Muscular control of the patella

Malone, Terry; Davies, George J.; Walsh, William M.

doi:10.1016/s0278-5919(02)00014-5

Cited by 37 publications

(23 citation statements)

References 39 publications

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“…10,24,[29][30][31][32][33] Patients in the KNEE treatment group initially performed non-weight-bearing quadriceps strengthening and then progressed to weight-bearing quadriceps-strengthening exercises (Table 4). No emphasis was placed on stabilizing the core musculature before initiating any of the movements.…”

Section: Rehabilitation Protocolmentioning

confidence: 99%

Strengthening of the Hip and Core Versus Knee Muscles for the Treatment of Patellofemoral Pain: A Multicenter Randomized Controlled Trial

Ferber

Bolgla

Earl-Boehm

et al. 2015

Journal of Athletic Training

148

161

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Context: Patellofemoral pain (PFP) is the most common injury in running and jumping athletes. Randomized controlled trials suggest that incorporating hip and core strengthening (HIP) with knee-focused rehabilitation (KNEE) improves PFP outcomes. However, no randomized controlled trials have, to our knowledge, directly compared HIP and KNEE programs.Objective: To compare PFP pain, function, hip-and kneemuscle strength, and core endurance between KNEE and HIP protocols after 6 weeks of rehabilitation. We hypothesized greater improvements in (1) pain and function, (2) hip strength and core endurance for patients with PFP involved in the HIP protocol, and (3) knee strength for patients involved in the KNEE protocol.Design: Randomized controlled clinical trial. Setting: Four clinical research laboratories in Calgary, Alberta; Chicago, Illinois; Milwaukee, Wisconsin; and Augusta, Georgia.Patients or Other Participants: Of 721 patients with PFP screened, 199 (27.6%) met the inclusion criteria (66 men [31.2%], 133 women [66.8%], age ¼ 29.0 6 7.1 years, height ¼ 170.4 6 9.4 cm, weight ¼ 67.6 6 13.5 kg).Intervention(s): Patients with PFP were randomly assigned to a 6-week KNEE or HIP protocol.Main Outcome Measure(s): Primary variables were selfreported visual analog scale and Anterior Knee Pain Scale measures, which were conducted weekly. Secondary variables were muscle strength and core endurance measured at baseline and at 6 weeks.Results: Compared with baseline, both the visual analog scale and the Anterior Knee Pain Scale improved for patients with PFP in both the HIP and KNEE protocols (P , .001), but the visual analog scale scores for those in the HIP protocol were reduced 1 week earlier than in the KNEE group. Both groups increased in strength (P , .001), but those in the HIP protocol gained more in hip-abductor (P ¼ .01) and -extensor (P ¼ .01) strength and posterior core endurance (P ¼ .05) compared with the KNEE group.Conclusions: Both the HIP and KNEE rehabilitation protocols produced improvements in PFP, function, and strength over 6 weeks. Although outcomes were similar, the HIP protocol resulted in earlier resolution of pain and greater overall gains in strength compared with the KNEE protocol.

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Section: Rehabilitation Protocolmentioning

confidence: 99%

Strengthening of the Hip and Core Versus Knee Muscles for the Treatment of Patellofemoral Pain: A Multicenter Randomized Controlled Trial

Ferber

Bolgla

Earl-Boehm

et al. 2015

Journal of Athletic Training

148

161

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“…Isometric Quadriceps Exercise: Pain-free quadriceps exercise is an important component of the successful treatment programme in patients with PFPS (26). Isometric quadriceps exercises were advocated for patients with PFPS as well as eccentric muscle contraction (27), but recently there have been recommendations for vastus medialis muscle training and functional lower-extremity train- (29).…”

Section: Open Kinetic Chain Exercisementioning

confidence: 99%

How Can We Strengthen the Quadriceps Femoris in Patients with Patellofemoral Pain Syndrome?

2011

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SummaryPurpose: the aim of this article was to review the clinical approach of quadriceps strengthening programmes. Methods: a literature search was carried out from 1980 up to September 2011. Eligible studies were those that: (1) evaluated the patients with patellofemoral pain syndrome (not healthy or asymptomatic subjects) (2) examined the effect of kinetic chain exercises (3) examined the effect of weight-bearing exercises (4) compared the effect of the combined exercises programme in the treatment of patients with patellofemoral pain syndrome. Results and conclusion: patients with patellofemoral pain syndrome may tolerate a closed kinetic chain exercises programme better than open kinetic chain. Weight-bearing and non-weight-bearing quadriceps exercises can significantly improve subjective and clinical outcomes in patients with patellofemoral pain syndrome. Combining treatments as an initial approach to treating patellofemoral pain but developing individualized more functional, global treatments are essential.

