Effectiveness of therapeutic physical exercise in the treatment of patellofemoral pain syndrome: a systematic review

Pablo Alba-Martín, T Gallego-Izquierdo, Gustavo Plaza-Manzano, Natalia Romero-Franco, Susana Núñez-Nagy, Daniel Pecos-Martín, Pablo Alba-Martín, T Gallego-Izquierdo, Gustavo Plaza-Manzano, Natalia Romero-Franco, Susana Núñez-Nagy, Daniel Pecos-Martín

Abstract

[Purpose] The aim of this study was to analyze the effectiveness of conservative treatment of patellofemoral pain syndrome with physical exercise. [Subjects and Methods] A computer-based review conducted of four databases (PubMed, the Cochrane Library, PEDro, and the University Library) was completed based on the inclusion criteria of patellofemoral pain syndrome patients treated with physical exercise methods and examination with self-reported pain and/or functional questionnaires. [Results] The findings of ten clinical trials of moderate to high quality were evaluated to determine the effectiveness of physical exercise as conservative management for patellofemoral pain syndrome. [Conclusion] The intervention programs that were most effective in relieving pain and improving function in patellofemoral pain syndrome included proprioceptive neuromuscular facilitation stretching and strengthening exercises for the hip external rotator and abductor muscles and knee extensor muscles.

Keywords: Patellofemoral pain syndrome; Physical exercise.

References

    1. Paniagua JD, de la Alberca MJL. Bases científicas para el diseño de un programa de ejercicios para el síndrome de dolor femoropatelar. 2010.
    1. Heintjes EM: Non-traumatic knee complaints in adolescents and young adults in general practice, Erasmus University Rotterdam; 2006.
    1. Haupenthal A, Bento A, Avalos VD, et al. : Tratamiento fisioterapeutico en el síndrome patelofemoral (SPF). Un estudio de caso. Revista Digital Buenos Aires, 2006, 11.
    1. Callaghan MJ, Selfe J: Patellar taping for patellofemoral pain syndrome in adults. Cochrane Database Syst Rev, 2012, 4: CD006717.
    1. Peters JS, Tyson NL: Proximal exercises are effective in treating patellofemoral pain syndrome: a systematic review. Int J Sports Phys Ther, 2013, 8: 689–700.
    1. Clijsen R, Fuchs J, Taeymans J: Effectiveness of exercise therapy in treatment of patients with patellofemoral pain syndrome: systematic review and meta-analysis. Phys Ther, 2014, 94: 1697–1708[Epub ahead of print].
    1. Kooiker L, Van De Port IG, Weir A, et al. : Effects of physical therapist-guided quadriceps-strengthening exercises for the treatment of patellofemoral pain syndrome: a systematic review. J Orthop Sports Phys Ther, 2014, 44: 391–B1.
    1. Rixe JA, Glick JE, Brady J, et al. : A review of the management of patellofemoral pain syndrome. Phys Sportsmed, 2013, 41: 19–28.
    1. Cabello J: Plantilla para ayudarte a entender un Estudio de Diagnóstico. Guías CASPe de Lectura Crítica de la Literatura Médica. Alicante: CASP, 2005.
    1. Herrington L, Al-Sherhi A: A controlled trial of weight-bearing versus non-weight-bearing exercises for patellofemoral pain. J Orthop Sports Phys Ther, 2007, 37: 155–160.
    1. Syme G, Rowe P, Martin D, et al. : Disability in patients with chronic patellofemoral pain syndrome: a randomised controlled trial of VMO selective training versus general quadriceps strengthening. Man Ther, 2009, 14: 252–263.
    1. Dolak KL, Silkman C, Medina McKeon J, et al. : Hip strengthening prior to functional exercises reduces pain sooner than quadriceps strengthening in females with patellofemoral pain syndrome: a randomized clinical trial. J Orthop Sports Phys Ther, 2011, 41: 560–570.
    1. Fukuda TY, Rossetto FM, Magalhães E, et al. : Short-term effects of hip abductors and lateral rotators strengthening in females with patellofemoral pain syndrome: a randomized controlled clinical trial. J Orthop Sports Phys Ther, 2010, 40: 736–742.
    1. Nakagawa TH, Muniz TB, Baldon RM, et al. : The effect of additional strengthening of hip abductor and lateral rotator muscles in patellofemoral pain syndrome: a randomized controlled pilot study. Clin Rehabil, 2008, 22: 1051–1060.
    1. Avraham F, Aviv S, Ya’akobi P, et al. : The efficacy of treatment of different intervention programs for patellofemoral pain syndrome—a single blinded randomized clinical trial. Pilot study. ScientificWorldJournal, 2007, 7: 1256–1262.
    1. Khayambashi K, Mohammadkhani Z, Ghaznavi K, et al. : The effects of isolated hip abductor and external rotator muscle strengthening on pain, health status, and hip strength in females with patellofemoral pain: a randomized controlled trial. J Orthop Sports Phys Ther, 2012, 42: 22–29.
    1. Khayambashi K, Fallah A, Movahedi A, et al. : Posterolateral hip muscle strengthening versus quadriceps strengthening for patellofemoral pain: a comparative control trial. Arch Phys Med Rehabil, 2014, 95: 900–907[Epub ahead of print].
    1. Lee J, Lee H, Lee W: Effect of weight-bearing therapeutic exercise on the q-angle and muscle activity onset times of elite athletes with patellofemoral pain syndrome: a randomized controlled trial. J Phys Ther Sci, 2014, 26: 989–992.
    1. Moyano FR, Valenza MC, Martin LM, et al. : Effectiveness of different exercises and stretching physiotherapy on pain and movement in patellofemoral pain syndrome: a randomized controlled trial. Clin Rehabil, 2013, 27: 409–417.
    1. Stiene HA, Brosky T, Reinking MF, et al. : A comparison of closed kinetic chain and isokinetic joint isolation exercise in patients with patellofemoral dysfunction. J Orthop Sports Phys Ther, 1996, 24: 136–141.
    1. Witvrouw E, Lysens R, Bellemans J, et al. : Open versus closed kinetic chain exercises for patellofemoral pain. A prospective, randomized study. Am J Sports Med, 2000, 28: 687–694.
    1. Boling MC, Bolgla LA, Mattacola CG, et al. : Outcomes of a weight-bearing rehabilitation program for patients diagnosed with patellofemoral pain syndrome. Arch Phys Med Rehabil, 2006, 87: 1428–1435.
    1. Grabiner MD, Koh TJ, Draganich LF: Neuromechanics of the patellofemoral joint. Med Sci Sports Exerc, 1994, 26: 10–21.
    1. Cowan SM, Bennell KL, Hodges PW: Therapeutic patellar taping changes the timing of vasti muscle activation in people with patellofemoral pain syndrome. Clin J Sport Med, 2002, 12: 339–347.
    1. Powers CM, Ward SR, Fredericson M, et al. : Patellofemoral kinematics during weight-bearing and non-weight-bearing knee extension in persons with lateral subluxation of the patella: a preliminary study. J Orthop Sports Phys Ther, 2003, 33: 677–685.
    1. Mascal CL, Landel R, Powers C: Management of patellofemoral pain targeting hip, pelvis, and trunk muscle function: 2 case reports. J Orthop Sports Phys Ther, 2003, 33: 647–660.

Source: PubMed

Sponzoři a spolupracovníci

Zdravotní podmínky

Drogové intervence

3
Předplatit