A STUDY TO COMPARE THE EFFECTIVENESS OF COMBINED OPEN AND CLOSED KINETIC CHAIN EXERCISES WITH MEDIAL PATELLAR TAPING IN PATIENTS WITH PATELLOFEMORAL PAIN SYNDROME

Eswar Reddy.K, R. Kavya Priyanka, B. Sandhya Rani, K. Venugopal Reddy, K. Sujitha Chandrakala

ABSTRACT
Background of the study: Patellofemoral pain syndrome(PFPS) is a syndrome characterized by knee pain ranging from severe to mild discomfort seemingly originating from the contact of the posterior surface of the patella (back of the kneecap) with the femur (thigh bone). Both open and closed kinetic chain exercises are effective in strengthening of the quadriceps muscle. It has been suggested that these exercises are used jointly in the management of PFPS, but no study to date has evaluated the effect of combined open and closed kinetic chain exercises on PFPS. Treatment of this condition is usually conservative, however the effectiveness of many treatments frequently used in clinical practice, including exercise and taping has not been established. Hence the purpose of this study is to compare the short term effects of combined open and closed kinetic chain exercises and medial patellar taping technique in patients with Patello Femoral Pain Syndrome
Methodology: 30 subjects with Patellofemoral Pain syndrome were selected for the study and randomized into two groups Group A and Group B.Group A received closed and open kinematic chain excercises for 30 minutes 5 days a week for 6 weeks  and Group B were treated with patellar taping for a  period of 6wks.
Outcome Measures: Pre and Post test values of all the subjects were evaluated using Visual Analog Scale(VAS) and kujala  functional knee score.
Result: The results has revealed that there is significance noted in Group A (p<0.0001) when compared to group B .Significant difference was also noted in both outcome scales vas and kujala functional score.
Conclusion: The results of this study have shown significant reduction of pain and improvement in functional ability of patients with patellofemoral pain sydrome with combined open and closed kinetic chain exercises(Group A) when compared to (Group B) that is medial patellar taping.
Key words: Patellofemoral Pain Syndrome, combined open and closed kinetic chain exercises, medial patellar taping.

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