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Effectiveness of different exercises and stretching physiotherapy on pain and movement in patellofemoral pain syndrome: a randomized controlled trial.
- Source :
-
Clinical rehabilitation [Clin Rehabil] 2013 May; Vol. 27 (5), pp. 409-17. Date of Electronic Publication: 2012 Oct 04. - Publication Year :
- 2013
-
Abstract
- Objective: To compare the effectiveness of proprioceptive neuromuscular facilitation combined with exercise, classic stretching physiotherapy intervention, and educational intervention at improving patient function and pain in patients with patellofemoral pain syndrome.<br />Design: Randomized, controlled, blind trial over four months.<br />Setting: Urban population, Spain.<br />Participants: Patients undergoing primary care for retropatellar pain.<br />Intervention: Subjects were allocated on three different treatment options: a proprioceptive neuromuscular facilitation and aerobic exercise group, a classic stretching group, and a control treatment were applied over four months under the supervision of a physiotherapist.<br />Main Outcome: Knee Society Score, pain reported (Visual analogue scale) and knee range of motion. Assessments were completed at baseline and after four months.<br />Results: 74 patients were enrolled in the study and distributed between groups. Both the proprioceptive neuromuscular facilitation and classic stretching group showed significant changes in all variables after four months intervention (p < 0.001). The difference in mean Kujala knee score changes between groups (classic stretching group vs. proprioceptive neuromuscular facilitation group vs. control group) at four months was -24.05 (95% confidence interval (CI) -30.19, -17.90), p ≤ 0.001; vs. -39.03 (95% confidence interval (CI) -42.5, -35.5), p ≤ 0.001; vs. -0.238 (95% confidence interval (CI) -1.2, 0.726), p = 0.621, respectively.<br />Conclusions: A proprioceptive neuromuscular facilitation intervention protocol combined with aerobic exercise showed a better outcome than a classic stretching protocol after four months.
- Subjects :
- Adult
Exercise Therapy methods
Female
Humans
Male
Patellofemoral Pain Syndrome physiopathology
Physical Therapy Modalities
Spain
Treatment Outcome
Muscle Stretching Exercises methods
Pain Measurement
Patellofemoral Pain Syndrome rehabilitation
Patient Education as Topic
Range of Motion, Articular
Subjects
Details
- Language :
- English
- ISSN :
- 1477-0873
- Volume :
- 27
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Clinical rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 23036842
- Full Text :
- https://doi.org/10.1177/0269215512459277