u A proximal progressive resistance training program targeting strength and power is feasible in people with patellofemoral pain

被引：17

作者：

Barton, Christian J. ^{[1
,2
]}

Silva, Danilo de Oliveira ^{[1
,3
]}

Patterson, Brooke E. ^{[1
]}

Crossley, Kay M. ^{[1
]}

Pizzari, Tania ^{[1
]}

Nunes, Guilherme S. ^{[1
,4
]}

机构：

[1] La Trobe Univ, La Trobe Sport & Exercise Med Res Ctr, Sch Allied Hlth, Melbourne, Vic, Australia

[2] Univ Melbourne, St Vincents Hosp, Dept Surg, Melbourne, Vic, Australia

[3] Sao Paulo State Univ UNESP, Sch Sci & Technol, Dept Physiotherapy, Presidente Prudente, Brazil

[4] Univ Fed Sao Carlos, Dept Physiotherapy, Sao Carlos, SP, Brazil

来源：

PHYSICAL THERAPY IN SPORT | 2019年 / 38卷

基金：

巴西圣保罗研究基金会;

关键词：

Patellofemoral; Exercise; Strength; Power; PSYCHOLOGICAL FEATURES; CONSENSUS STATEMENT; RESEARCH RETREAT; NATURAL-HISTORY; FOOT ORTHOSES; HIP STRENGTH; EFFECT SIZE; FEMALES; OSTEOARTHRITIS; INTERVENTIONS;

D O I：

10.1016/j.ptsp.2019.04.010

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

Objectives: To evaluate the feasibility of a 12-week progressive resistance training program for people with patellofemoral pain (PFP) targeting proximal muscle strength and power; and resulting clinical and muscle capacity outcomes. Design: Feasibility study. Setting: Clinical environment. Participants: Mixed-sex sample of people with PFP. Main outcome measures: Feasibility outcomes included eligibility, recruitment rate, intervention adherence, and drop-outs. Secondary outcomes included perceived recovery, physical function (AKPS and KOOS-PF), worst pain (VAS-cm), kinesiophobia (Tampa), physical activity (IPAQ), and hip strength (isometric and 10 repetition maximum) and power. Results: Eleven people, from 36 who responded to advertisements, commenced the program. One participant withdrew. Ten participants who completed the program reported improvement (3 completely recovered; 6 marked; and 1 moderate). Higher AKPS (effect size [ES] = 1.81), improved KOOS-PF (ES = 1.37), and reduced pain (ES = 3.36) occurred alongside increased hip abduction and extension dynamic strength (ES = 2.22 and 1.92, respectively) and power (ES = 0.78 and 0.77, respectively). Isometric strength improved for hip abduction (ES = 0.99), but not hip extension. Conclusion: A 12-week progressive resistance training program targeting proximal muscle strength and power is feasible and associated with moderate-large improvements in pain, function, and hip muscle capacity in people with PFP. Further research evaluating the efficacy of progressive resistance training is warranted. (C) 2019 Elsevier Ltd. All rights reserved.

引用

页码：59 / 65

页数：7