The Effects of Therapeutic Approach of Patellofemoral Pain Syndrome with Asymmetrical Hip Rotation : Case Study

비대칭성 고관절 회전각을 지닌 슬개대퇴통증증후군 환자의 치료적 접근 - 사례연구

  • Jang, Hyun-Jeong (Dept. of Physical Therapy, Graduate School, Daejeon University) ;
  • Kim, Suhn-Yeop (Dept. of Physical Therapy, College of Natural Science, Daejeon University) ;
  • Kim, Ho-Bong (Dept. of Physical Therapy, Cheju Halla College)
  • 장현정 (대전대학교 대학원 물리치료학과) ;
  • 김선엽 (대전대학교 자연과학대학 물리치료학과) ;
  • 김호봉 (제주한라대학 물리치료과)
  • Received : 2011.05.13
  • Accepted : 2011.07.25
  • Published : 2011.12.31

Abstract

Background: Patellofemoral pain syndrome is very common knee problem and altered hip rotation may play a role in patellofemoral pain. The purpose of this case study is to describe the manual therapy of and the therapeutic exercise for a patient with asymmetrical hip rotation and patellofemoral pain. Method: The patient was a 29 years old woman with an 3 month history of anterior right knee pain, without known trauma or injury. Prior to intervention, her score on the VAS was Max 6 to Min 4. Left hip internal rotation was less than right hip internal rotation, and manual muscle testing showed weakness of the left hip internal rotator and abductor muscles. The intervention consisted of manual therapy and therapeutic exercise for three times a weeks, two weeks for increasing right hip medial rotation, improving left hip muscle strength, and eliminating anterior right knee pain. Result: After intervention for 2weeks, passive left and right hip medial rotations were symmetrical, and her right hip internal rotator and abductor muscle grades were Good plus. Her VAS score was Max 2 to Min 0. Conclusion: Manual therapy and therapeutic exercise is effective in improving for patient had patellofemoral pain with pattern of asymmetrical hip rotation.

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