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manuelletherapie 2016; 20(03): 137-148
DOI: 10.1055/s-0042-108664
ORIGINALIA
LITERATURSTUDIE
Georg Thieme Verlag KG Stuttgart · New York

Effektivität von Übungen zur Kräftigung der Hüftmuskulatur bei Patienten mit patellofemoralem Schmerzsyndrom

Systematischer ReviewEffectiveness of Hip-Strengthening Exercises in Patients with Patellofemoral Pain SyndromeSystematic Review
Christiane Gross
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Publication History

Publication Date:
22 July 2016 (online)

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Zusammenfassung

Aufgrund der hohen Inzidenz und nicht gänzlich geklärten multifaktoriellen Ätiologie stellt die physiotherapeutische Behandlung von Patienten mit patellofemoralem Schmerzsyndrom (PFSS) eine große Herausforderung dar. Diese Literaturübersichtsarbeit geht der Fragestellung nach, ob es evidenzbasierte Nachweise über die Effektivität von Übungen zur Kräftigung der Hüftmuskulatur bei Patienten mit PFSS gibt.

Die 14 eingeschlossenen Studien zeigten eine gute methodologische Qualität, jedoch bei hoher Homogenität der Studienpopulation und geringen Fallzahlen. 3 Studien verglichen die Effektivität von hüftmuskelkräftigenden Übungen als alleinige, alle anderen als zusätzliche Intervention.

Hüftmuskelkräftigende Übungen stellen bei Patienten mit PFSS eine effektive Behandlungsmaßnahme dar und erzielen bessere Kurzzeiteffekte hinsichtlich Schmerzlinderung und Funktionsverbesserung als multimodale Trainingsprogramme oder isolierte Kräftigungsübungen für den M. quadriceps.

Derzeit besteht jedoch lediglich Evidenz, dass hüftmuskelkräftigende Übungen einen zusätzlichen Nutzen in der Behandlung von Patienten mit PFSS bringen. Dabei bleibt offen, welche Arten von Kräftigungsübungen am effektivsten sind.

Abstract

Due to the high incidence and the not entirely clear multifactorial aetiology, physiotherapy treatment of patients with patellofemoral pain syndrome (PFPS) is a major challenge. This systematic review examined the question, whether there is detectable evidence of the effectiveness of hip-strengthening exercises in patients with PFPS.

The 14 included studies show a good methodological quality, however with high homogeneity of the study population and small sample sizes. 3 studies compared the effectiveness of hip-strengthening exercises alone. In the other studies hip strengthening exercises were an additional intervention.

Hip-strengthening exercises are an effective treatment for patients with PFPS. They produce better short-term effects on pain relief and functional improvement than multimodal training programmes or isolated quadriceps-strengthening exercises.

However, to date there exists only evidence that hip-strengthening exercises have an additional benefit in the treatment of patients with PFPS. It remains unclear which kind of strengthening exercises are the most effective.

Schlüsselwörter

patellofemorales Schmerzsyndrom - Hüftmuskulatur - Kräftigungsübungen

Keywords

patellofemoral pain syndrome - hip muscles - strengthening exercises
 

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