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Effects of neuromuscular training and strengthening of trunk and lower limbs muscles in women with Patellofemoral Pain: A protocol of randomized controlled clinical trial, blinded.
Trials. 2019 Oct 11; 20(1):586.T

Abstract

BACKGROUND

Patellofemoral pain (PFP) often affects young women, and the etiology is multifactorial and poorly understood. Conservative intervention has been focused on risk factors or aggravating factors and is composed of hip- and knee-strengthening exercises, as this population often has muscle weakness and poor motor control during daily and sports activities. The objective of this study was to evaluate the additional effects of neuromuscular training in a conservative treatment of trunk-, hip-, and knee-muscle strengthening on pain, function, and kinematics of the trunk, pelvis, and lower limb in women with PFP.

METHODS

This is a randomised clinical trial, controlled, blinded. Ninety women who are active and engage in physical activity up to twice a week will be recruited. All participants will undergo an individual physiotherapy assessment and then will be allocated randomly into two groups. Thereafter, both groups will undergo a 12-week intervention protocol: group 1 will perform strengthening exercises for the trunk, hip, and knee muscles, while group 2 will receive the same treatment, with the inclusion of neuromuscular training exercises on the fourth week. At the end of the intervention, the volunteers will be evaluated. The primary outcomes will be pain intensity (using a Visual Analog Scale: over the last month, squat 90°, and step of 26 cm during 1 min), functional capacity (Anterior Knee Pain Scale and Activities of Daily Living Scale), and 2D kinematics of the trunk, pelvis, and lower limb during the single-leg squat. The secondary outcomes correspond to the isometric muscular strength of the lower limb and the level of satisfaction from the intervention.

DISCUSSION

The present study was initiated on 28 January 2018 and is currently in progress, scheduled for completion in July 2019. The results of this study should contribute to the physiotherapeutic treatment of women with PFP by aggregating information on the benefits of adding neuromuscular training to strengthening of the trunk and lower-limb muscles.

TRIAL REGISTRATION

Registro Brasileiro de Ensaios Clínicos, ID: RBR-8c7267 . Registered on 2 August 2017.

Authors+Show Affiliations

Programa de Pós-Graduação em Fisioterapia na Universidade Federal de Uberlândia (UFU), Faculdade de Educação Física e Fisioterapia (FAEFI) , Rua Benjamin Constant, 1286, Uberlândia, MG, CEP: 38400-678, Brazil.Programa de Pós-Graduação em Fisioterapia na Universidade Federal de Uberlândia (UFU), Faculdade de Educação Física e Fisioterapia (FAEFI) , Rua Benjamin Constant, 1286, Uberlândia, MG, CEP: 38400-678, Brazil.Programa de Pós-Graduação em Fisioterapia na Universidade Federal de Uberlândia (UFU), Faculdade de Educação Física e Fisioterapia (FAEFI) , Rua Benjamin Constant, 1286, Uberlândia, MG, CEP: 38400-678, Brazil.Programa de Pós-Graduação em Fisioterapia na Universidade Federal de Uberlândia (UFU), Faculdade de Educação Física e Fisioterapia (FAEFI) , Rua Benjamin Constant, 1286, Uberlândia, MG, CEP: 38400-678, Brazil.Programa de Pós-Graduação em Fisioterapia na Universidade Federal de Uberlândia (UFU), Faculdade de Educação Física e Fisioterapia (FAEFI) , Rua Benjamin Constant, 1286, Uberlândia, MG, CEP: 38400-678, Brazil. lilianrf@ufu.br.

