Feedback Leads to Better Exercise Quality in Adolescents with Patellofemoral Pain
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Feedback Leads to Better Exercise Quality in Adolescents with Patellofemoral Pain. / Riel, Henrik; Matthews, Mark; Vicenzino, Bill; Bandholm, Thomas; Thorborg, Kristian; Rathleff, Michael Skovdal.
In: Medicine and Science in Sports and Exercise, Vol. 50, No. 1, 01.01.2018, p. 28-35.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Feedback Leads to Better Exercise Quality in Adolescents with Patellofemoral Pain
AU - Riel, Henrik
AU - Matthews, Mark
AU - Vicenzino, Bill
AU - Bandholm, Thomas
AU - Thorborg, Kristian
AU - Rathleff, Michael Skovdal
PY - 2018/1/1
Y1 - 2018/1/1
N2 - PURPOSE: Adolescents with patellofemoral pain (PFP) do not comply with their exercise prescription, performing too few and too fast repetitions, compromising recovery. We investigated if real-time feedback on contraction time would improve the ability of adolescents with PFP to perform exercises as prescribed.METHODS: A randomised, controlled, participant-blinded, superiority trial with a 6-week intervention of three weekly sessions of three elastic band exercises was undertaken. Forty 15 to 19-year-old adolescents with PFP were randomised to real-time BandCizer™-iPad feedback on contraction time or not by a physiotherapist. The primary outcome was the mean deviation from the prescribed contraction time of 8 seconds per repetition. Secondary outcomes included isometric hip and knee strength, Kujala Patellofemoral Scale and Global Rating of Change.RESULTS: The mean deviation from prescribed 8 seconds per repetition contraction time was 1.5s (±0.5) for the feedback group, compared to 4.3s (±1.0) for the control group (mean difference: 2.7s (95% CI: 2.2-3.2, P<0.001). Based on total contraction time during the intervention, the feedback group received 35.4% of the prescribed exercise dose whilst the control group received 20.3%. Isometric hip and knee strength increased significantly more in the feedback group compared to controls (mean difference = 1.35 N/kg (95%CI: 0.02-2.68, P=0.047)). There were no significant differences in Kujala Patellofemoral Scale and Global Rating of Change between groups, but the study was not powered for this.CONCLUSION: Real-time feedback on contraction time resulted in the ability to perform exercises closer to the prescribed dose, and also induced larger strength gains.
AB - PURPOSE: Adolescents with patellofemoral pain (PFP) do not comply with their exercise prescription, performing too few and too fast repetitions, compromising recovery. We investigated if real-time feedback on contraction time would improve the ability of adolescents with PFP to perform exercises as prescribed.METHODS: A randomised, controlled, participant-blinded, superiority trial with a 6-week intervention of three weekly sessions of three elastic band exercises was undertaken. Forty 15 to 19-year-old adolescents with PFP were randomised to real-time BandCizer™-iPad feedback on contraction time or not by a physiotherapist. The primary outcome was the mean deviation from the prescribed contraction time of 8 seconds per repetition. Secondary outcomes included isometric hip and knee strength, Kujala Patellofemoral Scale and Global Rating of Change.RESULTS: The mean deviation from prescribed 8 seconds per repetition contraction time was 1.5s (±0.5) for the feedback group, compared to 4.3s (±1.0) for the control group (mean difference: 2.7s (95% CI: 2.2-3.2, P<0.001). Based on total contraction time during the intervention, the feedback group received 35.4% of the prescribed exercise dose whilst the control group received 20.3%. Isometric hip and knee strength increased significantly more in the feedback group compared to controls (mean difference = 1.35 N/kg (95%CI: 0.02-2.68, P=0.047)). There were no significant differences in Kujala Patellofemoral Scale and Global Rating of Change between groups, but the study was not powered for this.CONCLUSION: Real-time feedback on contraction time resulted in the ability to perform exercises closer to the prescribed dose, and also induced larger strength gains.
KW - Journal Article
U2 - 10.1249/MSS.0000000000001412
DO - 10.1249/MSS.0000000000001412
M3 - Journal article
C2 - 28846562
VL - 50
SP - 28
EP - 35
JO - Medicine and Science in Sports and Exercise
JF - Medicine and Science in Sports and Exercise
SN - 0195-9131
IS - 1
ER -
ID: 185399662