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Dynamic proprioceptive training improves functional recovery in sprinters with patellofemoral pain: A randomized trial.

B D, Subramanian SS, Thirumalai J, Bakhsh HR, Alfawaz SS, Jastania R et al. ยท PloS one ยท 2026

This randomized trial put 60 recreational sprinters with knee (patellofemoral) pain into either a dynamic proprioceptive/balance-based training program or a conventional strengthening program, both supervised three times a week for 12 weeks, and tracked pain, dynamic balance, hop distance, and limb symmetry. The authors concluded that the proprioceptive training group achieved greater overall functional recovery than the strengthening group, though the abstract's results section is cut off and gives no specific numbers.
Takeaway: Add balance and perturbation-based drills alongside strengthening when rehabbing patellofemoral knee pain.
Abstract (source)

Background: Patellofemoral pain syndrome (PFPS) is a common musculoskeletal condition among physically active individuals, particularly sprinters, and is frequently associated with pain, impaired balance, and reduced functional performance. This study compared the effects of dynamic proprioceptive training and conventional strengthening on multidomain functional recovery in recreational sprinters with PFPS.

Methods: A two-arm, assessor-blinded randomized controlled trial was conducted among 60 recreational sprinters with unilateral PFPS. Participants were randomly allocated to either a Dynamic Proprioceptive Training (DPT) group or a Strengthening Program (SP) group (n = 30 each). Both groups received supervised rehabilitation three times weekly for 12 weeks. Primary outcomes included pain intensity (Numeric Pain Rating Scale [NPRS]), dynamic balance (Y-Balance Test [YBT]), and single-hop distance. Secondary outcomes included limb symmetry index (LSI), recovery rates, and a composite Recovery Efficiency Index (REI). Assessments were performed at baseline, 6 weeks, and 12 weeks. Repeated-measures ANOVA and regression-based analyses were performed. This trial was registered with the Clinical Trials Registry of India (CTRI/2025/07/090253).

Results: Both groups improved significantly over time (p

Conclusion: Dynamic proprioceptive training produced greater multidomain functional recovery than conventional strengthening in recreational sprinters with PFPS. Incorporating sensorimotor and perturbation-based exercises into rehabilitation programmes may improve functional recovery, limb symmetry, and sport-specific performance in athletic populations.

Randomized controlled trialRecovery & Sleep
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