Carsten M Mølgaard1, Michael Skovdal Rathleff2, Jane Andreasen3, Marianne Christensen3, Søren Lundbye-Christensen4, Ole Simonsen5, Søren Kaalund6. 1. Department of Occupational therapy and Physiotherapy, Aalborg University Hospital, Denmark; Orthopaedic Surgery Research Unit, Aalborg University Hospital, Denmark. Electronic address: cmm@rn.dk. 2. Department of Occupational therapy and Physiotherapy, Aalborg University Hospital, Denmark; Research Unit for General Practice in Aalborg, Department of Clinical Medicine, Aalborg University, Denmark. 3. Department of Occupational therapy and Physiotherapy, Aalborg University Hospital, Denmark. 4. Unit of Clinical Biostatistics, Aalborg University Hospital, Denmark. 5. Orthopaedic Surgery Research Unit, Aalborg University Hospital, Denmark. 6. Kaalunds Orthopedic Clinic, Denmark.
Abstract
OBJECTIVES: To examine the effect of knee targeted exercises compared to knee targeted exercises combined with foot targeted exercises and foot orthoses in patients with patellofemoral pain. DESIGN:Forty adult individuals (28 women, 12 men) diagnosed with patellofemoral pain and screened for excessive calcaneal eversion were randomized to knee targeted exercises or kneetargeted exercises combined with foot targeted exercise and orthoses. METHODS: The knee targeted exercises were prescribed during three supervised consultations. Individuals were instructed to perform the exercises 3 times per week during a 12-week period. The foot targeted exercises were prescribed for 2 times per week for 12 weeks with one session per week being supervised by a physiotherapist. The primary outcome was the subscale "pain" in the Knee Injury and Osteoarthritis Outcome Score (KOOS) at 4 months. RESULTS: Individuals randomized to knee targeted exercises combined with foot targeted exercises and foot orthoses had 8.9 points (95%CI: 0.4; 17.4) - NNT=3 (2-16) larger improvement in KOOS pain at the primary endpoint. CONCLUSIONS: The addition of foot targeted exercises and foot orthoses for 12 weeks was more effective than knee targeted exercises alone in individuals with patellofemoral pain. The effect was apparent after 4 months, but not significantly different after 12 months.
RCT Entities:
OBJECTIVES: To examine the effect of knee targeted exercises compared to knee targeted exercises combined with foot targeted exercises and foot orthoses in patients with patellofemoral pain. DESIGN: Forty adult individuals (28 women, 12 men) diagnosed with patellofemoral pain and screened for excessive calcaneal eversion were randomized to knee targeted exercises or knee targeted exercises combined with foot targeted exercise and orthoses. METHODS: The knee targeted exercises were prescribed during three supervised consultations. Individuals were instructed to perform the exercises 3 times per week during a 12-week period. The foot targeted exercises were prescribed for 2 times per week for 12 weeks with one session per week being supervised by a physiotherapist. The primary outcome was the subscale "pain" in the Knee Injury and Osteoarthritis Outcome Score (KOOS) at 4 months. RESULTS: Individuals randomized to knee targeted exercises combined with foot targeted exercises and foot orthoses had 8.9 points (95%CI: 0.4; 17.4) - NNT=3 (2-16) larger improvement in KOOS pain at the primary endpoint. CONCLUSIONS: The addition of foot targeted exercises and foot orthoses for 12 weeks was more effective than knee targeted exercises alone in individuals with patellofemoral pain. The effect was apparent after 4 months, but not significantly different after 12 months.
Authors: Alessandra B Matias; Ricky Watari; Ulisses T Taddei; Paolo Caravaggi; Rafael S Inoue; Raissa B Thibes; Eneida Y Suda; Marcus F Vieira; Isabel C N Sacco Journal: Front Bioeng Biotechnol Date: 2022-04-14