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Effect of intraarticular glycosaminoglycan polysulfate treatment on patellofemoral pain syndrome. A prospective, randomized double-blind trial comparing glycosaminoglycan polysulfate with placebo and quadriceps muscle exercises

✍ Scribed by Pekka Kannus; Antero Natri; Seppo Niittymäki; Markku Järvinen


Book ID
102751913
Publisher
John Wiley and Sons
Year
1992
Tongue
English
Weight
816 KB
Volume
35
Category
Article
ISSN
0004-3591

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✦ Synopsis


Objective. To compare the effects of intraarticular (IA) injections of glycosaminoglycan polysulfate (GAGPS) plus basic conservative treatment with the effects of placebo injections plus conservative treatment and with the effects of conservative treatment alone in patients with chronic patellofemoral pain syndrome (PFPS) .

Methods. We treated 53 patients who presented with chronic PFPS in 1 knee, according to 1 of the 3 protocols, in a prospective, randomized, double-blind study. Basic conservative treatment consisted of a 6-week program of quadriceps muscle exercise, elimination of symptom-producing activities, and oral doses of nonsteroidal antiinflammatory drugs. Physiologic saline served as placebo for injection. During the 6-week treatment period, 5 injections were given 1 week apart. Along with measurements of quadriceps strength, standardized subjective, functional, and clinical assessments were performed at presentation, after 6 weeks of treatment, and after 6 months.

Results. Results at 6 months indicated that IA injections of GAGPS or saline did not result in signifi-From the Tampere Research Station of Sports Medicine,