Acta Scientific Orthopaedics (ISSN: 2581-8635)

Research Article Volume 5 Issue 3

Effect of Knee Extensors Strengthening Versus Hip Posterolateral Musculature Strengthening with Ankle Dorsi Flexors in Patellofemoral Pain

Shweta Suryvanshi1* and Nikhil Kumar Rana2

1In Charge, Principal, Knowledge Institute of Physiotherapy, Anand, India
2Principal, Goutham College of Physiotherapy, Bangalore, India

*Corresponding Author: Shweta Suryvanshi, In Charge, Principal, Knowledge Institute of Physiotherapy, Anand, India.

Received: March 23, 2021; Published: February 21, 2022

Abstract

Background: Patellofemoral Pain Syndrome (PFPS) is an umbrella term used for pain arising from the patellofemoral joint itself, or adjacent soft tissues. The knee consists of two major joints tibiofemoral and patellofemoral commonly affected as patellofemoral joint pain with lower extremity dysfunction that physiotherapists and sports specialist rehabilitate. Mostly the anterior knee pain was caused by joint stress at the patella. This may be occured by chondromalacia patella or malalignment of the femur during recreational activities. Rehabilitation mainly focus on relieving pain maintaining the momentum positioning of the patella on femur and may incorporate quadriceps reinforcement, coxa and back extensor muscle strength training knee flexors and stretching exercise of iliotibial band, patellar glide, taping on patella, external aids for lower base, and pelvis manual therapy intervention.

Objective: Main aim: 1. To analyze the outcome of quadriceps muscle build up versus abductors and extensors group of muscle with dorsiflexors muscle of ankle joint training on betterment of genus activity and having ache in runner’s knee pain patient. Another aim: 2. To decide the potency of genus quadriceps muscle reinforce training on measure of functional activity and having stress pain for subjects with anterior knee pain condition.

Materials and Methods: The subjects selected from Random sampling method from variant hospitals in Bengaluru and protocol will be executed in Goutham physiotherapy clinic and rehabilitation center were screened and 50 subjects were divided in two groups i.e., Group A- In this group ankle dorsiflexors with quadriceps muscle strengthening, Group B - strengthening of glutei and hip abductors muscles with ankle dorsiflexors. The explanation of the study was done on the footing analyzing pre-test and post-test evaluation of Pain Gait analysis, Kujala patellofemoral pain syndrome questionnaire. Quadriceps Angle.

Results: Comparison of mean difference of Q - Angle between Group A and Group B. In this when the mean value of Group A (17.2) compared with mean value of Group B (14.52), the mean difference is (2.68), the t’ value is (5.154), and ‘p’ value is 0.0013 which is highly significant.

Conclusion: There were significantly decrease in pain with hip posterolateral musculature strengthening exercise with ankle dorsi flexion than the Knee extensors strengthening. Hip Posterolateral Musculature Strengthening exercise with ankle dorsi flexion were decreases in VAS and improving in Q - Angle towards the normal angle. Knee Extensors Strengthening exercises have not such an important intervention for anterior knee pain condition. Patellofemoral Pain Syndrome relieves with Hip Posterolateral Musculature strengthening exercises with ankle dorsi flexion.

