Comparative effects of closed kinetic chain exercise with and without isometric hip adduction in patients with patellofemoral pain syndrome

Abstract

The goal of the research was to assess the comparative impact of the Closed kinetic chain exercise in patellofemoral pain syndrome with and without isometric hip adduction. The quasi-experimental study was done on the athletic population of Gujrat with age between 16-40 of any gender. In this study 30 patients were recruited on the basis of sample selection criteria and randomly allocated in two groups each of 15 (N=15). Group A performed closed kinetic chain exercise through isometric hip adduction. Closed kinetic chain exercise included the semi squats of 600 with hip adduction. The group B performed CKC exercise without hip Adduction. CKC exercise included the semi squats of 600 without hip adduction. Both groups filled out a demographic data questionnaire, and signed a written consent. Pain severity in patients assessed through VAS. The function of the joints was also evaluated using a detailed questionnaire on Kujala impairment. In all patients the patellofemoral compression test and patellofemoral grinding test were performed and these tests were positive. At the next phase, groups A and B were treated over a span of 4 weeks through 12 therapy sessions. the session lasted 10 to 15 minutes. Each session included warmup of 5 minutes. Warmup included stretching of the Hamstrings, VMO and VL and then 3 sets of 10 repetitions each set followed by 30 second was performed. After the termination of study all the subjects was filled up the questionnaire again. At the end the VAS scale scoring, Kujala Questionnaire scoring and Patellofemoral compression test and patellofemoral grinding test was performed again. Evaluation of data was done by spss 23 version. The data for 30 participants were assessed, with 66.7% men and 33.3% women between the ages of 16 and 40. Both groups received improved results. In the experimental group, the mean difference between the pre- and post-test results was 9.1333 (p=0.016), while it was 8.2000 (p=0.02) in the control group. However, the participants of 1st group showed the more promising results as compared to the 2nd group.  According to this study closed kinetic chain exercises with isometric hip adduction showed the more prominent result on the PFPS.