Effects of Total Resistance Exercise versus Physioball Exercise Training Programs on Pain and Functional Disability among Women with Patellofemoral Pain (original) (raw)
Related papers
Negah Institute for Scientific Communication, 2021
The aim of this study was to evaluate the effect of strengthening the abductor and external rotator of the hip joint muscles on pain, thigh muscle strength, and lower limb kinematics in volleyball players with patellofemoral complications. Methods: Twenty-four volleyball players with patellofemoral pain were randomly divided into the experimental and control groups. The experimental group received three sessions of strengthening exercises for the abductor muscles and external rotators of the hip joint using Traband for eight weeks. The control group received no training intervention. The pain was assessed by visual acuity scale, hip muscle strength by hand dynamometer, and lower limb kinematics using video analysis before and after the intervention. Samples included volleyball players with patellofemoral pain who had pain in one or both knees. If the pain was bilateral, the exercises were performed bilaterally on both lower limbs, but measurements were taken only from the lower extremity, which was most in pain. Analysis of covariance was used by SPSS software for statistical analysis. Results: The results of this study showed that after training, in the experimental group, pain decreased and the strength of the abductor's muscles and external rotator of the hip joint muscles increased. Knee dynamic valgus and pelvic drop were observed in single-leg squat only in the experimental group. Conclusion: The results showed that the strengthening of the hip joint can decrease the pain of volleyball players with patellofemoral, increase the strength of the muscles and change the kinematics of the lower limbs on the frontal plane, and this can be the mechanism of the effect of this intervention on the symptoms of pain.
British Journal of Medicine and Medical Research, 2017
Background: Patellofemoral pain syndrome (PFPS) refers to anterior or retropatellar pain in knees. It is amongst the widespread and commonly known knee disorders seen in orthopaedic clinics, especially in young adult. The majority of patients who have are initially treated non operatively and many non operative imitative are successful wherein physical exercise remains the basic approach to deal with the ailment. Amongst various physical therapies used; open kinetic chain exercises (OKCE) and closed kinetic chain exercises (CKCE) have gained prominence. Aim: The purpose of this study was to investigate the efficacy of closed versus open kinetic chain exercises in Saudi patients with PFPS, and to determine whether any of two programs offer any advantages over the other one.
The Effectiveness of Exercise in Treating Patellofemoral-Pain Syndrome
Journal of Sport Rehabilitation, 2004
Objective:To determine the effect of exercise on patients with patellofemoral-pain syndrome (PFPS).Patients:29 subjects with unilateral PFPS, assigned to control, home-exercise (HE), or physical therapy (PT) group.Intervention:8-wk exercise program.Main Outcome Measures:A knee survey, visual analog scale (VAS), and 5 weight-bearing tests.Results:MANOVA indicated an overall statistical difference between groups (P < .05). The HE and PT groups experienced less pain than control, and PT experienced less pain than HE (P < .05). In overall knee function and most weight-bearing tests, HE and PT were stronger and more functional than control (P < .05). For anteromedial lunge only PT was stronger and more functional than control (P < .05).Conclusions:Intervention helps PFPS, but there appear to be no differences between home and in-clinic interventions.
2019
Background: Impaired lower extremity kinematics has beenconsidered as a contributing factor to patellofemoral pain (PFP). However, current knowledge about the correlation between lower extremity kinematics and muscle strength is very limited. This study investigated the correlation between lower extremity kinematics and muscle strength, pain, physical activity level, as well as functional status in females with PFP. Methods: Seventy-five females with PFP participated in this analytical cross-sectional study. Lower extremity kinematics, maximal isometric strength of muscles, pain severity, physical activity level, as well as subjective and objective function were assessed using a motion analysis system, a dynamometer, Visual Analog Scale, the International Physical Activity questionnaire, and the Kujala questionnaire and the step-down test, respectively. The hip and knee kinematics were determined during the initial contact and the initial phase of landing. Pearson's correlation...
Fisioterapia em Movimento, 2017
Introduction: Patellofemoral Pain Syndrome (PFPS) is associated with anterior knee pain, changes in functional capacity, balance and muscle strength disorders. Objective: To quantify pain, functional capacity, strength in quadriceps (Q), gluteus medium (GM), hip external rotator (ER) muscles and balance in sedentary women with PFPS. Methods: Twenty sedentary women, aged 18 to 25 years, were divided into two groups: PFPS (N=10) and control group (N=10). All the volunteers answered the items of the Visual Analogue Scale (VAS), the Lysholm Knee Score Scale, the Anterior Knee Pain Scale (AKPS), and the Lower Extremity Functional Scale (LEFS). The participants performed the following tests: maximal voluntary isometric contraction measured by dynamometry; postural balance using the Star Excursion Balance Test (SEBT) and a force platform. Statistical analyses were performed using the Shapiro Wilk test, the Mann Whitney U test and Spearman’s correlation coefficient. Data were submitted to S...
