The effect of resistance training with different weight adjustments on muscle strength, muscle endurance and movement performance in women with patellofemoral pain syndrome
Subject Areas : Effects of Movement and Exercise in Health
Shahin Mirpour Shirkhoda
1
*
,
Mohammadmehdi SafaiiZadeh
2
,
Ebrahim Basivand
3
,
Mona Sadat Kimiaea
4
1 - MSc, Department of Pathology and Corrective Movements, Karaj Branch, Islamic Azad University, Karaj, Iran
2 - Department of Pathology and Corrective Movements, Boroujerd Branch, Islamic Azad University, Boroujerd, Iran
3 - Department of Exercise Physiology, Boroujerd Branch, Islamic Azad University, Boroujerd, Iran
4 - Department of Exercise Physiology, Faculty of Physical Education and Sport Sciences, Shahid Chamran University, Ahvaz, Iran
Keywords: Patellofemoral pain syndrome, Exercise training, Weight adjustment, Pain, Muscle function,
Abstract :
Background and Purpose: One of the therapeutic interventions in patellofemoral pain syndrome (PFPS) is rehabilitation of motor movement with exercise. The aim of the present study was to determine the effect of resistance training with different weight adjustments on muscle and motor function in women with PFPS.
Material and Methods: In this semi-experimental study, 75 women with PFPS were selected by purposive sampling method and randomly divided into 5 weight adjustment groups (1/4 body weight , 1/2 body weight, 3/4 body weight ), and without weight adjustment and the control group were divided. The exercise protocol included selected resistance and functional exercises to strengthen hip and knee muscles, which were performed on stable and unstable surfaces.
Results: In the training groups were founded a significant increase in muscle strength and endurance, as well as an improvement in motor movement compared to the pre-test, and control group (P < 0.001). there was a significant increase in the strength of the extensor muscles in the intervention groups compared to the control group (P < 0.010). There was a significant difference in the increase in strength in the 1.2 weight adjustment and 3.4 weight adjustment groups compared to the group without weight adjustment (P<0.010), but there was a significant difference between the 1.2 weight adjustment and 3.4 weight adjustment groups (P<0.05). Also, no significant difference was observed between the 1.4 groups with weight adjustment and without weight adjustment (P<0.05).
Conclusion: Based on the findings of this research, resistance training improves muscle function in women with PFPS. It seems that weight adjustment of more than 1.2% of body weight can improve the quality of exercise and result in neuromuscular adaptations, including increased extensor muscle strength in PFPS.
1. Mirpoor Shirkhoda S. The Effect of Weight Adjustment on the Rehabilitation of Movement Function in Women with Patellofemoral Pain Syndrome. Jundishapur Scientific Medical Journal. 2024;23(2):177-88.
2. Scafoglieri A, Van den Broeck J, Willems S, Tamminga R, van der Hoeven H, Engelsma Y, Haverkamp S. Effectiveness of local exercise therapy versus spinal manual therapy in patients with patellofemoral pain syndrome: medium term follow-up results of a randomized controlled trial. BMC musculoskeletal disorders. 2021;22(1):1-9.
3. Collins NJ, Bierma-Zeinstra SM, Crossley KM, van Linschoten RL, Vicenzino B, van Middelkoop M. Prognostic factors for patellofemoral pain: a multicentre observational analysis. British journal of sports medicine. 2013;47(4):227-33.
4. Lankhorst N, van Middelkoop M, Crossley K, Bierma-Zeinstra S, Oei E, Vicenzino B, Collins N. Factors that predict a poor outcome 5–8 years after the diagnosis of patellofemoral pain: a multicentre observational analysis. British journal of sports medicine. 2016;50(14):881-6.
5. Glaviano NR, Saliba S. Differences in gluteal and quadriceps muscle activation during weight-bearing exercises between female subjects with and without patellofemoral pain. Journal of Strength and Conditioning Research. 2022;36(1):55-62.
6. Crossley KM, Callaghan MJ, van Linschoten R. Patellofemoral pain. British journal of sports medicine. 2016;50(4):247-50.
7. Yang J-s, Fredericson M, Choi J-H. The effect of patellofemoral pain syndrome on patellofemoral joint kinematics under upright weight-bearing conditions. Plos one. 2020;15(9):e0239907.
8. Niknam N, Shojaedin SS, Hadadnezhad M. Effect of eight weeks of standard training and functional stabilization on pain and functional movement in women with patellofemoral pain. Journal of Gorgan University of Medical Sciences. 2020;22(2):49-57.
9. Lim E-h, Kim M-e, Kim S-h, Park K-n. Effects of posterior X taping on movement quality and knee pain intensity during forward-step-down in patients with patellofemoral pain syndrome. Journal of Sports Science & Medicine. 2020;19(1):224.
