Exercise for treating patellofemoral pain syndrome

Heijden, Rianne A. van der; Lankhorst, Nienke E; Linschoten, Robbart van; Bierma-Zeinstra, Sita M A; Middelkoop, Marienke van

doi:10.1002/14651858.cd010387

Cited by 23 publications

(21 citation statements)

References 22 publications

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“…Normalizing the firing pattern of VMO and correcting the patellar maltracking is the key to resolving patella-femoral Pain Syndrome [7]. Current evidence and clinical guidelines recommend the use of different multimodal intervention programs consisting of strengthening exercises, patellar tapping, patient education and activity modification for the management of PFPS [22][23][24][25][26]. There is only one study done by Gemma V, et.al in 2017 to check the effectiveness of including dry needling in the multimodal therapy program for PFPS.…”

Section: Resultsmentioning

confidence: 99%

Immediate Effect of Dry Needling vs Ultrasound on Releasing Trigger Points in Quadriceps in Patients With Patello-Femoral Pain Syndrome on Pain

Patel¹,

Srivastava²,

Shyam³

et al. 2019

IJPR

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Background: Patello-femoral pain syndrome is a very common complaint seen in adolescence and young adults characterized by pain around and behind the patella. There has been prevalence of trigger points in the quadriceps leading to disruption of the VMO/VL firing pattern due to muscle inhibition by pain. Current studies suggest the use of strengthening exercises for hip and knee not focusing on releasing the trigger points. Releasing these trigger points could give additional benefit to the patient and can also be employed along with other conventional therapies.Purpose of the study: To find out which treatment method gives faster results and works directly on the pain and function of the patient.Objectives: To assess the immediate effect of Dry Needling Vs Ultrasound on releasing Trigger points in Quadriceps in patients with Patello-femoral Pain Syndrome on pain and knee/lower extremity function.

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Section: Resultsmentioning

confidence: 99%

Immediate Effect of Dry Needling vs Ultrasound on Releasing Trigger Points in Quadriceps in Patients With Patello-Femoral Pain Syndrome on Pain

Patel¹,

Srivastava²,

Shyam³

et al. 2019

IJPR

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“…Furthermore, exercise itself can be the most important treatment for some diseases. For example, muscle strengthening is the most fundamental treatment method for patellofemoral pain syndrome, attributable to the weakness of the vastus medialis [ 20 ]. As for lateral and medial epicondylitis, it is important to follow exercise regimens that strengthen the wrist extensor and the wrist flexor tendon, respectively.…”

Section: Reviewmentioning

confidence: 99%

Conservative Treatments Frequently Used for Chronic Pain Patients in Clinical Practice: A Literature Review

Lee¹

2020

Cureus

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Chronic pain is a common patient complaint in clinical practice. It results in the deterioration of patients’ quality of life and loss of productivity. Also, it often brings about psychiatric disorders such as depression and anxiety. Therefore, clinicians should manage chronic pain actively. Various conservative treatments, including pharmacological therapy, procedures, and exercise, are being used to control chronic pain. In this review article, I provide an overview of the commonly used treatments, including medication [anticonvulsants, nonsteroidal anti-inflammatory drugs (NSAIDs), opioids, antidepressants], procedures [injection of steroids and local anesthetics, pulsed radiofrequency (PRF), repetitive transcranial magnetic stimulation (rTMS), prolotherapy], and exercise. A brief overview of these treatments would allow clinicians to have an overall picture of the available tools for managing chronic pain in clinical practice at a glance.

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“…In PFPS, the goals of treatment are to ameliorate pain on the acute phase; and to enhance alignment and patellofemoral tracking; and to return the patient to as optimal a level of function as feasible, on the recovery phase. Physical therapy is aimed on enhancing strength and flexibility on lower extremities and core muscles, including hip adductors and quadriceps [13][14][15][16][17]. NSAIDs (non-steroidal anti-inflammatory drugs) are useful just for short term relief (2 to 3 weeks) [18].…”

Section: Introductionmentioning

confidence: 99%

Efficiency of Platelet-rich Plasma (PRP) Compared to Ozone Infiltrations on Patellofemoral Pain Syndrome and Chondromalacia: A Non- Randomized Parallel Controlled Trial

Fernández-Cuadros¹,

Albaladejo-Florín²,

Algarra-López³

et al. 2017

Divers Equal Health Care

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Objective: 1) to determine the efficiency of PRP compared to Ozone Infiltrations on pain, function and quality of life (QoL) in patients with Patellofemoral Pain Syndrome (PFPS) and Chondromalacia. Material and methods:Prospective non-randomized controlled-trial, comparing two treatment protocols in parallel design, on 48 patients (24 in each group), with PFPS and Chondromalacia , who were treated at Santa Cristina's University Hospital, from January 2014 to May 2017. The PRP-protocol consisted of 3 sessions (1 session/week) of platelet-rich plasma (PRP), by an intra-articular infiltration of 3 ml. To obtain PRP, a kit device from EXACTECH (Accelerate Concentration System Device and Drucker Centrifuge was used.The Ozone-protocol consisted of 4 sessions (1 per week) of a medical mixture of Oxygen-Ozone (95%-5%) 20 ml, at a 20 ug/ml concentration, infiltrated intra-articularly. Pain, function, stiffness and Quality of Life were measured by Western Ontario and Mc Master Universities Index for Osteoarthritis (WOMAC) and Visual Analogical Scale (VAS) at baseline/end of treatment.Results: At baseline, age, sex, ratio male to female, clinical chondromalacia grades and symptom severity such as pain, stiffness and function were similar between groups of treatment. In both groups, the most common grade of chondromalacia was 2º grade (41.8% in PRP, 50% in Ozone), followed by 3º (37.6% in PRP, 33.4% in Ozone) and 4º (16.6% in both PRP and Ozone). When treatment protocols are analyzed separately, both PRP and Ozone were capable to produce pain relief (measured by VAS and WOMAC pain subscale), and improvement in function and rigidity (measured by WOMAC subscales), with a significant statistical level (p<0.05). In the case of pain, Ozone is even more effective than PRP (1.46 points on VAS scale and 2.95 points on WOMAC pain subscale) (p<0.05).Conclusion: PRP and ozone produce pain relief, function recovery and quality of life improvement in PFPS and chondromalacia, measured by WOMAC and VAS scores. In the case of pain severity, ozone produces even greater pain relief. PRP and Ozone are safe and effective modalities for the management of PFPS and chondromalacia.

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Exercise for treating patellofemoral pain syndrome

Cited by 23 publications

References 22 publications

Immediate Effect of Dry Needling vs Ultrasound on Releasing Trigger Points in Quadriceps in Patients With Patello-Femoral Pain Syndrome on Pain

Immediate Effect of Dry Needling vs Ultrasound on Releasing Trigger Points in Quadriceps in Patients With Patello-Femoral Pain Syndrome on Pain

Conservative Treatments Frequently Used for Chronic Pain Patients in Clinical Practice: A Literature Review

Efficiency of Platelet-rich Plasma (PRP) Compared to Ozone Infiltrations on Patellofemoral Pain Syndrome and Chondromalacia: A Non- Randomized Parallel Controlled Trial

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