subject: Hip Muscle Function and PPS (Patellofemoral Pain Syndrome) [print this page] PPS (Patellofemoral pain syndrome) is amongst the most general reasons of knee pain in weekend warriors, athletes, and general people. PPS usually gives as retro patellar or anterior knee pain (in and around kneecap) which is irritated by activities like stair climbing, prolonged sitting, running, squatting, jumping and kneeling. Non-operative healing remains typical approach for treating this condition.
Ordinary treatment approaches consist of concentrating on soft tissue lesions in the region of kneecap, controlling patellar tracking through bracing or taping, and spiraling adjoining musculature, specially the VMO (Vastus Medialis Oblique). Sadly, successful treatment results aren't at all times attained using this approach. Latest evidence has recommended that patients having PPS can exhibit considerable weakness in the hip flexors. It's anticipated to guide to biomechanical abnormalities which can reproduce abnormal patellar path, weaken the pelvis throughout the motion, and modify the normal revolution pattern of femur throughout gait.
The intention of this learning was to assess the effectiveness of treatment program together with blocked hip flexor power and elasticity exercises on patients through PPS. It was assumed that enlargement in hip flexor power and elasticity might contribute to lessen in patellofemoral pain.
35 patients (having average age of 33) with PPS were positioned on 6 week therapy program (in total of 43 knees were estimated because 8 patients were having bilateral symptoms). At starting of this study, measurements of adductor, abductor strength and hip flexor were taken. Thomas test and Ober's test were also performed to assess the elasticity of hip flexor and iliotibial band. In conclusion, a VAS (Visual Analogue Scale) was used for measuring pain greatness, and was incorporated as final conclusion measure.
These tests were done again after 6 week exercise plan. The healing program integrated home exercise, manual as well as self stretching, progressive resistance exercises, and manual therapy intended at lateral and medial retinaculum. Flexibility exercises and hip flexor strength were major part of this program.
Important results of the study consist of:
VAS scores reduced considerably after healing program, signifying that 21 patients had successful result, and 14 patients had unsuccessful result
prior to treatment, patients having one-sided PPS established considerable weakness of hip flexors on implicated side
hip flexion strength enhanced by 35% on effectively treated knees, and reduced by 1.8% in ineffectively treated knees, signifying that it can manipulate positive results
enhancement in hip flexor flexibility and iliotibial band was related with successful healing outcome
Conclusions & Practical Function:
PPS (Patellofemoral Pain Syndrome) is usually seen in physical medicine. I thought the study had given some exciting approaching into having a more ample approach for local symptoms. By assessing and restoring hip flexibility and strength in accumulation to conventionally used treatments for PPS, patient results appear positive. It might be exciting for adding other workings of general fitness program like spinal steadiness and general condition of program for seeing if results might be further enhanced.
The study had fairly small trial group, and required a control group. This being said, it did exhibit the impending value in ample healing approach for treating PPS. Special consideration can be acceptable to the strength and flexibility of hip musculature, because patients in this learning did exhibit lacking in the areas and those which enhanced hip flexibility and strength had better results.
Hip Muscle Function and PPS (Patellofemoral Pain Syndrome)
