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Titre : | How effective is an evidence-based exercise intervention in individuals with patellofemoral pain? (2021) |
Auteurs : | Henrike Greaves ; Paul Comfort ; Anmin Liu ; Lee Herrington ; Richard Jones |
Type de document : | Article |
Dans : | Physical therapy in sport (Vol. 51, September 2021) |
Article en page(s) : | p. 92-101 |
Note générale : | https://doi.org/10.1016/j.ptsp.2021.05.013 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Douleur ; Pratique factuelle (EBP) ; Syndrome fémoropatellaire ; Traitement par les exercices physiques |
Résumé : |
Objectives
Guidelines for a comprehensive rehabilitation programme for patellofemoral pain (PFP) have been developed by international experts. The aim of this study was to analyse the effect of such a rehabilitative exercise programme on pain, function, kinesiophobia, running biomechanics, quadriceps strength and quadriceps muscle inhibition in individuals with PFP. Design Observational study. Setting Clinical environment. Participants Twenty-seven participants with PFP. Main outcome measures Symptoms [numeric pain rating scale (NPRS)and the pain subscale of the Knee Injury and Osteoarthritis Outcome Score (KOOS)], function measured by using the KUJALA scale and KOOS, kinesiophobia measured by using the Tampa scale, three-dimensional biomechanical running data, quadriceps isometric, concentric and eccentric strength and arthrogenic muscle inhibition (AMI) were acquired before and after the six-week exercise programme. Results Although pain did not significantly improve all patients were pain-free after the six-week exercise programme (NPRS: p = 0.074). Function, kinesiophobia and quadriceps AMI improved significantly after the six-week exercise programme (KUJALA: p = 0.001, KOOS: p = 0.0001, Tampa: p = 0.017, AMI: p = 0.018). Running biomechanics during stance phase did not change after the exercise intervention. Quadriceps strength was not different after the six-week exercise programme (isometric: p = 0.992, concentric: p = 0.075, eccentric: p = 0.351). Conclusion The results of this study demonstrate that the current exercise recommendations can improve function and kinesiophobia and reduce pain and AMI in individuals with PFP. There is a need for reconsideration of the current exercise guidelines in stronger individuals with PFP. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/abs/pii/S1466853X21001176#! |