TY - JOUR T1 - Patellofemoral ağrı sendromunda açık ve kapalı kinetik halka egzersizlerinin fonksiyonel duruma etkilerinin karşılaştırılması TT - A comparison of the effects of closed and open kinetic chain exercises on functional status in patellofemoral pain syndrome AU - , PY - 2011 DA - December DO - 10.21653/tfrd.156513 JF - Fizyoterapi Rehabilitasyon PB - Türkiye Fizyoterapistler Derneği WT - DergiPark SN - 1300-8757 SP - 217 EP - 223 VL - 22 IS - 3 LA - tr AB - Amaç: Çalışmanın amacı patellofemoral ağrı sendromu (PFAS) olan hastalarda ev programı olarak verilen kapalı kinetik halka (KKH) ve açık kinetik halka (AKH) egzersiz programlarının karşılaştırılmasıydı. Yöntem: Tek taraflı PFAS tanısı olan 54 hastanın rastgele seçimle 27’sine (yaş ortalaması: 37.77±5.19 yıl) AKH egzersizleri, 27’sine (yaş ortalaması: 38.25±3.97 yıl) KKH egzersizleri 8 hafta süreyle uygulandı. Tedavi öncesinde ve sonrasında ağrı değerlendirmesi Vizüel Analog Skalası (VAS) ile fonksiyonel durum ise, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) ile değerlendirildi. Ayrıca, egzersiz programına olan uyum bir çizelge ile değerlendirildi. Sonuçlar: Başlangıç değerleri açısından her iki gruptaki hastaların yaş, boy, vücut ağırlığı, ağrı süresi, vücut kütle indeksi ve eğitim düzeyleri arasında bir fark bulunmadı (p>0.05). İstirahat ve aktif durumda değerlendirilen ağrı, WOMAC toplam skoru ve alt skalaları açısından hem tedavi öncesinde hem de tedavi sonrasında gruplar arasında fark bulunmadı (p>0.05). Her iki grubun kendi içerisindeki tedavi öncesi ve sonrası değerlendirmeler karşılaştırıldığında tamamında fark olduğu görüldü (p KW - Patellofemoral ağrı sendromu KW - Kinetik halka egzersizi KW - Ev programı CR - Brody LT, Thein JM. Nonoperative treatment for patellofemoral pain. J Orthop Sports Phys Ther. 1998;28:336–344. CR - Fredericson M, Yoon K. Physical examination and patello-femoral pain syndrome. Am J Phys Med Rehabil. 2006;85:234-243. CR - Crossley K, Bennell K. A systematic review of physical interventions for patellofemoral pain syndrome. Clin J Sport Med. 2001;11:103-110. CR - Heintjes E, Berger MY, Bierma-Zeinstra SM, et al. Exercise therapy for patellofemoral pain syndrome. Cochrane Database Syst Rev. 2003;4:CD003472. CR - Arroll B, Ellis PE, Edwards A, et al. Patellofemoral pain syndrome– a critical review of the clinical trials on non-operative therapy. Am J Sports Med. 1997;25:207-212. CR - Witvrouw E, Lysens R, Bellemans J, et al. Intrinsic risk factors for the development of anterior knee pain in an athletic population. A two-year prospective study. Am J Sports Med. 2000;28:480– 489. CR - Holmes SW, Glancy WG. Clinical classification of patellofemoral pain and dysfunction. J Orthop Sports Phys Ther. 1998;28:299–306. CR - Thomee R, Augustsson J, Karlsson J. Patellofemoral pain syndrome: a review of current issues. Sports Med. 1999;28:245–262. CR - Puniello MS. Iliotibial band tightness and medial patellar glide in patients with patellofemoral dysfunction. J Orthop Sports Phys Ther. 1993;17:144–148. CR - Akarcalı İ, Tuğay N, Erden Z, et al. Assessment of muscle strength and soft tissue tightness in patients with patellofemoral pain syndrome. Acta Orthop Traumatol Turc. 2000;34:23-27. CR - Witvrouw E, Danneels L, Van Tiggelen D, et al. Open versus closed kinetic chain exercises for patellofemoral pain. A 5-year prospective randomized study. Am J Sports Med. 2004;32:1122- 1130. CR - Crossley KM, Bennell KL, Cowan SM, et al. Analysis of outcome measures for persons with patellofemoral pain: which are reliable and valid? Arch Phys Med Rehabil. 