Eccentric exercise in the prevention of patellofemoral pain in high-volume runners: A rationale for integration.

Anterior knee pain EE, eccentric exercise EMG, electromyography Exercise Injury prevention PFP, patellofemoral pain Patellofemoral joint

Journal

Sports medicine and health science
ISSN: 2666-3376
Titre abrégé: Sports Med Health Sci
Pays: Netherlands
ID NLM: 101777807

Informations de publication

Date de publication:
Jun 2021
Historique:
received: 01 02 2021
revised: 08 04 2021
accepted: 19 04 2021
entrez: 5 7 2022
pubmed: 4 5 2021
medline: 4 5 2021
Statut: epublish

Résumé

Patellofemoral pain (PFP) is a common overuse condition seen in high-volume runners, such as military recruits. Exercise is commonly prescribed, with benefit, for the rehabilitation of individuals with PFP. However, a substantial number of individuals with the condition do not achieve an optimal outcome, suggesting the condition can be difficult and complex. Given the challenging nature of the condition, and the risk of developing PFP in high-volume runners, it seems logical to investigate options for injury prevention. Eccentric exercise has been useful in the prevention of some pathologies so its utility in preventing PFP should be explored. Current evidence regarding prevention programs for PFP are limited. Preventative exercise programs for PFP have not been well described or reported, and questions remain regarding their effectiveness. Based on available evidence or lack thereof, and known physiological and clinical effects of eccentric exercise, suggestions for integration of eccentric exercise into PFP prevention programs are offered. Eccentric exercise may be useful for PFP prevention from a theoretical framework however additional longitudinal cohort studies would be useful in determining its utility.

Identifiants

pubmed: 35782158
doi: 10.1016/j.smhs.2021.04.003
pii: S2666-3376(21)00023-8
pmc: PMC9219282
doi:

Types de publication

Journal Article

Langues

eng

Pagination

119-124

Informations de copyright

© 2021 The Authors.

Déclaration de conflit d'intérêts

The authors have no conflicts of interest, financial or otherwise.

Références

Front Physiol. 2017 Jul 04;8:447
pubmed: 28725197
Br J Sports Med. 2017 Dec;51(24):1713-1723
pubmed: 29109118
J Orthop Sports Phys Ther. 2003 Oct;33(10):557-71
pubmed: 14620785
J Orthop Res. 2013 Jan;31(1):119-24
pubmed: 22847600
J Orthop Sports Phys Ther. 2009 Jul;39(7):532-40
pubmed: 19574661
Front Physiol. 2019 May 03;10:536
pubmed: 31130877
J Athl Train. 2016 Nov;51(11):919-926
pubmed: 27031886
Exp Physiol. 2009 Jul;94(7):825-33
pubmed: 19395657
Gait Posture. 2016 Mar;45:69-82
pubmed: 26979886
Cell J. 2017 Winter;18(4):473-484
pubmed: 28042532
J Gerontol A Biol Sci Med Sci. 2000 Apr;55(4):B177-82
pubmed: 10811144
Exp Gerontol. 2010 Jun;45(6):400-9
pubmed: 20303404
Am J Sports Med. 2016 Sep;44(9):2339-46
pubmed: 27206691
J Appl Physiol (1985). 1996 Dec;81(6):2339-46
pubmed: 9018476
Br J Sports Med. 2009 Aug;43(8):556-68
pubmed: 18981046
J Physiol. 1952 Jul;117(3):380-90
pubmed: 14946742
Br J Sports Med. 2016 Jul;50(14):881-6
pubmed: 26463119
Curr Rev Musculoskelet Med. 2020 Feb;13(1):103-114
pubmed: 32170556
J Orthop Sports Phys Ther. 2014 Apr;44(4):240-251, A1-A8
pubmed: 24568258
J Orthop Sports Phys Ther. 2018 Sep;48(9):A1-A42
pubmed: 30170521
J Exp Biol. 2016 Jan;219(Pt 2):197-204
pubmed: 26792331
Sports Med. 2017 Apr;47(4):663-675
pubmed: 27638040
J Physiol. 2000 Aug 1;526 Pt 3:589-96
pubmed: 10922010
PLoS One. 2018 Jan 11;13(1):e0190892
pubmed: 29324820
Am J Sports Med. 2020 Feb;48(2):341-350
pubmed: 31834811
Front Physiol. 2017 Feb 28;8:91
pubmed: 28293194
Brain Res. 2004 Oct 15;1023(2):200-12
pubmed: 15374746
Sports Med. 2017 May;47(5):917-941
pubmed: 27647157
Sports Health. 2017 Jul/Aug;9(4):333-340
pubmed: 28571492
Med Sci Sports Exerc. 2009 Mar;41(3):687-708
pubmed: 19204579
J Athl Train. 2009 Jan-Feb;44(1):7-13
pubmed: 19180213
J Neurophysiol. 1982 Jul;48(1):192-201
pubmed: 7119845
J Physiol. 2008 Jan 1;586(1):71-81
pubmed: 17855761
J Orthop Sports Phys Ther. 2019 Sep;49(9):CPG1-CPG95
pubmed: 31475628
Br J Sports Med. 2015 Mar;49(6):349-56
pubmed: 25227125
Pain Med. 2019 Feb 1;20(2):335-358
pubmed: 30423181
Phys Ther Sport. 2011 Aug;12(3):133-9
pubmed: 21802040
Br J Sports Med. 2016 Dec;50(23):1467-1472
pubmed: 26817705
Br J Sports Med. 2017 May;51(9):732-742
pubmed: 28320733
Br J Sports Med. 2016 Jul;50(14):844-52
pubmed: 27247098
Am J Sports Med. 1999 Sep-Oct;27(5):585-93
pubmed: 10496574
Scand J Med Sci Sports. 2020 Nov;30(11):2215-2221
pubmed: 32645745
Br J Sports Med. 2019 Mar;53(5):270-281
pubmed: 30242107

Auteurs

Brian Faller (B)

The George Washington University. Department of Health Human Function and Rehabilitation Sciences, Washington DC, 20006, USA.

Dean Bonneau (D)

The George Washington University. Department of Health Human Function and Rehabilitation Sciences, Washington DC, 20006, USA.

Liana Wooten (L)

The George Washington University. Department of Health Human Function and Rehabilitation Sciences, Washington DC, 20006, USA.

Dhinu J Jayaseelan (DJ)

The George Washington University. Department of Health Human Function and Rehabilitation Sciences, Washington DC, 20006, USA.

Classifications MeSH