The effect of adding myofascial techniques to an exercise programme for patients with anterior knee pain.
Anterior knee pain is a common complaint and can cause difficulty with its inability to bear weight. The aim of the study was to analyse the effect of adding myofascial techniques to an exercise programme for patients with anterior knee pain. A clinical trial with 18 patients with a clinical diagnosis of anterior knee pain was conducted. One group (E) with nine individuals was treated with hip muscle strengthening exercises; another group (EM), with nine individuals, had myofascial techniques added. To quantify the results, the Numeric Pain Rating Scale (NPRS) and the Lower Extremity Functional Scale (LEFS) were used. The E group showed an improvement in pain (p = 0.02), but not in the mean degree of disability. The EM group showed an improvement in pain (p = 0.01), as well as the degree of disability (p = 0.008). The effect size analysis showed that participants of the EM group had a greater impact on clinical pain and disability (Cohen's d = .35 and .30, respectively). The addition of myofascial techniques should be considered to improve the functionality of the lower limbs and reduce pain in patients with anterior knee pain.
Physical Therapy of Hospital Universitário Gaffrée e Guinle and Delfim Physical Therapy Service, Rio de Janeiro, Brazil.
Gustavo
G
Telles
Physical Therapy of Hospital Universitário Gaffrée e Guinle, Rio de Janeiro, Brazil.
Delmany R
DR
Cristovão
Physical Therapy of Hospital Universitário Gaffrée e Guinle, Rio de Janeiro, Brazil.
Fabiana Azevedo Terra Cunha
FA
Belache
Mariana Rezende Araujo
MR
Santos
Physical Therapy of Hospital Universitário Gaffrée e Guinle, Rio de Janeiro, Brazil; Centro Universitário Serra dos Órgãos (UNIFESO), Rio de Janeiro, Brazil.
Renato Santos de
RS
Almeida
Postgraduation Progam - Reabilitation Science of Centro Universitário Augusto Motta (UNISUAM), Rio de Janeiro, Brazil; Physical Therapy Department at Instituto Federal do Rio de Janeiro (IFRJ), Brazil. Electronic address: leandro.nogueira@ifrj.edu.br.
Leandro Alberto Calazans
LA
Nogueira
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006615:Hip / Q000502:physiology; D006801:Humans; D007719:Knee Joint; D008297:Male; D008875:Middle Aged; D053580:Muscle Strength / Q000502:physiology; D052580:Muscle Stretching Exercises / Q000379:methods; D010146:Pain / Q000534:rehabilitation*; D026741:Physical Therapy Modalities; D055070:Resistance Training / Q000379:methods; D064746:Therapy, Soft Tissue / Q000379:methods*
Anterior knee pain; Patellofemoral pain syndrome; Physiotherapy and muscle strengthening