CARRYOVER EFFECT OF HIP AND KNEE EXERCISES PROGRAM ON FUNCTIONAL PERFORMANCE IN INDIVIDUALS WITH PATELLOFEMORAL PAIN SYNDROME

Saab IM1, Hamada H2, Draz A2, Koura G2
1Beirut Arab University, Physical Therapy, Beirut, Lebanon, 2Cairo University, Faculty of Physical Therapy, Cairo, Egypt

Background: The etiology of patellofemoral pain syndrome (PFPS) is multifactorial and can be related to disorders at the level of, distal, or proximal to the patellofemoral joint. Treatment of PFPS is varying and controversial.

Purpose: This study was carried out to investigate the carryover effect of hip and knee exercises program on functional performance (single legged hop test as functional performance test and Kujala score for functional activities)

Methods: Thirty patients with patellofemoral pain syndrome were randomly assigned into two equal groups. Group (A) consisted of 15 patients undergoing hip strengthening exercises for four weeks then measuring all variables followed by additional four weeks of knee exercises program then measuring all variables again. Group (B): consisted of 15 patients undergoing knee exercises program for four weeks then measuring all variables followed by additional four weeks of hip strengthening exercises then measuring all variables. Functional abilities and knee muscles performance were assessed using Kujala questionnaire and single legged hop test respectively pre and after the completion of the first 4 weeks then after 8 weeks for both groups.

Results: Results showed significant increase in Kujala questionnaire in group A compared with group B. While, there were significant increase in single legged hop performance test in group B compared with group A.

Conclusion(s): Starting with knee exercises improve the performance of subjects more than functional activities while starting with hip exercises improve the functional activities of subjects more than performance

Implications: In a patient centered care perspective, results of the current study helps physical therapists treating patelllofemoral pain syndrome to guide their treatment intervention with the desired outcome.

Keywords: Patellofemoral pain syndrome, Single legged hop test, Hip and knee exercises

Funding acknowledgements: None

Topic: Musculoskeletal: lower limb; Musculoskeletal: peripheral; Musculoskeletal

Ethics approval required: Yes
Institution: Cairo University
Ethics committee: Research Ethical Committee, Faculty of Physical Therapy
Ethics number: P.T.REC/012/0014


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