Adding muscle power exercises to a strength training program for people with patellofemoral pain: protocol of a randomized controlled trial

Abstract Background Strong evidence supports the proximal combined with quadriceps strengthening for patellofemoral pain (PFP) rehabilitation. However, most reported rehabilitation programs do not follow specific exercise prescription recommendations or do not provide adequate details for replicatio...

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Autores principales:	Gabriela Souza de Vasconcelos, Guilherme Silva Nunes, Christian John Barton, Raquel Fantinelli Munhoz, Maria Eduarda Chinotti Batista da Silva, Giulia Keppe Pisani, Bruna Calazans Luz, Fábio Viadanna Serrão
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Knee Muscle strength Exercise therapy Quality of life Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/acca731cf84749e8851ac24f2277aa0a
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spelling	oai:doaj.org-article:acca731cf84749e8851ac24f2277aa0a2021-11-08T11:02:59ZAdding muscle power exercises to a strength training program for people with patellofemoral pain: protocol of a randomized controlled trial10.1186/s13063-021-05748-x1745-6215https://doaj.org/article/acca731cf84749e8851ac24f2277aa0a2021-11-01T00:00:00Zhttps://doi.org/10.1186/s13063-021-05748-xhttps://doaj.org/toc/1745-6215Abstract Background Strong evidence supports the proximal combined with quadriceps strengthening for patellofemoral pain (PFP) rehabilitation. However, most reported rehabilitation programs do not follow specific exercise prescription recommendations or do not provide adequate details for replication in clinical practice. Furthermore, people with PFP have power deficits in hip and knee muscles and it remains unknown whether the addition of power exercises would result in superior or more consistent outcomes. Therefore, this study is designed to verify whether the benefits of a rehabilitation program addressing proximal and knee muscles comprising power and strength exercises are greater than those of a program consisting of strength exercises only. Method This study will be a randomized controlled trial that will be conducted at university facilities. A minimum of 74 people with PFP between the ages of 18 and 45 years will be included. The experimental group will engage in a 12-week resistance training program focusing on proximal and knee muscles using power and strength exercises. The control group will engage in a 12-week resistance training program focusing on proximal and knee muscles using strength exercises only. Primary outcomes will be pain intensity and physical function; and secondary outcomes will be kinesiophobia, self-reported improvement, quality of life, peak hip and knee torque, and hip and knee rate of force development. The primary outcomes will be evaluated at baseline, and after 6 weeks, 12 weeks, 3 months, 6 months, and 1 year. The secondary outcomes will be evaluated at baseline and immediately after the interventions. Therapists and participants will not be blinded to group allocation. Discussion This randomized clinical trial will investigate if adding power exercises to a progressive resistance training may lead to more consistent outcomes for PFP rehabilitation. The study will provide additional knowledge to support rehabilitation programs for people with PFP. Trial registration ClinicalTrials.gov NCT 03985254. Registered on 26 August 2019.Gabriela Souza de VasconcelosGuilherme Silva NunesChristian John BartonRaquel Fantinelli MunhozMaria Eduarda Chinotti Batista da SilvaGiulia Keppe PisaniBruna Calazans LuzFábio Viadanna SerrãoBMCarticleKneeMuscle strengthExercise therapyQuality of lifeMedicine (General)R5-920ENTrials, Vol 22, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Knee Muscle strength Exercise therapy Quality of life Medicine (General) R5-920
spellingShingle	Knee Muscle strength Exercise therapy Quality of life Medicine (General) R5-920 Gabriela Souza de Vasconcelos Guilherme Silva Nunes Christian John Barton Raquel Fantinelli Munhoz Maria Eduarda Chinotti Batista da Silva Giulia Keppe Pisani Bruna Calazans Luz Fábio Viadanna Serrão Adding muscle power exercises to a strength training program for people with patellofemoral pain: protocol of a randomized controlled trial
description	Abstract Background Strong evidence supports the proximal combined with quadriceps strengthening for patellofemoral pain (PFP) rehabilitation. However, most reported rehabilitation programs do not follow specific exercise prescription recommendations or do not provide adequate details for replication in clinical practice. Furthermore, people with PFP have power deficits in hip and knee muscles and it remains unknown whether the addition of power exercises would result in superior or more consistent outcomes. Therefore, this study is designed to verify whether the benefits of a rehabilitation program addressing proximal and knee muscles comprising power and strength exercises are greater than those of a program consisting of strength exercises only. Method This study will be a randomized controlled trial that will be conducted at university facilities. A minimum of 74 people with PFP between the ages of 18 and 45 years will be included. The experimental group will engage in a 12-week resistance training program focusing on proximal and knee muscles using power and strength exercises. The control group will engage in a 12-week resistance training program focusing on proximal and knee muscles using strength exercises only. Primary outcomes will be pain intensity and physical function; and secondary outcomes will be kinesiophobia, self-reported improvement, quality of life, peak hip and knee torque, and hip and knee rate of force development. The primary outcomes will be evaluated at baseline, and after 6 weeks, 12 weeks, 3 months, 6 months, and 1 year. The secondary outcomes will be evaluated at baseline and immediately after the interventions. Therapists and participants will not be blinded to group allocation. Discussion This randomized clinical trial will investigate if adding power exercises to a progressive resistance training may lead to more consistent outcomes for PFP rehabilitation. The study will provide additional knowledge to support rehabilitation programs for people with PFP. Trial registration ClinicalTrials.gov NCT 03985254. Registered on 26 August 2019.
format	article
author	Gabriela Souza de Vasconcelos Guilherme Silva Nunes Christian John Barton Raquel Fantinelli Munhoz Maria Eduarda Chinotti Batista da Silva Giulia Keppe Pisani Bruna Calazans Luz Fábio Viadanna Serrão
author_facet	Gabriela Souza de Vasconcelos Guilherme Silva Nunes Christian John Barton Raquel Fantinelli Munhoz Maria Eduarda Chinotti Batista da Silva Giulia Keppe Pisani Bruna Calazans Luz Fábio Viadanna Serrão
author_sort	Gabriela Souza de Vasconcelos
title	Adding muscle power exercises to a strength training program for people with patellofemoral pain: protocol of a randomized controlled trial
title_short	Adding muscle power exercises to a strength training program for people with patellofemoral pain: protocol of a randomized controlled trial
title_full	Adding muscle power exercises to a strength training program for people with patellofemoral pain: protocol of a randomized controlled trial
title_fullStr	Adding muscle power exercises to a strength training program for people with patellofemoral pain: protocol of a randomized controlled trial
title_full_unstemmed	Adding muscle power exercises to a strength training program for people with patellofemoral pain: protocol of a randomized controlled trial
title_sort	adding muscle power exercises to a strength training program for people with patellofemoral pain: protocol of a randomized controlled trial
publisher	BMC
publishDate	2021
url	https://doaj.org/article/acca731cf84749e8851ac24f2277aa0a
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Adding muscle power exercises to a strength training program for people with patellofemoral pain: protocol of a randomized controlled trial

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