The Role of Hip Muscle Function in the Treatment of Patellofemoral Pain Syndrome

2006 ◽  
Vol 10 (02) ◽  
pp. 95-98
Author(s):  
G Supp
Keyword(s):  
Muscle Function ◽  
Pain Syndrome ◽  
Patellofemoral Pain Syndrome ◽  
Patellofemoral Pain ◽  
Hip Muscle

The Role of Hip Muscle Function in the Treatment of Patellofemoral Pain Syndrome

2006 ◽  
Vol 34 (4) ◽  
pp. 630-636 ◽  
Author(s):  
Timothy F. Tyler ◽  
Stephen J. Nicholas ◽  
Michael J. Mullaney ◽  
Malachy P. McHugh
Keyword(s):  
Muscle Function ◽  
Pain Syndrome ◽  
Patellofemoral Pain Syndrome ◽  
Patellofemoral Pain ◽  
Hip Muscle

scholarly journals Eccentric Hip Muscle Function in Females With and Without Patellofemoral Pain Syndrome

2009 ◽  
Vol 44 (5) ◽  
pp. 490-496 ◽  
Author(s):  
Rodrigo de Marche Baldon ◽  
Theresa Helissa Nakagawa ◽  
Thiago Batista Muniz ◽  
César Ferreira Amorim ◽  
Carlos Dias Maciel ◽  
...  
Keyword(s):  
Muscle Function ◽  
External Rotation ◽  
Pain Syndrome ◽  
Peak Torque ◽  
Patellofemoral Pain Syndrome ◽  
Patellofemoral Pain ◽  
Control Group ◽  
Hip Muscle ◽  
Hip Abduction ◽  
Torque Values

Abstract Context: Patellofemoral pain syndrome (PFPS) is a common knee condition in athletes. Recently, researchers have indicated that factors proximal to the knee, including hip muscle weakness and motor control impairment, contribute to the development of PFPS. However, no investigators have evaluated eccentric hip muscle function in people with PFPS. Objective: To compare the eccentric hip muscle function between females with PFPS and a female control group. Design: Cross-sectional study. Setting: Musculoskeletal laboratory. Patients or Other Participants: Two groups of females were studied: a group with PFPS (n  =  10) and a group with no history of lower extremity injury or surgery (n  =  10). Intervention(s): Eccentric torque of the hip musculature was evaluated on an isokinetic dynamometer. Main Outcome Measure(s): Eccentric hip abduction, adduction, and external and internal rotation peak torque were measured and expressed as a percentage of body mass (Nm/kg × 100). We also evaluated eccentric hip adduction to abduction and internal to external rotation torque ratios. The peak torque value of 5 maximal eccentric contractions was used for calculation. Two-tailed, independent-samples t tests were used to compare torque results between groups. Results: Participants with PFPS exhibited much lower eccentric hip abduction (t18  =  −2.917, P  =  .008) and adduction (t18  =  −2.764, P  =  .009) peak torque values than did their healthy counterparts. No differences in eccentric hip external (t18  =  0.45, P  =  .96) or internal (t18  =  −0.742, P  =  .47) rotation peak torque values were detected between the groups. The eccentric hip adduction to abduction torque ratio was much higher in the PFPS group than in the control group (t18  =  2.113, P  =  .04), but we found no difference in the eccentric hip internal to external rotation torque ratios between the 2 groups (t18  =  −0.932, P  =  .36). Conclusions: Participants with PFPS demonstrated lower eccentric hip abduction and adduction peak torque and higher eccentric adduction to abduction torque ratios when compared with control participants. Thus, clinicians should consider eccentric hip abduction strengthening exercises when developing rehabilitation programs for females with PFPS.

scholarly journals Combined Hip Abductor and External Rotator Strengthening and Hip Internal Rotator Stretching Improves Pain and Function in Patients With Patellofemoral Pain Syndrome: A Randomized Controlled Trial With Crossover Design

2021 ◽  
Vol 9 (4) ◽  
pp. 232596712198972
Author(s):  
Anis Jellad ◽  
Amine Kalai ◽  
Mohamed Guedria ◽  
Mahbouba Jguirim ◽  
Sana Elmhamdi ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Pain Syndrome ◽  
Patellofemoral Pain Syndrome ◽  
Patellofemoral Pain ◽  
Level Of Evidence ◽  
Randomized Controlled ◽  
Group Standard ◽  
Hip Muscle ◽  
And Function

