Effect of Open & Closed Kinetic Chain exercises vs Closed Kinetic Chain exercises with hip strengthening exercises in Patellofemoral pain Syndrome – A Comparative Study
Authors/Creators
Contributors
Researcher:
- 1. Department of Physiotherapy, People's College of Paramedical Sciences & Research Centre, People's University, Bhopal, India.
Description
ABSTRACT:
Background-Patellofemoral pain syndrome is one of the most common musculoskeletal overuse injuries of
limb. The syndrome can affect 25% of population. Women are affected twice more often than men.
Biomechanical factors include weaken medial bend with medial turning of femur, exaggerated Q-angle, pes
planus and pes cavus with exaggerated inner arch. Muscle factors include quadriceps weakness, tightness of
iliotibial band, hamstrings, adductors, external oblique and calf muscles. Treatment is given in form of open
Kinetic chain exercises and closed Kinetic chain exercises versus closed Kinetic chain exercises with hip
strengthening. This study was designed to compare the efficacy of these exercises on this syndrome.
Materials & Methods- Total 30 patients suffering from the syndrome aged 35 to 60 years were allocated in
two groups A and B using purposive random sampling. Group A received open Kinetic chain exercises and
closed Kinetic chain exercises. Group B received closed Kinetic chain exercises with hip strengthening. Both
groups participated for 4 weeks. Before and after the period outcome measures were assessed using VAS,
NPRS and KUJALA questionnaire respectively. Data was analyzed using paired t-test, unpaired t-test, mean
difference and standard deviation.
Results - The study indicated that close Kinetic chain exercises along with hip strengthening exercises
(Group B) for 4 weeks brought significant changes in relieving pain along with improving functional
activities. Likewise, it was revealed that there was a significant pain relief as well as function improvement in
Group A. Comparing two groups illustrated that benefits of closed Kinetic chain with hip strengthening
outweighed open Kinetic chain and closed Kinetic chain exercises.
Conclusion- Overall, both treatments were efficient in relieving pain as well as improving function.
However close Kinetic chain with hip strengthening exercises were more effective.
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Additional details
Dates
- Accepted
-
2023-12-26
References
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