PMID- 32034562
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200928
IS  - 2197-1153 (Print)
IS  - 2197-1153 (Electronic)
IS  - 2197-1153 (Linking)
VI  - 7
IP  - 1
DP  - 2020 Feb 7
TI  - A simple rehabilitation regime improves functional outcome in patients with 
      patellafemoral pain after 12 month.
PG  - 5
LID - 10.1186/s40634-020-00223-z [doi]
LID - 5
AB  - PURPOSE: The purpose of the present study was to investigate the effects of a 
      3-month multimodal intervention including patient education, a simple hip 
      exercise program, footwear adjustment, and foot orthoses to reduce symptoms in 
      patients with patellafemoral pain (PFP). METHODS: Patients were diagnosed based 
      on a physical examination, patient symptoms and ruled out intra-articular knee 
      pathologies by MRI. Patients were educated on PFP and participated in a 3-month 
      exercise program; shoes with solid heel-caps were recommended, and custom made 
      orthoses with arch support were recommended to patients with foot pronation. The 
      Anterior Knee Pain Scale (AKPS) and the pain numeric rating scale (NRS) were used 
      to evaluate the outcomes of the intervention and collected at baseline, 3 and 
      12-months follow-ups. RESULTS: Sixty-five patients (age 18 years (9-32)) were 
      included in a consecutive prospective cohort. The AKPS score improved from 
      71 +/- 24 to 89 +/- 9 (p < 0.01) at 12 months follow up. The NRS-rest and 
      NRS-activity improved from 3 to 0 (p < 0.01) and 7 to 3 (p < 0.01) respectively. 
      78% of the patients clinically improved (i.e., demonstrated a > 10-point 
      improvement (minimal clinically important difference (MCID))) considering the 
      AKPS; and 76% and 73% clinically improved (i.e., demonstrated (MCID) a >/= 2-point 
      improvement) in their NRS-rest and NRS-activity, respectively. No patients 
      experienced a decrease in their AKPS score or an increase in their NRS-rest and 
      NRS-activity scores at 12-months. CONCLUSION: A 3-month PFP multimodal treatment 
      strategy focusing on patient education, footwear adjustment, orthoses, and simple 
      hip muscle exercises significantly improved functional outcomes and reduced pain 
      at a 12 month follow-up.
FAU - Nielsen, Torsten Gronbech
AU  - Nielsen TG
AUID- ORCID: 0000-0001-5354-1781
AD  - Orthopedic Department, Aarhus University Hospital, Palle Juul-Jensens Boulevard 
      99, 8200, Aarhus N, Denmark. torsne@rm.dk.
FAU - Miller, Lene Lindberg
AU  - Miller LL
AD  - Orthopedic Department, Aarhus University Hospital, Palle Juul-Jensens Boulevard 
      99, 8200, Aarhus N, Denmark.
FAU - Mygind-Klavsen, Bjarne
AU  - Mygind-Klavsen B
AD  - Orthopedic Department, Aarhus University Hospital, Palle Juul-Jensens Boulevard 
      99, 8200, Aarhus N, Denmark.
FAU - Lind, Martin
AU  - Lind M
AD  - Orthopedic Department, Aarhus University Hospital, Palle Juul-Jensens Boulevard 
      99, 8200, Aarhus N, Denmark.
LA  - eng
PT  - Journal Article
DEP - 20200207
PL  - United States
TA  - J Exp Orthop
JT  - Journal of experimental orthopaedics
JID - 101653750
PMC - PMC7007455
OTO - NOTNLM
OT  - Hip exercises
OT  - Knee pain
OT  - Patellofemoral pain
OT  - Patient education
COIS- The authors declare that they have no competing interests.
EDAT- 2020/02/09 06:00
MHDA- 2020/02/09 06:01
PMCR- 2020/02/07
CRDT- 2020/02/09 06:00
PHST- 2019/12/16 00:00 [received]
PHST- 2020/02/03 00:00 [accepted]
PHST- 2020/02/09 06:00 [entrez]
PHST- 2020/02/09 06:00 [pubmed]
PHST- 2020/02/09 06:01 [medline]
PHST- 2020/02/07 00:00 [pmc-release]
AID - 10.1186/s40634-020-00223-z [pii]
AID - 223 [pii]
AID - 10.1186/s40634-020-00223-z [doi]
PST - epublish
SO  - J Exp Orthop. 2020 Feb 7;7(1):5. doi: 10.1186/s40634-020-00223-z.