How effective is an evidence-based exercise intervention in individuals with patellofemoral pain?

Greaves, H ORCID: https://orcid.org/0000-0002-6980-7908, Comfort, P ORCID: https://orcid.org/0000-0002-1131-8626, Liu, A ORCID: https://orcid.org/0000-0001-9416-1726, Herrington, LC ORCID: https://orcid.org/0000-0003-4732-1955 and Jones, R ORCID: https://orcid.org/0000-0001-5242-185X 2021, 'How effective is an evidence-based exercise intervention in individuals with patellofemoral pain?' , Physical Therapy in Sport, 51 , pp. 92-101.

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Abstract

Objectives Guidelines for a comprehensive rehabilitation programme for patellofemoral pain (PFP) have been developed by international experts. The aim of this study was to analyse the effect of such a rehabilitative exercise programme on pain, function, kinesiophobia, running biomechanics, quadriceps strength and quadriceps muscle inhibition in individuals with PFP.
Design Observational study.
Setting Clinical environment.
Participants Twenty-seven participants with PFP.
Main outcome measures Symptoms [numeric pain rating scale (NPRS)and the pain subscale of the Knee Injury and Osteoarthritis Outcome Score (KOOS)], function measured by using the KUJALA scale and KOOS, kinesiophobia measured by using the Tampa scale, three-dimensional biomechanical running data, quadriceps isometric, concentric and eccentric strength and arthrogenic muscle inhibition (AMI) were acquired before and after the six-week exercise programme.
Results Although pain did not significantly improve all patients were pain-free after the six-week exercise programme (NPRS: p = 0.074). Function, kinesiophobia and quadriceps AMI improved significantly after the six-week exercise programme (KUJALA: p = 0.001, KOOS: p = 0.0001, Tampa: p = 0.017, AMI: p = 0.018). Running biomechanics during stance phase did not change after the exercise intervention. Quadriceps strength was not different after the six-week exercise programme (isometric: p = 0.992, concentric: p = 0.075, eccentric: p = 0.351).
Conclusion The results of this study demonstrate that the current exercise recommendations can improve function and kinesiophobia and reduce pain and AMI in individuals with PFP. There is a need for reconsideration of the current exercise guidelines in stronger individuals with PFP.

Item Type: Article
Schools: Schools > School of Health and Society > Centre for Health Sciences Research
Journal or Publication Title: Physical Therapy in Sport
Publisher: Elsevier
ISSN: 1466-853X
Related URLs:
Depositing User: Prof Richard Jones
Date Deposited: 19 Aug 2021 06:56
Last Modified: 28 Aug 2021 10:28
URI: http://usir.salford.ac.uk/id/eprint/61627

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