Squatting Re-education With Lumbo-Pelvic-Thigh Muscle Cocontraction Improves Functional Performance in Patellofemoral Pain Syndrome: A Case Presentation

Publication date: July 2018Source: PM&R, Volume 10, Issue 7Author(s): Nagarajan ManickarajAbstractAnterior knee pain, with or without joint crepitus during squatting, is the common clinical feature in the individuals with patellofemoral pain syndrome (PFPS). Altered lower extremity alignment and lumbo-pelvic-thigh muscles motor control is often associated with PFPS. Although current interventions recommend individual muscle activation and strength training exercises, the reported benefits of cocontraction−based exercises in PFPS is limited. This might be due to the long-standing hypothesis that exercise-induced cocontraction of thigh muscles may induce a negative effect by increasing the joint contact forces in individuals with knee osteoarthritis. This case report demonstrates that neuromuscular re-education performed with lumbo-pelvic-thigh muscle cocontraction may improve functional performance and reduce patellofemoral joint crepitus in PFPS. Further controlled trials are necessary to generalize these resultsLevel of EvidenceV

Source: PMandR - July 13, 2018 Category: Rehabilitation Source Type: research