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 ◽  
◽  
...  

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.

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

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.


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 ◽  
...  

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.


2021 ◽  
Vol 9 (4) ◽  
pp. 232596712198972
Author(s):  
Anis Jellad ◽  
Amine Kalai ◽  
Mohamed Guedria ◽  
Mahbouba Jguirim ◽  
Sana Elmhamdi ◽  
...  

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.


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.

2021 ◽  
Vol 28 ◽  
pp. 221049172110355
Author(s):  
Consuelo B Gonzalez-Suarez ◽  
Cherie-Lee A Apiag ◽  
Kris A. Agarao ◽  
Fe T. Chavez ◽  
Reil V. Espino ◽  
...  

Background Patellofemoral pain syndrome is the most common knee condition and is associated with patellar maltracking. Ultrasound is used in studying patellar maltracking. The objective is to determine if the technique which analyzes the displacement of the patellar tendon in the trochlear sulcus is associated with patellofemoral pain syndrome. Methods In total, 68 knees of 34 football players (males = 20, females = 14) were included. Patellar tendon displacement was assessed in supine and standing positions. Patellar tendon displacement difference in the two positions was determined. Results There was a significant difference in the lateral patellar tendon displacement during standing which was larger in patellofemoral pain syndrome than without patellofemoral pain syndrome (Mean Rank = 39.20 vs. 30.32, p = 0.02). There was no significant difference between the two groups for lateral patellar tendon displacement in supine and the difference in patellar tendon displacement from supine to standing. Conclusion The technique could be a potential method in assessing patellar maltracking. It could be used to have a comprehensive understanding of the pathomechanics and treatment of patellofemoral pain syndrome.


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