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首页> 外文期刊>The journal of orthopaedic and sports physical therapy >Hip and Knee Strengthening Is More Effective Than Knee Strengthening Alone for Reducing Pain and Improving Activity in Individuals With Patellofemoral Pain: A Systematic Review With Meta-analysis
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Hip and Knee Strengthening Is More Effective Than Knee Strengthening Alone for Reducing Pain and Improving Activity in Individuals With Patellofemoral Pain: A Systematic Review With Meta-analysis

机译：髋关节和膝关节强化比膝关节加强更有效，仅用于减少髌骨疼痛的个体疼痛和改善活性：与META分析进行系统审查

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STUDY DESIGN: Systematic review with metaanalysis.BACKGROUND: The addition of hip strengthening to knee strengthening for persons with patellofemoral pain has the potential to optimize treatment effects. There is a need to systematically review and pool the current evidence in this area.OBJECTIVE: To examine the efficacy of hip strengthening, associated or not with knee strengthening, to increase strength, reduce pain, and improve activity in individuals with patellofemoral pain.METHODS: A systematic review of randomized and/or controlled trials was performed. Participants in the reviewed studies were individuals with patellofemoral pain, and the experimental intervention was hip and knee strengthening. Outcome data related to muscle strength, pain, and activity were extracted from the eligible trials and combined in a meta-analysis.RESULTS: The review included 14 trials involving 673 participants. Random-effects metaanalyses revealed that hip and knee strengthen-ing decreased pain (mean difference, -3.3; 95% confidence interval [Cl]: -5.6, -1.1) and improved activity (standardized mean difference, 1.4; 95% Cl: 0.03,2.8) compared to no training/placebo. In addition, hip and knee strengthening was superior to knee strengthening alone for decreasing pain (mean difference, -1.5; 95% Cl: -2.3, -0.8) and improving activity (standardized mean difference, 0.7; 95% Cl: 0.2,1.3). Results were maintained beyond the intervention period. Meta-analyses showed no significant changes in strength for any of the interventions.CONCLUSION: Hip and knee strengthening is effective and superior to knee strengthening alone for decreasing pain and improving activity in persons with patellofemoral pain; however, these outcomes were achieved without a concurrent change in strength.
机译：研究设计：使用MetaAnalysis进行系统审查。背景：添加臀部加强髌骨疼痛的膝关节疼痛有可能优化治疗效果。有必要系统地审查和汇集该领域的当前证据。目的性：检查髋关节强化，相关或不具有膝关节的疗效，提高强度，减少疼痛，改善具有Patelloforal疼痛的个体的活性。方法：进行对随机和/或受控试验的系统审查。审查的研究中的参与者是髌椎间疼痛的个体，实验干预是髋关节和膝关节。从符合条件的试验中提取与肌肉力量，疼痛和活性有关的结果数据，并在Meta分析中组合。结果：审查包括14项涉及673名参与者的试验。随机效应的metaanAlyses显示髋关节和膝关节增强疼痛（平均差异，-3.3; 95％置信区间[Cl]：-5.6，-1.1）和改善的活性（标准化平均差异，1.4; 95％CL：0.03 ，2.8）与没有培训/安慰剂相比。此外，髋关节和膝关节强化优于单独膝关节加强，以降低疼痛（平均差异，-1.5; 95％Cl：-2.3，-0.8）和改善活性（标准化平均差异，0.7; 95％Cl：0.2,1.3 ）。结果保持超出干预期。荟萃分析显示出任何干预的强度没有显着变化。结论：髋关节和膝关节加强是有效的，优于膝关节加强，仅用于降低髌骨疼痛的人的疼痛和改善活性;然而，在没有强度的同时变化的情况下实现了这些结果。

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