The Effects of 12-Weeks of Sensorimotor Exercise on Pain, Strength, Pelvic Drop, and Dynamic Knee Valgus in Males With Patellofemoral Pain Syndrome

Yalfani, Ali; Ahmadi, Mohamadreza; Gandomi, Farzaneh

doi:10.32598/ptj.10.3.442.1

Cited by 8 publications

(13 citation statements)

References 34 publications

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“… Risk of bias: The mean PEDro score was 3.6 (1.8), with 50% presenting low RoB ( n = 7), 14% moderate RoB ( n = 2), and 36% presenting high RoB ( n = 5) (Additional file 6 ). Pain data (14 studies [ 28 , 31 , 32 , 61 , 107 , 113 , 114 , 122 – 128 ] ): low-level evidence indicated that balance interventions were largely effective to improve pain compared to non-balance interventions (SMD 0.82, 95% CI 0.30–1.33, Fig. 15 and Table 3 ).…”

Section: Resultsmentioning

confidence: 99%

“…The Egger’s test was not significant for publication bias ( p = 0.054); however, as we found a marginal p value, we performed the sensitivity analyses which showed different results. Trim-and-fill analysis indicated that balance interventions have no effect on pain (low-level evidence, SMD 0.38, 95% CI − 0.28–1.03; Table 3 ) and the analysis by removing the outliers [ 61 , 125 , 128 ] indicated that balance interventions have a small effect in improving pain in people with PFP compared to non-balance interventions (low-level evidence, SMD 0.40, 95% CI 0.04–0.76; Table 3 ) (Additional file 3 ). Subgroup and meta-regression analyses did not indicate possible sources of heterogeneity (Additional file 7 ).…”

Section: Resultsmentioning

confidence: 99%

“…Pain data (14 studies [ 28 , 31 , 32 , 61 , 107 , 113 , 114 , 122 – 128 ] ): low-level evidence indicated that balance interventions were largely effective to improve pain compared to non-balance interventions (SMD 0.82, 95% CI 0.30–1.33, Fig. 15 and Table 3 ).…”

Section: Resultsmentioning

confidence: 99%

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Is Postural Control Affected in People with Patellofemoral Pain and Should it be Part of Rehabilitation? A Systematic Review with Meta-analysis

et al. 2022

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Background Growing evidence supports that exercise therapy is effective for patellofemoral pain (PFP) rehabilitation. Nevertheless, the improvements have been reported not to be sustained in the long term, suggesting that the current protocols may not comprehend all required functional factors to provide a consistent recovery. A potential neglected factor in treatment protocols for PFP is postural control. However, it is unclear whether this population presents balance impairments or the influence of postural control on pain and function during rehabilitation programmes. Objective To investigate whether (Q1) balance is impaired in people with PFP compared to controls, (Q2) conservative interventions are effective to improve balance in people with PFP, and (Q3) balance exercises are effective to improve pain and function in people with PFP. Data sources Medline, Embase, CINAHL, SPORTDiscus, Web of Science and Cochrane Library, supplemented by hand searching of reference lists, citations and relevant systematic reviews in the field. Methods A systematic review with meta-analysis was conducted according to the Cochrane recommendations and reported according to the PRISMA statement recommendations. We included cross-sectional studies comparing balance between people with and without PFP; and randomised controlled trials verifying the effect of conservative intervention on balance and the effect of balance intervention on pain and function in people with PFP. The risk of bias was assessed using the Epidemiological Appraisal Instrument for cross-sectional studies and the Physiotherapy Evidence Database scale for randomised controlled trials. Results From 15,436 records, 57 studies (Q1 = 28, Q2 = 23, Q3 = 14) met the eligibility criteria. Meta-analyses indicated that people with PFP have worse anteroposterior (very low grade evidence, standardised mean difference [SMD] = 1.03, 95% CI 0.40–1.66) and mediolateral (moderate grade evidence, SMD = 0.87, 95% CI 0.31–1.42) balance compared to controls. Moderate grade evidence indicated that overall balance is not affected in people with PFP (SMD = 0.38, 95% CI − 0.05–0.82). Low to very low grade evidence indicates that interventions are ineffective for mediolateral (SMD = 0.01, 95% CI − 0.51–0.53) and overall (SMD = 0.49, 95% CI − 0.14–1.11) balance improvements, and low grade evidence indicates that interventions are effective to improve anteroposterior balance (SMD = 0.64, 95% CI 0.04–1.23). Moderate to low grade evidence indicated that balance interventions are effective to reduce pain (SMD = 0.82, 95% CI 0.26–1.38) and improve function (SMD = 0.44, 95% CI 0.09–0.80) when measured using questionnaires; and very low grade evidence indicated no efficacy for function measured via functional tests (SMD = 0.73, 95% CI − 0.16–1.61). Conclusion People with PFP likely present balance deficits compared to asymptomatic people. There was insufficient evidence to support the efficacy of interventions to improve or modify balance in people with PFP. Also, there was insufficient evidence to support the efficacy of balance exercises to improve pain and function in people with PFP. Trial Registration The present systematic review was registered in PROSPERO (CRD42018091717).

