The Effects Of Neuromuscular Training And Strength Training On Patients With Datellofemoral Pain Syndrome

Aim: To compare the effects of a training program of neuromuscular training of the core and lower extremities,associated with strength training of the hip and knee,with another training program that only involved strengthening of these same muscles in relation to functional capacity.Method: This is a randomized controlled trial.We have recruited 30 participants with patellofemoral pain syndrome.These participants were allocated into two groups(experimental and control).The experimental group received an intervention of 6 weeks strength training to the knee extensors and hip abductor,associated with neuromuscular training of the trunk and lower extremities.The control group performed the same amount of strength training to the muscles of the hip and knee.The primary outcomes are the pain intensity,functional capacity and kinematic changes of the lower extremities.Results: After 6 weeks intervention,the experimental group shows significant relief in pain intensity(P=.00<.01),great improvement in functional capacity(P=.038<.05)and significant reduce in peak hip internal rotation(P=.00<.01)and peak knee internal rotation(P=.034<.05)during stair down,as well as the peak hip internal rotation(P=.028<.05)and peak knee internal rotation(P=.00<.01)during single-leg squat.While the experimental group shows no significant growth on strength.In contrast,the control group shows significant growth in strength of hip abductors,but none significant improvements were shown as the condition became better.Conclusion: Adding a neuromuscular training program to improve pain and dynamic balance in patients with patellofemoral pain syndrome.