Quadriceps or hip exercises for patellofemoral pain? A randomised controlled equivalence trial

Review written by Shruti Nambiar info

Key Points

  1. Exercise therapy has been shown to be beneficial in the treatment of patellofemoral pain in the short and medium term.
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BACKGROUND & OBJECTIVE

The 2018 Consensus statement on exercise therapy and physical interventions for treating patellofemoral pain identified several areas of uncertainty (1). These included the preference for hip exercises over knee exercises, the efficacy of combined interventions for adolescents with patellofemoral pain, the effectiveness of patellar taping and bracing, and the potential benefits of adjunctive treatments like acupuncture and manual soft tissue therapy (1).

While exercise therapy is known to be the preferred treatment for improving pain and function in individuals with patellofemoral pain in the short and medium term, this study aimed to compare the effectiveness of a quadriceps exercise (QE) protocol versus a hip exercise (HE) protocol on symptoms and function in these patients.

The 2018 Consensus statement on exercise therapy and physical interventions for treating patellofemoral pain identified several areas of uncertainty.
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Exercise therapy focusing on hip and quadriceps muscle groups can also be combined with other treatment interventions such as orthotics, taping, or bracing.

METHODS

  • The study adhered to CONSORT guidelines for non-pharmacological treatments and utilized the TIDieR checklist for intervention description. Assessments were conducted at baseline and 12 weeks, with additional online patient-reported outcomes at 26 weeks.
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