Effects of high frequency strengthening on pain sensitivity and function in female runners with chronic patellofemoral pain

被引:0
作者
Eckenrode, Brian J. [1 ,6 ]
Kietrys, David M. [2 ]
Brown, Allison [3 ]
Parrott, J. Scott [4 ]
Noehren, Brian [5 ]
机构
[1] Arcadia Univ, Dept Phys Therapy, Glenside, PA 19038 USA
[2] Rutgers Sch Hlth Profess, Dept Rehabil & Movement Sci, Blackwood, NJ 08012 USA
[3] Rutgers Sch Hlth Profess, Dept Rehabil & Movement Sci Newark, Newark, NJ 07101 USA
[4] Rutgers Sch Hlth Profess, Dept Interdisciplinary Studies, Blackwood, NJ 08012 USA
[5] Univ Kentucky, Dept Phys Therapy, Lexington, KY 40536 USA
[6] Arcadia Univ, 450 S Easton Rd, Glenside, PA 19038 USA
关键词
Patellofemoral pain; Strengthening; Central sensitization; Running; MEDICAL EXERCISE THERAPY; HAND-HELD DYNAMOMETRY; ANTERIOR KNEE PAIN; CENTRAL SENSITIZATION; QUADRICEPS STRENGTH; CONTROLLED-TRIAL; HEALTH-STATUS; HIP STRENGTH; RELIABILITY; INTENSITY;
D O I
10.1016/j.ptsp.2024.02.007
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Objective: To investigate the effects of a high frequency strengthening program on function, pain, and pain sensitization in female runners with chronic patellofemoral pain (PFP). Design: Cross-sectional study. Setting: University laboratory. Participants: Thirty female runners (mean age 32 +/- 8.1 years) with chronic PFP completed an 8-week home strengthening program. Main outcome measures: Variables assessed at baseline, 8-weeks, and 12 weeks included single leg step down test (SLSD), pain, Anterior Knee Pain Scale (AKPS), University of Wisconsin Running Injury and Recovery Index (UWRI), and quantitative sensory testing. Results: There was large and statistically significant improvement at 8 and 12 weeks for average knee pain (eta(2)(p) = 0.334, p < 0.001), worst knee pain (eta(2)(p) = 0.351, p < 0.001), SLSD (eta(2)(p) = 0.161, p = 0.001), AKPS (eta(2)(p) = 0.463, p < 0.001), and UWRI (eta(2)(p) = 0.366, p < 0.001). A medium to large effect and statistically significant improvement in pressure pain threshold testing was found for all local and remote structures (eta(2)(p) range, 0.110 to 0.293, range p < 0.001 to p = 0.009) at 8 and 12 weeks. Conclusions: There was a significant decrease in local and remote hyperalgesia via mechanical and thermal pain sensitivity testing in female runners with chronic PFP. There was a large effect and significant improvement in self-reported pain and function.
引用
收藏
页码:31 / 40
页数:10
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