Patellofemoral pain syndrome Neuromuscular training,
Conditions
Interventions
Participants will engage in 12 sessions for 3 weeks,
4 sessions a week for movement retraining. The program will be instructed to correct properly the dynamics alignment i.e. reduced hip adduction,
hip internal rotation and knee valgus during the squats by adding the laser guidance visual feedback. The squat tasks in this study will be progressed from bilateral weight bearing to partial weight b
which are composed of ‘double leg squat’ task,
‘double leg squat with partial weight bearing’ task (squat with uninvolved side on unstable surface),
and ‘single leg squat’ task,
respectively.,Patients in this group will obtain a leaflet for PFPs education and any conservative treatment 4 sessions for a week,
the total treatment visits will be 12 sessions in 3 weeks (i.e. hip or quadriceps strengthening exercise,
patella Kinesio taping,
Knee bracing,
Short wave diathermy,
Ultrasound therapy,
Transcutaneous Electrical Nerve Stimulation (TENS),
Interferential current therapy (IF)).
Experimental Procedure/Surgery,Active Comparator Procedure/Surgery
The laser guidance group,The conventional group
Sponsors
Faculty of Physical Therapy, Srinakharinwirot University, Thailand
Eligibility
Sex/Gender
All
Age
18 Years to 49 Years
Inclusion criteria
Inclusion criteria: - The participants have the history of anterior knee pain for at least the past 2 months - They report pain on peripatella or retropatella in 2 or more functional activities (i.e. prolong sitting, squatting, stair ascent/descent, jogging/running, hopping/jumping and/or kneeling). - The pain scale presents at least 3 of 0-10 scale (identified by 10 centimeters of Visual Analog Scale) during of single leg squat. - They can perform as low as possible at least 60° knee flexion. - All participants exhibit observable excessive hip adduction or dynamics knee valgus (greater than neutral alignment) during the descent phase of maximum single leg squat depth. - All of them are normal or overweight persons (i.e. BMI must be report between 18.5 to 29.9 kg/m2).
Exclusion criteria
Exclusion criteria: - They have an insidious onset of symptom related to trauma (e.g. knee menisci, ligament, synovial plica, and bursa) They have a history of lower extremities surgery - They cannot perform squat training because of pain They have the neurological or cardiorespiratory disorder that risk to exacerbate during investigation or training.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Contralateral pelvic drop,hip adduction&internal rotation ,thigh adduction,dynamic knee abduction Pre and Post intervention VICON motion analysis system | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain during single leg squat / Functional ability Pre and Post intervention 10-cm Visual Analog Scale / the Anterior Knee Pain Scale | — |
Countries
Thailand
Contacts
Public ContactThanapat Withayawarapong
Faculty of Physical Therapy, Srinakharinwirot University
Outcome results
None listed