Home-based exercise and patellar bracig in the treatment of patellofemoral pain syndrome

Patellofemoral ağrı sendromu tedavisinde ev egzersiz programı ve patellar breys kullanımı

Özet

Amaç: Patellanın stabilizasyonunda kuadriseps kas grubu önemli rol oynar. Bu çalışmada patellofemoral ağrı sendromu (PFAS) olan hastalarda ev egzersiz programı ile ev egzersiz programına patellar breys eklemenin ağrı ve fonksiyonel kapasite üzerine etkisini araştırmak amaçlandı. Gereç ve Yöntem: Çalışmaya PFAS olan 86 hasta dahil edildi. Hastalar iki gruba randomize edildi. Grup 1 (n=45) hastalara yalnız ev egzersiz programı, grup 2 (n=41) hastalara ev egzersiz programına ilave patellar breys verildi. Hastalar altı hafta boyunca tedaviye alındı. Tedavi sonunda ağrı ve fonksiyonel kapasite düzeyleri değerlendirildi. Ağrı; görsel anolog skala (GAS) ve Western Ontario McMaster Osteoartrit (WOMAC) Ağrı İndeksi ile değerlendirildi. Fonksiyonel kapasite ise WOMAC ve Fulkerson-Shea Patellofemoral Değerlendirme Skoru (FSPDS) ile değerlendirildi. Bulgular: Tedavi sonrası, Grup 1 ve 2’de GAS ve WOMAC ağrı skorunda istatistiksel anlamlı azalma gözlendi (p

Abstract

Objective: The quadriceps muscle group plays an important role in patellar stabilization. This study was designed to investigate the effect of a quadriceps exercise program along with a patellar brace in reducing pain and increasing function in patello-femoral pain syndrome (PFPS) patients. Materials and Methods: A total of 86 patients with PFPS were included in this study. Patients were randomized into two groups: Group 1 (n=45) received a home based exercise program only; group 2 (n=41) received the same home based exercise program along with a patellar brace. The duration of the intervention was six weeks. At the end of the therapy patients were evaluated for pain and functional capacity. Pain was assessed using the visual analogue scale (VAS) and the Western Ontario McMaster Osteoarthritis Index (WOMAC) Pain Scale. Functional capacity was evaluated by using the WOMAC Functional Capacity Index and the Fulkerson-Shea Patellofemoral Evaluation Score (FSPES). Results: After the program, there were statistically significant decreases in the VAS and WOMAC pain scale for both group 1 and 2 (p