Meta‐analyses showed no significant changes in strength for any of the interventions . •
BACKGROUND : The addition of hip strengthening to knee strengthening for persons with patellofemoral pain has the potential to optimize treatment effects .
OBJECTIVE : To examine the efficacy of hip strengthening , associated or not with knee strengthening , to increase strength , reduce pain , and improve activity in individuals with patellofemoral pain .
Physiotherapy for anterior knee pain: a randomised controlled trial
OBJECTIVE To determine the efficacy of the individual components of physiotherapy in subjects with anterior knee pain . METHODS An observer blind , prospect i ve , factorial design r and omised controlled trial . 81 young adults with anterior knee pain were r and omly allocated to one of four treatment groups : ( 1 ) exercise , taping , and education ; ( 2 ) exercise and education ; ( 3 ) taping and education ; and ( 4 ) education alone . Each group received six physiotherapist-led treatments over three months . Follow up took place at three months using the following outcome measures : patient satisfaction ( discharge/refer for further treatment ) ; a visual analogue pain score ; the WOMAC lower limb function score ; the Hospital Anxiety and Depression scale ( HAD ) ; and quadriceps strength . At 12 months the WOMAC and HAD were assessed by postal question naire . RESULTS All groups showed significant improvements in WOMAC , visual analogue , and HAD scores ; these improvements did not vary significantly between the four groups or between exercising/non-exercising and taped/non-taped patients at three and 12 months . However , patients who exercised were significantly more likely to be discharged at three months than non-exercising patients ( χ2 , p<0.001 ) . Taping was not significantly associated with discharge . Significantly greater improvements in WOMAC , visual analogue , and the anxiety score ( but not the depression score ) were seen in patients who were discharged than in those who were referred . CONCLUSIONS The proprioceptive muscle stretching and strengthening aspects of physiotherapy have a beneficial effect at three months sufficient to permit discharge from physiotherapy . These benefits are maintained at one year . Taping does not influence the outcome
Meta‐analyses showed no significant changes in strength for any of the interventions . •
BACKGROUND : The addition of hip strengthening to knee strengthening for persons with patellofemoral pain has the potential to optimize treatment effects .
OBJECTIVE : To examine the efficacy of hip strengthening , associated or not with knee strengthening , to increase strength , reduce pain , and improve activity in individuals with patellofemoral pain .