The efficacy of treatment of different intervention programs for patellofemoral pain syndrome--a single blinded randomized clinical trial. Pilot study.
Patello-femoral pain syndrome (PFPS) is a common knee joint disability. The integration of hip soft tissue regimens are not always emphasized, although current literature implies that there is a significant relationship between the two and there is a lack of randomized clinical trials to substantiate this relationship in clinical practice. A randomized controlled assessor blinded trial was designed to explore different rehabilitation programs related to PFPS. The study was conducted at RAZIEL institute of physical therapy, Netania, Israel with a total of 30 consecutive patients (mean age 35y), diagnosed with PFPS. All patients were randomly allocated into 3 groups. Group I conventional knee rehabilitation program. Included quadriceps strengthening and Trans Electric Neuromuscular Stimulation (TENS). Group II hip oriented rehabilitation program. included stretching, Hip external rotators strengthening and TENS. Group III a combination of the two above programs. Pain and function were documented on initial of the program and again 3 weeks later, on the completion. Pain was assessed by a numeric visual analogue scale (VAS); function was assessed by Patello-femoral joint evaluation scale (PFJES) (0-100 points). At end of trial, all groups showed significant improvements in VAS and PFJES (p<0.0001); these improvements did not vary significantly between the 3 groups. The conclusions were that the explored different rehabilitation programs showed a similar beneficial effect.
Avraham
Feazadeh
F
Raziel Physical Therapy Department, Clalit Health Services, Netanya, Israel.
Aviv
Saposhnik
S
Ya'akobi
Pnina
P
Faran
Hava
H
Fisher
Zilla
Z
Goldman
Yael
Y
Neeman
Guy
G
Carmeli
Eli
E
D000328:Adult; D003131:Combined Modality Therapy; D004599:Electric Stimulation Therapy; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D026201:Musculoskeletal Manipulations / Q000379:methods*; D017063:Outcome Assessment, Health Care / Q000379:methods; D010147:Pain Measurement; D046788:Patellofemoral Pain Syndrome / Q000175:diagnosis* / Q000534:rehabilitation*; D010865:Pilot Projects; D020127:Recovery of Function; D016037:Single-Blind Method; D016896:Treatment Outcome