scholarly journals The Effect of Strengthing Core Stability and Quadriceps Muscle Strengthening Trainings on Pain and Function in Patients with Patellofemoral Pain Syndrome

2018 ◽  
Vol 25 (5) ◽  
pp. 79-90
Author(s):  
Farogh Rostamizalani ◽  
Nader Rahnama ◽  
Reza Mahdavinejad ◽  
Mohammad taghi Karimi ◽  
Alireza Falah ◽  
...  
Keyword(s):  
Pain Syndrome ◽  
Patellofemoral Pain Syndrome ◽  
Quadriceps Muscle ◽  
Patellofemoral Pain ◽  
Core Stability ◽  
Muscle Strengthening ◽  
And Function

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

scholarly journals Effectiveness of core muscle strengthening for improving pain and dynamic balance among female patients with patellofemoral pain syndrome

2016 ◽  
Vol 28 (5) ◽  
pp. 1518-1523 ◽  
Author(s):  
Mohamed Faisal Chevidikunnan ◽  
Amer Al Saif ◽  
Riziq Allah Gaowgzeh ◽  
Khaled A Mamdouh
Keyword(s):  
Dynamic Balance ◽  
Pain Syndrome ◽  
Patellofemoral Pain Syndrome ◽  
Patellofemoral Pain ◽  
Muscle Strengthening ◽  
Female Patients

scholarly journals Changes in Knee Biomechanics After a Hip-Abductor Strengthening Protocol for Runners With Patellofemoral Pain Syndrome

2011 ◽  
Vol 46 (2) ◽  
pp. 142-149 ◽  
Author(s):  
Reed Ferber ◽  
Karen D. Kendall ◽  
Lindsay Farr
Keyword(s):  
Muscle Strength ◽  
Knee Joint ◽  
Pain Syndrome ◽  
Patellofemoral Pain Syndrome ◽  
Patellofemoral Pain ◽  
Genu Valgum ◽  
Abductor Muscle ◽  
Muscle Strengthening ◽  
Peak Knee ◽  
Hip Abductor

Abstract Context: Very few authors have investigated the relationship between hip-abductor muscle strength and frontal-plane knee mechanics during running. Objective: To investigate this relationship using a 3-week hip-abductor muscle-strengthening program to identify changes in strength, pain, and biomechanics in runners with patellofemoral pain syndrome (PFPS). Design: Cohort study. Setting: University-based clinical research laboratory. Patients or Other Participants: Fifteen individuals (5 men, 10 women) with PFPS and 10 individuals without PFPS (4 men, 6 women) participated. Intervention(s): The patients with PFPS completed a 3-week hip-abductor strengthening protocol; control participants did not. Main Outcome Measure(s): The dependent variables of interest were maximal isometric hip-abductor muscle strength, 2-dimensional peak knee genu valgum angle, and stride-to-stride knee-joint variability. All measures were recorded at baseline and 3 weeks later. Between-groups differences were compared using repeated-measures analyses of variance. Results: At baseline, the PFPS group exhibited reduced strength, no difference in peak genu valgum angle, and increased stride-to-stride knee-joint variability compared with the control group. After the 3-week protocol, the PFPS group demonstrated increased strength, less pain, no change in peak genu valgum angle, and reduced stride-to-stride knee-joint variability compared with baseline. Conclusions: A 3-week hip-abductor muscle-strengthening protocol was effective in increasing muscle strength and decreasing pain and stride-to-stride knee-joint variability in individuals with PFPS. However, concomitant changes in peak knee genu valgum angle were not observed.

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