نوع مقاله : مقاله پژوهشی
نویسندگان
1 کارشناس ارشد حرکات اصلاحی و آسیبشناسی ورزشی، گروه بیومکانیک و آسیب شناسی ورزشی، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه خوارزمی، تهران، ایران
2 استادیار، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه خوارزمی، تهران، ایران
چکیده
کلیدواژهها
موضوعات
عنوان مقاله [English]
نویسندگان [English]
Background and Aim: Patellofemoral pain syndrome, described as the black hole of orthopedics, is one of the most common musculoskeletal complaints in athlete and non-athlete populations. Altered kinematic, including dynamic lower extremity valgus, helps with the patellofemoral pain. Using a visual feedback device can help in correction of dynamics knee alignment. The purpose of the present study was to compare the effects of mirror, raw video, and real-time visual feedbacks on dynamic lower limb alignment and pain in individuals with patellofemoral pain syndrome.
Materials and Methods: In the current study, 52 women with a mean age of 42±4.16 yrs with patellofemoral pain syndrome participated. The lower extremity dynamics and pain were measured using single leg squat and the Dartfish Pro Suite 7 software, and visual analog scale before and after correction of the dynamic lower limb alignment with three types of feedback: mirror, raw video, and real-time visual feedback.
Results: The results revealed that all three types of feedback mirror, raw video, and real-time visual biofeedback have a significant effect on lower extremity alignment, but the results for pain were not observed to be significant.
Conclusion: According to the results, all the three types of mirror feedback, raw film and visual feedback influenced the dynamic lower limb alignment in individuals with patellofemoral pain syndrome, but there was no significant difference between the effects of immediate feedbacks.
کلیدواژهها [English]
10. Salsich GB, Graci V, Maxam DE. The effects of movement pattern modification on lower extremity kinematics and pain in women with patellofemoral pain. journal of orthopaedic & sports physical therapy, 2012; 42(12): 1017-1024. ##
11. Ford KR, Nguyen AD, Dischiavi SL, Hegedus EJ, Zuk FF, Taylor JB. An evidence-based review of hip-focused neuromuscular exercise interventions to address dynamic lower extremity valgus. Open access journal of sports medicine, 2015; 6, 291. ##
12. Barton CJ, Lack S, Malliaras P, Morrissey D. Gluteal muscle activity and patellofemoral pain syndrome: a systematic review. Br J Sports Med. 2013; 47:207-214. ##
13. Powers CM. The influence of abnormal hip mechanics on knee injury: a biomechanical perspective. journal of orthopaedic & sports physical therapy, 2010; 40(2): 42-51. ##
14. McClelland J, Zeni JJ, Haley RM, Snyder-Mackler L. Functional and biomechanical outcomes after using biofeedback for retraining symmetrical movement patterns after total knee arthroplasty: a case report. Journal of orthopedic & sports physical therapy, 2012; 42(2): 135-144. ##
15. Graci V, Salsich GB. Trunk and lower extremity segment kinematics and their relationship to pain following movement instruction during a single-leg squat in females with dynamic knee valgus and patellofemoral pain. Journal of science and medicine in sport, 2015; 18(3): 343-347. ##
16. Madhavan S, Shields RK. Movement accuracy changes muscle-activation strategies in female subjects during a novel single-leg weight-bearing task. Phys med rehab, 2009; 1(4): 319-328. ##
17. Hwangbo PN. The effects of squatting with visual feedback on the muscle activation of the vastus medialis oblique and the vastus lateralis in young adults with an increased quadriceps angle. Journal of physical therapy science, 2015; 27(5): 1507-1510. ##
18. Scholtes SA, Salsich GB. A dynamic valgus index that combines hip and knee angles: assessment of utility in females with patellofemoral pain. International journal of sports physical therapy, 2017; 12(3): 333. ##
19. Souza RB, Draper CE, Fredericson M, Powers CM. Femur rotation and patellofemoral joint kinematics: a weight-bearing magnetic resonance imaging analysis. journal of orthopaedic & sports physical therapy, 2010; 40(5): 277-285. ##
20. Yoon JY, Kang MH, Oh JS. Effects of visual biofeedback using a laser beam on the EMG ratio of the medial and lateral vasti muscles and kinematics of hip and knee joints during a squat exercise. Journal of Physical Therapy Science, 2011; 23(4): 559-563. ##
21. Herrington L. Knee valgus angle during single leg squat and landing in patellofemoral pain patients and controls. The Knee, 2014; 21(2): 514-517. ##
22. Kang JY, Kim T G, Kim KY. The effects of closed kinetic chain exercise using EMG biofeedback on PFPS patientspain and muscle functions. International Journal of Bio-Science and Bio-Technology, 2014; 6(3): 55-62. ##
23. Noehren B, Scholz J, Davis I. The effect of real-time gait retraining on hip kinematics, pain and function in subjects with patellofemoral pain syndrome. Br J Sports Med 2011; 45(9): 691-6. ##
24. Hunt MA, Takacs J, Hart K, Massong E, Fuchko K, Biegler J. Comparison of mirror, raw video, and real-time visual biofeedback for training toe-out gait in individuals with knee osteoarthritis. Archives of physical medicine and rehabilitation, 2014; 95(10): 1912-1917. ##
25. Anjos Rabelo ND, Lima B, dos Reis AC, Bley AS, Yi LC, Fukuda TY, Lucareli PRG. Neuromuscular training and muscle strengthening in patients with patellofemoral pain syndrome: a protocol of randomized controlled trial. BMC musculoskeletal disorders, 2014; 15(1): 157. ##
26. Peters JS, Tyson NL. Proximal exercises are effective in treating patellofemoral pain syndrome: a systematic review. International journal of sports physical therapy, 2013; 8(5): 689. ##
27. Willy RW, Scholz JP, Davis IS. Mirror gait retraining for the treatment of patellofemoral pain in female runners. Clinical Biomechanics, 2012; 27(10): 1045-1051. ##