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IJPR.2021.153

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Type of Article:  Original Research

Volume 9; Issue 4 (August 2021)

Page No.: 3937-3943

DOI: https://dx.doi.org/10.16965/ijpr.2021.153

Effectiveness of Core Muscle Strengthening using Swiss Ball vs Traditional Core muscle Strengthening Exercises on Functional Impairments in Amateur Marathon Runners with Patellofemoral Pain Syndrome

Simran R. Sachadev *1, Ronaldo N Prabhakar 2, Manal M Anthikat 3.

*1 Intern, Miraj Medical Center, College Of Physiotherapy, Wanless Hospital, Miraj, Sangli district of Maharashtra, India.

2 PhD Scholar, Department of Musculoskeletal Physiotherapy, Miraj Medical Center, College Of Physiotherapy, Wanl ess Hospital, Miraj, Sangli district of Maharashtra, India.

3 Assistant Professor, Department of Neurosciences, Miraj Medical Center, College Of Physiotherapy, Wanless Hospital, Miraj, Sangli district of Maharashtra, India.

Corresponding Author: Simran R. Sachadev, PT, Krishnakunj, Near Sai Nandan park, Miraj, Sangli district of Maharashtra, India. E-Mail: simransachdev870@gmail.com

ABSTRACT

Background: Devashee S Mistry discovered that the prevalence of anterior knee pain in marathon runners is 68% in the age group of 15-30 years. There are many literatures that shows correlation between core muscle instability and pain associated with Patellofemoral Pain Syndrome (PFPS). Although, there are many studies done to study the effectiveness of core muscle strengthening program on pain and functional impairment in general population with PFPS, there are only few literatures which evaluates its effectiveness on marathon runners.

Study purpose/ Research Question:  The purpose of this study is to compare the effectiveness of core muscle strengthening using Swiss ball versus traditional core muscle exercises on mat for managing the functional impairments in the amateur marathon runners with PFPS.

Material and methodology: Amateur marathon runners with patellofemoral pain syndrome (n = 32) having anterior knee pain were included in this study. A comparative study was done where two group were made. Group A (n= 16) received core strengthening exercises using swiss ball and group B (n = 16) received traditional core strengthening exercises using mat. Both groups received conventional Physiotherapy intervention which included hot moist pack applied on anterior aspect of knee (10 minutes), strengthening for lower limb muscles and stretching for lower limb muscles, 10 seconds hold for each muscle for 3 repetitions. Treatment was given for 3 times a week, for 4 weeks. Pain and other functional impairment such as squatting, stair climbing, walking and running were assessed using VAS and Patellofemoral Pain Severity Scale.

Results: Group A showed significant decrease in pain and functional impairments as compared to group B. Mean pre VAS of group A was 6.94 which was significantly higher than mean post VAS 1.60 (p< 0.001). Mean pre VAS of group B was 6.88 which was significantly higher than mean post VAS 2.71 (p<0.001). Mean pre Patellofemoral pain Severity Scale of group A was 72.56 which is significant higher than post Patellofemoral Pain Severity Scale 15.87 (p<0.001). Mean pre Patellofemoral Pain Severity Scale of group B was 74.31 which is significantly higher than post mean Patellofemoral Pain Severity Scale 33.12 (p< 0.001)

Conclusion:  Core muscle strengthening using swiss ball is more effective than traditional core muscle strengthening using mat in amateur marathon runners for reducing pain and functional impairments having PFPS

Key word: Anterior knee pain, Marathon runners, Patellofemoral, Runner’s knee.

