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Effects of Exercise Therapy Plus Quadriceps, Gluteus Medius and Quadratus Lumborum Muscles Self-myofascial Release on Pain, Function, and Balance in Patients with Patellofemoral Pain Syndrome through Telerehabilitation: A Study Protocol for a Randomized Clinical Trial

Document Type : Original Articles

Authors

1 Physical Therapy Department, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran

2 Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran

3 Rehabilitation Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

Abstract

Background: Patellofemoral pain syndrome (PFPS) is one of the most common knee pathologies that is highly prevalent in adolescents and adults. Patients who suffer from this syndrome usually experience weakness in the hip and knee muscles, as well as myofascial trigger points in the lumbopelvic- hip region, which can negatively impact their lower limb biomechanics. The purpose of this study is to evaluate the effectiveness of exercise therapy combined with self-myofascial release (SMFR) techniques for quadriceps, gluteus medius, and quadratus lumborum muscles on pain, function, and balance in these patients through telerehabilitation.
Methods: The study will be a prospective, single-blinded, randomized controlled clinical trial, involving 60 patients who will be randomly allocated to either an experimental group that will receive four weeks of exercise therapy with SMFR techniques through telerehabilitation or a control group that will receive four weeks of exercise therapy only in the same manner.  The outcome measures will include pain, pressure pain threshold, function, and balance. Data will be collected at baseline, at the end of treatment and two weeks after treatment.
Results: Ultimately, the results of this study will provide evidence regarding the efficacy of exercise therapy combined with SMFR techniques for quadriceps, gluteus medius, and quadratus lumborum muscles on pain, function, and balance in patients with PFPS through telerehabilitation.

