Síndrome da dor femoropatelar e tratamento conservador: uma revisão integrativa
DOI:
https://doi.org/10.18227/hd.v4i1.7521Palavras-chave:
Joelho, dor, tratamento, fortalecimento, orteseResumo
Introdução: A síndrome da dor femoropatelar é um problema que atinge uma parcela significativa da população em especial jovens e adultos, seu sintoma principal é dor na parte anterior do joelho. O tratamento conservador é uma forma não cirúrgica de reabilitar o problema. Métodos: Foi feita uma revisão na base de dados MEDLINE e PUBMED com os seguintes descritores “Patellofemoral Pain Syndrome” AND “Treatment” OR “Rehabilitation”. Desenvolvimento: Observou-se que um programa de treinamento de fortalecimento do joelho somado a um programa de fortalecimento do quadril mostrou-se mais eficaz na redução de dor e aumento da autonomia, percebeu-se também que o uso de órteses é uma alternativa eficaz, principalmente quando se trata de correções biomecânicas. Conclusão: É necessário conhecer a causa do problema para que possa corrigi-lo da melhor maneira, então é de responsabilidade do profissional analisar e trabalhar com ferramentas baseadas em evidências a melhor forma de reabilitar o paciente
Downloads
Referências
Aghapour E, Kamali F, Sinaei E. Effects of Kinesio Taping® on knee function and pain in athletes with patellofemoral pain syndrome. J Bodyw Mov Ther. 2017;21(4):835–839. doi:10.1016/j.jbmt.2017.01.012
AKBAŞ, Eda; ATAY, Ahmet Ozgur; YÜKSEL, Inci. The effects of additional kinesio taping over exercise in the treatment of patellofemoral pain syndrome. Acta orthopaedica et traumatologica turcica, v. 45, n. 5, p. 335-341, 2011.
Almeida GP, Silva AP, França FJ, Magalhães MO, Burke TN, Marques AP. Q-angle in patellofemoral pain: relationship with dynamic knee valgus, hipabductor torque, pain and function. Rev Bras Ortop. 2016;51(2):181–186.
Baldon Rde M, Serrão FV, Scattone Silva R, Piva SR. Effects of functional stabilization training on pain, function, and lower extremity biomechanics in women with patellofemoral pain: a randomized clinical trial. J Orthop Sports Phys Ther. 2014;44(4):240–A8. doi:10.2519/jospt.2014.4940
Bakhtiary, A. H., & Fatemi, E. (2008). Open versus closed kinetic chain exercises for patellar chondromalacia. British journal of sports medicine, 42(2), 99-102.
Besier TF, Fredericson M, Gold GE, Beaupré GS, Delp SL. Knee muscle forces during walking and running in patellofemoral pain patients and pain-free controls. J Biomech. 2009;42(7):898–905.
Boling MC, Padua DA, Creighton RA. Concentric and eccentric torque of the hip musculature in individuals with and without patellofemoral pain. J Athl Train 2009; 44(1):7–13. 23.
Boling MC, Padua DA, Marshall SW, Guskiewicz K, Pyne S, Beutler A. A prospective investigation of biomechanical risk factors for patellofemoral pain syndrome: the Joint Undertaking to Monitor and Prevent ACL Injury (JUMP-ACL) cohort. Am J Sports Med. 2009;37(11):2108–2116.
Campolo, M., Babu, J., Dmochowska, K., Scariah, S., & Varughese, J. (2013). A comparison of two taping techniques (kinesio and mcconnell) and their effect on anterior knee pain during functional activities. International journal of sports physical therapy, 8(2), 105.
Crossley KM, Stefanik JJ, Selfe J, et al. 2016 patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester. Part 1: terminology, definitions, clinical examination, natural history, patellofemoral osteoarthritis and patient-reported outcome measures. Br J Sports Med. 2016;50(14):839–843.
Décary, S., Frémont, P., Pelletier, B., Fallaha, M., Belzile, S., et al. Validity of Combining History Elements and Physical Examination Tests to Diagnose Patellofemoral Pain. Archives of Physical Medicine and Rehabilitation. 2018. 99(4), 607–614.e1. doi:10.1016/j.apmr.2017.10.014
Dolak KL, Silkman C, Medina McKeon J, Hosey RG, Lattermann C, Uhl TL. Hip strengthening prior to functional exercises reduces pain sooner than quadríceps strengthening in females with patellofemoral pain syndrome: a randomized clinical trial. J Orthop Sports Phys Ther. 2011;41:560–570. 10.2519/jospt.2011.3499
Duran S, Cavusoglu M, Kocadal O, Sakman B. Association between trochlear morphology and chondromalacia patella: an MRI study. Clin Imaging. 2017;41:7–10. doi:10.1016/j.clini
Fukuda TY, Melo WP, Zaffalon BM, et al. Hip posterolateral musculature strengthening in sedentary women with patellofemoral pain syndrome: a randomized controlled clinical trial with 1-year followup. J Orthop Sports Phys Ther. 2012;42(10):823–830. doi:10.2519/jospt.2012.4184
FUKUDA, Thiago Yukio et al. Short-term effects of hip abductors and lateral rotators strengthening in females with patellofemoral pain syndrome: a randomized controlled clinical trial. journal of orthopaedic & sports physical therapy, v. 40, n. 11, p. 736-742, 2010.
Gaitonde DY, Ericksen A, Robbins RC. Patellofemoral Pain Syndrome. Am Fam Physician. 2019;99(2):88–94. Ghasemi MS, Dehghan N. The comparison of Neoprene palumbo and Genu direxa stable orthosis effects on pain and activity of daily living in patients with patellofemoral syndrome: a randomized blinded clinical trial. Electron Physician. 2015 Oct 19;7(6):1325- 9. doi: 10.14661/1325. PMID: 26516437; PMCID: PMC4623790.
