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DOI: 10.1055/s-0038-1661339
Use of an Elastomeric Knee Brace in Patellofemoral Pain Syndrome: Short-Term Results
Publikationsverlauf
22. Oktober 2017
20. Mai 2018
Publikationsdatum:
22. Juni 2018 (online)
![](https://www.thieme-connect.de/media/10.1055-s-00033766/201802/lookinside/thumbnails/10-1055-s-0038-1661339_1700029-1.jpg)
Abstract
Purpose This article verifies the effectiveness of a new brace on patellofemoral pain syndrome (PFPS) in adjunct to a specifically developed rehabilitation program.
Methods Two groups of 30 patients with PFPS were prospectively and randomly allocated to a rehabilitation protocol, with (group A) or without (group B) the use of a specific brace. All the patients were assessed at 3, 6, and 12 months using the disease-specific Kujala scale and a visual analog scale (VAS) for pain; time to return to sport and patient satisfaction with the brace were also recorded.
Results Kujala scale's values showed constant and progressive improvement. The mean score at 6 months was 79.8 ± 6.8 points in group A and 76.8 ± 8.6 in group B, rising at 12 months to 80.9 ± 7.5 in group A and 78.4 ± 8.3 in group B. VAS scores significantly differed (p < 0.05) between the two groups at both 6 and 12 months; the score recorded at 12 months was 0.9 ± 1.3 in the brace-treated group and 1.8 ± 1.6 in the controls. The patients who used a brace showed a quicker return to sports and 75% of the patients in this group were satisfied.
Conclusion All the scores improved progressively in both groups. The most significant improvement concerned pain, showing that the brace used in this study may allow a better subjective outcome and a quicker return to sport.
Level of Evidence Level II, prospective randomized controlled trial.
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References
- 1 Davis IS, Powers CM. Patellofemoral pain syndrome: proximal, distal, and local factors, an international retreat, April 30-May 2, 2009, Fells Point, Baltimore, MD. J Orthop Sports Phys Ther 2010; 40 (03) A1-A16
- 2 Saubade M, Martin R, Becker A, Gremion G. Patellofemoral pain syndrome: understand better in order to treat better [in French]. Rev Med Suisse 2014; 10 (437) 1451-1456
- 3 Calmbach WL, Hutchens M. Evaluation of patients presenting with knee pain: part I. History, physical examination, radiographs, and laboratory tests. Am Fam Physician 2003; 68 (05) 907-912
- 4 Fagan V, Delahunt E. Patellofemoral pain syndrome: a review on the associated neuromuscular deficits and current treatment options. Br J Sports Med 2008; 42 (10) 789-795
- 5 Myer GD, Ford KR, Barber Foss KD. , et al. The incidence and potential pathomechanics of patellofemoral pain in female athletes. Clin Biomech (Bristol, Avon) 2010; 25 (07) 700-707
- 6 Boling M, Padua D, Marshall S, Guskiewicz K, Pyne S, Beutler A. Gender differences in the incidence and prevalence of patellofemoral pain syndrome. Scand J Med Sci Sports 2010; 20 (05) 725-730
- 7 Willson JD, Davis IS. Utility of the frontal plane projection angle in females with patellofemoral pain. J Orthop Sports Phys Ther 2008; 38 (10) 606-615
- 8 Robinson RL, Nee RJ. Analysis of hip strength in females seeking physical therapy treatment for unilateral patellofemoral pain syndrome. J Orthop Sports Phys Ther 2007; 37 (05) 232-238
- 9 Berruto M, Ferrua P, Carimati G, Uboldi F, Gala L. Patellofemoral instability: classification and imaging. Joints 2013; 1 (02) 7-14
- 10 Dejour H, Walch G, Nove-Josserand L, Guier C. Factors of patellar instability: an anatomic radiographic study. Knee Surg Sports Traumatol Arthrosc 1994; 2 (01) 19-26
- 11 Petersen W, Ellermann A, Gösele-Koppenburg A. , et al. Patellofemoral pain syndrome. Knee Surg Sports Traumatol Arthrosc 2014; 22 (10) 2264-2274
