From Medscape Medical News
ACSM 2009:
Jordana Bieze Foster
May 29, 2009 (Seattle, Washington) — A supervised exercise program for patellofemoral pain syndrome (PFPS) more effectively improves pain and function than usual care emphasizing rest and activity avoidance, according to a randomized clinical trial presented here at the annual meeting of the American College of Sports Medicine.
In 131 patients aged 14 to 40 years with chronic patellofemoral pain, Dutch researchers found that those who completed a 12-week exercise program reported significantly lower levels of pain and higher levels of function at 3 months and at 1 year compared with those who received "usual care" from their physicians.
The treatment intervention included exercises for quadriceps strengthening, flexibility, balance, and coordination, progressively increasing in complexity over time. Usual care, consistent with clinical guidelines for general practitioners in the Netherlands, included verbal and written information about patellofemoral pain and recommendations to avoid activities that provoke pain.
"Our outcome supports the use of supervised exercise therapy instead of a 'wait and see' approach," Robbart van Linschoten, MD, a sports medicine general practitioner at Erasmus University Medical Center in Rotterdam, the Netherlands, said during his presentation.
http://www.medscape.com/viewarticle/703552?sssdmh=dm1.478129&src=nldne
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