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Adding motor control training to muscle strengthening did not substantially improve the effects on clinical or kinematic outcomes in women with patellofemoral pain: A randomised controlled trial.
Gait Posture 2017; 58:280-286GP

Abstract

DESIGN

Randomized controlled trial.

BACKGROUND

Patients with Patellofemoral pain (PFP) usually present muscular weakness, pain and impaired motor control. Muscle strengthening is an effective treatment strategy for PFP, but the additional benefits of movement control training remain unknown. Therefore, the aim of this study was to compare the effects of movement control training associated with muscle strengthening, with a conventional program of strengthening alone in women with PFP.

METHODS

Thirty-four women were randomly assigned to two groups. The Strengthening group (S group) performed 12 sessions to strengthen the knee and hip muscles. The Movement Control & Strengthening group (MC&S group) performed the same exercises and movement control training of the trunk and lower limbs. Effects of the treatment (i.e., between-group differences) were calculated using linear mixed models. Primary outcomes were function and pain intensity after completion of the treatment protocol. Secondary outcomes were; muscle strength and kinematic outcomes during the step down task after 4 weeks of treatment; and function and pain intensity 3 and 6 months after randomization.

RESULTS

The MC&S group did not present significantly better function (MD -2.5 points, 95% CI;-10.7-5.5) or pain (MD -0.3 points, 95% CI;-1.7-1.0) at 4 weeks. There was a small difference in favour of the MC&S group for AKPS scores at 3 months (MD -8.5 points; 95% CI;-16.8 to -0.3). No significant between-group differences were observed for the other outcomes.

CONCLUSION

Movement control training was no more effective than the isolated strengthening protocol, in terms of pain, function, muscle strength, or kinematics.

Authors+Show Affiliations

Human Motion Analysis Laboratory, Reabilitation Sciences Departament, Universidade Nove de Julho - UNINOVE, São Paulo, SP, Brazil. Electronic address: nrabelofisio@yahoo.com.br.Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo - UNICID, São Paulo, SP, Brazil. Electronic address: lcos3060@gmail.com.Human Motion Analysis Laboratory, Reabilitation Sciences Departament, Universidade Nove de Julho - UNINOVE, São Paulo, SP, Brazil. Electronic address: bru134@hotmail.com.Human Motion Analysis Laboratory, Reabilitation Sciences Departament, Universidade Nove de Julho - UNINOVE, São Paulo, SP, Brazil. Electronic address: acrfisio@globo.com.Human Motion Analysis Laboratory, Reabilitation Sciences Departament, Universidade Nove de Julho - UNINOVE, São Paulo, SP, Brazil. Electronic address: andrebley@hotmail.com.Instituto Trata - Hip and Knee Rehab, São Paulo, SP, Brazil. Electronic address: tfukuda10@yahoo.com.br.Human Motion Analysis Laboratory, Reabilitation Sciences Departament, Universidade Nove de Julho - UNINOVE, São Paulo, SP, Brazil. Electronic address: plucareli@hotmail.com.

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

28841508

Citation

Rabelo, Nayra Deise Dos Anjos, et al. "Adding Motor Control Training to Muscle Strengthening Did Not Substantially Improve the Effects On Clinical or Kinematic Outcomes in Women With Patellofemoral Pain: a Randomised Controlled Trial." Gait & Posture, vol. 58, 2017, pp. 280-286.
Rabelo NDDA, Costa LOP, Lima BM, et al. Adding motor control training to muscle strengthening did not substantially improve the effects on clinical or kinematic outcomes in women with patellofemoral pain: A randomised controlled trial. Gait Posture. 2017;58:280-286.
Rabelo, N. D. D. A., Costa, L. O. P., Lima, B. M., Dos Reis, A. C., Bley, A. S., Fukuda, T. Y., & Lucareli, P. R. G. (2017). Adding motor control training to muscle strengthening did not substantially improve the effects on clinical or kinematic outcomes in women with patellofemoral pain: A randomised controlled trial. Gait & Posture, 58, pp. 280-286. doi:10.1016/j.gaitpost.2017.08.018.
Rabelo NDDA, et al. Adding Motor Control Training to Muscle Strengthening Did Not Substantially Improve the Effects On Clinical or Kinematic Outcomes in Women With Patellofemoral Pain: a Randomised Controlled Trial. Gait Posture. 2017;58:280-286. PubMed PMID: 28841508.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Adding motor control training to muscle strengthening did not substantially improve the effects on clinical or kinematic outcomes in women with patellofemoral pain: A randomised controlled trial. AU - Rabelo,Nayra Deise Dos Anjos, AU - Costa,Leonardo Oliveira Pena, AU - Lima,Bruna Maria de, AU - Dos Reis,Amir Curcio, AU - Bley,André Serra, AU - Fukuda,Thiago Yukio, AU - Lucareli,Paulo Roberto Garcia, Y1 - 2017/08/18/ PY - 2017/01/27/received PY - 2017/07/19/revised PY - 2017/08/11/accepted PY - 2017/8/26/pubmed PY - 2018/5/9/medline PY - 2017/8/26/entrez KW - Anterior knee pain KW - Hip KW - Kinematics KW - Motor control KW - Patella SP - 280 EP - 286 JF - Gait & posture JO - Gait Posture VL - 58 N2 - DESIGN: Randomized controlled trial. BACKGROUND: Patients with Patellofemoral pain (PFP) usually present muscular weakness, pain and impaired motor control. Muscle strengthening is an effective treatment strategy for PFP, but the additional benefits of movement control training remain unknown. Therefore, the aim of this study was to compare the effects of movement control training associated with muscle strengthening, with a conventional program of strengthening alone in women with PFP. METHODS: Thirty-four women were randomly assigned to two groups. The Strengthening group (S group) performed 12 sessions to strengthen the knee and hip muscles. The Movement Control & Strengthening group (MC&S group) performed the same exercises and movement control training of the trunk and lower limbs. Effects of the treatment (i.e., between-group differences) were calculated using linear mixed models. Primary outcomes were function and pain intensity after completion of the treatment protocol. Secondary outcomes were; muscle strength and kinematic outcomes during the step down task after 4 weeks of treatment; and function and pain intensity 3 and 6 months after randomization. RESULTS: The MC&S group did not present significantly better function (MD -2.5 points, 95% CI;-10.7-5.5) or pain (MD -0.3 points, 95% CI;-1.7-1.0) at 4 weeks. There was a small difference in favour of the MC&S group for AKPS scores at 3 months (MD -8.5 points; 95% CI;-16.8 to -0.3). No significant between-group differences were observed for the other outcomes. CONCLUSION: Movement control training was no more effective than the isolated strengthening protocol, in terms of pain, function, muscle strength, or kinematics. SN - 1879-2219 UR - https://www.unboundmedicine.com/medline/citation/28841508/Adding_motor_control_training_to_muscle_strengthening_did_not_substantially_improve_the_effects_on_clinical_or_kinematic_outcomes_in_women_with_patellofemoral_pain:_A_randomised_controlled_trial_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0966-6362(17)30853-6 DB - PRIME DP - Unbound Medicine ER -