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- W2620296095 abstract "Patellofemoral pain (PFP) is a common knee injury suffered among active individuals and rehabilitation programs for PFP have attempted to target hip muscle dysfunction. However, the role of core musculature in this pathology is not as prevalent in current literature. PURPOSE: To examine the effects of a 4-week impairment-based rehabilitation program with a core-focused component. Muscle activity during a single leg squat (TrA thickness) and endurance (forward and side plank times) were compared before and after rehabilitation. METHODS: 19 PFP patients (23.7±4.8 yrs, 14F, 5M) completed 12 clinician-supervised rehabilitation sessions over a 4-week period. The rehabilitation program was based on individual patient deficits, measured prior to their first session, in lower extremity range of motion, strength, core weakness, and in movement patterns during functional tasks. Patients were also progressed based on their specific performance, inline with the individual impairment-based model. Prior to the first session and following the final session, USI thickness measures of TrA during a single leg squat (SLS) and plank times (forward, right, left) were collected. For the USI measures, TrA thickness at peak knee flexion during a SLS was normalized by dividing by the thickness in quiet stance. Forward planks and bilateral side planks were timed to failure. Paired t-tests were utilized to compare all measures before and after rehabilitation. RESULTS: There was no significant difference in TrA activity during the SLS following rehabilitation (0.08±0.23 cm, P=.14). A significant increase in plank time was seen in both the right (14.4±18.3 sec, P=.05) and left side planks (10.5±22.1 sec, P<.01). A 2-second increase in forward plank time was shown, but did not reach significance (2.22±36.0 sec, P=.79). CONCLUSION: The absence of change in core muscle activity during the SLS may indicate varying motor strategies to complete the functional task before and after rehabilitation. Significant findings in increased endurance via side planks support the inclusion of a core muscle focus in an impairment-based rehabilitation. Core stability does play a role in PFP and the contribution of task-specific (SLS) and endurance demands should be considered in impairment evaluation while designing a rehabilitation plan." @default.
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- W2620296095 date "2017-05-01" @default.
- W2620296095 modified "2023-09-23" @default.
- W2620296095 title "Core Muscle Function and Endurance in Patients with Patellofemoral Pain following Impairment-Based Rehabilitation" @default.
- W2620296095 doi "https://doi.org/10.1249/01.mss.0000518211.05336.98" @default.
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