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Styrketräning av höftmuskulatur vid behandling av kvinnor med patellofemoralt smärtsyndrom: - En litteraturstudie
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
2020 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
Strength training of the hip musculature in the treatment of women with patellofemoral pain syndrome : - A literature review (English)
Abstract [sv]

Sammanfattning

Bakgrund: Patellofemoralt smärtsyndrom (PFSS) är ett vanligt förekommande muskuloskeletalt besvär bland kvinnor och karaktäriseras av smärta runt eller bakom patella, som förvärras vid vissa viktbärande aktiviteter. Då prevalens är hög hos kvinnor är det av stor betydelse att de får en välanpassad behandling baserad på den senaste tillgängliga evidensen.

Syfte:  Att genom en litteraturstudie undersöka effekten av styrketräning på utfallsmåtten smärta och funktion hos kvinnor med PFSS samt gradera den aktuella evidensen.

Metod: Litteratursökning utfördes i databasen PubMed. Nio artiklar inkluderades. Artiklarna granskades sedan enskilt enligt TESTEX scale och därefter bedömdes evidensgraden enligt SBU:s GRADE.

Resultat: Studien visade en begränsad evidensgrad för att styrketräning av höftmuskulatur minskar smärta. Det finns även en begränsad evidensgrad för att kombinerad styrketräning av höft- och knämuskulatur minskar smärta och ökar funktion. Styrketräning av höftmuskulatur jämfört med styrketräning av endast knämuskulatur har ej effekt på funktion, men evidensgraden bedöms som begränsad. Studiekvaliteten av de enskilda studierna varierade mellan 7–13 poäng vid granskning med TESTEX scale.

Konklusion: Evidensen talar för att kombinerad styrketräning av höft- och knämuskulatur bör användas i första hand vid behandling av PFSS, men fler studier behövs för att bekräfta studieresultatet. 

Nyckelord: Exercise, hip musculature, patellofemoral pain syndrome, quadriceps musculature

Abstract [en]

Abstract

Background: Patellofemoral pain syndrome (PFPS) is a common musculoskeletal condition among women and is characterized by pain around or behind the patella, which is aggravated by weightbearing activities. Since the prevalence among women is high, it is of great importance that they receive a well-adjusted treatment based on the latest available evidence.

Objective: To investigate through a literature study the effect of strength training on the outcome measures pain and function among women with PFPS

Method: The litterature search was conducted in the database PubMed. Nine papers were included. The papers were evaluated by each author using the TESTEX scale and then the level of evidence was assessed according to SBU’s GRADE.

Results: There is limited evidence that strength training of the hip musculature reduces pain. There is also limited evidence that combined strength training of the hip and knee musculature reduces pain and increases function. Compared to strength training of the knee musculature, isolated strength training of the hip musculature is no better to increase function but the evidence is limited. The study quality of the included papers varied between 7–13 points after evaluation with TESTEX scale.

Conclusion: The evidence suggests that combined strength training of the hip and knee musculature should be used as the first line of treatment when treating PFPS, but further research is warranted.

Key words: Exercise, hip musculature, patellofemoral pain syndrome, quadriceps musculature

Place, publisher, year, edition, pages
2020.
Keywords [en]
Exercise, hip musculature, patellofemoral pain syndrome, quadriceps
Keywords [sv]
Träning, höftmuskulatur, patellofemoralt smärtsyndrom, quadriceps
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:uu:diva-402411OAI: oai:DiVA.org:uu-402411DiVA, id: diva2:1385621
Educational program
Physiotherapy programme
Supervisors
Examiners
Available from: 2020-01-15 Created: 2020-01-14 Last updated: 2020-01-15Bibliographically approved

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I. Andersson Sjaunja & D. Norenlind(771 kB)16 downloads
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