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Is Postural Control Affected in People with Patellofemoral Pain and Should it be Part of Rehabilitation? A Systematic Review with Meta-analysis

et al. 2022

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“…Someone with high levels of kinesiophobia would have higher avoidance of knee joint loading ( 41 ). In other words, PFP patients used of Loading/Unloading compensation mechanism as a protective approach to avoid pain catastrophizing performed weight bearing tasks with caution when using the affected leg to reduce the stress; and shifting the body weight over to the healthy leg ( 6 , 10 , 12 , 42 – 44 ). Therefore, PFP patients not discharge so much weight on the affected leg at the start of the new cycle of movement ( 15 ).…”

Section: Discussionmentioning

confidence: 99%

Patients with Patellofemoral Pain Exhibiting Decrease Vertical Ground Reaction Force Compared to Healthy Individuals during Weight Bearing Tasks: A Systematic Reviews and Meta-Analysis

Yalfani¹,

Ahmadi²

2023

ijph

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Background: Vertical ground reaction force (VGRF) can lead to the development knee osteoarthritis. This review systematic and meta-analysis aimed to investigate the VGRF in patellofemoral pain patients (PFP) during weight bearing tasks. Methods: Search strategy was conducted in databases: Science Direct, Scopus, PubMed and Google Scholar from Sep 2020 to Jun 2021. The VGRF components we measured were passive impact (Fz1)/peak and propulsion/active peak (Fz2). The quality of the studies was evaluated with Down and Black index and it was divided into three groups: low quality (LQ), medium quality (MQ) and high quality (HQ). The standardized mean difference between PFP and healthy individuals was used to calculate the effect size. Results: Nine articles were selected for systematic review and meta-analysis of which 5 studies was HQ, 3 studies were MQ and 1 study was LQ were classified. PFP compared to healthy individuals with moderate and small effect size have reduced impact and propulsion respectively. Conclusion: The in PFP, VGRF is influenced psychological, behavioral and biomechanical factors. Therefore, psychosomatic therapeutic approaches may have a long time effectiveness on the rehabilitation of PFP.

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“…Over time, a protective adaptation to pain occurs through motor learning, wherein new motor programs in the motor cortex replace natural movements. As a result, this pain response leads to an intensified experience of pain, increased fear of movement, and heightened focus and attention on painful movements [15]. Consequently, identifying the psychological factors contributing to the persistence of chronic pain in patients with CNSLBP can be a valuable complement to therapeutic interventions in the fields of sports rehabilitation, physiotherapy, and physical medicine [13].…”

Section: Introductionmentioning

confidence: 99%

The Effect of Cognitive Functional Therapy on Psychological Variables in Women With Non-specific Chronic Back Pain: A Randomized Control Trial

Asgarpoor,

Yalfani

2024

PTJ

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Purpose: Chronic non-specific low back pain (CNSLBP) is a common health issue caused by a mix of biological, psychological, and social factors. Cognitive functional therapy (CFT) is a comprehensive way to treat CNSLBP that focuses on changing negative thoughts and unhelpful habits through relaxation techniques. Since the evidence on the efficacy of CFT is still limited, it is essential to conduct clinical trials aimed at the effectiveness of CFT in the treatment of CNSLBP. This study aims to examine the effect of cognitive functional therapy on psychological variables in women with CNSLBP. Methods: Thirty women with CNSLBP were recruited for the clinical trial. They were randomly divided into two experimental and control groups (15 patients in each group). Our experimental group will have 18 individualized CFT sessions, each lasting an hour, over two months. The control group received no intervention. Pain intensity, disability, and kinesiophobia were assessed via the visual analog scale, Oswestry, and Tampa scale, respectively. Two-way repeated measures analysis of variance (ANOVA) was used to compare results between groups. Results: Two-way repeated measures ANOVA results showed that the experimental group compared to the control group in reducing pain (P=0.000, ηp2=0.787), disability (P=0.005, ηp2=0.457) and Kinesiophobia (P=0.000, ηp2=0.561) had a significant difference. Conclusion: CFT reduced pain, disability, and kinesiophobia in patients with CNSLBP. Further evaluation of the efficacy of CFT in high-quality randomized clinical trials among patients with CNSLBP is recommended.

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The Effects of 12-Weeks of Sensorimotor Exercise on Pain, Strength, Pelvic Drop, and Dynamic Knee Valgus in Males With Patellofemoral Pain Syndrome

Cited by 8 publications

References 34 publications

Is Postural Control Affected in People with Patellofemoral Pain and Should it be Part of Rehabilitation? A Systematic Review with Meta-analysis

Is Postural Control Affected in People with Patellofemoral Pain and Should it be Part of Rehabilitation? A Systematic Review with Meta-analysis

Patients with Patellofemoral Pain Exhibiting Decrease Vertical Ground Reaction Force Compared to Healthy Individuals during Weight Bearing Tasks: A Systematic Reviews and Meta-Analysis

The Effect of Cognitive Functional Therapy on Psychological Variables in Women With Non-specific Chronic Back Pain: A Randomized Control Trial

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