Evaluation of the results of closed kinetic chain exercises applied in the conservative treatment of patellofemoral pain syndrome by means of shear wave elastography: A randomized controlled trial.

IF 1.6 4区 医学
Yigit Kultur, Emir Harbiyeli, Huseyin Botanlioglu, Mahmut K Ozsahin, Sude Ozturhalli, Onder Aydingoz, Mehmet R Erginer
{"title":"Evaluation of the results of closed kinetic chain exercises applied in the conservative treatment of patellofemoral pain syndrome by means of shear wave elastography: A randomized controlled trial.","authors":"Yigit Kultur, Emir Harbiyeli, Huseyin Botanlioglu, Mahmut K Ozsahin, Sude Ozturhalli, Onder Aydingoz, Mehmet R Erginer","doi":"10.1177/10225536241280384","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Non-selective closed kinetic chain exercises (NSKCE) and or selective closed kinetic chain exercises (SCKCE) has been shown to increase Vastus medialis obliquus (VMO) muscle power in patellofemoral pain syndrome (PFPS). However, the superiority of the exercises to each other has not been shown. This study aimed to evaluating the effects of different exercises on the stiffness of the VMO and vastus lateralis (VL) muscles, pain management, functional scores, and thigh circumferences.</p><p><strong>Methods: </strong>One hundred 60 knees of 80 patients followed up in our outpatient clinic between December 2016 and February 2018 were included in the study. Patients were divided into two groups as 40 patients with single-sided PFPS (20 male and 20 female patients) and 40 healthy controls (20 male and 20 female patients). The patients in each group were divided into subgroups according to NSCKCE or SCKCE. VMO and VL muscles were measured by shear wave elastography (SWE) before and after a 6-weeks therapy.</p><p><strong>Results: </strong>There was a significant decrease in Visual Analog Scale (VAS) score while a significant increase was found in Lysholm Knee Scale (LKS), however, no statistically difference was found between the two exercise groups in PFPS patients. The effect of both exercises on pain and functional improvement was similar.</p><p><strong>Conclusion: </strong>Decrease in VAS scores, increase in LKS scores, increase in thigh circumference measurements, and increase in the stiffness of VMO and VL muscles were observed in both groups who received SCKCE and NSCKCE on PFPS patients.</p><p><strong>Trial registration: </strong>Study registered at ClinicalTrials.gov (registration number: NCT05427357).</p><p><strong>Design: </strong>Randomized controlled trial.</p>","PeriodicalId":16608,"journal":{"name":"Journal of Orthopaedic Surgery","volume":null,"pages":null},"PeriodicalIF":1.6000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Orthopaedic Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/10225536241280384","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

Abstract

Purpose: Non-selective closed kinetic chain exercises (NSKCE) and or selective closed kinetic chain exercises (SCKCE) has been shown to increase Vastus medialis obliquus (VMO) muscle power in patellofemoral pain syndrome (PFPS). However, the superiority of the exercises to each other has not been shown. This study aimed to evaluating the effects of different exercises on the stiffness of the VMO and vastus lateralis (VL) muscles, pain management, functional scores, and thigh circumferences.

Methods: One hundred 60 knees of 80 patients followed up in our outpatient clinic between December 2016 and February 2018 were included in the study. Patients were divided into two groups as 40 patients with single-sided PFPS (20 male and 20 female patients) and 40 healthy controls (20 male and 20 female patients). The patients in each group were divided into subgroups according to NSCKCE or SCKCE. VMO and VL muscles were measured by shear wave elastography (SWE) before and after a 6-weeks therapy.

Results: There was a significant decrease in Visual Analog Scale (VAS) score while a significant increase was found in Lysholm Knee Scale (LKS), however, no statistically difference was found between the two exercise groups in PFPS patients. The effect of both exercises on pain and functional improvement was similar.

Conclusion: Decrease in VAS scores, increase in LKS scores, increase in thigh circumference measurements, and increase in the stiffness of VMO and VL muscles were observed in both groups who received SCKCE and NSCKCE on PFPS patients.

Trial registration: Study registered at ClinicalTrials.gov (registration number: NCT05427357).

Design: Randomized controlled trial.

通过剪切波弹性成像技术评估髌骨股骨痛综合征保守治疗中封闭式运动链练习的效果:随机对照试验。
目的:研究表明,非选择性闭合运动链练习(NSKCE)和或选择性闭合运动链练习(SCKCE)可增强髌骨股骨痛综合征(PFPS)患者的内侧斜方肌(VMO)肌力。然而,这些练习之间的优劣尚未得到证实。本研究旨在评估不同运动对 VMO 和阔筋膜(VL)肌肉僵硬度、疼痛控制、功能评分和大腿围度的影响:研究纳入了 2016 年 12 月至 2018 年 2 月期间在我院门诊随访的 80 名患者的 160 个膝关节。患者分为两组,即 40 名单侧 PFPS 患者(男性 20 名,女性 20 名)和 40 名健康对照组(男性 20 名,女性 20 名)。每组患者根据 NSCKCE 或 SCKCE 分成若干亚组。在为期 6 周的治疗前后,用剪切波弹性成像(SWE)测量了 VMO 和 VL 肌肉:结果:PFPS 患者的视觉模拟量表(VAS)评分明显降低,而 Lysholm 膝关节量表(LKS)评分明显提高,但两种运动组之间没有统计学差异。两种运动对疼痛和功能改善的效果相似:结论:在接受 SCKCE 和 NSCKCE 锻炼的两组 PFPS 患者中,均观察到 VAS 评分下降、LKS 评分上升、大腿围测量值增加以及 VMO 和 VL 肌肉僵硬度增加:研究已在 ClinicalTrials.gov 注册(注册号:NCT05427357):设计:随机对照试验。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
91
期刊介绍: Journal of Orthopaedic Surgery is an open access peer-reviewed journal publishing original reviews and research articles on all aspects of orthopaedic surgery. It is the official journal of the Asia Pacific Orthopaedic Association. The journal welcomes and will publish materials of a diverse nature, from basic science research to clinical trials and surgical techniques. The journal encourages contributions from all parts of the world, but special emphasis is given to research of particular relevance to the Asia Pacific region.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信