Effects of high frequency strengthening on pain sensitivity and function in female runners with chronic patellofemoral pain

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport Pub Date : 2024-03-05 DOI:10.1016/j.ptsp.2024.02.007

Brian J. Eckenrode , David M. Kietrys , Allison Brown , J. Scott Parrott , Brian Noehren

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引用次数: 0

Abstract

Objective

To investigate the effects of a high frequency strengthening program on function, pain, and pain sensitization in female runners with chronic patellofemoral pain (PFP).

Design

Cross-sectional study.

Setting

University laboratory.

Participants

Thirty female runners (mean age 32 ± 8.1 years) with chronic PFP completed an 8-week home strengthening program.

Main outcome measures

Variables assessed at baseline, 8-weeks, and 12 weeks included single leg step down test (SLSD), pain, Anterior Knee Pain Scale (AKPS), University of Wisconsin Running Injury and Recovery Index (UWRI), and quantitative sensory testing.

Results

There was large and statistically significant improvement at 8 and 12 weeks for average knee pain (η_p² = 0.334, p < 0.001), worst knee pain (η_p² = 0.351, p < 0.001), SLSD (η_p² = 0.161, p = 0.001), AKPS (η_p² = 0.463, p < 0.001), and UWRI (η_p² = 0.366, p < 0.001). A medium to large effect and statistically significant improvement in pressure pain threshold testing was found for all local and remote structures (η_p² range, 0.110 to 0.293, range p < 0.001 to p = 0.009) at 8 and 12 weeks.

Conclusions

There was a significant decrease in local and remote hyperalgesia via mechanical and thermal pain sensitivity testing in female runners with chronic PFP. There was a large effect and significant improvement in self-reported pain and function.

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高频强化训练对患有慢性髌骨股骨痛的女性跑步者的疼痛敏感性和功能的影响

研究高频强化计划对患有慢性髌骨股骨痛（PFP）的女性跑步者的功能、疼痛和痛觉敏感性的影响。横断面研究。大学实验室。30 名患有慢性髌骨股骨痛的女性跑步者（平均年龄 32 ± 8.1 岁）完成了为期 8 周的家庭强化训练。基线、8 周和 12 周的评估变量包括单腿下台阶测试 (SLSD)、疼痛、膝关节前侧疼痛量表 (AKPS)、威斯康星大学跑步损伤和恢复指数 (UWRI) 以及定量感觉测试。在 8 周和 12 周时，膝关节平均疼痛 (η = 0.334，p < 0.001)、最严重膝关节疼痛 (η = 0.351，p < 0.001)、SLSD (η = 0.161，p = 0.001)、AKPS (η = 0.463，p < 0.001) 和 UWRI (η = 0.366，p < 0.001) 均有显著改善，并具有统计学意义。在 8 周和 12 周时，所有局部和远端结构的压痛阈值测试均有中至大的改善（η 范围为 0.110 至 0.293，p < 0.001 至 p = 0.009），并具有统计学意义。通过机械和热痛敏测试，慢性腰椎间盘突出症女性患者的局部和远端痛觉减退明显。自我报告的疼痛和功能改善效果显著。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physical Therapy in Sport 医学-康复医学

CiteScore

4.50

自引率

8.30%

发文量

125

审稿时长

39 days

期刊介绍： Physical Therapy in Sport is an international peer-reviewed journal that provides a forum for the publication of research and clinical practice material relevant to the healthcare professions involved in sports and exercise medicine, and rehabilitation. The journal publishes material that is indispensable for day-to-day practice and continuing professional development. Physical Therapy in Sport covers topics dealing with the diagnosis, treatment, and prevention of injuries, as well as more general areas of sports and exercise medicine and related sports science. The journal publishes original research, case studies, reviews, masterclasses, papers on clinical approaches, and book reviews, as well as occasional reports from conferences. Papers are double-blind peer-reviewed by our international advisory board and other international experts, and submissions from a broad range of disciplines are actively encouraged.