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Effects of hip abductors and lateral rotators strengthening in addition to quadriceps strengthening in patients with patellofemoral pain syndrome: A randomized controlled clinical trial

Author: 
Kavitha Shetty, Lawrence Mathias and Mahesh V. Hegde
Subject Area: 
Health Sciences
Abstract: 

Purpose: To investigate the influence of additional strengthening of hip abductor and lateral rotator musculature on pain and function in sedentary people with Patellofemoral pain syndrome (PFPS). Methods: 120 sedentary patients between 18 and 40 years of age, with a diagnosis of PFPS, were distributed randomly into 3 groups: 40 patients in the knee exercise group, who received a conventional treatment that emphasized stretching and Strengthening of the knee musculature; 40 patients in the knee and hip exercise group, who performed exercises to strengthen the hip abductors and external rotators in addition to the same exercises performed by those in the knee exercise group; and 40 patients who received only stretching and no strengthening. The patients were instructed to maintain their normal daily activities. An 11-point numerical pain rating scale (NPRS) was used to assess pain and the anterior knee pain scale (AKPS) were used to assess function, preintervention and post intervention. Results: After 6 weeks of treatment, the control group, pre and post-test value for AKPS (p<0.001), NPRS (p<0.001) shows a statistical significance and even in the experimental group, pre and post-test value for AKPS (p<0.001), NPRS (p<0.001) shows a statistical significance in pain and function, but comparing both the experimental group, AKPS (p=0.002), LEFS (P<0.001), NPRS (P<0.001) showed better result than a control group. But, when we considered minimal clinically important differences, only the knee and hip exercise group demonstrated Mean improvements in AKPS and pain scores that were large enough to be clinically meaningful. Conclusion: Physiotherapy programs focusing on Knee strengthening exercises supplemented by hip abductor and lateral rotator musculature–strengthening exercises were more effective than knee exercises alone in improving function and reducing pain in sedentary people with PFPS.

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