BMC musculoskeletal disorders, 2006
Patellofemoral complaints are frequently seen in younger and active patients. Clinical strategy is usually based on decreasing provoking activities as sports and demanding knee activities during work and leisure and reassuring the patient on the presumed good outcome. Exercise therapy is also often prescribed although evidence on effectiveness is lacking. The objective of this article is to present the design of a randomized clinical trial that examines the outcome of exercise therapy supervised by a physical therapist versus a clinically accepted "wait and see" approach (information and advice about the complaints only). The research will address to both effectiveness and cost effectiveness of supervised exercise therapy in patients with patellofemoral pain syndrome (PFPS). 136 patients (adolescents and young adults) with patellofemoral pain syndrome are recruited in general practices and sport medicine centers. They will be randomly allocated receiving either 3 months of...
Physical Treatments - Specific Physical Therapy
Purpose: Patellofemoral Pain Syndrome (PFPS) is among the most prevalent complaints observed in healthcare clinics. This group of patients encounters Pelvic Drop (PD) and Dynamic Knee Valgus (DNV); its’ causes have been reported as pain and decreased muscle strength. The current study aimed to explore the effects of a 12-week Sensorimotor Exercise (SME) on pain, strength, PD, and DNV in males with PFPS. Methods: This randomized double-blind clinical trial involved 32 patients with PFPS. The study samples were randomly divided into the experimental (n=16) and control (n=16) groups. To assess pain, the Visual Analogue Scale (VAS) was used. Moreover, quadriceps muscle strength was measured by the hip abductor hand dynamometer. To analyze PD and DNV, camera and Kinova software were used during stairs descent. The experimental group performed 12 weeks of SME for 3 one-hour weekly sessions. However, the control group received no therapeutic intervention during this time. The obtained data...
Chase Trainer Exercise Program In Athlete With Unilateral Patellofemoral Pain Syndrome (PFPS)
We investigated the effects of modified preprogrammed training mode Chase Trainer from Balance Trainer (BT3, HurLab, Tampere, Finland) on athlete who experienced unilateral Patellofemoral Pain Syndrome (PFPS). Twenty-seven athletes with mean age= 14.23 ±1.31 years, height = 164.89 ± 7.85 cm, weight = 56.94 ± 9.28 kg were randomly assigned to two groups: experiment (EG; n = 14) and injured (IG; n = 13). EG performed a series of Chase Trainer program which required them to shift their body weight at different directions, speeds and angle of leaning twice a week for duration of 8 weeks. The static postural control and perceived pain level measures were taken at baseline, after 6 weeks and 8 weeks of training. There was no significant difference in any of tested variables between EG and IG before and after 6-week the intervention period. However, after 8-week of training, the postural control (eyes open) and perceived pain level of EG improved compared to IG (p<0.05). The postural control with eyes closed of EG improved (p<0.05) but the values were not significantly different compared to IG after training. The results suggest that using Chase Trainer exercise program it is possible to improve individual postural control and decreased perceived pain level in athlete with unilateral Patellofemoral Pain Syndrome (PFPS).
Journal of Physical Therapy Science
This study was carried out to investigate the carryover effect of hip and knee exercises program on functional performance (single legged hop test as functional performance test and Kujala score for functional activities). [Subjects and Methods] Thirty patients with patellofemoral pain syndrome were randomly assigned into two equal groups. Group (A) consisted of 15 patients undergoing hip strengthening exercises for four weeks then measuring all variables followed by additional four weeks of knee exercises program then measuring all variables again. Group (B): consisted of 15 patients undergoing knee exercises program for four weeks then measuring all variables followed by additional four weeks of hip strengthening exercises then measuring all variables. Functional abilities and knee muscles performance were assessed using Kujala questionnaire and single legged hop test respectively pre and after the completion of the first 4 weeks then after 8 weeks for both groups. [Results] Significantly increase in Kujala questionnaire in group A compared with group B was observed. While, there were significant increase in single legged hop performance test in group B compared with group A. [Conclusion] Starting with hip exercises improve the performance of subjects more than functional activities while starting with knee exercises improve the functional activities of subjects more than performance.
Revista de la Facultad de Medicina, 2021
Introduction: Patellofemoral pain syndrome (PFPS) is one of the most common musculoskeletal disorders affecting the knee joint. Conservative treatment reduces pain and improves functional capacity in the short and medium-term. Objective: To determine the therapeutic effect of two muscle strengthening exercise programs in patients with PFPS from Bogotá, Colombia, aged between 15 and 40 years. Materials and methods: Experimental randomized controlled clinical trial conducted in 40 patients with PFPS from Bogotá, Colombia, aged 15-40 years, with a mild to moderate level of physical activity. Participants were randomly distributed into 2 intervention groups: Group A: 8-week-long core, hip and knee muscles strengthening exercises program; Group B: 8-week-long hip and knee muscles strengthening exercises program. The level of pain was measured using the Visual Analog Scale and the Kujala Anterior Knee Pain Scale. Results: The addition of core muscle strengthening exercises to the traditio...