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“…In the acute phase, most patients respond to medical treatment, such as nonsteroidal anti-inflammatory drugs, which provide considerable pain relief. However, in the chronic phase, the vicious circle of pain, atrophy and instability should be prevented (21). Therefore, alternative treatment modalities are the key points.…”

Section: R Re Es Su Ul Lt Ts Smentioning

confidence: 99%

Home-Based Exercise and Patellar Bracig in the Treatment of Patellofemoral Pain Syndrome

Evcik¹,

Kuru²,

Ay³

et al. 2010

tftr

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S Su um mm ma ar ry y O Ob bj je ec ct ti iv ve e: : The quadriceps muscle group plays an important role in patellar stabilization. This study was designed to investigate the effect of a quadriceps exercise program along with a patellar brace in reducing pain and increasing function in patello-femoral pain syndrome (PFPS) patients. M Ma at te er ri ia al ls s a an nd d M Me et th ho od ds s: : A total of 86 patients with PFPS were included in this study. Patients were randomized into two groups: Group 1 (n=45) received a home based exercise program only; group 2 (n=41) received the same home based exercise program along with a patellar brace. The duration of the intervention was six weeks. At the end of the therapy patients were evaluated for pain and functional capacity. Pain was assessed using the visual analogue scale (VAS) and the Western Ontario McMaster Osteoarthritis Index (WOMAC) Pain Scale. Functional capacity was evaluated by using the WOMAC Functional Capacity Index and the Fulkerson-Shea Patellofemoral Evaluation Score (FSPES). R Re es su ul lt ts s: : After the program, there were statistically significant decreases in the VAS and WOMAC pain scale for both group 1 and 2 (p<0.001). Also, statistically significant increases were observed in the WOMAC functional capacity index and the FSPES for both groups (p<0.001). There were no statistical differences among parameters between two groups (p>0.05). C Co on nc cl lu us si io on n: : Addition of patellofemoral brace to the home exercise program didn't provide statistically significant differences in decreasing pain and increasing the functional capacity in patients with PFPS. Turk J Phys Med Rehab 2010;56:100-4. K Ke ey y W Wo or rd ds s: : Patellofemoral pain, exercise, patellar brace, functional capacity Ö Öz ze et t A Am ma aç ç: : Patellan›n stabilizasyonunda kuadriseps kas grubu önemli rol oynar. Bu çal›flmada patellofemoral a¤r› sendromu (PFAS) olan hastalarda ev egzersiz program› ile ev egzersiz program›na patellar breys eklemenin a¤r› ve fonksiyonel kapasite üzerine etkisini araflt›rmak amaçland›. G Ge er re eç ç v ve e Y Yö ön nt te em m: : Çal›flmaya PFAS olan 86 hasta dahil edildi. Hastalar iki gruba randomize edildi. Grup 1 (n=45) hastalara yaln›z ev egzersiz program›, grup 2 (n=41) hastalara ev egzersiz program›na ilave patellar breys verildi. Hastalar alt› hafta boyunca tedaviye al›nd›. Tedavi sonunda a¤r› ve fonksiyonel kapasite düzeyleri de¤erlendirildi. A¤r›; görsel anolog skala (GAS) ve Western Ontario McMaster Osteoartrit (WOMAC) A¤r› ‹ndeksi ile de¤erlendirildi. Fonksiyonel kapasite ise WOMAC ve Fulkerson-Shea Patellofemoral De¤erlendirme Skoru (FSPDS) ile de¤erlendirildi. B Bu ul lg gu ul la ar r: : Tedavi sonras›, Grup 1 ve 2'de GAS ve WOMAC a¤r› skorunda istatistiksel anlaml› azalma gözlendi (p<0,001). Ayn› zamanda her iki grupta WOMAC fonksiyonel indeks ve FSPDS'unda istatistiksel anlaml› art›fl gözlendi (p<0,001). Gruplar aras›nda de¤erlendirme parametreleri aç›s›ndan istatistiksel anlaml› fark yoktu. S So on nu uç ç: : PFAS ola...

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Muscular control of the patella

Cited by 37 publications

References 39 publications

Strengthening of the Hip and Core Versus Knee Muscles for the Treatment of Patellofemoral Pain: A Multicenter Randomized Controlled Trial

Strengthening of the Hip and Core Versus Knee Muscles for the Treatment of Patellofemoral Pain: A Multicenter Randomized Controlled Trial

How Can We Strengthen the Quadriceps Femoris in Patients with Patellofemoral Pain Syndrome?

Home-Based Exercise and Patellar Bracig in the Treatment of Patellofemoral Pain Syndrome

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