Effectiveness of Closed Kinetic Chain Exercises Vs Open Kinetic Chain Exercises in Reducing Pain and Improves Functional Activities of Lower Limb in Patients with Unilateral Patellofemoral Pain Syndrome: A Comparative study

27101102, (2012) Effectiveness of Closed Kinetic Chain Exercises Vs Open Kinetic Chain Exercises in Reducing Pain and Improves Functional Activities of Lower Limb in Patients with Unilateral Patellofemoral Pain Syndrome: A Comparative study. Masters thesis, College of Physiotherapy, Sri Ramakrishna Institute of Paramedical Sciences, Coimbatore.

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Abstract

INTRODUCTION: Patellofemoral pain syndrome (anterior knee pain) is one of the most common treated conditions in orthopaedic and primary care practices. Patellofemoral pain syndrome is defined as peripatellar pain resulting from physical, biomechanical and soft tissues changes in the patellofemoral joint. Many of the structures of the anterior that compromise the patellofemoral joint can be the source of chronic that is associated with this condition. Patellofemoral pain syndrome constitutes 16-25% of all injuries occurring in runners and 11% musculoskeletal complaints in the office settings are caused by anterior knee pain. In general, patellofemoral pain can effect 25% of the population. It is more common in adolescents and young adults. It is very common clinical entity in active young people involved in sports and that can even dramatically end participation in sports events. Patients suffer from pain during activities and ascending stair or hills. It is also triggered by prolonged sittings with knee flexed. One or both knees can be affected. OBJECTIVES: 1. To find out the outcome measures of closed kinetic chain exercises in reducing pain and improve functional activities of lower limb in patients unilateral patellofemoral pain syndrome. 2. To find out the outcome measures of open kinetic chain exercises in reducing pain and improve functional activities of lower limb in patients unilateral patellofemoral pain syndrome. 3. To study the outcome measures of closed kinetic chain exercises versus open kinetic chain exercises in reducing pain and improves functional activities of lower limb in patients with unilateral patellofemoral pain syndrome. MATERIALS AND METHODOLOGY: MATERIALS: Stationary bicycle, Couch, Pillow, Towel roll, Stool, Theraband. METHODOLOGY: Study Design: 30 subjects with unilateral patellofemoral pain assigned in two groups. Group A: 15 subjects: closed kinetic chain exercises. Group B: 15 subjects: Open kinetic chain exercises. Study Setting: This study is proposed to conduct in outpatient, department of physiotherapy and patient referred from department of orthopaedics and various other departments of Sri Ramakrishna Hospital, Coimbatore. Study Duration: This study is proposed to be carried out for a period of 6 months. Treatment Duration: Subjects in each group will receive treatment 3 days per week two session per day for each group four weeks. Sampling: Unilateral patellofemoral pain syndrome patients are included in this study, according to inclusion criteria hence this will be a convenient sampling. Inclusion Criteria: 14-33 years, Both sexes, Moderate to chronic knee pain, Anterior knee pain for more than 6 weeks, Pain on direct compression of the patella against the femoral condyles with the knee in full extension. (on initial examination), Pain on resisted knee extension, Pain with isometric quadriceps muscle contraction against suprapatellar resistance with the knee slight flexion, Pain on palpation of patellar facet. Exclusion Criteria: History of knee operation, Acute knee pain cases, Patients age more than 35, Bilateral patellofemoral knee pain, Ligaments and meniscal injuries, Fracture in and around the knee joint, Metal implants, Diabetes, Peripheral vascular disease, Osteoporosis, Other knee problems. CONCLUSION: The literature review and statistical analysis done from the data collected from the study have shown that the closed kinetic chain exercises helps in early pain relief and improves functional activities effectively in patellofemoral pain syndrome when compared to the open kinetic chain exercises. Hence the alternate hypothesis of this study is accepted and stated as “There is a significant difference between the closed kinetic chain exercises than open kinetic chain exercises in reducing pain and improves functional activities of lower limb in patients with unilateral patellofemoral pain syndrome.” When compared closed kinetic chain exercises are more effective than open kinetic chain exercises in patients with unilateral patellofemoral pain syndrome.

Item Type: Thesis (Masters)
Additional Information: Reg. No. 27101102
Uncontrolled Keywords: Closed Kinetic Chain Exercises, Open Kinetic Chain Exercises, Reducing Pain, Functional Activities, Lower Limb, Unilateral Patellofemoral Pain Syndrome.
Subjects: PHYSIOTHERAPY > Physiotherapy in Orthopaedics
Depositing User: Subramani R
Date Deposited: 08 Nov 2020 01:03
Last Modified: 08 Nov 2020 01:03
URI: http://repository-tnmgrmu.ac.in/id/eprint/13174

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