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:: Volume 19, Number 3 ( Summer 2017, 19 (3). 505-711 2017) ::
koomesh 2017, 19(3): 554-564 Back to browse issues page
Effectiveness of knee exercises versus combined knee and hip exercises in treatment of patellofemoral pain: A randomized clinical trial
Farzane Soleimani, Fateme Derisfard, Hossein Negahban, Fateme Esfandiarpour *
Abstract:   (747 Views)

Introduction: Previous studies suggest that hip muscle weakness may contribute to patellofemoral pain (PFP). Accordingly, addition of hip strengthening exercises to conventional knee exercises was recommended for treatment of PFP.  However, evidence to support superior efficacy of additional hip exercises in treatment of PFP is limited. This study compared the clinical efficacy of knee exercises versus combined knee and hip exercises in females with PFP.

Materials and Methods: In this randomized clinical trial 60 females with PFP were randomly assigned into two groups: “the knee exercises” and “the knee and hip exercises”. Participants performed progressive therapeutic exercises 3 times a week for 4 weeks.  Pain, muscle strength (the knee extensors, the hip abductors and the hip external rotators) and physical function were evaluated before and after treatment interventions using Visual Analogue Scale (VAS), a dynamometer, and step-down test, respectively.

Results: Both groups showed significant improvements in pain, function, and the knee extensor, hip abductor and hip external rotator muscles strength after the interventions (P<0.001). There were no significant differences in muscle strength, pain and function between the groups (P>0.05).

Conclusion: Four weeks of either knee exercises or combined knee and hip exercises significantly improve function and reduce pain in women with PFP. Addition of hip strengthening exercises to conventional knee exercises was not associated with superior treatment outcomes.

Keywords: Patellofemoral Pain, Resistance Training, Muscle Strength, Knee
Full-Text [PDF 1090 kb]   (135 Downloads)    
Type of Study: Research | Subject: General
Received: 2016/06/12 | Accepted: 2017/01/23 | Published: 2017/06/21
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Soleimani F, Derisfard F, Negahban H, Esfandiarpour F. Effectiveness of knee exercises versus combined knee and hip exercises in treatment of patellofemoral pain: A randomized clinical trial. koomesh. 2017; 19 (3) :554-564
URL: http://koomeshjournal.semums.ac.ir/article-1-3388-en.html
Volume 19, Number 3 ( Summer 2017, 19 (3). 505-711 2017) Back to browse issues page
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