Karrie L Hamstra-Wright1, Jennifer Earl-Boehm, Lori Bolgla, Carolyn Emery, Reed Ferber. 1. *Department of Kinesiology & Nutrition, University of Illinois at Chicago, Chicago, Illinois; †Department of Kinesiology: Integrated Health Care and Performance Unit, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin; ‡Department of Physical Therapy, Georgia Regents University, Augusta, Georgia; §Faculty of Kinesiology, University of Calgary, Calgary, Canada; and ¶Faculties of Kinesiology and Nursing, University of Calgary, Calgary, Canada.
Abstract
OBJECTIVE: To examine differences in hip flexibility before and after a 6-week muscle strengthening program between those with patellofemoral pain (PFP) and healthy controls. DESIGN: Single-blind, multicentered, randomized controlled trial. SETTING: Four clinical research laboratories. SUBJECTS:Physically active individuals (199 PFP and 38 controls). INTERVENTIONS:Patellofemoral pain and control subjects were randomized into either a hip-focused or a knee-focused muscle strengthening treatment program. MAIN OUTCOME MEASURES: Pain-visual analog scale (centimeter), function-Anterior Knee Pain Scale (points), flexibility-passive goniometry (degrees): hip adduction (HADD), hip external rotation (HER), hip internal rotation (HIR), total hip rotation (HROT), hip extension (HEXT) were measured before and after the muscle strengthening treatment program. RESULTS: Subjects with patellofemoral pain who successfully completed the treatment program (n = 153) had 65%, 25%, 18%, and 12% less HADD, HER, HROT, and HIR ranges of motion (ROMs), respectively, than controls (P < 0.05). Patellofemoral pain subjects who did not successfully complete the program (n = 41) had 134%, 31%, 22%, and 13% less HADD, HER, HROT, and HIR ROMs, respectively, than controls (P < 0.05). All subjects increased their HIR, HROT, and HEXT ROMs pretest to posttest (P < 0.05), but by less than 2 degree. CONCLUSIONS: Individuals with PFP had less hip flexibility than controls regardless of treatment outcome or time. After the 6-week muscle strengthening program, and regardless of treatment success, PFP and control subjects experienced a small but clinically insignificant improvement in hip flexibility. CLINICAL RELEVANCE: Hip ROM should be considered as a targeted area of focus in a rehabilitation program for physically active individuals with PFP.
RCT Entities:
OBJECTIVE: To examine differences in hip flexibility before and after a 6-week muscle strengthening program between those with patellofemoral pain (PFP) and healthy controls. DESIGN: Single-blind, multicentered, randomized controlled trial. SETTING: Four clinical research laboratories. SUBJECTS: Physically active individuals (199 PFP and 38 controls). INTERVENTIONS:Patellofemoral pain and control subjects were randomized into either a hip-focused or a knee-focused muscle strengthening treatment program. MAIN OUTCOME MEASURES: Pain-visual analog scale (centimeter), function-Anterior Knee Pain Scale (points), flexibility-passive goniometry (degrees): hip adduction (HADD), hip external rotation (HER), hip internal rotation (HIR), total hip rotation (HROT), hip extension (HEXT) were measured before and after the muscle strengthening treatment program. RESULTS: Subjects with patellofemoral pain who successfully completed the treatment program (n = 153) had 65%, 25%, 18%, and 12% less HADD, HER, HROT, and HIR ranges of motion (ROMs), respectively, than controls (P < 0.05). Patellofemoral pain subjects who did not successfully complete the program (n = 41) had 134%, 31%, 22%, and 13% less HADD, HER, HROT, and HIR ROMs, respectively, than controls (P < 0.05). All subjects increased their HIR, HROT, and HEXT ROMs pretest to posttest (P < 0.05), but by less than 2 degree. CONCLUSIONS: Individuals with PFP had less hip flexibility than controls regardless of treatment outcome or time. After the 6-week muscle strengthening program, and regardless of treatment success, PFP and control subjects experienced a small but clinically insignificant improvement in hip flexibility. CLINICAL RELEVANCE: Hip ROM should be considered as a targeted area of focus in a rehabilitation program for physically active individuals with PFP.
Authors: Thomas G Sutlive; Andrew Golden; Kristin King; William B Morris; John E Morrison; Josef H Moore; Shane Koppenhaver Journal: Int J Sports Phys Ther Date: 2018-06
Authors: Erika K Zambarano; David M Bazett-Jones; Danilo de Oliveira Silva; Christian J Barton; Neal R Glaviano Journal: J Athl Train Date: 2022-01-01 Impact factor: 2.860
Authors: Lori A Bolgla; Michelle C Boling; Kimberly L Mace; Michael J DiStefano; Donald C Fithian; Christopher M Powers Journal: J Athl Train Date: 2018-09 Impact factor: 2.860