Effects of High-intensity Training and Electrical Stimulation on Pain, Disability, Knee Kinematic and Performance in Patellofemoral Pain: A Randomized Controlled Trial

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dc.authoridYagin, Fatma Hilal/0000-0002-9848-7958
dc.authorwosidYagin, Fatma Hilal/ABI-8066-2020
dc.contributor.authorSamakosh, Hadi Mohammadi Nia
dc.contributor.authorOliveira, Rafael
dc.contributor.authorShahabi, Shahriar
dc.contributor.authorSarvarifar, Behrooz
dc.contributor.authorGorji, Sahar Moddares
dc.contributor.authorAmirkhanloo, Amirreza
dc.contributor.authorBadicu, Georgian
dc.date.accessioned2024-08-04T20:56:04Z
dc.date.available2024-08-04T20:56:04Z
dc.date.issued2024
dc.departmentİnönü Üniversitesien_US
dc.description.abstractPatellofemoral pain (PFP) is a widespread problem in athletes who participate in jumping, cutting, and pivoting sports. Forty-four players participated in this study. They were divided into two groups: exercise plus EMS (G1) and exercise without EMS (G2), both with 12 women and 10 men. The exercise performed was 8 weeks of a high-intensity strength program for 45-60 minutes, plus cooling and a warm-up phase. Visual analogue scale (VAS), disability (Kujala patellofemoral score), knee valgus angle (KVA) and single-leg hop (SLH) were tested before (pre-test) and after training (post-test at 8 weeks) using a within -between group analysis (ANOVA 2x2). At baseline, no differences between groups were found (p > 0.05). After the intervention, both groups improved VAS, KVA, SLH (p < 0.001), and disability (p = 0.042). G1 showed more improvements than G2 for VAS (- 63.4 vs - 51.5%, p = 0.021, eta p2 = 0.13), disability (+ 32.6 vs + 18.4%, p = 0.001, eta p2 = 0.52), KVA (+ 4.2 vs + 2.2%, p = 0.016, eta p2 = 0.214) and SLH (+ 12.3 vs + 6.0%, p = 0.003, eta p2 = 0.20) respectively. No differences were found between the sexes for each group. Despite both interventions being valid, high-intensity strength training combined with EMS improved pain, disability, knee kinematics, and lower extremity performance more than exercise alone in professional handball athletes with PFP.en_US
dc.description.sponsorshipPrincess Nourah bint Abdulrahman University Researchers Supporting Project [PNURSP2022R309]; Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia - National Funds by FCT-Foundation for Science and Technology [UIDB/04045/2020]en_US
dc.description.sponsorshipFunding This research project is funded by Princess Nourah bint Abdulrahman University Researchers Supporting Project number (PNURSP2022R309) , Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia. Rafael Oliveira is a research member of the Research Centre in Sports Sciences, Health and Human Development which was funded by National Funds by FCT-Foundation for Science and Technology under the following project UIDB/04045/2020 (https://doi.org/10.54499/UIDB/04045/2020) . The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results.en_US
dc.identifier.issn1579-1726
dc.identifier.issn1988-2041
dc.identifier.issue55en_US
dc.identifier.scopus2-s2.0-85194741400en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.urihttps://hdl.handle.net/11616/102022
dc.identifier.wosWOS:001236082000001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherFederacion Espanola Asoc Docentes Educacion Fisica-Feadefen_US
dc.relation.ispartofRetos-Nuevas Tendencias En Educacion Fisica Deporte Y Recreacionen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectElectrical muscle stimulationen_US
dc.subjectRehabilitationen_US
dc.subjectMusculoskeletalen_US
dc.subjectKneeen_US
dc.subjectHandball playersen_US
dc.titleEffects of High-intensity Training and Electrical Stimulation on Pain, Disability, Knee Kinematic and Performance in Patellofemoral Pain: A Randomized Controlled Trialen_US
dc.typeArticleen_US

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