Combined Hip & Knee Strengthening for Patellofemoral Pain
- RRS Education
Patellofemoral pain, characterized by retro- or peripatellar pain worsened with activities such as squatting, sitting, stair climbing or running, is one of the most common musculoskeletal conditions presenting to general practice and sports medicine clinics. The pain from patellofemoral syndrome (PFS) can be present in both the short- and long-term, and while the exact etiology of the condition is unknown, it is thought to be multifactorial. Local factors related to the patellofemoral joint itself, plus non-local factors related to the distal and proximal joints are thought to contribute to symptoms. Traditionally, rehabilitation programs have focused entirely on the local factors, incorporating knee bracing, and quadriceps strengthening to improve functionality and reduce pain. Recent research suggests that the addition of hip exercises focusing on the hip abductors, lateral rotators and extensors may also be valuable in addressing symptoms of PFS. Despite several systematic reviews attempting to examine the role of exercise interventions in PFS (references in the Review), the results remain equivocal.
The purpose of this study (published in JOSPT 2018) was to perform a meta-analysis to determine the efficacy of knee strengthening with or without hip strengthening in improving strength and decreasing pain in patients with patellofemoral pain…LOG IN OR SUBSCRIBE TO ACCESS THE FULL REVIEW!