Pub Type(s)

Clinical Trial Protocol
Journal Article

Language

eng

PubMed ID

31604478

Citation

Silva, Natália Camin, et al. "Effects of Neuromuscular Training and Strengthening of Trunk and Lower Limbs Muscles in Women With Patellofemoral Pain: a Protocol of Randomized Controlled Clinical Trial, Blinded." Trials, vol. 20, no. 1, 2019, p. 586.
Silva NC, Silva MC, Guimarães MG, et al. Effects of neuromuscular training and strengthening of trunk and lower limbs muscles in women with Patellofemoral Pain: A protocol of randomized controlled clinical trial, blinded. Trials. 2019;20(1):586.
Silva, N. C., Silva, M. C., Guimarães, M. G., Nascimento, M. B. O., & Felicio, L. R. (2019). Effects of neuromuscular training and strengthening of trunk and lower limbs muscles in women with Patellofemoral Pain: A protocol of randomized controlled clinical trial, blinded. Trials, 20(1), 586. https://doi.org/10.1186/s13063-019-3650-7
Silva NC, et al. Effects of Neuromuscular Training and Strengthening of Trunk and Lower Limbs Muscles in Women With Patellofemoral Pain: a Protocol of Randomized Controlled Clinical Trial, Blinded. Trials. 2019 Oct 11;20(1):586. PubMed PMID: 31604478.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effects of neuromuscular training and strengthening of trunk and lower limbs muscles in women with Patellofemoral Pain: A protocol of randomized controlled clinical trial, blinded. AU - Silva,Natália Camin, AU - Silva,Matheus de Castro, AU - Guimarães,Morisa Garcia, AU - Nascimento,Manoela Beatriz de Oliveira, AU - Felicio,Lilian Ramiro, Y1 - 2019/10/11/ PY - 2019/02/20/received PY - 2019/08/12/accepted PY - 2019/10/13/entrez PY - 2019/10/13/pubmed PY - 2020/3/24/medline KW - Hip and knee KW - Kinematics KW - Muscle strength KW - Neuromuscular training KW - Patellofemoral pain SP - 586 EP - 586 JF - Trials JO - Trials VL - 20 IS - 1 N2 - BACKGROUND: Patellofemoral pain (PFP) often affects young women, and the etiology is multifactorial and poorly understood. Conservative intervention has been focused on risk factors or aggravating factors and is composed of hip- and knee-strengthening exercises, as this population often has muscle weakness and poor motor control during daily and sports activities. The objective of this study was to evaluate the additional effects of neuromuscular training in a conservative treatment of trunk-, hip-, and knee-muscle strengthening on pain, function, and kinematics of the trunk, pelvis, and lower limb in women with PFP. METHODS: This is a randomised clinical trial, controlled, blinded. Ninety women who are active and engage in physical activity up to twice a week will be recruited. All participants will undergo an individual physiotherapy assessment and then will be allocated randomly into two groups. Thereafter, both groups will undergo a 12-week intervention protocol: group 1 will perform strengthening exercises for the trunk, hip, and knee muscles, while group 2 will receive the same treatment, with the inclusion of neuromuscular training exercises on the fourth week. At the end of the intervention, the volunteers will be evaluated. The primary outcomes will be pain intensity (using a Visual Analog Scale: over the last month, squat 90°, and step of 26 cm during 1 min), functional capacity (Anterior Knee Pain Scale and Activities of Daily Living Scale), and 2D kinematics of the trunk, pelvis, and lower limb during the single-leg squat. The secondary outcomes correspond to the isometric muscular strength of the lower limb and the level of satisfaction from the intervention. DISCUSSION: The present study was initiated on 28 January 2018 and is currently in progress, scheduled for completion in July 2019. The results of this study should contribute to the physiotherapeutic treatment of women with PFP by aggregating information on the benefits of adding neuromuscular training to strengthening of the trunk and lower-limb muscles. TRIAL REGISTRATION: Registro Brasileiro de Ensaios Clínicos, ID: RBR-8c7267 . Registered on 2 August 2017. SN - 1745-6215 UR - https://www.unboundmedicine.com/medline/citation/31604478/Effects_of_neuromuscular_training_and_strengthening_of_trunk_and_lower_limbs_muscles_in_women_with_Patellofemoral_Pain:_A_protocol_of_randomized_controlled_clinical_trial_blinded_ L2 - https://trialsjournal.biomedcentral.com/articles/10.1186/s13063-019-3650-7 DB - PRIME DP - Unbound Medicine ER -