abductor and lateral rotator musculature on pain and function in sedentary people with Patellofemoral pain syndrome (PFPS). Methods: 30 sedentary patients between 18 and 40 years of age, with a diagnosis of PFPS, all the subjects received treatment for a period of 4weeks and the subjects were randomly assigned to Control group (CG) and Experimental group (EG). The patients in the Control group (n = 15) performed a conventional knee-stretching and strengthening program, whereas, patients in the Experimental group (n = 15) performed the same exercises as those in the control group ,in addition received eccentric strengthening exercises for the hip abductors and lateral rotators. An 11-point numeric pain rating scale (NPRS), the Lower Extremity Functional Scale (LEFS) and the Anterior Knee Pain Scale (AKPS) were used as outcome measures during the baseline and at the end of 4weeks . Results: Statistics were retrieved using SPSS.16, paired 't' test was conducted to compare AKPS and LEFS values ,whereas, Mann- Whitney U test was used for NPRS value between the groups. After 4 weeks of treatment, the control group, pre and post-test value for AKPS (p<0.001),LEFS (P<0.001),NPRS (p<0.001) shows a statistical significance and even in the experimental group, pre and post-test value for AKPS (p<0.001),LEFS (P<0.001),NPRS (p<0.001) shows a statistical significance in pain and function, but comparing both the group experimental group is significantly more better AKPS (p=0.002),LEFS (P<0.001),NPRS (P<0.001) then a control group. Conclusion: short term Knee strengthening exercises supplemented by eccentric hip abductor and lateral rotator musculature–strengthening exercises were more effective than knee exercises alone in improving function and reducing pain in sedentary people with PFPS.

scholarly journals Selektif Vastus Medial Obliquus Exercise Menurunkan Derajat Nyeri Dan Pencapaian Range Of Motion Pasien Dengan Patellofemoral Pain Syndrome

2019 ◽  
Vol 6 (2) ◽  
pp. 140-148
Author(s):  
Putu Wira Kusuma putra ◽  
I Wayan Ari Antana ◽  
Ida Ayu Ageng Laksmi
Keyword(s):  
Muscle Strength ◽  
Range Of Motion ◽  
Pain Syndrome ◽  
Patellofemoral Pain Syndrome ◽  
Patellofemoral Pain ◽  
Oblique Muscle ◽  
P Value ◽  
Lateral Side ◽  
Post Test ◽  
Position Shift

Patellofemoral Pain Syndrome (PFPS) is pain in the front knee joint due to muscle imbalance especially weakness of the vastus medialis oblique muscle and the stiffness of the hamstrings leads to a patellar position shift to the lateral side (maltracking). Selective VMO exercise is one of conservative therapy to restore VMO muscle strength. The purpose of this study was to determine the effect of Selective Vastus Medial Obliquus Exercise on decreasing the degree of pain and attainment of  Range Of Motion patients with PateloFemoral Pain Syndrome. The method of this research used pre experimental design with one group pre-post test design without group control. The number of samples is 13 respondents PFPS who meet the criteria of inclusion and exclusion with purposive sampling. Data were obtained from observation of difference of Visual Analogue Scale (VAS) and ROM (universal goniometer) pain score before (pre-test) and after (post-test) doing exercise therapy. All data were analyzed statistic using Wilcoxon Signed Ranks Test with significance value (p <0,05).. The result of this research shows that there is selective effect of Vastus Medial Obliquus Exercise on the decrease of pain degree with p value = 0.001 (α = 0,05) and attainment of Range Of Motion patient with flexy value p value = 0,039 (α = 0,05) p value = 0.001 (α = 0.05). Decreasing the degree of pain post selective VMO exercise and attainment full ROM showed strengthening of VMO muscle so patella returned to optimal tracking. Suggestion: Measurement of VMO and VL muscle strength can be done with EMG.

scholarly journals Systematic Review of the Addition of Hip Strengthening Exercises for Adults with Patellofemoral Pain Syndrome

2018 ◽  
Author(s):  
Cara Elliott ◽  
Fraser Green ◽  
Karen Hang ◽  
Bronwen Jolliffe ◽  
Maureen McEvoy
Keyword(s):  
Methodological Quality ◽  
Critical Appraisal ◽  
Pain Syndrome ◽  
Patellofemoral Pain Syndrome ◽  
Patellofemoral Pain ◽  
Physiotherapy Treatment ◽  
Strengthening Exercises ◽  
Randomised Controlled ◽  
And Function ◽  
Hip Strengthening

Patellofemoral Pain Syndrome (PFPS) is a common musculoskeletal disorder typically occurring in physically active people aged 40 years and younger, causing pain, functional deficits and lower limb weakness. Traditional treatment has been aimed at strengthening the knee, however recent research suggests the muscles around the hip also play an important role in the development and continuity of Patellofemoral Pain Syndrome. Purpose: To investigate the effectiveness of the addition of hip strengthening exercises to standard physiotherapy treatment (knee strengthening and stretching exercises) on reducing pain, and enhancing strength and function when compared to standard physiotherapy treatment alone in adults with Patellofemoral Pain Syndrome. Method: A systematic search of Cochrane, CINAHL, Embase, MEDLINE®, PEDro and SportDiscus was conducted. Studies of participants aged 18 to 44, diagnosed with Patellofemoral Pain Syndrome by a healthcare practitioner, or reporting peripatellar or retropatellar pain with common functional tasks, were included. A critical appraisal, using the Critical Appraisal Skills Program for Randomised Controlled Trials (CASP) was used to assess methodological quality. Results: Five randomised controlled trials of varying methodological quality met the inclusion criteria. The participants in these studies were aged between 18 to 40 years of age. The duration of the intervention ranged from four to six weeks consisting of 12 to 30 supervised exercise sessions. Studies used varying outcome measures for each of the three outcomes. Overall, the studies demonstrated that the addition of hip strengthening exercises to standard physiotherapy care consistently improved pain and function, but the impact on strength was variable. Conclusion: Previously, only a small number of studies have looked at the addition of hip exercises to standard physiotherapy care for treatment of Patellofemoral Pain Syndrome. While there is a growing body of evidence for the efficacy of hip strengthening exercises for Patellofemoral Pain Syndrome, this is constrained by bias towards female participants, lack of true controls in most studies, and low methodological quality of studies overall. Hip exercises added to standard physiotherapy care shows potential as a treatment method for improving outcomes of pain and function in adults with Patellofemoral Pain Syndrome.

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