1. Lasting Improvement of Patient-Reported Outcomes 6 Months After Patellofemoral Pain Rehabilitation.
- Author
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Hamstra-Wright, Karrie L., Aydemir, Burcu, Earl-Boehm, Jennifer, Bolgla, Lori, Emery, Carolyn, and Ferber, Reed
- Subjects
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KNEE physiology , *HIP joint physiology , *ANALYSIS of variance , *CHI-squared test , *CONFIDENCE intervals , *EXERCISE , *EXERCISE tests , *FISHER exact test , *RANGE of motion of joints , *LONGITUDINAL method , *MEDICAL rehabilitation , *MULTIVARIATE analysis , *MUSCLE contraction , *MUSCLE strength , *HEALTH outcome assessment , *PATIENTS , *PHYSICAL therapy , *RESEARCH funding , *ROTATIONAL motion , *STATISTICAL sampling , *STATISTICS , *SURVEYS , *DISEASE relapse , *DATA analysis , *PAIN measurement , *VISUAL analog scale , *TREATMENT effectiveness , *ABDUCTION (Kinesiology) , *REPEATED measures design , *PLICA syndrome , *DATA analysis software , *FUNCTIONAL assessment , *DESCRIPTIVE statistics , *INFERENTIAL statistics - Abstract
Background/Objective: Hip- and knee-muscle-strengthening programs are effective in improving short-term patient-reported and disease-oriented outcomes in individuals with patellofemoral pain (PFP), but few to no data exist on moderate- to longterm postrehabilitative outcomes. The first purpose of the study was to assess differences in pain, function, strength, and core endurance in individuals with PFP before, after, and 6 mo after successful hip- or knee-muscle-strengthening rehabilitation. The second purpose was to prospectively follow these subjects for PFP recurrence at 6, 12, and 24 mo postrehabilitation. Methods: For 24 mo postrehabilitation, 157 physically active subjects with PFP who reported treatment success were followed. At 6 mo postrehabilitation, pain, function, hip and knee strength, and core endurance were measured. At 6, 12, 18, and 24 mo, PFP recurrence was measured via electronic surveys. Results: Sixty-eight subjects (43%) returned to the laboratory at 6 mo. Regardless of rehabilitation program, subjects experienced significant improvements in pain and function, strength, and core endurance pre- to postrehabilitation and maintained improvements in pain and function 6 mo postrehabilitation (Visual Analog Scale/Pain--pre 5.12 ± 1.33, post 1.28 ± 1.14, 6 mo 1.68 ± 2.16 cm, P < .05; Anterior Knee Pain Scale/ Function--pre 76.38 ± 8.42, post 92.77 ± 7.36, 6 mo 90.27 ± 9.46 points, P < .05). Over the 24 mo postrehabilitation, 5.10% of subjects who responded to the surveys reported PFP recurrence. Conclusions: The findings support implementing a hip- or knee-muscle-strengthening program for the treatment of PFP. Both programs improve pain, function, strength, and core endurance in the short term with moderate- and long-term benefits of improved pain and function and low PFP recurrence. [ABSTRACT FROM AUTHOR]
- Published
- 2017
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