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Anterior Knee Pain: A Clinical Comparison of Rehabilitation Methods

 

作者: Matthew Roush,   Thomas Sevier,   Julie Wilson,   David Jenkinson,   Robert Helfst,   Gale Gehlsen,   Adriana Basey,  

 

期刊: Clinical Journal of Sport Medicine  (OVID Available online 2000)
卷期: Volume 10, issue 1  

页码: 22-28

 

ISSN:1050-642X

 

年代: 2000

 

出版商: OVID

 

关键词: Chondromalacia patella;Knees, pain, wounds and injuries;Muncie method;Patellofemoral syndrome;Physical therapy;Rehabilitation

 

数据来源: OVID

 

摘要:

ObjectiveTo compare different types of rehabilitation for anterior knee pain.DesignProspective, randomized, blinded, and controlled study of 64 participants with anterior knee pain.SettingOutpatient rehabilitation clinic and testing laboratory.ParticipantsParticipants were assigned in randomized fashion to three rehabilitation groups: traditional home rehabilitation (n = 20); physical therapy (n = 21); and home rehabilitation with a modified vastus medialis obliquis (VMO) specific straight leg raise (Muncie method; n = 23).Interventions and Main Outcome MeasuresClinical data was obtained at 0, 2, 6, and 12 weeks. Cybex testing was performed at 0, 6, and 12 weeks.ResultsClinical outcome for the Muncie method indicated a statistically significant improvement in subjective pain and functional impairment ratings. Cybex testing in patients using the Muncie method demonstrated a statistically significant improvement in pain-free isometric contractions and maximum voluntary contraction. There were no significant differences between traditional home therapy and physical therapy.ConclusionFindings suggest that the Muncie method results in improved clinical outcome at a lower cost than traditional home and physical therapy and possibly improved VMO/quadriceps muscle balance. Patients with anterior knee pain may benefit from applying the Muncie method in a home therapy program.

 

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