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Neuromuscular training and muscle strengthening in patients with patellofemoral pain syndrome: a protocol of randomized controlled trial.
BMC Musculoskelet Disord. 2014 May 16; 15:157.BM

Abstract

BACKGROUND

Patellofemoral pain syndrome (PFPS) is a common musculoskeletal condition, particularly among women. Patients with PFPS usually experience weakness in the gluteal muscles, as well as pain and impaired motor control during activities of daily living. Strengthening the hip muscles is an effective way of treating this disorder. Neuromuscular training has also been identified as a therapeutic tool, although the benefits of this intervention in patients with PFPS patients remain inconclusive.

DESIGN

This is a protocol of randomized controlled trial with a blind assessor. Thirty-four women with a clinical diagnosis of PFPS participated. These participants were allocated into two groups (experimental and control). The experimental group performed twelve sessions to strengthen the knee extensors, hip abductor and lateral rotator muscles in association with neuromuscular training of the trunk and lower extremities. The control group performed the same number of sessions to strengthen the muscles of the hip and knee. The primary outcome was functional capacity (Anterior Knee Pain Scale - AKPS) at 4 weeks. Pain intensity, muscle strength and kinematic changes were also measured during the step down test after four weeks of intervention. Follow up assessments were conducted after three and six months to assess functional capacity and pain. The effects of the treatment (i.e. between-group differences) were calculated using mixed linear models.

DISCUSSION

The present study was initiated on the 1st of April 2013 and is currently in progress. The results of this study may introduce another effective technique of conservative treatment and could guide physical therapists in the clinical decision-making process for women with PFPS.

TRIAL REGISTRATION

Current Controlled Trials NCT01804608.

Authors+Show Affiliations

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableUniversidade Federal de São Paulo, Campus Baixada Santista, Avenue Ana Costa, 95 - Santos/SP, CEP: 11060-000, São Paulo, SP, Brazil. napam@outlook.com.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

24884455

Citation

Rabelo, Nayra Deise Dos Anjos, et al. "Neuromuscular Training and Muscle Strengthening in Patients With Patellofemoral Pain Syndrome: a Protocol of Randomized Controlled Trial." BMC Musculoskeletal Disorders, vol. 15, 2014, p. 157.
Rabelo ND, Lima B, Reis AC, et al. Neuromuscular training and muscle strengthening in patients with patellofemoral pain syndrome: a protocol of randomized controlled trial. BMC Musculoskelet Disord. 2014;15:157.
Rabelo, N. D., Lima, B., Reis, A. C., Bley, A. S., Yi, L. C., Fukuda, T. Y., Costa, L. O., & Lucareli, P. R. (2014). Neuromuscular training and muscle strengthening in patients with patellofemoral pain syndrome: a protocol of randomized controlled trial. BMC Musculoskeletal Disorders, 15, 157. https://doi.org/10.1186/1471-2474-15-157
Rabelo ND, et al. Neuromuscular Training and Muscle Strengthening in Patients With Patellofemoral Pain Syndrome: a Protocol of Randomized Controlled Trial. BMC Musculoskelet Disord. 2014 May 16;15:157. PubMed PMID: 24884455.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Neuromuscular training and muscle strengthening in patients with patellofemoral pain syndrome: a protocol of randomized controlled trial. AU - Rabelo,Nayra Deise Dos Anjos, AU - Lima,Bruna, AU - Reis,Amir Curcio dos, AU - Bley,André Serra, AU - Yi,Liu Chiao, AU - Fukuda,Thiago Yukio, AU - Costa,Leonardo Oliveira Pena, AU - Lucareli,Paulo Roberto Garcia, Y1 - 2014/05/16/ PY - 2013/09/10/received PY - 2014/05/09/accepted PY - 2014/6/3/entrez PY - 2014/6/3/pubmed PY - 2015/1/27/medline SP - 157 EP - 157 JF - BMC musculoskeletal disorders JO - BMC Musculoskelet Disord VL - 15 N2 - BACKGROUND: Patellofemoral pain syndrome (PFPS) is a common musculoskeletal condition, particularly among women. Patients with PFPS usually experience weakness in the gluteal muscles, as well as pain and impaired motor control during activities of daily living. Strengthening the hip muscles is an effective way of treating this disorder. Neuromuscular training has also been identified as a therapeutic tool, although the benefits of this intervention in patients with PFPS patients remain inconclusive. DESIGN: This is a protocol of randomized controlled trial with a blind assessor. Thirty-four women with a clinical diagnosis of PFPS participated. These participants were allocated into two groups (experimental and control). The experimental group performed twelve sessions to strengthen the knee extensors, hip abductor and lateral rotator muscles in association with neuromuscular training of the trunk and lower extremities. The control group performed the same number of sessions to strengthen the muscles of the hip and knee. The primary outcome was functional capacity (Anterior Knee Pain Scale - AKPS) at 4 weeks. Pain intensity, muscle strength and kinematic changes were also measured during the step down test after four weeks of intervention. Follow up assessments were conducted after three and six months to assess functional capacity and pain. The effects of the treatment (i.e. between-group differences) were calculated using mixed linear models. DISCUSSION: The present study was initiated on the 1st of April 2013 and is currently in progress. The results of this study may introduce another effective technique of conservative treatment and could guide physical therapists in the clinical decision-making process for women with PFPS. TRIAL REGISTRATION: Current Controlled Trials NCT01804608. SN - 1471-2474 UR - https://www.unboundmedicine.com/medline/citation/24884455/Neuromuscular_training_and_muscle_strengthening_in_patients_with_patellofemoral_pain_syndrome:_a_protocol_of_randomized_controlled_trial_ L2 - https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/1471-2474-15-157 DB - PRIME DP - Unbound Medicine ER -