Ghourbanpour A, Talebi GA, Hosseinzadeh S, Janmohammadi N, Taghipour M. Effects of patelar taping on knee pain, functional disability, and patellar alignments in patients with patellofemoral pain syndrome: A randomized clinical trial. J Bodyw Mov Ther. 2018;22(2):493–497. doi:10.1016/j.jbmt.2017.06.005
Glaviano NR, Kew M, Hart JM, Saliba S. Demographic and epidemiological trends in patellofemoral pain. Int J Sports Phys Ther. 2015;10(3):281–290 Kaya D, Citaker S, Kerimoglu U, et al. Women with patellofemoral pain syndrome have quadriceps femoris volume and strength deficiency. Knee Surg Sports Traumatol Arthrosc 2011;19:242–7.
Khayambashi K, Mohammadkhani Z, Ghaznavi K, Lyle M, Powers C. The effects of isolated hip abductor and external rotator muscle strengthening on pain, health status, and hip strength in females with patellofemoral pain: a randomized controlled trial. J Orthop Sports Phys Ther. 2012;42:22–29. doi: 10.2519/jospt.2012.3704.
Kurt EE, Büyükturan Ö, Erdem HR, Tuncay F, Sezgin H. Short-term effects of kinesio tape on joint position sense, isokinetic measurements, and clinical parameters in patellofemoral pain syndrome. J Phys Ther Sci. 2016;28(7):2034–2040. doi:10.1589/jpts.28.2034
LAN, Tsung-Yu et al. Immediate effect and predictors of effectiveness of taping for patellofemoral pain syndrome: a prospective cohort study. The American journal of sports medicine, v. 38, n. 8, p. 1626-1630, 2010.
Miller J, Westrick R, Diebal A, Marks C, Gerber JP. Immediate effects of lumbopelvic manipulation and lateral gluteal kinesio taping on unilateral patellofemoral pain syndrome: a pilot study. Sports Health. 2013;5(3):214–219. doi:10.1177/1941738112473561mag.2016.09.008
Mølgaard CM, Rathleff MS, Andreasen J, et al. Foot exercises and foot orthoses are more effective than knee focused exercises in individuals with patellofemoral pain. J Sci Med Sport. 2018;21(1):10–15. doi:10.1016/j.jsams.2017.05.019
Nakagawa TH, Maciel CD, Serrao FV. Trunk biomechanics and its association with hip and knee kinematics in patients with and without patellofemoral pain. Man Ther 2015 Feb;20(1):189–93. 24.
Nakagawa TH, Moriya ET, Maciel CD, et al. 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. J Orthop Sports Phys Ther 2012;42(6):491–501. 25.
Nakagawa TH, Serrao FV, Maciel CD, et al. Hip and knee kinematics are associated with pain and selfreported functional status in males and females with patellofemoral pain. Int J Sports Med 2013;34(11):997–1002. 26.
Nascimento, L. R., Teixeira-Salmela, L. F., Souza, R. B., & Resende, R. A. (2018). Hip and Knee Strengthening Is More Effective Than Knee Strengthening Alone for Reducing Pain and Improving Activity in Individuals With Patellofemoral Pain: A Systematic Review With Meta-analysis. Journal of Orthopaedic & Sports Physical Therapy, 48(1), 19–31. doi:10.2519/jospt.2018.7365
Patel DR, Villalobos A. Evaluation and management of knee pain in young athletes: overuse injuries of the knee. Transl Pediatr. 2017;6(3):190–198.
Petersen W, Rembitzki I, Liebau C. Patellofemoral pain in athletes. Open Access J Sports Med. 2017;8:143–154. Rodriguez-Merchan EC. Evidence Based Conservative Management of Patello-femoral Syndrome. Arch Bone Jt Surg. 2014;2(1):4–6.
Rojhani Shirazi Z, Biabani Moghaddam M, Motealleh A. Comparative evaluation of core muscle recruitment pattern in response to sudden external perturbations in patients with patellofemoral pain syndrome and healthy subjects. Arch Phys Med Rehabil 2014;95(7):1383–9.
Rothermich, M. A., Glaviano, N. R., Li, J., & Hart, J. M. (2015). Patellofemoral Pain. Clinics in Sports Medicine, 34(2), 313–327. doi:10.1016/j.csm.2014.12.011.
Sherman SL, Plackis AC, Nuelle CW. Patellofemoral anatomy and biomechanics. Clin Sports Med. 2014;33(3):389–401.
Sinclair J, Janssen J, Richards JD, Butters B, Taylor PJ, Hobbs SJ. Effects of a 4-week intervention using semicustom insoles on perceived pain and patellofemoral loading in targeted subgroups of recreational runners with patellofemoral pain. Phys Ther Sport. 2018;34:21–27. doi:10.1016/j.ptsp.2018.08.006.
Tuna BK, Semiz-Oysu A, Pekar B, et al. The association of patellofemoral joint morphology with chondromalacia patella: a quantitative MRI analysis. Clin Imaging 2014;38(4):495–8.
White LC, Dolphin P, Dixon J. Hamstring length in patellofemoral pain syndrome. Physiotherapy. 2009;95(1):24–28.
Yelvar GD, Baltacı G, Bayrakcı Tunay V, Atay AÖ. The effect of postural stabilization exercises on pain and function in females with patellofemoral pain syndrome. Acta Orthop Traumatol Turc. 2015;49(2):166–174. doi:10.3944/AOTT.2015.13.0118
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Este trabalho está licenciado sob uma licença Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Este obra está licenciado com uma Licença Creative Commons Atribuição 4.0 Internacional.
