Anteromedial versus posterolateral hip musculature strengthening with dose-controlled in women with patellofemoral pain: A randomized controlled trial

Almeida, Gabriel Peixoto Leão; Rodrigues, Helena Larissa das Neves; Coelho, Bruno Augusto Lima; Rodrigues, Carlos Augusto Silva; Lima, Pedro Olavo de Paula

doi:10.1016/j.ptsp.2021.02.016

Cited by 12 publications

(3 citation statements)

References 38 publications

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“…Similarly, the present findings indicated that CG resulted in decreased pain and led to improved functionality after six weeks of intervention, adding to the existing knowledge about the PFP treatment. As the most of exercises were addressed to knee extensors and flexors, it is quite logical beneficial effects to be found, supporting previous results [31,32] Moreover, a previous study [33] the posterolateral hip muscles could be equally effective in PFP patient treatment. Despite the variety of recommended exercises for PFP treatments, strengthening exercises focused on the quadriceps has been traditionally used, suggesting that these exercises are an important element of an intervention program.…”

Section: Discussionsupporting

confidence: 81%

Changes in Functionality Induced by Conventional and Combined Electromyostimulation Knee Training, in Women with Patellofemoral Knee Syndrome

2023

PSMPH

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Background: Patellofemoral pain (PFP) is a chronic condition that usually results in long-term functional impairments both in adults and adolescents PFP has been found to decrease activity levels in individuals. Purpose:The purpose of the present study was to investigate whether the additional use of electrical stimulation to an intervention program could result in greater improvements in the knee function and the level of pain compared with the intervention program itself. Material and Methods: 22 women reported anterior knee pain symptoms clinically allocated in the patellofemoral region and confirmed through the patellar position, analyzed by magnetic resonance imaging (MRI). They randomly assigned into two groups with the same strengthening program. The experimental group used electrical stimulation combined with knee extensors and flexors strengthening exercises. The main outcome of the study was the visual analogue scale (VAS) in order to assess pain and the Anterior Knee Pain Scale (AKPS) to evaluate the functionality of the knee joint. All the outcomes were analyzed and compared pre and post a 6-weeks intervention period. Results: Statistically significant differences were found between the two rehabilitation groups at the end of the intervention period both in VAS (F1,20 = 44.083, p < 0.001) and functional assessment (F1,20 = 35.687, p < 0,001), suggesting that the conventional intervention program with the use of electrical stimulation is more effective regarding the pain degrees and the knee function. PriMera Scientific Medicine and Public Health https://primerascientific.com/psmph Changes in Functionality Induced by Conventional and Combined Electromyostimulation Knee Training, in Women with Patellofemoral Knee Syndrome 46 Conclusion: The use of electrical stimulation, combined with conventional strengthening program, could provide greater beneficial effects on PFP female individuals compared to the strengthening program itself.

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Section: Discussionsupporting

confidence: 81%

Changes in Functionality Induced by Conventional and Combined Electromyostimulation Knee Training, in Women with Patellofemoral Knee Syndrome

2023

PSMPH

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“…Both exercise programmes were associated with improvements in AKPS score (7.6 points for QE and 7.0 points for HE), but the improvements did not surpass the minimal clinically important change. The within-group changes for QE and HE are similar to those previously reported,13 but are somewhat lower than those reported in other randomised controlled trials evaluating the effect of hip and knee exercises in adolescents and adults with PFP 35 40 41 45–47. This difference may be explained by the setting of this study.…”

Section: Discussionsupporting

confidence: 74%

Quadriceps or hip exercises for patellofemoral pain? A randomised controlled equivalence trial

et al. 2023

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ObjectiveTo assess effectiveness equivalence between two commonly prescribed 12-week exercise programmes targeting either the quadriceps or the hip muscles in patients with patellofemoral pain (PFP).MethodsThis randomised controlled equivalence trial included patients with a clinical diagnosis of PFP. Participants were randomly assigned to either a 12-week quadriceps-focused exercise (QE) or a hip-focused exercise (HE) programme. The primary outcome was the change in Anterior Knee Pain Scale (AKPS) (0–100) from baseline to 12-week follow-up. Prespecified equivalence margins of ±8 points on the AKPS were chosen to demonstrate comparable effectiveness. Key secondary outcomes were the Knee Injury and Osteoarthritis Outcome Score (KOOS) questionnaire pain, physical function and knee-related quality of life subscales.Results200 participants underwent randomisation; 100 assigned to QE and 100 to HE (mean age 27.2 years (SD 6.4); 69% women). The least squares mean changes in AKPS (primary outcome) were 7.6 for QE and 7.0 for HE (difference 0.6 points, 95% CI −2.0 to 3.2; test for equivalence p<0.0001), although neither programme surpassed the minimal clinically important change threshold. None of the group differences in key secondary outcomes exceeded predefined equivalence margins.ConclusionThe 12-week QE and HE protocols provided equivalent improvements in symptoms and function for patients with PFP.Trial registration numberNCT03069547.

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“…Os resultados demonstraram que exercícios de alongamento e fortalecimento de joelhos complementados com exercícios de fortalecimento da musculatura pósterolateral do quadril foram mais efetivos que os exercícios somente para joelho, melhorando a função a longo prazo e reduzindo a dor em pacientes com SDFP. Almeida et al, 2021 Comparar a eficácia da adição de fortalecimento da musculatura ântero-medial versus posterolateral do quadril ao fortalecimento do joelho em mulheres com dor femoropatelar (DFP). Ambos os grupos apresentaram melhora nas medidas primárias; no entanto, não foram encontradas diferenças entre os grupos na intensidade e função da dor em seis semanas e nas medidas secundárias.…”

Section: Intervençõesunclassified

Efetividade e Eficácia em Diferentes Modalidades de Exercícios no Tratamento da Síndrome da Dor Femoropatelar em Mulheres: Revisão Sistemática de Ensaios Clínicos Randomizados

Ogatha¹,

Correia²

2023

Inovação E Práticas Na Abordagem Multidisciplinar

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Anteromedial versus posterolateral hip musculature strengthening with dose-controlled in women with patellofemoral pain: A randomized controlled trial

Cited by 12 publications

References 38 publications

Changes in Functionality Induced by Conventional and Combined Electromyostimulation Knee Training, in Women with Patellofemoral Knee Syndrome

Changes in Functionality Induced by Conventional and Combined Electromyostimulation Knee Training, in Women with Patellofemoral Knee Syndrome

Quadriceps or hip exercises for patellofemoral pain? A randomised controlled equivalence trial

Efetividade e Eficácia em Diferentes Modalidades de Exercícios no Tratamento da Síndrome da Dor Femoropatelar em Mulheres: Revisão Sistemática de Ensaios Clínicos Randomizados

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