Chronic patellofemoral pain syndrome: Alternatives for cases of therapy resistance

被引：0

作者：

Schneider F. ^{[1
]}

Labs K. ^{[1
]}

Wagner S. ^{[2
]}

机构：

[1] Department of Orthopedics, Charité University Hospital, Humboldt University, 10117 Berlin

[2] Dept. of Physiother. and Rehab., Charité University Hospital, Humboldt University, 10117 Berlin

来源：

Knee Surgery, Sports Traumatology, Arthroscopy | 2001年 / 9卷 / 5期

关键词：

Anterior knee pain; Knee splint; Patellofemoral pain syndrome;

D O I：

10.1007/s001670100219

中图分类号：

学科分类号：

摘要：

This study compared the efficacy of two approaches to treating therapy-resistant patellofemoral pain syndrome. In a prospective randomized study 20 patients were treated for 8 weeks with 16 physiotherapeutic exercises on a neurophysiological basis (proprioceptive neuromuscular facilitation) while another 20 patients underwent a special training program using a special resistance-controlled knee splint for 15 min three times daily. We measured muscle activity on a Cybex 6000 and performed surface electromyography of the vastus medialis and vastus lateralis muscles. Anterior knee pain was assessed by the Bessette and Hunter score and a visual analogue scale. An increase in electromyographic activity in the vastus medialis muscle and significant improvement in individual comfort were observed only in those treated by knee splint. The knee splint thus proved more effective than proprioceptive neuromuscular facilitation for treating cases of patellofemoral pain syndrome resistant to conservative therapy.

引用

页码：290 / 295

页数：5

共 24 条

[1]

Bessette G.C., Hunter R.E., The Maquet procedure. A retrospective review, Clin Orthop, 232, pp. 159-167, (1988)

[2]

Cerny K., Vastus medialis oblique/vastus lateralis muscle activity ratios for selected exercises in person with and without patellofemoral pain syndrome, Phys Ther, 75, pp. 672-683, (1995)

[3]

Eckhoff D.G., Brown A.W., Knee version associated with anterior knee pain, Clin Orthop, 339, pp. 152-155, (1997)

[4]

Fairbank T.J., Knee joint changes after meniscectomy, J Bone J Surg Br, 30, pp. 664-670, (1948)

[5]

Grabinger M.D., Koh T.J., Dragnich L.F., Neuromechanics of the patellofemoral joint, Med Sci Sports Exerc, 26, pp. 10-21, (1994)

[6]

Imhoff A., Boni T.H., Das femoropatellare Schmerzsyndrom, Z Orthop, 127, pp. 139-151, (1989)

[7]

Jerosch J., Prymka M., Propriozeptive Fähigkeiten des gesunden Kniegelenkes: Beeinflussung durch eine elastische Bandage, Sportverletz Sportschaden, 9, pp. 72-76, (1995)

[8]

Jones B.J., Bartlett E.C., Vainright J.R., CT determination of tibial tubercle lateralization in patients presenting with anterior knee pain, Skeletal Radiol, 24, pp. 505-509, (1995)

[9]

Martinez-Delgado A.D., Estrada C., Rodriguez-Merchan E.C., Atienza M., Ordonez J.M., CT scanning of the patellofemoral joint. The quadriceps relaxed or contracted?, Int Orthop, 20, pp. 159-162, (1996)

[10]

McCormack H.M., Horne D.J., Sheather S., Clinical applications of visual analogue scales: A critical review, Psychol Med, 18, pp. 1007-1019, (1988)

← 1 2 3 →