hip and core versus knee blackboard

Does hip and core strengthening improve knee-focused rehabilitation outcomes?

Strengthening of the hip and core versus knee muscles for the treatment of patellofemoral pain: a multicenter randomized controlled trial J Athl Train. 2015 Apr;50(4):366-77. doi: 10.4085/1062-6050-49.3.70. Epub 2014 Nov 3. Authors Reed Ferber 1 ...

Does hip and core strengthening improve patellofemoral pain after jumping?

To our knowledge, this was the first randomized controlled clinical trial to directly compare rehabilitation protocols focused on the hip and core versus the knee for patients with patellofemoral pain. Over 6 weeks, both the hip and core and the knee rehabilitation protocols produced improvements in patellofemoral pain, function, and strength.

What is the difference between the hip and the knee?

Apr 01, 2015 · To compare PFP pain, function, hip- and knee-muscle strength, and core endurance between KNEE and HIP protocols after 6 weeks of rehabilitation. We hypothesized greater improvements in (1) pain and function, (2) hip strength and core endurance for patients with PFP involved in the HIP protocol, and (3) knee strength for patients involved in the ...

Which strengthening protocols work best for hip pain?

Mar 21, 2017 · Strengthening of hip and core muscle vs. knee muscles for treatment of patellofemoral pain. Posted on 21st March 2017 by Cormac Gallen. Evidence Reviews. This blog is a critical appraisal of a multi-centre randomized controlled trial asking what’s more effective in the treatment of patellofemoral ...

What is the purpose of a single-blind, multicenter RCT study?

The primary purpose of this single-blind, multicenter RCT study was to compare self-reported pain and function outcome measures for patients with PFP who were randomized into either a hip and core- or quadriceps-focused rehabilitation protocol. We hypothesized greater improvements in pain and function for patients involved in the HIP protocol than for those involved in the KNEE protocol. However, in contrast to the hypothesis, patients with PFP involved in both rehabilitation protocols reported similar improvements in pain and function. Those results were in contrast to recent RCT studies 18, 22 that showed the addition of hip strengthening to a knee-focused rehabilitation program resulted in better outcomes than the knee program alone. However, those authors investigated combined hip and knee rehabilitation programs, so comparisons with our study are difficult.

What is the VAS for PFP?

The VAS is a self-reporting tool used to assess the level of pain patients with PFP experience . 25 Patients are asked to draw a mark along a 10-cm line that indicates the amount of pain they are experiencing relative to a score of 0, indicating no pain, and a score of 10, indicating the most pain (worst). On the VAS, we chose to measure “worst” pain because Crossley et al 25 suggested that it was more reliable than measuring “usual” pain. The AKPS is also a self-reporting tool used to assess the functional activity level of patients with PFP. 25 It is a self-administered questionnaire with 13 weighted questions regarding knee function. A score of 100 indicates no disability, and an increase in the score indicates improved function. Both the VAS measuring usual pain and the AKPS have been reported to be valid and reliable outcome measures. 25 These outcomes data were collected at baseline, during each week of rehabilitation, and after the 6-week protocol.

What is PFP in running?

Patellofemoral pain (PFP) is the most common injury in running and jumping athletes. Randomized controlled trials suggest that incorporating hip and core strengthening (HIP) with knee-focused rehabilitation (KNEE) improves PFP outcomes. However, no randomized controlled trials have, to our knowledge, directly compared HIP and KNEE programs.

How often do PFP patients visit the AT?

For rehabilitation progression, each patient with PFP visited the AT up to 3 times/wk during the 6-week period. The AT was responsible for administering the rehabilitation protocol at each center, and he or she demonstrated all the exercises, explained the home-exercise booklet provided to each patient, and made clinic-based decisions about the weekly progression of exercises. Progression of exercises, increases or decreases in sets and repetitions or duration of exercises, and changes in TheraBand (Hygenic Corp, Akron, OH) resistance were at the discretion of the AT, based on patient feedback, PFP, swelling, and symptoms during rehabilitation progression. The AT asked all patients with PFP to perform their prescribed exercises a minimum of 6 d/wk (including the visits with the AT) for 6 weeks. Compliance was monitored and recorded within the home-exercise rehabilitation booklet.

What is PFP pain?

Patellofemoral pain (PFP) can be characterised by an aching type of pain and often stiffness of the peripatellar area (i.e. pain in the front of the knee; Ferber et al, 2015). PFP is an idiopathic condition meaning its onset is insidious; coming on in a gradual manner. PFP has also been called “runner’s knee” because it is common in athletes and people whose chosen form of exercise is running. However PFP has also been known to be exacerbated by other physical activity such as jumping or even everyday activities such climbing stairs, having a considerable adverse effect on the individual’s quality of life.

What is the CASP RCT tool?

The CASP RCT tool will be used to guide the critical appraisal of this study. This study had a clear focus in terms of the population studied, intervention given and outcomes measured.

What are the benefits of joint replacement surgery?

The benefits of the surgery, mean the potential for relieving pain and improving function, have to be greater than the likely risks that exist when you undergo any procedure, and in particular, with joint replacement.

Is it rare to get anesthesia for joint replacement?

They are exceedingly rare. In fact, the risk of those types of bad things happening with anesthesia or joint replacement is no more and perhaps even less than the risk of them getting in a car accident on the way to the joint replacement center.

Can knee replacement surgery cause bruises?

They tend to get fairly bruised after the surgery. And then most importantly, not just around the time of the surgery, but also for the life of the knee replacement, some patients will describe a more mechanical feel of the knee. They might notice some clicks.

Is joint replacement surgery dangerous?

Besides that, there are other inherent risks of joint replacement surgery. There's a slightly increased risk for blood clots.

Does knee replacement hurt after surgery?

Now, let's look at some unique aspects of knee surgery. Dr. Pelt: So with knee replacement surgery, it is a part of your body that has the effect of gravity. It's downhill from our heart. So knees tend to swell perhaps a little bit more. They tend to get fairly bruised after the surgery.

Is the hip a different joint than the knee?

The hip does perform differently than the knee. It's a different type of joint, it's a ball and socket as opposed to a hinge type of a joint like a knee. So there's different types of soft tissues around it, it's a deeper joint, there's more muscles.

Is joint replacement pain free?

But it may not be completely pain-free. They may still have a little ache or swelling occasionally. They may notice the weather change.