10. Park K-M, Cynn H-S, Choung S-D. Musculoskeletal predictors of movement quality for the forward step-down test in asymptomatic women. Journal of Orthopaedic & Sports Physical Therapy. 2013;43(7):504-10.
11. Herman G, Nakdimon O, Levinger P, Springer S. Agreement of an evaluation of the forward-step-down test by a broad cohort of clinicians with that of an expert panel. Journal of sport rehabilitation. 2016;25(3):227-32.
12. Shadloo N, Kamali F, Dehno NS. A comparison between whole-body vibration and conventional training on pain and performance in athletes with patellofemoral pain. Journal of Bodywork and Movement Therapies. 2021;27:661-6.
13. Manzouri H. The effect of 8 weeks of strength training and nitrate supplement on the speed of Zuki's hand and the strength of the hands of karate men. Razi Journal of Medical Sciences. 2020;27(6):18-27.
14. Nakagawa TH, Moriya ÉT, Maciel CD, Serrão FV. Trunk, pelvis, hip, and knee kinematics, hip strength, and gluteal muscle activation during a single-leg squat in males and females with and without patellofemoral pain syndrome. Journal of orthopaedic & sports physical therapy. 2012;42(6):491-501.
15. Markwell LT, Nolan R, Brown B, Makaruk H, Porter JM. Altering Focus Of Attention Effects Isometric Muscular Endurance And Heart Rate During Fitness Testing. Measurement in Physical Education and Exercise Science. 2021:1-11.
16. Batty LM, Feller JA, Hartwig T, Devitt BM, Webster KE. Single-leg squat performance and its relationship to extensor mechanism strength after anterior cruciate ligament reconstruction. The American Journal of Sports Medicine. 2019;47(14):3423-8.
17. Rostami Zalani F, Sahebalzamani M, Daneshjoo A. Examination of Strengths Exercise in Patellofemoral Pain Syndrome with emphasize on Weakness, Lumbar-Pelvic Girdle Muscles and Quadriceps: Narrative Review Articles 2010-2020. Journal of Paramedical Sciences & Rehabilitation. 2021;10(3):97-112.
18. Emamvirdi M, Letafatkar A, Khaleghi Tazji M. The effect of valgus control instruction exercises on pain, strength, and functionality in active females with patellofemoral pain syndrome. Sports health. 2019;11(3):223-37.
19. Basbug P, Kilic RT, Atay AO, Bayrakcı Tunay V. The effects of progressive neuromuscular exercise program and taping on muscle strength and pain in patellofemoral pain. A randomized controlled blind study. Somatosensory & Motor Research. 2022;39(1):39-45.
20. Constantinou A, Mamais I, Papathanasiou G, Lamnisos D, Stasinopoulos D. Comparing hip and knee focused exercises versus hip and knee focused exercises with the use of blood flow restriction training in adults with patellofemoral pain: a randomized controlled trial. European journal of physical and rehabilitation medicine. 2022;2022(5).
21. Alonazi A, Hasan S, Anwer S, Jamal A, Parvez S, Alfaiz FAS, Li H. Efficacy of electromyographic-biofeedback supplementation training with patellar taping on quadriceps strengthening in patellofemoral pain syndrome among young adult male athletes. International Journal of Environmental Research and Public Health. 2021;18(9):4514.
22. Barton CJ, de Oliveira Silva D, Patterson BE, Crossley KM, Pizzari T, Nunes GS. A proximal progressive resistance training program targeting strength and power is feasible in people with patellofemoral pain. Physical Therapy in Sport. 2019;38:59-65.
23. Hott A, Brox JI, Pripp AH, Juel NG, Paulsen G, Liavaag S. Effectiveness of isolated hip exercise, knee exercise, or free physical activity for Patellofemoral pain: a randomized controlled trial. The American journal of sports medicine. 2019;47(6):1312-22.
24. Chiu JK, Wong Y-m, Yung PS, Ng GY. The effects of quadriceps strengthening on pain, function, and patellofemoral joint contact area in persons with patellofemoral pain. American journal of physical medicine & rehabilitation. 2012;91(2):98-106.
25. Greaves H, Comfort P, Liu A, Herrington L, Jones R. How effective is an evidence-based exercise intervention in individuals with patellofemoral pain? Physical Therapy in Sport. 2021;51:92-101.
26. Bily W, Trimmel L, Mödlin M, Kaider A, Kern H. Training program and additional electric muscle stimulation for patellofemoral pain syndrome: a pilot study. Archives of physical medicine and rehabilitation. 2008;89(7):1230-6.
27. Motealleh A, Mohamadi M, Moghadam MB, Nejati N, Arjang N, Ebrahimi N. Effects of core neuromuscular training on pain, balance, and functional performance in women with patellofemoral pain syndrome: a clinical trial. Journal of chiropractic medicine. 2019;18(1):9-18.