Hip and knee strengthening is more effective than knee strengthening alone for reducing pain and improving activity in individuals with patellofemoral pain: a systematic review with meta-analysis

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dc.creatorLucas Rodrigues Nascimento
dc.creatorLuci Fuscaldi Teixeira-Salmela
dc.creatorRicardo Barbosa de Souza
dc.creatorRenan Alves Resende
dc.date.accessioned2022-10-24T17:11:36Z
dc.date.accessioned2025-09-09T00:44:29Z
dc.date.available2022-10-24T17:11:36Z
dc.date.issued2018
dc.description.sponsorshipCNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológico
dc.description.sponsorshipFAPEMIG - Fundação de Amparo à Pesquisa do Estado de Minas Gerais
dc.description.sponsorshipCAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
dc.identifier.doihttps://www.jospt.org/doi/10.2519/jospt.2018.7365
dc.identifier.issn0190-6011
dc.identifier.urihttps://hdl.handle.net/1843/46540
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofJournal of Orthopaedic and Sports Physical Therapy
dc.rightsAcesso Restrito
dc.subjectJoelhos - Ferimentos e lesões
dc.subjectMúsculos
dc.subjectForça muscular
dc.subjectSíndrome da dor patelofemoral
dc.subjectReabilitação
dc.subject.otherAnterior knee pain
dc.subject.otherMuscle
dc.subject.otherStrength
dc.subject.otherPatellofemoral pain syndrome
dc.subject.otherRehabilitation
dc.titleHip and knee strengthening is more effective than knee strengthening alone for reducing pain and improving activity in individuals with patellofemoral pain: a systematic review with meta-analysis
dc.typeArtigo de periódico
local.citation.epage31
local.citation.issue1
local.citation.spage19
local.citation.volume48
local.description.resumoStudy Design: Systematic review with meta-analysis. Background: The addition of hip strengthening to knee strengthening for persons with patellofemoral pain has the potential to optimize treatment effects. There is a need to systematically review and pool the current evidence in this area. Objective: To examine the efficacy of hip strengthening, associated or not with knee atrengthening, to increase strength, reduce pain, and improve activity in individuals with patellofemoral pain. Methods: A systematic review of randomized and/or controlled trials was performed. Participants in the reviewed studies were individuals with patellofemoral pain, and the experimental intervention was hip and knee strengthening. Outcome data related to muscle strength, pain, and activity were extracted from the eligible trials and combined in a meta-analysis. Results: The review included 14 trials involving 673 participants. Random-effects meta-analyses revealed that hip and knee strengthening decreased pain (mean difference, −3.3; 95% confidence interval [CI]: −5.6, −1.1) and improved activity (standardized mean difference, 1.4; 95% CI: 0.03, 2.8) compared to no training/placebo. In addition, hip and knee strengthening was superior to knee strengthening alone for decreasing pain (mean difference, −1.5; 95% CI: −2.3, −0.8) and improving activity (standardized mean difference, 0.7; 95% CI: 0.2, 1.3). Results were maintained beyond the intervention period. Meta-analyses showed no significant changes in strength for any of the interventions. Conclusion: Hip and knee strengthening is effective and superior to knee strengthening alone for decreasing pain and improving activity in persons with patellofemoral pain; however, these outcomes were achieved without a concurrent change in strength.
local.identifier.orcidhttps://orcid.org/0000-0002-6792-0819
local.identifier.orcidhttps://orcid.org/0000-0001-8358-8636
local.identifier.orcidhttps://orcid.org/0000-0002-1609-3278
local.publisher.countryBrasil
local.publisher.departmentEEF - DEPARTAMENTO DE FISIOTERAPIA
local.publisher.initialsUFMG
local.url.externahttps://www.jospt.org/doi/10.2519/jospt.2018.7365?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed

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