Pınar BALCI, VOLGA BAYRAKCI TUNAY, Gül BALTACI, Ahmet Özgür ATAY

Patellofemoral ağrı sendromunda farklı kapalı kinetik zincir egzersizlerinin kuvvet ve propriyosepsiyon üzerine etkileri

Amaç: Patellofemoral ağrı sendromu (PFAS) olan hastalarda iki farklı kapalı kinetik zincir egzersiz programının etkileri karşılaştırıldı. Çalışma planı: Tek taraflı PFAS tanısı olan 40 kadın hastanın rastgele seçimle 20’sine (ort. yaş 39.1±8.0) kalçadan iç rotasyon, 20’sine ise (ort. yaş 36.1±8.7) kalçadan dış rotasyon pozisyonunda Monitörize Fonksiyonel Diz Bükme Sistemi ile dört hafta süreyle (20 seans) egzersiz uygulandı. Tedavi öncesinde, dört haftalık tedavi sonrasında ve altı haftalık ev egzersiz programı sonrasında, iki grupta da Monitörize Fonksiyonel Diz Bükme Sistemi ile kas kuvveti ve propriyosepsiyon değerlendirmeleri, görsel analog skala ile ağrı ölçümleri yapıldı ve fonksiyonel durum Kujala anketi ile değerlendirildi. Sonuçlar: Başlangıç özellikleri bakımından iki grup, sadece boy uzunluk ortalamaları açısından anlamlı farklılık gösterdi (p0.05). Çıkarımlar: Bulgularımız, PFAS’li hastalarda kalçadan iç ve dış rotasyon pozisyonlarında uygulanan fonksiyonel diz bükme egzersizleriyle kas kuvveti ve propriyosepsiyonda sağlanan iyileşmelerin benzer olduğunu göstermektedir.

Anahtar Kelimeler:

Hastalık ciddiyet indeksi, Diz eklemi, Patella, Kas gücü, Propriyosepsiyon, Egzersiz tedavisi, Ağrı, Patellofemoral ağrı sendromu

The effects of two different closed kinetic chain exercises on muscle strength and proprioception in patients with patellofemoral pain syndrome

Objectives: The effects of two different closed kinetic chain exercises were compared in patients with patellofemoral pain syndrome (PFPS). Methods: Forty female patients with unilateral PFPS were randomly divided into two groups to receive exercises with the hip internally rotated (n=20, mean age 39.1±8.0 years) or externally rotated (n=20, mean age 36.1±8.7 years) with the use of the Monitored Rehab Functional Squat (MRFS) System. The duration of exercises was four weeks with a total of 20 sessions. Both groups were evaluated before therapy, after four weeks of exercises, and after six weeks of home exercise program with the MRFS System for muscle strength and proprioception, with a visual analog scale for pain, and with the Kujala questionnaire for functional assessment. Results: Among baseline features, the only significant difference between the two groups was in the mean height (p<0.05). Pain severity decreased significantly in both groups after treatment and home exercises (p<0.05). Concentric and eccentric peak forces, concentric proprioceptive deficit, and Kujala scores improved significantly in both groups after treatment (p<0.05), whereas improvements after home exercises were not significant in this respect (p>0.05). Eccentric proprioceptive deficit, however, did not change significantly both after treatment and home exercises (p>0.05). No significant differences were observed between the two groups during the study period with respect to the parameters assessed (p>0.05). Conclusion: Our results show that functional knee squat exercises with internally and externally rotated hip positions provide similar improvements in muscle strength and proprioception in patients with PFPS.

Keywords:

Severity of Illness Index, Knee Joint, Patella, Muscle Strength, Proprioception, Exercise Therapy, Pain, Patellofemoral Pain Syndrome,

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