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[PMID]: | 27347862 |
[Au] Autor: | Hamstra-Wright KL; Earl-Boehm J; Bolgla L; Emery C; Ferber R |
[Ad] Endereço: | *Department of Kinesiology & Nutrition, University of Illinois at Chicago, Chicago, Illinois; †Department of Kinesiology: Integrated Health Care and Performance Unit, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin; ‡Department of Physical Therapy, Georgia Regents University, Augusta, Georgia; §Faculty of Kinesiology, University of Calgary, Calgary, Canada; and ¶Faculties of Kinesiology and Nursing, University of Calgary, Calgary, Canada. |
[Ti] Título: | Individuals With Patellofemoral Pain Have Less Hip Flexibility Than Controls Regardless of Treatment Outcome. |
[So] Source: | Clin J Sport Med;27(2):97-103, 2017 Mar. | [Is] ISSN: | 1536-3724 |
[Cp] País de publicação: | United States |
[La] Idioma: | eng |
[Ab] Resumo: | OBJECTIVE: To examine differences in hip flexibility before and after a 6-week muscle strengthening program between those with patellofemoral pain (PFP) and healthy controls. DESIGN: Single-blind, multicentered, randomized controlled trial. SETTING: Four clinical research laboratories. SUBJECTS: Physically active individuals (199 PFP and 38 controls). INTERVENTIONS: Patellofemoral pain and control subjects were randomized into either a hip-focused or a knee-focused muscle strengthening treatment program. MAIN OUTCOME MEASURES: Pain-visual analog scale (centimeter), function-Anterior Knee Pain Scale (points), flexibility-passive goniometry (degrees): hip adduction (HADD), hip external rotation (HER), hip internal rotation (HIR), total hip rotation (HROT), hip extension (HEXT) were measured before and after the muscle strengthening treatment program. RESULTS: Subjects with patellofemoral pain who successfully completed the treatment program (n = 153) had 65%, 25%, 18%, and 12% less HADD, HER, HROT, and HIR ranges of motion (ROMs), respectively, than controls (P < 0.05). Patellofemoral pain subjects who did not successfully complete the program (n = 41) had 134%, 31%, 22%, and 13% less HADD, HER, HROT, and HIR ROMs, respectively, than controls (P < 0.05). All subjects increased their HIR, HROT, and HEXT ROMs pretest to posttest (P < 0.05), but by less than 2 degree. CONCLUSIONS: Individuals with PFP had less hip flexibility than controls regardless of treatment outcome or time. After the 6-week muscle strengthening program, and regardless of treatment success, PFP and control subjects experienced a small but clinically insignificant improvement in hip flexibility. CLINICAL RELEVANCE: Hip ROM should be considered as a targeted area of focus in a rehabilitation program for physically active individuals with PFP. |
[Mh] Termos MeSH primário: |
Artralgia/fisiopatologia Articulação do Quadril/fisiopatologia Traumatismos do Joelho/fisiopatologia Traumatismos do Joelho/terapia Articulação Patelofemoral/lesões
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[Mh] Termos MeSH secundário: |
Adulto Artrometria Articular Feminino Seres Humanos Masculino Treinamento de Resistência Falha de Tratamento Adulto Jovem
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[Pt] Tipo de publicação: | JOURNAL ARTICLE; MULTICENTER STUDY; RANDOMIZED CONTROLLED TRIAL |
[Em] Mês de entrada: | 1709 |
[Cu] Atualização por classe: | 170927 |
[Lr] Data última revisão:
| 170927 |
[Sb] Subgrupo de revista: | IM |
[Da] Data de entrada para processamento: | 160628 |
[St] Status: | MEDLINE |
[do] DOI: | 10.1097/JSM.0000000000000307 |
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