Article

OBJECTIVE: To compare the efficacy of posterolateral hip muscle strengthening
versus quadriceps strengthening in reducing pain and improving health status in
persons with patellofemoral pain (PFP). DESIGN: Comparative control trial.
SETTING: Rehabilitation facility. PARTICIPANTS: Persons with a diagnosis of PFP
(N=36; 18 men, 18 women). INTERVENTIONS: Patients were alternately assigned to a
posterolateral hip muscle strengthening group (9 men and 9 women) or a quadriceps
strengthening group (9 men and 9 women). The posterolateral hip muscle
strengthening group performed hip abductor and external rotator strengthening
exercises, whereas the quadriceps strengthening group performed quadriceps
strengthening exercises (3 times a week for 8wk). MAIN OUTCOME MEASURES: Pain
(visual analog scale [VAS]) and health status (Western Ontario McMaster
Universities Osteoarthritis Index [WOMAC]) were assessed at baseline,
postintervention, and 6-month follow-up. RESULTS: Significant improvements in VAS
and WOMAC scores were observed in both groups from baseline to postintervention
and baseline to 6-month follow-up (P<.001). Improvements in VAS and WOMAC scores
in the posterolateral hip exercise group were superior to those in the quadriceps
exercise group postintervention and at 6-month follow-up (P<.05). CONCLUSIONS:
Although both intervention programs resulted in decreased pain and improved
function in persons with PFP, outcomes in the posterolateral hip exercise group
were superior to the quadriceps exercise group. The superior outcomes obtained in
the posterolateral hip exercise group were maintained 6 months postintervention.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS