A Study on Percutaneous Electrical Nerve Stimulation with Open Kinematic Exercises on Gluteus Medius Activation in Patellofemoral Pain Syndrome
Background: Patellofemoral pain accounts for 25-40% of knee pain cases. It is thought that weakness or inadequate activation of gluteus medius muscle while weight-bearing can lead to internal rotation of the femur and consequently lateral tracking of the patella, gradually leading to patellofem...
| Main Authors: | , |
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| Format: | Article |
| Language: | English English |
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INTI International University
2023
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| Online Access: | http://eprints.intimal.edu.my/1808/ http://eprints.intimal.edu.my/1808/1/ij2023_52r.pdf http://eprints.intimal.edu.my/1808/2/117 |
| _version_ | 1848766962396561408 |
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| author | Shunmathi, Saravanan K., Kotteeswaran |
| author_facet | Shunmathi, Saravanan K., Kotteeswaran |
| author_sort | Shunmathi, Saravanan |
| building | INTI Institutional Repository |
| collection | Online Access |
| description | Background: Patellofemoral pain accounts for 25-40% of knee pain cases. It is thought that
weakness or inadequate activation of gluteus medius muscle while weight-bearing can lead to
internal rotation of the femur and consequently lateral tracking of the patella, gradually leading to
patellofemoral pain syndrome. Percutaneous Electrical Nerve Stimulation is a novel treatment
modality for the management of myofascial pain syndrome, when combined with open kinematic
exercises, it helps to improve the strength of a particular muscle.
Objective: To determine the effects of Percutaneous Electrical Nerve Stimulation with open
kinematic exercises on gluteus medius activation in patellofemoral pain syndrome.
Methods: A study conducted on 30 patients with patellofemoral pain syndrome. All the patients
received Percutaneous Electrical Nerve Stimulation, in the myofascial trigger points of the gluteus
medius muscle, along with it open kinematic exercises were given targeting the gluteus medius
muscle. PENS was given twice a week for 6 weeks. Open kinematic exercises were given 5 days
a week for 6 weeks.
Results: Paired t – test was used to analyze the statistical difference. The pre - test value of
electromyography was (138.11 ± 2.08, P ˂ 0.0001) and post - test value was (140.61 ± 1.83, P ˂
0.0001). As for the pain score (NPRS) the pre – test value was (6.67 ± 1.54, P ˂ 0.0001) and post
- test value was (3.2 ± 1.2, P ˂ 0.0001). A significant difference was noted in the gluteus medius
activation levels and the pain score with the application of Percutaneous Electrical Nerve
Stimulation with open kinematic exercises targeting the gluteus medius muscle.
Conclusion: The study concluded that Percutaneous Electrical Nerve Stimulation with open
kinematic exercises is effective in the activation of gluteus medius muscle. |
| first_indexed | 2025-11-14T11:57:32Z |
| format | Article |
| id | intimal-1808 |
| institution | INTI International University |
| institution_category | Local University |
| language | English English |
| last_indexed | 2025-11-14T11:59:29Z |
| publishDate | 2023 |
| publisher | INTI International University |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | intimal-18082025-07-24T06:48:13Z http://eprints.intimal.edu.my/1808/ A Study on Percutaneous Electrical Nerve Stimulation with Open Kinematic Exercises on Gluteus Medius Activation in Patellofemoral Pain Syndrome Shunmathi, Saravanan K., Kotteeswaran Q Science (General) QP Physiology Background: Patellofemoral pain accounts for 25-40% of knee pain cases. It is thought that weakness or inadequate activation of gluteus medius muscle while weight-bearing can lead to internal rotation of the femur and consequently lateral tracking of the patella, gradually leading to patellofemoral pain syndrome. Percutaneous Electrical Nerve Stimulation is a novel treatment modality for the management of myofascial pain syndrome, when combined with open kinematic exercises, it helps to improve the strength of a particular muscle. Objective: To determine the effects of Percutaneous Electrical Nerve Stimulation with open kinematic exercises on gluteus medius activation in patellofemoral pain syndrome. Methods: A study conducted on 30 patients with patellofemoral pain syndrome. All the patients received Percutaneous Electrical Nerve Stimulation, in the myofascial trigger points of the gluteus medius muscle, along with it open kinematic exercises were given targeting the gluteus medius muscle. PENS was given twice a week for 6 weeks. Open kinematic exercises were given 5 days a week for 6 weeks. Results: Paired t – test was used to analyze the statistical difference. The pre - test value of electromyography was (138.11 ± 2.08, P ˂ 0.0001) and post - test value was (140.61 ± 1.83, P ˂ 0.0001). As for the pain score (NPRS) the pre – test value was (6.67 ± 1.54, P ˂ 0.0001) and post - test value was (3.2 ± 1.2, P ˂ 0.0001). A significant difference was noted in the gluteus medius activation levels and the pain score with the application of Percutaneous Electrical Nerve Stimulation with open kinematic exercises targeting the gluteus medius muscle. Conclusion: The study concluded that Percutaneous Electrical Nerve Stimulation with open kinematic exercises is effective in the activation of gluteus medius muscle. INTI International University 2023-10 Article PeerReviewed text en cc_by_4 http://eprints.intimal.edu.my/1808/1/ij2023_52r.pdf text en cc_by_4 http://eprints.intimal.edu.my/1808/2/117 Shunmathi, Saravanan and K., Kotteeswaran (2023) A Study on Percutaneous Electrical Nerve Stimulation with Open Kinematic Exercises on Gluteus Medius Activation in Patellofemoral Pain Syndrome. INTI JOURNAL, 2023 (52). pp. 1-7. ISSN e2600-7320 https://intijournal.intimal.edu.my |
| spellingShingle | Q Science (General) QP Physiology Shunmathi, Saravanan K., Kotteeswaran A Study on Percutaneous Electrical Nerve Stimulation with Open Kinematic Exercises on Gluteus Medius Activation in Patellofemoral Pain Syndrome |
| title | A Study on Percutaneous Electrical Nerve Stimulation with Open Kinematic
Exercises on Gluteus Medius Activation in Patellofemoral Pain Syndrome |
| title_full | A Study on Percutaneous Electrical Nerve Stimulation with Open Kinematic
Exercises on Gluteus Medius Activation in Patellofemoral Pain Syndrome |
| title_fullStr | A Study on Percutaneous Electrical Nerve Stimulation with Open Kinematic
Exercises on Gluteus Medius Activation in Patellofemoral Pain Syndrome |
| title_full_unstemmed | A Study on Percutaneous Electrical Nerve Stimulation with Open Kinematic
Exercises on Gluteus Medius Activation in Patellofemoral Pain Syndrome |
| title_short | A Study on Percutaneous Electrical Nerve Stimulation with Open Kinematic
Exercises on Gluteus Medius Activation in Patellofemoral Pain Syndrome |
| title_sort | study on percutaneous electrical nerve stimulation with open kinematic
exercises on gluteus medius activation in patellofemoral pain syndrome |
| topic | Q Science (General) QP Physiology |
| url | http://eprints.intimal.edu.my/1808/ http://eprints.intimal.edu.my/1808/ http://eprints.intimal.edu.my/1808/1/ij2023_52r.pdf http://eprints.intimal.edu.my/1808/2/117 |