The Effect of Hip, Ankle, And Foot Corrective Exercise in The Treatment of a Patient with Patellofemoral Disorders: A Case Report
Introduction: Patellofemoral Disorders is one of the most common conditions encountered in an outpatient physical therapy setting. While there are many different approaches used in the treatment, the purpose of this study is to report the application of hip, ankle, and foot corrective exercise for patient with patellofemoral disorders. Methods: This is a case report study participated by a 21-yearold female patient who was medically diagnosed with patellofemoral disorders, using CARE (CAseREport) Guidelines as the writing method. Outcome measures included the International Knee Documentation Committee (IKDC) forms, the Numeric Pain Rating Scale (NPRS), ROM using Goniometer, and self-reported walking tolerance. Corrective exercise included Gluteus Medius isolated-activation, stretching for Adductor Muscle group, ankle stabilization exercise, and medial foot-arc strengthening exercise 3 times a week for a period of 4 weeks. Results: With corrective exercise, IKDC score improved from 48.28% to 52.87%, NPRS score reduced from 5/10 to 2/10 on the left knee and 5/10 to 3/10 on the right knee. Knee flexion ROM improved from 1280 to 1500 and from 1250 to 1450 on the left and right knee respectively. Walking tolerance improved to more than 30 minutes. However, patient still unable performing full squatting movement and kneeling position. Conclusion: This result demonstrated that hip and ankle corrective exercise can decrease pain and improve function in a 21-year-old female with patellofemoral disorders. Further studies should be conducted to investigate the use of corrective exercise in a larger population with patellofemoral disorders.
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