The Effect of Taping, Quadriceps Strengthening and Stretching Prescribed Separately or Combined on Patellofemoral Pain

Mason, Marjon; Keays, Susan L.; Newcombe, Peter

doi:10.1002/pri.486

Cited by 51 publications

(42 citation statements)

References 49 publications

(55 reference statements)

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“…• Not a randomized controlled trial, n = 2 20,23 • Use of Protonics brace in daily activities without exercise, n = 1 33 • Use of the same population, n = 3 4,5,9 • Control group received treatment after 1 week, n = 1 22 • Exercise was not described, n = 1 24 Full-text articles assessed for eligibility, n = 15…”

Section: Quality Assessmentmentioning

confidence: 99%

Effects of Physical Therapist–Guided Quadriceps-Strengthening Exercises for the Treatment of Patellofemoral Pain Syndrome: A Systematic Review

Kooiker

Port²,

Weir³

et al. 2014

Journal of Orthopaedic & Sports Physical Therapy

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Patellofemoral pain syndrome (PFPS) is one of the most commonly reported injuries in sports medicine. 10,11,38 PFPS is characterized by diffuse retropatellar and peripatellar pain that is aggravated with squatting, prolonged sitting, and stair activities, and is diagnosed in the absence of other pathologies, such as patellar tendinopathy, chondral defects, or patellofemoral osteoarthritis. 12,25,39 Although quadriceps muscle-strengthening exercises are often included as part of the intervention for PFPS, 7,16 the most recent literature review, published in 2003 by Heintjes et al, 16 concluded that there was little evidence to support exercises as an intervention. However, this conclusion was based on the results of only 2 randomized controlled trials (RCTs) and 1 clinically controlled trial. 16Since the review by Heintjes et al, 16 a number of studies investigating the effectiveness of quadriceps strengthening for the treatment of PFPS have been published. Therefore, an updated thorough review of the literature on the clinical effectiveness of quadriceps-strengthening exercises appears warranted. The aim of this systematic review was to evaluate and summarize the evidence for therapist-guided quadriceps muscle-strengthening exercises (alone or combined with other interventions) as a treatment for PFPS when compared to advice and information or a placebo treatment. T T OBJECTIVE:To summarize the evidence for physical therapist-guided quadriceps-strengthening exercises as a treatment for patellofemoral pain syndrome. T T BACKGROUND:Although quadriceps strengthening is often included in the plan of care for patellofemoral pain syndrome, a systematic review published in 2003 found only limited evidence that exercise was more effective than no exercise for this common condition. T T METHODS:The PubMed, Embase/MEDLINE, and Cochrane Central Register of Controlled Trials databases, from inception to January 9, 2014, were searched for randomized controlled trials comparing the use of quadriceps-strengthening exercises to interventions consisting of advice/information or a placebo. Outcomes of interest were pain measures and function, as measured with selfreport questionnaires. The methodological quality of the randomized controlled trials was assessed with the Physiotherapy Evidence Database scale. Results were summarized using a best-evidence synthesis and graphically illustrated using forest plots without meta-analysis. T T RESULTS:Seven studies were included in the literature review. These studies reported strong evidence that isolated quadriceps strengthening is more effective in reducing pain and improving function than advice and information alone. In addition, compared to advice and information or placebo, there was strong evidence that quadriceps-strengthening exercises combined with other interventions may be more effective in reducing pain immediately postintervention and after 12 months, but not in improving function. T T CONCLUSION:The literature provides strong evidence for the use of quadriceps-strengtheni...

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Section: Quality Assessmentmentioning

confidence: 99%

Effects of Physical Therapist–Guided Quadriceps-Strengthening Exercises for the Treatment of Patellofemoral Pain Syndrome: A Systematic Review

Kooiker

Port²,

Weir³

et al. 2014

Journal of Orthopaedic & Sports Physical Therapy

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“…Two studies included only women (24,25) and two investigated adolescents (19,26). Since two of the studies contained three groups (20,24), two of which performed exercises, the five articles reported a total of seven results, given that these were included in the meta-analysis twice, with each intervention compared to the control.…”