Keywords: Patellofemoral Pain Syndrome (PFPS); Knee; Ankle

References

  1. Brion Conway., et al. “Anterior knee pain in female athletes”. Texas Health Ben Hogan Sports Medicine 1 (2013).
  2. Boling M., et al. “A Gender differences in the incidence and prevalence of patellofemoral pain syndrome”. Scandinavian Journal of Medicine and Science in Sports 20 (2010): 725-730.
  3. Joe Heiler Pt CSCS. “Effect of limiting ankle dorsiflexion range of motion on lower extremity kinematics and muscle activation pattern during a squat”. Journal of Sport Rehabilitation 2 (2012): 144-150.
  4. Sara R Piva., et al. “Strength around the hip and flexibility of soft tissues in individuals with and without patellofemoral pain syndrome”. Journal of Orthopedic and Sports Physical Therapy12 (2005): 793-801.
  5. Mizuno Y., et al. “Quadriceps angle influences tibiofemoral and patellofemoral kinematics”. Journal of Orthopaedic Research 19 (2001): 834-840.
  6. Edith M Heintjes., et al. “Exercise therapy for patellofemoral pain syndrome”. Cochrane Database of Systematic Reviews 4 (2003).
  7. Lankhorst NE., et al. “Factors associated with patellofemoral pain syndrome a systematic review”. British Journal of Sports Medicine4 (2013): 193-203.
  8. Dudzinki K., et al. “The effect of limitation in ankle dorsiflexion on knee joint function: a pilot study”. Ortopedia, Traumatologia, Rehabilitacja2 (2013): 44.
  9. Thiago Yukio Fukuda., et al. “Hip posterolateral musculature strengthening in sedentary women with patellofemoral pain syndrome. A randomized controlled clinical trial with 1-year follow-up”. Journal of Orthopedic and Sports Physical Therapy10 (2012): 823.
  10. Cashman GE. “The effect of weak hip abductors or external rotators on knee valgus kinematics in healthy subjects: a systematic 11 review”. Journal of Sport Rehabilitation3 (2012): 273-284.
  11. Define Kaya., et al. “The effect of an exercise program in conjunction with short-period patellar taping on pain, electromyogram activity, and muscle strength in patellofemoral pain syndrome”. American Orthopedic Society for Sports Medicine 2 (2011): 410.
  12. Fukuda TY., et al. “Short-term effects of hip abductors and lateral rotators strengthening in females with patellofemoral pain syndrome: a randomized con-trolled clinical trial”. Journal of Orthopaedic and Sports Physical Therapy 40 (2010): 736-742.
  13. Bert M Chesworth., et al. “Validation of outcome measures in patients with patellofemoral syndrome”. Journal of Orthopaedic and Sports Physical Therapy8 (1989): 30.
  14. Michelle C Boling., et al. “Concentric and eccentric torque of the hip musculature in individuals with and without patellofemoral pain”. Journal of Athletic Training1 (2009): 7-13.
  15. Michael P Reiman., et al. “Hip function’s influence on knee dysfunction: A proximal link to a distal problem”. Journal of Sport Rehabilitation 18 (2009): 33-46.
  16. Theresa Helissa Nakagawa., et al. “The effect of additional strengthening of hip abductor and lateral rotator muscles in patellofemoral pain syndrome: a randomized controlled pilot study”. Clinical Rehabilitation 22 (2008): 1051-1060.
  17. Timothy F Tyler., et al. “The role of hip muscle function in the treatment of patellofemoral pain syndrome, thirty-five patients with patellofemoral pain syndrome”. The American Journal of Sports Medicine 4 (2006): 630-633.
  18. De Haven KE and Lintner DM. “Athletic injuries: comparison by age, sport, and gender”. The American Journal of Sports Medicine 14 (1986): 218-224.
  19. Walsh WM., et al. “Recurrent dislocation of the knee in the adult”. In: Orthopedic Sports Medicine: Principles and Practice. 2nd Philadelphia, Pa. Saunders (2003): 1718-1721.
  20. Carolyn Kisner PT MS., et al. “Therapeutic exercise foundation and techniques”. 5th edition (2007).

Citation

Citation: Shweta Suryvanshi and Nikhil Kumar Rana. “Effect of Knee Extensors Strengthening Versus Hip Posterolateral Musculature Strengthening with Ankle Dorsi Flexors in Patellofemoral Pain".Acta Scientific Orthopaedics 5.3 (2022): 49-56.

Copyright

Copyright: © 2022 Shweta Suryvanshi and Nikhil Kumar Rana. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate33%
Acceptance to publication20-30 days

Indexed In



News and Events


Contact US