Special thanks to star physical therapist Brace Hayden, DPT, CSCS of Alpine Physical Therapy for providing this write up on a recent article from Physical Therapy.
Let’s face it, walking or climbing up and down stairs, moreover prolonged or pounding exercise can make our knees hurt. So why would anyone want to do more exercises to actually reduce knee pain?
Dr. Clijsen and is Swiss team of academic research scientists and physical therapists were determined to find the effectiveness of physical therapy exercises for reducing a knee pain, as there is limited research to the incidence of this prevalent problem. They were specifically interested in a common type of knee pain known as ‘Patellofemoral Pain Syndrome’ (PFPS) that hits 15% to 45% of active adolescents and adults under the knee cap.
Most people over the age of 13 have probably felt a twang of pain or a dull ache on the front of their knee under or under their knee cap when hiking down hills or stairs. The cluster of symptoms associated with PFPS is knee pain with running, squatting, stairs, or more strenuous weight-bearing exercise. It is more common in women than men. This syndrome is also known to be ‘self-limiting’, as reducing the provocative motions, naturally improves the knee’s unhappy status.
So what should you do to improve knee pain associated with squatting or stairs? What if I want to stay in shape by running or playing field sports, but my knees do not enjoy the impact? Often, people get in to see their physical therapist for assessing why the knee is in pain and then commit to improving their function with therapeutic exercises.
The cause for pain behind the knee cap can be coming from any number of problems or multiple issues combined. Faulty alignment of the leg joints, insufficient muscle strength, sport training errors and overly tight muscles are the bulk of the prevailing theories on why the knee is overstressed and pained. Correcting each individuals’ “patient reported measures of activity limitations and participation restrictions” by assessing their body mechanical and movement faults is often the goal of doing specific exercises to improve the PFPS.
This research study looked at a comprehensive review of 15 high-quality studies with a total of 748 male and female subjects with pain in their knee cap area. Based on the results of this systematic study, exercise therapy appeared to be an important plan of action to help achieve knee pain and functional improvements.
For example, could a 25 year old female with knee pain during and after track practice (or ‘activity limitation and participation restriction’) improve her discomfort with eight weeks of PT doing resisted leg extensions, hip girdle strengthening and using electrical stimulation over her quadriceps muscle? The verdict looks promising.
This study concluded that exercise therapy was effectively strong at reducing pain and getting participants back into their sporty activities. However, the question of which target exercises their therapist opted to use to yield the strongest effect to diminish their pain and boost their function remains unanswered.
Ron Clijsen, PhD, et al, Effectiveness of Exercise Therapy in Treatment of Patients With Patellofemoral Pain Syndrome: Systematic Review and Meta-Analysis. In Physical Therapy. 2014; 94:1697-1708.
For more information on this topic, view our clinical module on knee pain by clicking here.
Brent Dodge is the founding owner of Alpine Physical Therapy and is a board certified orthopedic specialist. He holds additional certifications in Functional Dry Needling, Manual Physical Therapy, and Strength and Conditioning.
All Alpine Physical Therapy Alpine Soccer Team Alpine Softball Alzheimer's Disease American Cancer Society Ana Soulia Angela Listug Vap Angela Listug-Vap Ankle Sprains Antara Quinones Aquatics Audrey Elias Back Pain Balance Boston Marathon Brace Hayden Brent Dodge Cancer CDC Certified Chiropractic Climbing Core Studio Crossfit Dance Medicine Dennis McCrea Diane Cummins Diva Day Dr. Liz Walker Emily Jones Ergonomics Events Excercises Fall Prevention Fall Prevention Awareness Day Fitness Fit To Fight Foot Pain Functional Dry Needling Gary Gales Good Food Store Her Health Hiking Hip Pain Jessica Kehoe Jonathan Hoffman's Foundation Training Josie Sweeney Kayla Johnson Kerri Houck Knee Pain Kristi Moore Leah Versteegen Low Back Pain Mary Mischke Matt Schweitzer MISA Missoula Marathon Missoula's Choice Montana Geriatric Society Morgan York Singer Morgan York-Singer MT Alpha Cycling National Cancer Institute National Falls Awareness Neck Pain Oncology Rehab Program Pain Pamela Pack Peak Health & Wellness Center Peak Triathlon Pelvic Pain Physical Therapy Physical Therapy (Journal) Pilates Primal Practice Relay For Life Resources Roger Sperry Ron Clijsen Ron Veilleux Runner's Edge Running Samantha Glaes Sam Schmidt Sarah McMillan Shoulder Pain Skiing Skye Folsom Soccer Spine Magazine Spine Rehab STEADI (Stopping Elderly Accidents Tamarack Brewing Company Tara Mund The Runner's Clinic Tips Travis Dye Ultrasound Imaging Urinary Incontinence Walking Wellness Wellness Program Westside Dance Physical Therapy Who Is Perfect? Women's Health
Connect with us
Get to know us better. Our social media platforms are a great way to learn about our staff, upcoming events, newest technology, patient stories, and more.
who we are
Leading innovation in health and wellness for our community, delivering compassionate care, and inspiring through education.
Know what’s new. Plus, get a free consultation!
Copyright © 2017 Alpine Physical Therapy • All Rights Reserved
Site by Aesir Consulting
Site by Aesir Consulting