scholarly journals Effectiveness of Tele-Prescription of Therapeutic Physical Exercise in Patellofemoral Pain Syndrome during the COVID-19 Pandemic

Author(s):  
Manuel Albornoz-Cabello ◽  
Cristo J. Barrios-Quinta ◽  
Ana M. Barrios-Quinta ◽  
Isabel Escobio-Prieto ◽  
María de los Angeles Cardero-Durán ◽  
...  

The health crisis caused by COVID-19 has had a huge impact on the provision of physiotherapists’ services during the pandemic. Patellofemoral pain syndrome (PFPS) is a major health problem and one of the most common causes of pain in the front of the knee in outpatients. The objective was to evaluate the effectiveness of a therapeutic physical exercise (TPE) program supervised by a physiotherapist using telematic channels in reducing pain and disability in a sample of 54 patients with PFPS in the Physiotherapy Service of the San José de la Rinconada Health Center (Seville). Subjects were evaluated pre- and post-intervention (4 weeks—12 treatment sessions). An analysis was made of perceived pain—using the visual analog scale (VAS) and the DN4 neuropathic pain questionnaire—and functional balance—through the Kujala Score test and the Lower Extremity Functional Scale. The supervised TPE program in patients with PFPS produced a reduction in pain: VAS F1, 52 = 8.68 (p = 0.005) η2 = 0.14 and DN4: F1, 52 = 69.94 (p = 0.000) η2 = 0.57; and in Lower Extremity Functional Scale (LEFS) disability: F1, 52 = 19.1 (p = 0.000) η2 = 0.27 and KUJALA: F1, 52 = 60.28 (p = 0.000) η2 = 0.54, which was statistically significant (p = 0.000 for p < 0.05). Hence, the TPE program presented was effective in reducing pain and disability in patients with PFPS.

2008 ◽  
Vol 43 (1) ◽  
pp. 21-28 ◽  
Author(s):  
Naoko Aminaka ◽  
Phillip A. Gribble

Abstract Context: Patellar taping has been a part of intervention for treatment of patellofemoral pain syndrome (PFPS). However, research on the efficacy of patellar taping on lower extremity kinematics and dynamic postural control is limited. Objective: To evaluate the effects of patellar taping on sagittal-plane hip and knee kinematics, reach distance, and perceived pain level during the Star Excursion Balance Test (SEBT) in individuals with and without PFPS. Design: Repeated-measures design with 2 within-subjects factors and 1 between-subjects factor. Setting: The University of Toledo Athletic Training Research Laboratory. Patients or Other Participants: Twenty participants with PFPS and 20 healthy participants between the ages of 18 and 29 years. Intervention(s): The participants performed 3 reaches of the SEBT in the anterior direction under tape and no-tape conditions on both legs. Main Outcome Measure(s): The participants' hip and knee sagittal-plane kinematics were measured using the electromagnetic tracking system. Reach distance was recorded by hand and was normalized by dividing the distance by the participants' leg length (%MAXD). After each taping condition on each leg, the participants rated the perceived pain level using the 10-cm visual analog scale. Results: The participants with PFPS had a reduction in pain level with patellar tape application compared with the no-tape condition (P = .005). Additionally, participants with PFPS demonstrated increased %MAXD under the tape condition compared with the no-tape condition, whereas the healthy participants demonstrated decreased %MAXD with tape versus no tape (P = .028). No statistically significant differences were noted in hip flexion and knee flexion angles. Conclusions: Although patellar taping seemed to reduce pain and improve SEBT performance of participants with PFPS, the exact mechanisms of these phenomena cannot be explained in this study. Further research is warranted to investigate the effect of patellar taping on neuromuscular control during dynamic postural control.


2015 ◽  
Vol 27 (7) ◽  
pp. 2387-2390 ◽  
Author(s):  
Pablo Alba-Martín ◽  
T Gallego-Izquierdo ◽  
Gustavo Plaza-Manzano ◽  
Natalia Romero-Franco ◽  
Susana Núñez-Nagy ◽  
...  

2021 ◽  
Vol 11 (7) ◽  
pp. 204-226
Author(s):  
Kalpana . ◽  
Mohan Kumar Muniyan ◽  
A M R Suresh

Background: Agility and Perturbation training have been advocated to improve pain, balance and functional abilities in subjects with osteoarthritis of knee but effect of same on Patellofemoral pain have not been explored in studies. The above techniques would be helpful along with standard rehabilitation programs in reducing dynamic knee instability or improving dynamic stability upon return to high level physical activity and have an additive effect of reducing pain in OA knee. Objective: The purpose of the study is to find the effect of Agility and Perturbation training on improvement of pain, balance and functional abilities in subject with Patellofemoral Pain Syndrome. Method: A randomized controlled study with 40 individuals has been taken with patellofemoral pain syndrome. 20 subjects have been selected for control group and 20 subjects for study group. Outcome measures includes Kujala function scale, Y balance test and Numeric pain rating scale were measured before and immediately after the treatment. Results: Analysis using Mann Whitney U Test and Independent t between the groups found that when pre intervention means of NPRS, Composite score YBT and Kujala Score were compared there is a statistically significant difference between the groups. When post intervention means of NPRS and Kujala score were compared between the groups there is no statistically significant difference between the groups. When post intervention means of Composite score YBT were compared there is a statically significant difference. Conclusion: The present study concludes that Agility and Perturbation training shown significant improvement of pain, function and balance in subject with Patellofemoral Pain Syndrome. Key words: Patellofemoral Pain Syndrome, Kujala function Scale, Y balance test.


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