Effects of functional stabilization training on pain, function, and lower extremity biomechanics in females with patellofemoral pain: a randomized clinical trial
Patellofemoral pain (PFP) is one of the most common knee disorders, especially amongst female athletes. Traditionally, conventional rehabilitation has focused on quadriceps strengthening as a means of improving knee pain. Nevertheless, recent research along with anecdotal support indicates a multimodal approach that addresses factors proximal to the patellofemoral joint concurrently. The aim of the current study was to compare the effects of functional stabilisation training (FST) with standard training (ST) in females with PFP.
31 females were randomised to partake in 8-weeks of FST or ST. Outcomes were assessed at baseline, immediately post-rehabilitation, and at 3-month follow-up.
The FST group demonstrated less pain, greater improvement in function, a smaller degree of ipsilateral trunk inclination, hip and knee adduction during a single-leg squat, along with greater eccentric strength and endurance compared with the ST group.
These findings confirm that rehabilitation consisting of proximal strength and movement control is more effective in comparison to traditional quadriceps strengthening in females with PFP. > From: Baldon et al., J Orthop Sports Phys Ther (2014) (Epub ahead of print). All rights reserved to the Journal of Orthopaedic & Sports Physical Therapy.
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