Ferlito Rosario, De Salvo Sara, Managò Giovanni, Ilardo Martina, Sapienza Marco, Caldaci Alessia, Vescio Andrea, Pavone Vito, Testa Gianluca
Department of Biomedical and Biotechnological Sciences, University of Catania, 95123 Catania, Italy.
Department of General Surgery and Medical Surgical Specialties, Section of Orthopedics and Traumatology, A.O.U. Policlinico-Vittorio Emanuele, University of Catania, Via Santa Sofia 78, 95123 Catania, Italy.
J Funct Morphol Kinesiol. 2024 Jan 15;9(1):21. doi: 10.3390/jfmk9010021.
This paper aims to investigate the effectiveness and the outcomes of the association between different types of biofeedback techniques and therapeutic exercises in the conservative treatment of patellar femoral pain (PFP). The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement guidelines have been used and followed the Cochrane Handbook for Systematic Reviews of Interventions. Between April and June 2023, the following electronic databases were searched: PubMed, ScienceDirect, BIOMED Central, Cochrane Library, and PEDro. Only randomized controlled trials (RCTs) were selected. Following the search, 414 records were found, and after using strict inclusion and exclusion criteria, 12 RCTs were retrieved to include in this systematic review, assessing 513 patients. The association between biofeedback and therapeutic exercise may be beneficial for pain, function (AKPS), extensor muscle strength, reduction of the dynamic knee valgus and vastus medialis (VM) and vastus lateralis (VL) (EMG) optimization. All these results were valued in the short term. Regarding the intervention type, it was possible to correlate the EMG biofeedback with the benefits of the knee extensor strength and the EMG activity of VM and VL. Conversely, using mirror, verbal, and somesthetic (hands and band) feedback seems to be linked to the reduction of the knee dynamic valgus.
本文旨在研究不同类型的生物反馈技术与治疗性锻炼相结合在髌股疼痛（PFP）保守治疗中的有效性和效果。本研究采用了系统评价和Meta分析的首选报告项目（PRISMA）声明指南，并遵循了Cochrane干预措施系统评价手册。在2023年4月至6月期间，检索了以下电子数据库：PubMed、ScienceDirect、生物医学中心、Cochrane图书馆和PEDro。仅选择随机对照试验（RCT）。检索后，共找到414条记录，在使用严格的纳入和排除标准后，纳入12项RCT进行本系统评价，共评估513例患者。生物反馈与治疗性锻炼之间的关联可能对疼痛、功能（AKPS）、伸肌力量、动态膝外翻的减少以及股内侧肌（VM）和股外侧肌（VL）（肌电图）的优化有益。所有这些结果均在短期内进行评估。关于干预类型，肌电图生物反馈与膝伸肌力量以及VM和VL的肌电图活动的益处相关。相反，使用镜像、言语和躯体感觉（手和带）反馈似乎与膝动态外翻的减少有关。
