Effectiveness of core muscle strengthening for improving pain and dynamic balance among female patients with patellofemoral pain syndrome

Chevidikunnan, Mohamed Faisal; Saif, Amer Al; Gaowgzeh, Riziq Allah; Mamdouh, Khaled Ahmed

doi:10.1589/jpts.28.1518

Cited by 52 publications

(56 citation statements)

References 36 publications

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“…Retropatellar pain gets aggravated during physical activities, for example, stair climbing, squatting, and prolonged sitting, which can increase the load on patellofemoral joint. 36,37 This study did not find a significant correlation between the pain and the 30-CST test because healthy limb may compensate the functionality.…”

Section: Discussionmentioning

confidence: 62%

Lower extremity alignment due to patellofemoral syndrome and dynamic postural balance

Erdoğanoğlu

Pepe²,

Kaya

et al. 2020

J Orthop Surg (Hong Kong)

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Study design: This study is a prospective study. Aim: Lower extremity malalignment is an important etiologic factor in patellofemoral pain syndrome (PFPS). We hypothesized that lower limb malalignment may affect dynamic balance and physical function. This prospective study was conducted to investigate the relationship between the lower limb alignment and the dynamic balance and physical function in patients with PFPS. Methods: The study included 62 individuals with unilateral PFPS. Pain severity was assessed by the numerical pain scale and the pain duration was recorded. Lower extremity bone alignment was evaluated by the lateral distal femoral angle (LDFA) and the medial proximal tibia angle. Dynamic postural balance was assessed by the star excursion balance test. The functional status of the patients was evaluated by the 30-second chair stand test. Results: The mean duration of the pain was 24.2 ± 31.5 months and the mean pain severity was 8.1 ± 1.4. Although there was a significant difference found between the affected and unaffected LDFA values of lower extremities ( p < 0.05), there was no difference found with regard to the dynamic balance values of the lower extremities ( p > 0.05). However, significant changes of posterolateral balance were identified at a painful side without causing a postural dynamic imbalance ( p < 0.05). Conclusion: In our study, we found a valgus deformity as a deterioration in the lower limb alignment of patients with PFPS which may cause a deterioration of posterolateral balance only. However, no change in postural dynamic balance was observed in the comparison of affected side and unaffected side. Dynamic postural balance has been influenced by many kinematic changes related to lower extremities including pelvis, hip, and ankle. Thus, reciprocal mechanisms in the anatomical structures may compensate the postural balance dynamically.

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Section: Discussionmentioning

confidence: 62%

Lower extremity alignment due to patellofemoral syndrome and dynamic postural balance

Erdoğanoğlu

Pepe²,

Kaya

et al. 2020

J Orthop Surg (Hong Kong)

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“…The PFPS decreases the patients' quality of life [3]. The conservative treatment methods for this syndrome includes non-surgical interventions such as resting, using ice, antiinflammatory drugs, hydrotherapy, taping, moderation of activities and exercise therapy [1,8,9].…”

Section: Resultsmentioning

confidence: 99%

Comparing the Effect of Exercise Therapy With Kinesio Taping on Pain and Electrical Activity of Muscles in Women With Patellofemoral Pain Syndrome

Yalfani

Abdolmaleki

Raeisi

2019

J. Qazvin Univ. Med. Sci.

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Background Patellofemoral pain syndrome (PFPS) is one of the most prevalent knee disorders. In fact, one in four patients with knee disorders suffers from this syndrome. Objective The purpose of the present study was to compare the efficacy of 8-week exercise therapy with and without Kinesio taping on the pain and vastus medialis oblique/vastus lateralis (VMO/VL) electrical activity ratio in women with PFPS. Methods In this quasi-experimental study, 45 women with PFPS were participated. They were randomly divided into three groups of exercise therapy, exercise therapy with Kinesio taping, and control. Their pain and muscle activity were evaluated by visual analogue scale and surface electromyography, respectively before and after treatment. Paired t-test and one-way ANOVA were performed for statistical analysis. Findings The results reported a significantly reduced pain and improved VMO/VL muscle electrical activity ratio in both experimental groups (P<0.05) but there was no statistically significant difference between both groups in reducing pain (P˃0.05). Moreover, more reduction in onset delay of the electrical activity of VMO relative to the VL was observed in the group that performed exercises with using Kinesio tapes (P<0.05). Conclusion Kinesio taping as an effective complement to exercise therapy is recommended for the improvement of patients with PFPS.

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“…Improving core stability could lead to smaller displacement in the mediolateral center of pressure and center of mass. By Improving core endurance/stability, the motion at the level of the trunk and hip is controlled and significantly improves balance [29]. Moreover, improving core muscles, like other skeletal muscles, results in enhancing the ability of neuromuscular system to stabilize contractions in response to gravity and momentum and leads to improved synchronization of motor units [30].…”

Section: Discussionmentioning

confidence: 99%

The Relationship Between Core Endurance and Performance in National Female Badminton Athletes

Mohammadi

Fathi

2018

PTJ

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Purpose: A theory states that strong core stability allows athletes to fully transfer forces from the upper extremities to lower extremities, and finally to the ground. On the contrary, weak core stability causes alterations in transferring forces, reduces sport performance, and increases risk for injury, especially in the lower extremities. Therefore, the current study investigated the relationship between core endurance and performance in professional female badminton athletes. Methods: To examine the aforementioned relationship, badminton athletes invited to the 2017 Youth National Team camp (n=16, Mean±SD age=14.9±1.2 y, height=163.0±4.5 cm, weight=57.8±4.3 kg) completed core endurance and performance tests. Badminton athletes performed 5 performance tests (Y balance, vertical jump, 20 m sprint, 4×9 agility, and single-leg triple crossover hop tests), and 4 core endurance tests (trunk flexor, trunk extensor, and bilateral side bridge tests). Results: Data analysis indicated significant correlations between core endurance and balance (r=0.52, P=0.04), as well as between core endurance and triple crossover hop test (r=0.63, P=0.01); however, relations between core endurance and other performance tests (vertical jump, 20 m sprint, agility) were not statistically significant. Conclusion: Considering the significant correlations between core endurance and balance and triple crossover hop test, it is suggested that personal trainers, coaches, and badminton athletes use the core stability exercises to improve balance and single-leg cutting maneuver. As a result, the chance of non-contact lower extremity injuries caused by the loss of balance or those occurring during cutting movement will be reduced.

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Effectiveness of core muscle strengthening for improving pain and dynamic balance among female patients with patellofemoral pain syndrome

Cited by 52 publications

References 36 publications

Lower extremity alignment due to patellofemoral syndrome and dynamic postural balance

Lower extremity alignment due to patellofemoral syndrome and dynamic postural balance

Comparing the Effect of Exercise Therapy With Kinesio Taping on Pain and Electrical Activity of Muscles in Women With Patellofemoral Pain Syndrome

The Relationship Between Core Endurance and Performance in National Female Badminton Athletes

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