Anterior Knee Pain: A Clinical Comparison of Rehabilitation Methods

Autor: Thomas L. Sevier, Robert H. Helfst, David M. Jenkinson, Julie K. Wilson, Gale M. Gehlsen, Matthew B. Roush, Adriana L. Basey
Rok vydání: 2000
Předmět:
Zdroj: Clinical Journal of Sport Medicine. 10:22-28
ISSN: 1050-642X
DOI: 10.1097/00042752-200001000-00005
Popis: To compare different types of rehabilitation for anterior knee pain.Prospective, randomized, blinded, and controlled study of 64 participants with anterior knee pain.Outpatient rehabilitation clinic and testing laboratory.Participants were assigned in randomized fashion to three rehabilitation groups: traditional home rehabilitation (n = 20); physical therapy (n = 21); and home rehabilitation with a modified vastus medialis obliquis (VMO) specific straight leg raise (Muncie method; n = 23).Clinical data was obtained at 0, 2, 6, and 12 weeks. Cybex testing was performed at 0, 6, and 12 weeks.Clinical outcome for the Muncie method indicated a statistically significant improvement in subjective pain and functional impairment ratings. Cybex testing in patients using the Muncie method demonstrated a statistically significant improvement in pain-free isometric contractions and maximum voluntary contraction. There were no significant differences between traditional home therapy and physical therapy.Findings suggest that the Muncie method results in improved clinical outcome at a lower cost than traditional home and physical therapy and possibly improved VMO/quadriceps muscle balance. Patients with anterior knee pain may benefit from applying the Muncie method in a home therapy program.
Databáze: OpenAIRE