Journal of rehabilitation medicine · 2026
Clinical and functional outcomes of aquatic plyometrics in adolescent patellofemoral pain syndrome: a dual-arm randomized controlled trial.
СтатьяРандомизированное исследованиеНазвание и аннотация: Перевод пока не подготовлен
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Alotaibi Mazyad A, Elnaggar Ragab K, Alhowimel Ahmed S, Alrawaili Saud M, Elnegamy Tamer E, Alfeheid Hesham A, Basha Maged A, Kamel FatmaAlzahraa H, Aloraini Saleh M, Alsultan Feras, Alharbi Amal, Elfakharany Mahmoud S
Аннотация
OBJECTIVE: Optimal management of adolescent patellofemoral pain syndrome requires evidence-based interventions that maximize physical recovery without overloading the patellofemoral joint. This study investigated the efficacy of aquatic plyometric (Aquatic-Plyo) exercises on pain, muscle strength, and functional disability and health-related quality of life in this demographic.
DESIGN: A dual-arm randomized controlled trial.
SUBJECTS/PATIENTS: 56 adolescents with patellofemoral pain syndrome (age: 10-18 years).
METHODS: Adolescents were allocated to an experimental Aquatic-Plyo group or a control group performing conventional exercises. Both arms completed 45-min sessions twice weekly for 12 weeks. Pre- and post-treatment assessments included pain intensity, isokinetic knee (quadriceps and hamstrings) torque at 120°/s and 180°/s, functional disability, and health-related quality of life.
RESULTS: Mixed-model ANOVA confirmed the therapeutic dominance of the Aquatic-Plyo protocol. It yielded superior pain relief (p = 0.004, η2p = 0.14) and larger increases in quadriceps [120°/s (p = 0.006, η2p = 0.13); 180°/s (p = 0.008, η2p = 0.12)] and hamstring [120°/s (p = 0.007, η2p = 0.13); 180°/s (p = 0.023, η2p = 0.09)] peak torque. Moreover, the Aquatic-Plyo intervention drove greater reduction in functional disability (p = 0.03, η2p = 0.08) and notable enhancement in perceived health-related quality of life (p = 0.023, η2p = 0.09).
CONCLUSION: Aquatic-Plyo exercises effectively reduces pain and disability while improving muscle strength and health-related quality of life in adolescents with patellofemoral pain syndrome, making it a valuable addition to conservative rehabilitation strategies.
DESIGN: A dual-arm randomized controlled trial.
SUBJECTS/PATIENTS: 56 adolescents with patellofemoral pain syndrome (age: 10-18 years).
METHODS: Adolescents were allocated to an experimental Aquatic-Plyo group or a control group performing conventional exercises. Both arms completed 45-min sessions twice weekly for 12 weeks. Pre- and post-treatment assessments included pain intensity, isokinetic knee (quadriceps and hamstrings) torque at 120°/s and 180°/s, functional disability, and health-related quality of life.
RESULTS: Mixed-model ANOVA confirmed the therapeutic dominance of the Aquatic-Plyo protocol. It yielded superior pain relief (p = 0.004, η2p = 0.14) and larger increases in quadriceps [120°/s (p = 0.006, η2p = 0.13); 180°/s (p = 0.008, η2p = 0.12)] and hamstring [120°/s (p = 0.007, η2p = 0.13); 180°/s (p = 0.023, η2p = 0.09)] peak torque. Moreover, the Aquatic-Plyo intervention drove greater reduction in functional disability (p = 0.03, η2p = 0.08) and notable enhancement in perceived health-related quality of life (p = 0.023, η2p = 0.09).
CONCLUSION: Aquatic-Plyo exercises effectively reduces pain and disability while improving muscle strength and health-related quality of life in adolescents with patellofemoral pain syndrome, making it a valuable addition to conservative rehabilitation strategies.