Neuromuscular training and muscle strengthening in patients with patellofemoral pain syndrome: a protocol of randomized controlled trial

Neuromuscular training and muscle strengthening in patients with patellofemoral pain syndrome: a protocol of randomized controlled trial

Author Rabelo, Nayra Deise dos Anjos Google Scholar
Lima, Bruna Google Scholar
Reis, Amir Curcio dos Google Scholar
Bley, Andre Serra Google Scholar
Yi, Liu Chiao Autor UNIFESP Google Scholar
Fukuda, Thiago Yukio Autor UNIFESP Google Scholar
Costa, Leonardo Oliveira Pena Google Scholar
Lucareli, Paulo Roberto Garcia Google Scholar
Institution Univ Nove Julho
Universidade Federal de São Paulo (UNIFESP)
Irmandade Santa Casa Misericordia
Univ Cidade São Paulo
George Inst Global Hlth
Abstract Background: Patellofemoral pain syndrome (PFPS) is a common musculoskeletal condition, particularly among women. Patients with PFPS usually experience weakness in the gluteal muscles, as well as pain and impaired motor control during activities of daily living. Strengthening the hip muscles is an effective way of treating this disorder. Neuromuscular training has also been identified as a therapeutic tool, although the benefits of this intervention in patients with PFPS patients remain inconclusive.Design: This is a protocol of randomized controlled trial with a blind assessor. Thirty-four women with a clinical diagnosis of PFPS participated. These participants were allocated into two groups (experimental and control). the experimental group performed twelve sessions to strengthen the knee extensors, hip abductor and lateral rotator muscles in association with neuromuscular training of the trunk and lower extremities. the control group performed the same number of sessions to strengthen the muscles of the hip and knee. the primary outcome was functional capacity (Anterior Knee Pain Scale - AKPS) at 4 weeks. Pain intensity, muscle strength and kinematic changes were also measured during the step down test after four weeks of intervention. Follow up assessments were conducted after three and six months to assess functional capacity and pain. the effects of the treatment (i.e. between-group differences) were calculated using mixed linear models.Discussion: the present study was initiated on the 1st of April 2013 and is currently in progress. the results of this study may introduce another effective technique of conservative treatment and could guide physical therapists in the clinical decision-making process for women with PFPS.
Keywords Biomechanics
Kinematics
Anterior knee pain
Hip
Knee
Neuromuscular
Language English
Date 2014-05-16
Published in Bmc Musculoskeletal Disorders. London: Biomed Central Ltd, v. 15, 10 p., 2014.
ISSN 1471-2474 (Sherpa/Romeo, impact factor)
Publisher Biomed Central Ltd
Extent 10
Origin http://dx.doi.org/10.1186/1471-2474-15-157
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000337326500002
URI http://repositorio.unifesp.br/handle/11600/37772

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