- 12 McCarthy MM, Strickland SM. Patellofemoral pain: an update on diagnostic and treatment options. Curr Rev Musculoskelet Med 2013; 6 (02) 188-194
- 13 Powers CM, Ward SR, Chen YJ, Chan LD, Terk MR. Effect of bracing on patellofemoral joint stress while ascending and descending stairs. Clin J Sport Med 2004; 14 (04) 206-214
- 14 Ghasemi MS, Dehghan N. The comparison of Neoprene palumbo and Genu direxa stable orthosis effects on pain and activity of daily living in patients with patellofemoral syndrome: a randomized blinded clinical trial. Electron Physician 2015; 7 (06) 1325-1329
- 15 Sinclair JK, Selfe J, Taylor PJ, Shore HF, Richards JD. Influence of a knee brace intervention on perceived pain and patellofemoral loading in recreational athletes. Clin Biomech (Bristol, Avon) 2016; 37: 7-12
- 16 Callaghan MJ, McKie S, Richardson P, Oldham JA. Effects of patellar taping on brain activity during knee joint proprioception tests using functional magnetic resonance imaging. Phys Ther 2012; 92 (06) 821-830
- 17 Crossley K, Bennell K, Green S, McConnell J. A systematic review of physical interventions for patellofemoral pain syndrome. Clin J Sport Med 2001; 11 (02) 103-110
- 18 D'hondt NE, Struijs PA, Kerkhoffs GM. , et al. Orthotic devices for treating patellofemoral pain syndrome. Cochrane Database Syst Rev 2002; 1 (02) CD002267
- 19 Draper CE, Besier TF, Santos JM. , et al. Using real-time MRI to quantify altered joint kinematics in subjects with patellofemoral pain and to evaluate the effects of a patellar brace or sleeve on joint motion. J Orthop Res 2009; 27 (05) 571-577
- 20 Hanzlíková I, Richards J, Tomsa M. , et al. The effect of proprioceptive knee bracing on knee stability during three different sport related movement tasks in healthy subjects and the implications to the management of Anterior Cruciate Ligament (ACL) injuries. Gait Posture 2016; 48: 165-170
- 21 Selfe J, Janssen J, Callaghan M. , et al. Are there three main subgroups within the patellofemoral pain population? A detailed characterisation study of 127 patients to help develop targeted intervention (TIPPs). Br J Sports Med 2016; 50 (14) 873-880
- 22 Selfe J, Richards J, Thewlis D, Kilmurray S. The biomechanics of step descent under different treatment modalities used in patellofemoral pain. Gait Posture 2008; 27 (02) 258-263
- 23 Smith TO, Drew BT, Meek TH, Clark AB. Knee orthoses for treating patellofemoral pain syndrome. Cochrane Database Syst Rev 2015; 12 (12) CD010513
- 24 Thijs Y, Vingerhoets G, Pattyn E, Rombaut L, Witvrouw E. Does bracing influence brain activity during knee movement: an fMRI study. Knee Surg Sports Traumatol Arthrosc 2010; 18 (08) 1145-1149
- 25 Kujala UM, Jaakkola LH, Koskinen SK, Taimela S, Hurme M, Nelimarkka O. Scoring of patellofemoral disorders. Arthroscopy 1993; 9 (02) 159-163
- 26 Selfe J, Thewlis D, Hill S, Whitaker J, Sutton C, Richards J. A clinical study of the biomechanics of step descent using different treatment modalities for patellofemoral pain. Gait Posture 2011; 34 (01) 92-96
- 27 Warden SJ, Hinman RS, Watson Jr MA, Avin KG, Bialocerkowski AE, Crossley KM. Patellar taping and bracing for the treatment of chronic knee pain: a systematic review and meta-analysis. Arthritis Rheum 2008; 59 (01) 73-83
- 28 Harput G, Ulusoy B, Ozer H, Baltaci G, Richards J. External supports improve knee performance in anterior cruciate ligament reconstructed individuals with higher kinesiophobia levels. Knee 2016; 23 (05) 807-812
- 29 Hinman RS, Crossley KM, McConnell J, Bennell KL. Efficacy of knee tape in the management of osteoarthritis of the knee: blinded randomised controlled trial. BMJ 2003; 327 (7407): 135