2004;85:815–822. CR - Bennell KL, Bartram S, Crossley KM et al. Outcome measures in patellofemoral pain syndrome: test- retest reliability and interrelationships. Phys Ther Sport. 2000;1:32–34. CR - Tüzün EH, Eker L, Aytar A, et al. Acceptability, reliability, validity and responsiveness of the Turkish version of WOMAC osteoarthritis index. Osteoarthritis Cartilage. 2005;13:28-33. CR - Kotrlik JW, Williams HA. The incorporation of effect size in information. technology, learning, and performance. Information Technology, Learning and. Performance Journal. 2003;21:1-7. CR - Cowan SM, Bennell KL, Hodges PW, et al. Simultaneous feed forward recruitment of the vasti in untrained postural tasks can be restored by physical therapy. J Orthop Res. 2003;21:553-558. CR - Crossley K, Bennell K, Green S, et al. Physical therapy for patellofemoral pain: a randomized, double-blinded, placebo-controlled trial. Am J Sports Med.2002;30:857-865. CR - Doucette SA, Child DD. The effect of open & closed chain exercise and knee joint position on patella tracking in lateral patellar compression syndrome. J Orthop Sports Phys Ther. 1996;23:104- 110. CR - Wilk KE, Reinold MM. Principles of patellofemoral rehabilitation. Sports Med Arthosc. 2001;9:325-336. CR - Witvrouw E, Bellemans J, Lysens, R et al. Open versus closed kinetic chain exercises in patellofemoral pain: a prospective randomized study. Am J Sports Med. 2000;28:687-695. CR - Herrington L, Al-Sherhi A. A controlled trial of weight-bearing versus non-weight-bearing exercises for patellofemoral pain. J Orthop Sports Phys Ther. 2007;37:155–159. CR - Balcı P, Tunay VB, Baltacı G, et al. The effects of two different closed kinetic chain exercises on muscle strength and proprioception in patients with patellofemoral pain syndrome. Acta Orthop Traumatol Turc. 2009;43:419-425. CR - Kaya D, Callaghan MJ, Özkan H, et al. The effect of an exercise program in conjunction with short- period patellar taping on pain, electromyogram activity, and muscle strength in patellofemoral pain syndrome. Sports Health. 2010;2:410-416. CR - Wijnen LC, Lenssen AF, Kuys-Wouters YM, et al. McConnell therapy versus Coumans bandage for patellofemoral pain - a randomised pilot study. Nederlands Tijdschrift voor fysiotherapie. 1996;Sept(Special):12–17. CR - Gaffney K, Fricker P, Dwyer T, et al. Patellofemoral joint pain: a comparison of two treatment programmes. Excel. 1992;8: 179–189. CR - Stiene HA, Brosky T, Reinking MF, et al. A comparison of closed kinetic chain and isokinetic joint isolation exercise in patients with patellofemoral dysfunction. J Orthop Sports Phys Ther. 1996;24:136–141. CR - Colón VF, Mangine R, McKnight C, et al. The pogo stick in rehabilitating patients with patellofemoral chondrosis. J Rehabil. 1988;54:73–77. CR - Gobelet C, Frey M, Bonard A. Muscle training techniques and retropatellar chondropathy. Rev Rhum Mal Osteoartic. 1992;59:23-27. UR - https://doi.org/10.21653/tfrd.156513 L1 - https://dergipark.org.tr/en/download/article-file/138084 ER -