The Efficacy of Hip and Knee Muscles Strengthening Versus Knee Muscle Strengthening Alone in Managing Patellofemoral Pain Syndrome: A Systematic Review and Meta-Analysis.

IF 1.5 Q3 RHEUMATOLOGY

Musculoskeletal Care Pub Date : 2025-03-01 DOI:10.1002/msc.70059

Mumen H Halabi, Belal A Alturkistani, Rayan H Abuhadi, Amr N Garout, Faisal B Almuqbil, Mohammed S Alshehri

{"title":"The Efficacy of Hip and Knee Muscles Strengthening Versus Knee Muscle Strengthening Alone in Managing Patellofemoral Pain Syndrome: A Systematic Review and Meta-Analysis.","authors":"Mumen H Halabi, Belal A Alturkistani, Rayan H Abuhadi, Amr N Garout, Faisal B Almuqbil, Mohammed S Alshehri","doi":"10.1002/msc.70059","DOIUrl":null,"url":null,"abstract":"Background: Patellofemoral pain syndrome (PFPS) is a common knee issue in young adults characterised by anterior knee pain during knee flexion with weight-bearing or prolonged sitting. Physical therapy is the primary treatment. This systematic review and meta-analysis compares the efficacy of hip and knee muscle strengthening (HKS) versus knee muscle strengthening alone (KS) in managing PFPS.Methods: Following PRISMA guidelines, a systematic search of Elsevier, PubMed, Cochrane, and Web of Science identified randomized controlled trials (RCTs) comparing HKS and KS in PFPS patients. A risk of bias tool assessed study quality. Outcomes, including pain, functional activity, and muscle strength, were analysed using a random-effects model with standardized mean difference (SMD) and 95% confidence intervals.Results: Six RCTs involving 241 patients (96.3% females) were included. HKS significantly improved pain (SMD = -1.29, 95% CI [-1.98, -0.59], p = 0.0003, I2 = 87%) and functional activity (SMD = 0.99, 95% CI [0.22, 1.76], p = 0.01, I2 = 88%) compared to KS. No significant difference was observed in muscle strength (SMD = 0.20, 95% CI [-0.31, 0.71], p = 0.44, I2 = 63%).Conclusion: HKS effectively reduces pain and improves functional activity in patients with PFPS. Further research is needed to confirm these findings and address study limitations.Study registration: This systematic review was registered in PROSPERO (CRD42023451065) and reported by the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines.","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 1","pages":"e70059"},"PeriodicalIF":1.5000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Musculoskeletal Care","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1002/msc.70059","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"RHEUMATOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Patellofemoral pain syndrome (PFPS) is a common knee issue in young adults characterised by anterior knee pain during knee flexion with weight-bearing or prolonged sitting. Physical therapy is the primary treatment. This systematic review and meta-analysis compares the efficacy of hip and knee muscle strengthening (HKS) versus knee muscle strengthening alone (KS) in managing PFPS.

Methods: Following PRISMA guidelines, a systematic search of Elsevier, PubMed, Cochrane, and Web of Science identified randomized controlled trials (RCTs) comparing HKS and KS in PFPS patients. A risk of bias tool assessed study quality. Outcomes, including pain, functional activity, and muscle strength, were analysed using a random-effects model with standardized mean difference (SMD) and 95% confidence intervals.

Results: Six RCTs involving 241 patients (96.3% females) were included. HKS significantly improved pain (SMD = -1.29, 95% CI [-1.98, -0.59], p = 0.0003, I² = 87%) and functional activity (SMD = 0.99, 95% CI [0.22, 1.76], p = 0.01, I² = 88%) compared to KS. No significant difference was observed in muscle strength (SMD = 0.20, 95% CI [-0.31, 0.71], p = 0.44, I² = 63%).

Conclusion: HKS effectively reduces pain and improves functional activity in patients with PFPS. Further research is needed to confirm these findings and address study limitations.

Study registration: This systematic review was registered in PROSPERO (CRD42023451065) and reported by the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines.

查看原文本刊更多论文

髋关节和膝关节肌肉强化与单独膝关节肌肉强化治疗髌骨股痛综合征的疗效：一项系统回顾和荟萃分析。

背景：髌股疼痛综合征（PFPS）是年轻人常见的膝关节问题，其特征是在负重或长时间坐着时膝关节屈曲时膝关节前侧疼痛。物理治疗是主要的治疗方法。本系统综述和荟萃分析比较了髋关节和膝关节肌肉强化（HKS）与单独膝关节肌肉强化（KS）在治疗PFPS方面的疗效。方法：遵循PRISMA指南，系统检索Elsevier， PubMed， Cochrane和Web of Science，确定了比较HKS和KS在PFPS患者中的随机对照试验（rct）。偏倚风险工具评估研究质量。结果包括疼痛、功能活动和肌肉力量，使用具有标准化平均差（SMD）和95%置信区间的随机效应模型进行分析。结果：纳入6项随机对照试验，共241例患者，其中女性占96.3%。与KS相比，HKS显著改善了疼痛（SMD = -1.29, 95% CI [-1.98, -0.59], p = 0.0003, I2 = 87%）和功能活动（SMD = 0.99, 95% CI [0.22, 1.76], p = 0.01, I2 = 88%）。两组肌力差异无统计学意义（SMD = 0.20, 95% CI [-0.31, 0.71], p = 0.44, I2 = 63%）。结论：HKS能有效减轻PFPS患者的疼痛，改善功能活动。需要进一步的研究来证实这些发现并解决研究的局限性。研究注册：该系统评价在PROSPERO注册（CRD42023451065），并按照系统评价和荟萃分析（PRISMA）指南的首选报告项目进行报告。

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

Musculoskeletal Care RHEUMATOLOGY-

CiteScore

2.30

自引率

7.70%

发文量

期刊介绍： Musculoskeletal Care is a peer-reviewed journal for all health professionals committed to the clinical delivery of high quality care for people with musculoskeletal conditions and providing knowledge to support decision making by professionals, patients and policy makers. This journal publishes papers on original research, applied research, review articles and clinical guidelines. Regular topics include patient education, psychological and social impact, patient experiences of health care, clinical up dates and the effectiveness of therapy.