Background: Active rehabilitation has an important role in the management of patellofemoral pain syndrome (PFPS). Although some studies have shown the benefit of hip-muscle strengthening, the effect of combining hip-muscle stretching with strengthening has not yet been defined. Purpose: To evaluate the effect of combined strengthening of the hip external rotators and abductors and stretching of the hip internal rotators on pain and function in patients with PFPS. Study Design: Randomized controlled trial; Level of evidence, 2. Methods: A total of 109 patients with PFPS (75 female and 34 male; mean age, 31.6 ± 10.8 years) were first randomly assigned to protocol A (n = 67) of the A-B arm (AB group; standard rehabilitation) or protocol B (n = 42) of the B-A arm (BA group; standard rehabilitation with strengthening of the hip external rotators and abductors and stretching of the hip internal rotators). Each protocol consisted of 3 sessions a week for 4 weeks. After a washout period, corresponding to a symptom-free period, rehabilitation programs were crossed over. A visual analog scale (VAS) evaluating perceived pain, the Functional Index Questionnaire (FIQ), and the Kujala score were administered at baseline, the end of each rehabilitation protocol, and 12 weeks after the completion of the second protocol for each group. Results: Until the final follow-up, VAS, FIQ, and Kujala scores were significantly improved in both the A-B and B-A arms ( P < .05 for all). Compared with protocol A, protocol B provided significant improvement in terms of pain and function in both the BA (VAS and Kujala; P < .001) and AB (VAS and Kujala; P < .001) groups. Conclusion: Combined strengthening of the hip abductors and external rotators with stretching of the hip internal rotators provided better outcomes, which were maintained for at least 12 weeks, in terms of pain and function in patients with PFPS.

Patellofemoral pain syndrome: the possible role of an inadequate neuromuscular mechanism

1994 ◽  
Vol 9 (2) ◽  
pp. 93-97 ◽  
Author(s):  
L.J. Hébert ◽  
D. Gravel ◽  
A.B. Arsenault ◽  
G. Tremblay
Keyword(s):  
Pain Syndrome ◽  
Patellofemoral Pain Syndrome ◽  
Patellofemoral Pain

scholarly journals Effectiveness of hip muscle strengthening in patellofemoral pain syndrome patients: a systematic review

2015 ◽  
Vol 19 (3) ◽  
pp. 167-176 ◽  
Author(s):  
Thiago R. T. Santos ◽  
Bárbara A. Oliveira ◽  
Juliana M. Ocarino ◽  
Kenneth G. Holt ◽  
Sérgio T. Fonseca
Keyword(s):  
Systematic Review ◽  
Pain Syndrome ◽  
Patellofemoral Pain Syndrome ◽  
Patellofemoral Pain ◽  
Muscle Strengthening ◽  
Hip Muscle

Does the Addition of Hip Strengthening to a Knee-Focused Exercise Program Improve Outcomes in Patients With Patellofemoral Pain Syndrome?

2015 ◽  
Vol 24 (4) ◽  
pp. 428-433 ◽  
Author(s):  
Ben A. Bloomer ◽  
Chris J. Durall
Keyword(s):  
Exercise Program ◽  
Pain Syndrome ◽  
Patellofemoral Pain Syndrome ◽  
Patellofemoral Pain ◽  
Rehabilitation Program ◽  
Current Evidence ◽  
Clinical Scenario ◽  
Clinical Question ◽  
Muscle Strengthening ◽  
Hip Muscle

Clinical Scenario:Patellofemoral pain syndrome (PFPS) is one of the most common disorders affecting the lower extremities. To improve function and decrease pain, affected individuals often undergo a guided rehabilitation program. Traditional programs have concentrated on quadriceps strengthening and other knee-focused exercises, but recent literature suggests that adding hip-muscle strengthening may improve outcomes. This review was conducted to determine the extent to which current evidence supports the addition of hip-muscle strengthening to a knee-focused strengthening and stretching program in the treatment of PFPS.Focused Clinical Question:Does the addition of hip-muscle strengthening to a knee-focused strengthening and stretching program improve outcomes in patients with PFPS?

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