Keywords

References
  1. Bump JM, Lewis L. Patellofemoral Syndrome. StatPearls. Treasure Island (FL): StatPearls Publishing Copyright © 2022, StatPearls Publishing LLC.; 2022.
  2. Gaitonde DY, Ericksen A, Robbins RC. Patellofemoral Pain Syndrome. Am Fam Physician. 2019;99(2):88-94.
  3. Smith BE, Selfe J, Thacker D, Hendrick P, Bateman M, Moffatt F, et al. Incidence and prevalence of patellofemoral pain: a systematic review and meta-analysis. PloS one. 2018;13(1):e0190892.
  4. Boling M, Padua D, Marshall S, Guskiewicz K, Pyne S, Beutler A. Gender differences in the incidence and prevalence of patellofemoral pain syndrome. Scandinavian journal of medicine & science in sports. 2010;20(5):725-30.
  5. Davis IS, Powers CM. Patellofemoral pain syndrome: proximal, distal, and local factors, an international retreat, April 30-May 2, 2009, Fells Point, Baltimore, MD. J Orthop Sports Phys Ther. 2010;40(3):A1-16.
  6. Kannus P, Niittymäki S. Which factors predict outcome in the nonoperative treatment of patellofemoral pain syndrome? A prospective follow-up study. Med Sci Sports Exerc. 1994;26(3):289-96.
  7. Petersen W, Ellermann A, Gösele-Koppenburg A, Best R, Rembitzki IV, Brüggemann GP, et al. Patellofemoral pain syndrome. Knee Surg Sports Traumatol Arthrosc. 2014;22(10):2264-74.
  8. Xie P, István B, Liang M. The Relationship between Patellofemoral Pain Syndrome and Hip Biomechanics: A Systematic Review with Meta-Analysis. Healthcare (Basel). 2022;11(1).
  9. Baker V, Bennell K, Stillman B, Cowan S, Crossley K. Abnormal knee joint position sense in individuals with patellofemoral pain syndrome. J Orthop Res. 2002;20(2):208-14.
  10. Motealleh A, Barzegar A, Abbasi L. The immediate effect of lumbopelvic manipulation on knee pain, knee position sense, and balance in patients with patellofemoral pain: A randomized controlled trial. J Bodyw Mov Ther. 2020;24(3):71-7.
  11. Kashyap R, Iqbal A, Alghadir AH. Controlled intervention to compare the efficacies of manual pressure release and the muscle energy technique for treating mechanical neck pain due to upper trapezius trigger points. Journal of pain research. 2018;11:3151.
  12. Travell JG, Simons DG. Myofascial pain and dysfunction: the trigger point manual: Lippincott Williams & Wilkins; 1992.
  13. Roach S, Sorenson E, Headley B, San Juan JG. Prevalence of myofascial trigger points in the hip in patellofemoral pain. Arch Phys Med Rehabil. 2013;94(3):522-6.
  14. Powers CM. The influence of altered lower-extremity kinematics on patellofemoral joint dysfunction: a theoretical perspective. Journal of Orthopaedic & Sports Physical Therapy. 2003;33(11):639-46.
  15. Babyar SR. Gait Analysis: Normal and Pathological Function. Perry J, Thorofare, NJ, Slack Inc, 1992, hardback, 524 pp, ill us, $55. Journal of Physical Therapy Education. 1994;8(1):47-8.
  16. Neumann DA. Kinesiology of the Musculoskeletal System: Foundations for Rehabilitation. 1st ed: Mosby; 2002.
  17. Samani M, Ghaffarinejad F, Abolahrari-Shirazi S, Khodadadi T, Roshan F. Prevalence and sensitivity of trigger points in lumbo-pelvic-hip muscles in patients with patellofemoral pain syndrome. Journal of Bodywork and Movement Therapies. 2020;24(1):126-30.
  18. Rahou-El-Bachiri Y, Navarro-Santana MJ, Gómez-Chiguano GF, Cleland JA, López-de-Uralde-Villanueva I, Fernández-de-Las-Peñas C, et al. Effects of Trigger Point Dry Needling for the Management of Knee Pain Syndromes: A Systematic Review and Meta-Analysis. J Clin Med. 2020;9(7).
  19. van der Heijden RA, Lankhorst NE, van Linschoten R, Bierma-Zeinstra SM, van Middelkoop M. Exercise for treating patellofemoral pain syndrome. Cochrane Database Syst Rev. 2015;1:Cd010387.
  20. Willy RW, Hoglund LT, Barton CJ, Bolgla LA, Scalzitti DA, Logerstedt DS, et al. Patellofemoral Pain. J Orthop Sports Phys Ther. 2019;49(9):Cpg1-cpg95.
  21. Beardsley C, Škarabot J. Effects of self-myofascial release: A systematic review. J Bodyw Mov Ther. 2015;19(4):747-58.
  22. Shariat A, Anastasio AT, Soheili S, Rostad M. Home-based fundamental approach to alleviate low back pain using myofascial release, stretching, and spinal musculature strengthening during the COVID-19 pandemic. Work. 2020;67(1):11-9.
  23. Brennan D, Tindall L, Theodoros D, Brown J, Campbell M, Christiana D, et al. A blueprint for telerehabilitation guidelines. International journal of telerehabilitation. 2010;2(2):31.
  24. Seron P, Oliveros MJ, Gutierrez-Arias R, Fuentes-Aspe R, Torres-Castro RC, Merino-Osorio C, et al. Effectiveness of Telerehabilitation in Physical Therapy: A Rapid Overview. Phys Ther. 2021;101(6).
  25. McCue M, Fairman A, Pramuka M. Enhancing quality of life through telerehabilitation. Physical Medicine and Rehabilitation Clinics. 2010;21(1):195-205.
  26. Howard IM, Kaufman MS. Telehealth applications for outpatients with neuromuscular or musculoskeletal disorders. Muscle & nerve. 2018;58(4):475-85.
  27. Lee JH, Shin KH, Lee GB, Son S, Jang KM. Comparison of Functional Outcomes between Supervised Rehabilitation and Telerehabilitation in Female Patients with Patellofemoral Pain Syndrome during the COVID-19 Pandemic. Int J Environ Res Public Health. 2023;20(3).
  28. Zarei H, Bervis S, Piroozi S, Motealleh A. Added Value of Gluteus Medius and Quadratus Lumborum Dry Needling in Improving Knee Pain and Function in Female Athletes With Patellofemoral Pain Syndrome: A Randomized Clinical Trial. Arch Phys Med Rehabil. 2020;101(2):265-74.
  29. Vicente-Mampel J, Bautista I, López-Soler J, Torregrosa-Valls J, Gargallo P, Baraja-Vegas L. Acute effects of self-myofascial release compared to dry needling on myofascial pain syndrome related outcomes: range of motion, muscle soreness and performance. A randomized controlled trial. 2021.
  30. Beardsley C, Škarabot J. Effects of self-myofascial release: a systematic review. Journal of bodywork and movement therapies. 2015;19(4):747-58.
  31. Albornoz-Cabello M, Barrios-Quinta CJ, Barrios-Quinta AM, Escobio-Prieto I, Cardero-Durán MLA, Espejo-Antunez L. Effectiveness of Tele-Prescription of Therapeutic Physical Exercise in Patellofemoral Pain Syndrome during the COVID-19 Pandemic. Int J Environ Res Public Health. 2021;18(3).
  32. DeLaune V. Pain Relief with Trigger Point Self-Help: North Atlantic Books; 2011.
  33. Gottschalk F, Kourosh S, Leveau B. The functional anatomy of tensor fasciae latae and gluteus medius and minimus. J Anat. 1989;166:179-89.
  34. Lee M, Kim M, Oh S, Choi YJ, Lee D, Lee SH, et al. A self-determination theory-based self-myofascial release program in older adults with myofascial trigger points in the neck and back: A pilot study. Physiother Theory Pract. 2017;33(9):681-94.
  35. Hjermstad MJ, Fayers PM, Haugen DF, Caraceni A, Hanks GW, Loge JH, et al. Studies comparing Numerical Rating Scales, Verbal Rating Scales, and Visual Analogue Scales for assessment of pain intensity in adults: a systematic literature review. J Pain Symptom Manage. 2011;41(6):1073-93.
  36. Lavelle ED, Lavelle W, Smith HS. Myofascial trigger points. Anesthesiol Clin. 2007;25(4):841-51, vii-iii.
  37. Aparicio VA, Ortega FB, Carbonell-Baeza A, Cuevas AM, Delgado-Fernández M, Jonatan R. Anxiety, depression and fibromyalgia pain and severity. Psicología Conductual. 2013;21(2):381.
  38. Negahban H, Pouretezad M, Yazdi MJ, Sohani SM, Mazaheri M, Salavati M, et al. Persian translation and validation of the Kujala Patellofemoral Scale in patients with patellofemoral pain syndrome. Disabil Rehabil. 2012;34(26):2259-63.
  39. Negahban H, Hessam M, Tabatabaei S, Salehi R, Sohani SM, Mehravar M. Reliability and validity of the Persian lower extremity functional scale (LEFS) in a heterogeneous sample of outpatients with lower limb musculoskeletal disorders. Disabil Rehabil. 2014;36(1):10-5.
  40. van Lieshout R, Reijneveld EA, van den Berg SM, Haerkens GM, Koenders NH, de Leeuw AJ, et al. Reproducibility of the modified star excursion balance test composite and specific reach direction scores. International journal of sports physical therapy. 2016;11(3):356.

 

Journal of Rehabilitation Sciences & Research
Volume 10, Issue 2
June 2023
Pages 93-99
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