REFERENCES

[1]. Piva, S. R., Fitzgerald, G. K., Irrgang, J. J., Fritz, J. M., Wisniewski, S., McGinty, G. T., Childs, J. D., Domenech, M. A., Jones, S., & Delitto, A. Associates of physical function and pain in patients with patellofemoral pain syndrome. Archives of physical medicine and rehabilitation, 2009;90(2):285–295.
[2]. Piva SR, Gil AB, Moore CG, Fitzgerald GK. Responsiveness of the activities of daily living scale of the knee outcome survey and numeric pain rating scale in patients with patellofemoral pain. J Rehabil Med. 2009;41(3):129-135.
[3]. Cowan SM, Crossley KM, Bennell KL. Altered hip and trunk muscle function in individuals with patellofemoral pain. Br J Sports Med. 2009;43(8):584-588.
[4]. Almeida GP, Silva AP, França FJ, Magalhães MO, Burke TN, Marques AP. Q-angle in patellofemoral pain: relationship with dynamic knee valgus, hip abductor torque, pain and function. Rev Bras Ortop. 2016;51(2):181-186.
[5]. Willson JD, Davis IS. Lower extremity strength and mechanics during jumping in women with patellofemoral pain. J Sport Rehabil. 2009;18(1):76-90.
[6]. Prins MR, van der Wurff P. Females with patellofemoral pain syndrome have weak hip muscles: a systematic review. Aust J Physiother. 2009;55(1):9-15.
[7]. Willson JD, Kernozek TW, Arndt RL, Reznichek DA, Scott Straker J. Gluteal muscle activation during running in females with and without patellofemoral pain syndrome. Clin Biomech (Bristol, Avon). 2011;26(7):735-740.
[8]. Citaker S, Kaya D, Yuksel I, et al. Static balance in patients with patellofemoral pain syndrome. Sports Health. 2011;3(6):524-527.
[9]. Arun B, Vakkachan T, Abraham B. Comparison of dynamic postural control with and without patellofemoral pain syndrome using star excursion balance test. Journal of Medical Science and Technology. 2013;2:1-6.
[10]. Chuter VH, de Jonge XA. Proximal and distal contributions to lower extremity injury: a review of the literature. Gait & posture. 2012 May 1;36(1):7-15.
[11]. S Mistry D, Chilgar L, Kumar A. Prevalence of Anterior Knee Pain in Marathon Runners. Website: www. ijpot. com. 2018 Jan;12(1):82.
[12]. Waryasz, G.R., McDermott, A.Y. Patellofemoral pain syndrome (PFPS): a systematic review of anatomy and potential risk factors. Dyn Med 2008;7:9.
[13]. Clement DB, Taunton JE, Smart GW, McNicol KL. A survey of overuse running injuries. The Physician and Sportsmedicine. 1981 May 1;9(5):47-58.
[14]. Carry PM, Kanai S, Miller NH, Polousky JD. Adolescent patellofemoral pain: a review of evidence for the role of lower extremity biomechanics and core instability. Orthopedics. 2010 Jul 1;33(7):498-507.
[15]. Stefanyshyn DJ, Stergiou P, Lun VM, Meeuwisse WH, Nigg BM. Knee joint moments and patellofemoral pain syndrome in runners part i: a case control study; part ii: a prospective cohort study. Footwear Biomechanics. 1999.
[16]. Thomeé R, Augustsson J, Karlsson J. Patellofemoral pain syndrome. Sports medicine. 1999 Oct 1;28(4):245-62.
[17]. Srivastav P, Nayak N, Nair S, Sherpa LB, Dsouza D. Swiss Ball Versus Mat Exercises For Core Activation of Transverse Abdominis in Recreational Athletes. J Clin Diagn Res. 2016;10(12):YC01-YC03.
[18]. Mellinger S, Neurohr GA. Evidence based treatment options for common knee injuries in runners. Annals of translational medicine. 2019 Oct;7(Suppl 7).

Cite this article: Simran R. Sachadev, Ronaldo N Prabhakar, Manal M Anthikat.  Effectiveness of Core Muscle Strengthening using Swiss Ball vs Traditional Core muscle Strengthening Exercises on Functional Impairments in Amateur Marathon Runners with Patellofemoral Pain Syndrome. Int J Physiother Res 2021;9(4):3937-3943. DOI: 10.16965/ijpr.2021.153

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