Section: Resultsmentioning

confidence: 99%

“…Five articles (377 participants) analyzed the effect of strength training (219 participants) compared to a control group (158 participants) on PFPS (19,20,24,25,26). Five of the seven results included in the meta-analysis exhibited a significant difference in relation to the baseline, indicating a positive effect on PFPS (p < 0.001) (Figure 2).…”

Section: Resultsmentioning

confidence: 99%

“…In addition to demonstrating the importance of improving the strength and flexibility of hip muscles (20,24), the studies included in this meta-analysis largely applied intervention protocols targeting the quadriceps, using both open and closed kinetic chain exercises (19,25,26,34,36). Mason et al (26) studied the effect of hip strengthening exercises on PFPS treatment and concluded that this type of intervention is effective in reducing pain and improving functional capacity.…”

Section: Discussionmentioning

confidence: 99%

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Effects of strength training on the treatment of patellofemoral pain syndrome - a meta-analysis of randomized controlled trials

et al. 2017

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Introduction: Palletofemoral pain syndrome (PFPS) is anterior knee pain that affects around 25% of the population at some point in their lives. Muscle weakness is one of the main causal factors related to PFPS. Objective: Conduct a quantitative analysis on the effectiveness of strength training at reducing pain in PFPS sufferers. Methods: An electronic search was conducted on the MEDLINE, Pubmed, EMBASE, Lilacs and Scielo databases for studies published between January 2005 and September 2014. The following descriptors were used: "patellofemoral pain syndrome", "patellofemoral pain", "retropatellar pain", "exercise", "exercise therapy", "strength", "rehabilitation". Only randomized controlled trials (RCTs) that compared the effects of strength training to no exercise in terms of reducing pain among PFPS sufferers were included. Data were extracted by two independent authors using predefined quality indicators. Results: A total of 39 RCTs were initially identified in the search. However, only five met the inclusion criteria. Strength training exhibited a positive effect on PFPS (SMD = 0.85, CI: 0.45-1.25). However, high heterogeneity was observed between the studies (p < 0.05; I 2 = 68.3%). Conclusion: Strength training showed a statistically positive response in the treatment of PFPS.

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“…In another prospective double-blind randomized control study, Mason et al treated 41 subjects with 60 knees diagnosed with patellofemoral pain. The knees were randomized in four groups (46). The four groups were randomized as taping, quadriceps strengthening, quadriceps stretching and control.…”

Section: Weight-bearing Versus Non-weight-bearing Exercisesmentioning

confidence: 99%

How Can We Strengthen the Quadriceps Femoris in Patients with Patellofemoral Pain Syndrome?

2011

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SummaryPurpose: the aim of this article was to review the clinical approach of quadriceps strengthening programmes. Methods: a literature search was carried out from 1980 up to September 2011. Eligible studies were those that: (1) evaluated the patients with patellofemoral pain syndrome (not healthy or asymptomatic subjects) (2) examined the effect of kinetic chain exercises (3) examined the effect of weight-bearing exercises (4) compared the effect of the combined exercises programme in the treatment of patients with patellofemoral pain syndrome. Results and conclusion: patients with patellofemoral pain syndrome may tolerate a closed kinetic chain exercises programme better than open kinetic chain. Weight-bearing and non-weight-bearing quadriceps exercises can significantly improve subjective and clinical outcomes in patients with patellofemoral pain syndrome. Combining treatments as an initial approach to treating patellofemoral pain but developing individualized more functional, global treatments are essential.

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The Effect of Taping, Quadriceps Strengthening and Stretching Prescribed Separately or Combined on Patellofemoral Pain

Abstract: In isolation, quadriceps stretching and quadriceps strengthening resulted in more improvements than taping. Combining these treatments is recommended as the initial approach to treating patellofemoral pain but further individualized more functional, global treatment is essential.

Cited by 51 publications

References 49 publications

Effects of Physical Therapist–Guided Quadriceps-Strengthening Exercises for the Treatment of Patellofemoral Pain Syndrome: A Systematic Review

Effects of Physical Therapist–Guided Quadriceps-Strengthening Exercises for the Treatment of Patellofemoral Pain Syndrome: A Systematic Review

Effects of strength training on the treatment of patellofemoral pain syndrome - a meta-analysis of randomized controlled trials

How Can We Strengthen the Quadriceps Femoris in Patients with Patellofemoral Pain Syndrome?

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