Effect of Strengthening versus Neuromuscular Training on Pain and Functionality in Individuals with Patellofemoral Pain Syndrome

Strength vs. Neuromuscular Training in PFPS Patients

Authors

  • Mazhar Ali Bhutto Nazir Hussain University, Karachi
  • Amman Ullah Nazir Riphah International University, Islamabad
  • Ravi Kumar Katta Lincoln University College
  • Mahnoor Rani Physio Care Center
  • Dr. Muhammad Talha Suleman Roshan Medical College
  • Naseebullah Sheikh Shaheed Mohtarma Benazir Bhutto Medical University, Larkana

Keywords:

Exercise, Patellofemoral Pain Syndrome, Physical Function, Quality of Life

Abstract

Background: Patellofemoral pain syndrome (PFPS) is a disorder that commonly affects young adults and athletes and causes disability in physical function and quality of life. Therefore, effective management strategies, including but not limited to exercise interventions, are necessary to relieve symptoms and improve outcomes.

Methods: A total of 45 PFPS patients were randomly assigned to either a group receiving strengthening exercises (EG 1) and neuromuscular training (EG 2) combined with conventional Physical Therapy, or a control group (CG) that only received conventional Physical Therapy. The interventions were conducted 3 times/week for 4 weeks. Kujala AKPS and KOOS scores were measured before and after the intervention period.

Results: The AKPS and KOOS scores improved significantly in all the groups after the interventions (p<0.001). The greatest improvement was observed in the EG 1 group, followed by the EG 2 group, and the least improvement was observed in the CG. However, a significant time, group, and interaction effect was demonstrated regarding AKPS (p<0.05) and KOOS (p<0.05) through repeated measures of ANOVA.

Conclusion: The findings of the study indicate that strengthening exercises are more effective than neuromuscular training and conventional therapy for treating PFPS. This study provides consistent evidence to support the use of targeted exercise interventions to improve clinical outcomes and quality of life for individuals with PFPS.

DOI: https://doi.org/10.59564/amrj/02.02/016

Author Biographies

Mazhar Ali Bhutto, Nazir Hussain University, Karachi

Associate Professor, Department of Rehabilitation and Health Sciences

Amman Ullah Nazir, Riphah International University, Islamabad

Senior Lecturer, Faculty of Rehabilitation and Allied Health Sciences

Ravi Kumar Katta, Lincoln University College

PhD Scholar in Physiotherapy

Mahnoor Rani, Physio Care Center

Physiotherapist

Dr. Muhammad Talha, Suleman Roshan Medical College

Lecturer

Naseebullah Sheikh, Shaheed Mohtarma Benazir Bhutto Medical University, Larkana

Lecturer, Institute of Physiotherapy and Rehabilitation Sciences

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Published

06/30/2024