Volume 9, Issue 3 (8-2022)
JROS 2022, 9(3): 123-134 |
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Yalfani A, Ahadi F, Ahmadi M. Investigating the Effect of Active and Passive Proximal Interventions on Dynamic Knee Valgus in Patients With Patellofemoral Pain: A Systematic Review. JROS 2022; 9 (3) :123-134
URL: http://jros.iums.ac.ir/article-1-2215-en.html
URL: http://jros.iums.ac.ir/article-1-2215-en.html
1- Department of Sport Injuries and Corrective Exercises, Faculty of Sport Sciences, Bu-Ali Sina University, Hamadan, Iran.
Abstract: (183 Views)
Background and Objectives: Dynamic knee valgus (DKV) is one of the faulty lower limb movements that cause increased patellofemoral joint stress and patellofemoral pain (PFP) occurrence. This systematic review investigates the effect of active and passive proximal interventions on DKV in patients with PFP.
Methods: An online search was conducted in Cochrane Library, PubMed, Springer, Science Direct, and Scopus databases. The search was limited to the period of 2000 to 2022. The included articles were screened in three stages according to the eligibility criteria. The quality of articles was assessed based on the Downs and Black checklist and was then classified into three categories as follows in terms of quality: High, medium, and low.
Results: Overall, 8 articles were included in this systematic review. Four articles were related to hip strengthening exercises, 2 articles to strengthening exercises combined with movement retraining, and 2 articles to brace and strap. In strengthening exercises, 2 articles did not demonstrate a significant effect in reducing DKV. In contrast, 2 articles reported a reduction in DKV after hip strengthening exercises. Two articles of strength training combined with movement retraining reported reductions in DKV. In the passive intervention, only 1 article reported a reduction in DKV.
Conclusion: Both active and passive proximal interventions have the potential to modify DKV and can be used in the prevention and treatment of PFP protocols; however, active interventions stimulate proprioception and facilitate muscle recruitment.
Methods: An online search was conducted in Cochrane Library, PubMed, Springer, Science Direct, and Scopus databases. The search was limited to the period of 2000 to 2022. The included articles were screened in three stages according to the eligibility criteria. The quality of articles was assessed based on the Downs and Black checklist and was then classified into three categories as follows in terms of quality: High, medium, and low.
Results: Overall, 8 articles were included in this systematic review. Four articles were related to hip strengthening exercises, 2 articles to strengthening exercises combined with movement retraining, and 2 articles to brace and strap. In strengthening exercises, 2 articles did not demonstrate a significant effect in reducing DKV. In contrast, 2 articles reported a reduction in DKV after hip strengthening exercises. Two articles of strength training combined with movement retraining reported reductions in DKV. In the passive intervention, only 1 article reported a reduction in DKV.
Conclusion: Both active and passive proximal interventions have the potential to modify DKV and can be used in the prevention and treatment of PFP protocols; however, active interventions stimulate proprioception and facilitate muscle recruitment.
Type of Study: Review Paper |
Subject:
Knee surgery
Received: 2022/03/13 | Accepted: 2022/07/2 | Published: 2022/08/1
Received: 2022/03/13 | Accepted: 2022/07/2 | Published: 2022/08/1
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