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Braz. j. phys. ther. (Impr.) ; 19(3): 167-176, May-Jun/2015. tab
Artigo em Inglês | LILACS | ID: lil-751381

RESUMO

Introduction: Patellofemoral pain syndrome (PFPS) is characterized by anterior knee pain, which may limit the performance of functional activities. The influence of hip joint motion on the development of this syndrome has already been documented in the literature. In this regard, studies have investigated the effectiveness of hip muscle strengthening in patients with PFPS. Objectives: The aims of this systematic review were (1) to summarize the literature related to the effects of hip muscle strengthening on pain intensity, muscle strength, and function in individuals with PFPS and (2) to evaluate the methodological quality of the selected studies. Method: A search for randomized controlled clinical trials was conducted using the following databases: Google Scholar, MEDLINE, PEDro, LILACS, and SciELO. The selected studies had to distinguish the effects of hip muscle strengthening in a group of patients with PFPS, as compared to non-intervention or other kinds of intervention, and had to investigate the following outcomes: pain, muscle strength, and function. The methodological quality of the selected studies was analyzed by means of the PEDro scale. Results: Seven studies were selected. These studies demonstrated that hip muscle strengthening was effective in reducing pain. However, the studies disagreed regarding the treatments' ability to improve muscle strength. Improvement in functional capabilities after hip muscle strengthening was found in five studies. Conclusion: Hip muscle strengthening is effective in reducing the intensity of pain and improving functional capabilities in patients with PFPS, despite the lack of evidence for its ability to increase muscle strength. .


Assuntos
Animais , Feminino , Ratos , Vias Aferentes/fisiologia , Músculo Esquelético/fisiologia , Plasticidade Neuronal/fisiologia , Nociceptividade/fisiologia , Reflexo/fisiologia , Pele/inervação , Analgésicos não Narcóticos/farmacologia , Bupivacaína/farmacologia , Dexmedetomidina/farmacologia , Potenciais Somatossensoriais Evocados/efeitos dos fármacos , Potenciais Somatossensoriais Evocados/fisiologia , Músculo Esquelético/efeitos dos fármacos , Condução Nervosa/efeitos dos fármacos , Plasticidade Neuronal/efeitos dos fármacos , Nociceptividade/efeitos dos fármacos , Estimulação Física/efeitos adversos , Ratos Sprague-Dawley , Receptores de Fator de Crescimento Neural/metabolismo , Reflexo/efeitos dos fármacos , Somatostatina/metabolismo , Medula Espinal/efeitos dos fármacos , Medula Espinal/metabolismo , Ubiquitina Tiolesterase/metabolismo
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