Anteromedial versus posterolateral hip musculature strengthening with dose-controlled in women with patellofemoral pain: A randomized controlled trial

To compare the effectiveness of adding anteromedial versus posterolateral hip musculature strengthening to knee strengthening in women with patellofemoral pain (PFP). Randomized controlled trial. University physiotherapy clinic. Fifty-two women with PFP were randomized to receive either anteromedial...

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Bibliographic Details
Published in:Physical therapy in sport 2021-05, Vol.49, p.149-156
Main Authors: Almeida, Gabriel Peixoto Leão, Rodrigues, Helena Larissa das Neves, Coelho, Bruno Augusto Lima, Rodrigues, Carlos Augusto Silva, Lima, Pedro Olavo de Paula
Format: Article
Language:English
Subjects:
Clinical trials
Exercise
Exercise therapy
Hip
Kinematics
Knee
Load
Pain
Patella
Physical fitness
Physical therapy
Sports medicine
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Summary:To compare the effectiveness of adding anteromedial versus posterolateral hip musculature strengthening to knee strengthening in women with patellofemoral pain (PFP). Randomized controlled trial. University physiotherapy clinic. Fifty-two women with PFP were randomized to receive either anteromedial (AMHG) or posterolateral (PLHG) hip musculature strengthening. The primary outcomes were pain intensity by the numeric pain rating scale and function by the Anterior Knee Pain Scale in six weeks. Secondary outcomes were pain and function at six months, global perceived effect at six weeks and six months, pain in step down, isometric torque of abductors, adductors and hip rotators measured with hand-held dynamometer, and dynamic knee valgus by step down in six weeks. Both groups showed improvement in primary outcomes; however, no differences were found between groups in pain intensity and function in six weeks and the secondary outcomes. Group x time interaction found superior gains in abductor strength in the PLHG and increase in the strength of the adductors and internal rotators in AMHG. There was no difference between the addition of anteromedial or posterolateral hip musculature strengthening to knee strengthening in improving pain and function in women with PFP. •The anteromedial hip musculature strengthening improve pain and function in PFP.•The posterolateral hip musculature strengthening improve pain and function in PFP.•No between-group differences were found.•These results question on selective strengthening of the gluteal complex in PFP.
ISSN:1466-853X
1873-1600
DOI:10.1016/j.ptsp.2021.02.016