Short-Term Effects of Hip Abductors and Lateral Rotators Strengthening in Females With Patellofemoral Pain Syndrome: A Randomized Controlled Clinical Trial

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dc.contributor.authorFukuda, Thiago Yukio [UNIFESP]
dc.contributor.authorRossetto, Flavio Marcondes
dc.contributor.authorMagalhaes, Eduardo [UNIFESP]
dc.contributor.authorBryk, Flavio Fernandes
dc.contributor.authorLucareli, Paulo Roberto Garcia
dc.contributor.authorCarvalho, Nilza Aparecida de Almeida
dc.contributor.institutionIrmandade Santa Casa Misericordia ISCMSP
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionUniv Nove de Julho Einstein
dc.date.accessioned2016-01-24T14:05:37Z
dc.date.available2016-01-24T14:05:37Z
dc.date.issued2010-11-01
dc.description.abstractSTUDY DESIGN Randomized clinical trialOBJECTIVE To investigate the influence of strengthening the hip abductor and lateral rotator musculature on pain and function of females with patellofemoral pain syndrome (PFPS)BACKGROUND Hip muscle weakness in women athletes has been the focus of many recent studies and is suggested as an important impairment to address in the conservative treatment of women with PFPS However it is still not well established if strengthening these muscles is associated with clinical improvement in pain and function in sedentary females with PFPSMETHODS Seventy females (average +/- SD age 25 07 years) with a diagnosis of unilateral PFPS were distributed randomly into 3 groups 22 females in the knee exercise group who received a conventional treatment that emphasized stretching and strengthening of the knee musculature 23 females in the knee and hip exercise group who performed exercises to strengthen the hip abductors and external rotators in addition to the same exercises performed by those in the knee exercise group and of the 25 females who did not receive any treatment the females of the nontreatment group (control) were instructed to maintain their normal daily activities An 11 point numerical pain rating scale (NPRS) was used to assess pain during stair ascent and descent the lower extremity functional scale (LEFS) and the anterior knee pain scale (AKPS) were used to assess function the single limb single hop test was also used as a functional outcome to measure preintervention and 4 week postintervention functionCONCLUSION Rehabilitation programs focusing on knee strengthening exercises and knee strengthening exercises supplemented by hip strengthening exercises were both effective in improving function and reducing pain in sedentary women with PFPS Improvements of pain and function were greater for the group that performed the hip strengthening exercises but the difference was significant only for pain rating while descending stairsen
dc.description.affiliationIrmandade Santa Casa Misericordia ISCMSP, Phys Therapy Dept, BR-01221020 São Paulo, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, São Paulo, Brazil
dc.description.affiliationUniv Nove de Julho Einstein, Movement Anal Lab, São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent736-742
dc.identifierhttp://dx.doi.org/10.2519/jospt.2010.3246
dc.identifier.citationJournal of Orthopaedic & Sports Physical Therapy. Alexandria: J O S P T,, v. 40, n. 11, p. 736-742, 2010.
dc.identifier.doi10.2519/jospt.2010.3246
dc.identifier.issn0190-6011
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/33019
dc.identifier.wosWOS:000284243500007
dc.language.isoeng
dc.publisherJ O S P T,
dc.relation.ispartofJournal of Orthopaedic & Sports Physical Therapy
dc.rightsAcesso aberto
dc.subjectanterior knee painen
dc.subjectchondromalaciaen
dc.subjectgluteus mediusen
dc.subjectknee patellaen
dc.titleShort-Term Effects of Hip Abductors and Lateral Rotators Strengthening in Females With Patellofemoral Pain Syndrome: A Randomized Controlled Clinical Trialen
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