Patellofemoral pain syndrome (PFPS) is one of the most common causes of anterior knee pain in young and active individuals. PFPS is characterized by anterior knee pain. The treatment of choice is conservative management. However, there is still lack of widely accepted physiotherapeutic strategies aimed at alleviating patellofemoral pain. The outcomes of conservative treatment remain unsatisfactory. Therefore, the aim of this study was to compare the effectiveness of two physiotherapy protocols based on manual therapy and muscle training in the treatment of patellofemoral pain
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
46
Patellar mobilization was carried out three times for 60 seconds each session \[19\]. The technique was performed by placing the therapist's thumbs on the lateral edge of the patella allowing a patellar glide in the medial and slightly caudal direction. The aim of this technique was to stretch the lateral patellar retinaculum
In order to perform this technique the patient was positioned prone on a treatment table (Figure 6). The non-stretched limb remained on the ground, flexed at the hip and knee. Moving this limb forward ensured proper aligment of the lumbar spine, while elevating the heel and placing it on the therapist's foot reduced tension in the hamstring group. Proper execution of the technique could be performed when the pelvis was aligned parallel to the surface, keeping the trunk and thigh of the stretched limb in one line. The therapist grasped by ipsilateral hand the distal third of the patient's lower leg and pulled the heel toward the buttock while by the contralateral hand stabilized the pelvis. The static position of stretching was maintained for 30 seconds in every repetition.
The training protocol included the following exercise: glute bridges, half squat, rear lunges, side walk with elastic band
AKPS score
Time frame: 6 weeks
VAS scale
Time frame: 6 weeks
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