Abstract
Objective. The purpose of this study was to determine the effectiveness of a 2½-week conservative rehabilitation programme in addressing anterior knee pain in adolescents. Design. Subjects were randomly allocated to a control group (N=12) and an experimental group (N=18). The experimental group was subjected to a 2½-week strength, flexibility and neuromuscular rehabilitation programme. Both groups were tested before and after the 2½ weeks and the experimental group also 1 month after the post-test. Results. The experimental group reported significant (p
Highlights
Anterior knee pain is a common condition that affects a wide age range of patients.[5]
Advantages are the short duration and the fact that patients are familiarised with a home programme which they are likely to continue with
The mean duration of anterior knee pain for the subjects selected for the study was 16 months
Summary
Anterior knee pain is a common condition that affects a wide age range of patients.[5]. 23 Over the years a number of stereotypical symptoms have been identified, namely: pain in the vicinity of the patella worsened by prolonged sitting, ascending or descending stairs, squatting and vigorous physical activity.[5,27,21] The onset of anterior knee pain is insidious, and tends to be bilateral.[21,24,17] The condition is common among adolescents and young adults, especially females.[27,24,7] The exact aetiology is unknown but a number of predisposing factors have been suggested as possible causes.[27] These include overuse, muscle imbalance, muscle tightness, trauma, overweight, genetic predisposition, valgus or varus knee, external tibial torsion, increased Q angle, abnormal mechanics of the foot and ankle, especially pronation, and generalised ligament laxity.[27,17,13] In many cases it appears that the onset of anterior knee pain coincides with the period of the adolescent growth spurt.[19] Surgical intervention is not recommended and often there is no demonstrable anatomical abnormality.[16] Conservative treatment for anterior knee pain should always be the first approach.[22] Many studies reported good results with conservative treatment.[26,13,28]
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