Evidence map›Paper›PMID 41673842›Full record

Trial reportBMC musculoskeletal disorders2026

The effects of combined balance and perturbation training on gluteal muscle activity and hip kinematics in women with patellofemoral pain syndrome: a randomized controlled trial.

Fateme Zare Bidoki, Mostafa Haj Lotfalian

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Fateme Zare BidokiDepartment of Sports Injuries and Biomechanics, Faculty of Sports and Health Sciences, Tehran University, Tehran, Iran.
Mostafa Haj LotfalianDepartment of Physical Education and Sports Science, Faculty of Psychology and Educational Sciences, Yazd University, Yazd, Iran. M.hajlotfalian@yazd.ac.ir.ORCID http://orcid.org/0000-0002-9581-5645

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAltered hip muscle activity and kinematics are key impairments in patellofemoral pain syndrome (PFPs). While neuromuscular training is beneficial, its effects on specific gluteal muscle timing and hip motion during functional tasks remain unclear. This study aimed to investigate the effects of combined balance and perturbation training on gluteal muscle activity and hip kinematics in women with patellofemoral pain syndrome.

methodsTwenty-nine women with PFP

resultsFollowing the intervention, the exercise group demonstrated a greater reduction in normalized gluteus maximus activity (p = 0.006) and a greater increase in normalized gluteus medius activity (p = 0.017) than the control group. Significant interactions were also found for gluteus medius activation onset (p < 0.001) and time to peak for both gluteal muscles (GMax: p = 0.039; GMed: p = 0.023). Hip kinematics improved significantly, with interactions showing increased peak flexion (p < 0.001) and decreased peak adduction (p < 0.001). Clinically, significant interactions for pain (VAS, p < 0.001) and function (AKPS, p < 0.001) reflected greater pain reduction and functional improvement in the exercise group.

conclusionsThe 6-week combined balance and perturbation training program elicited significant between-group improvements in gluteal muscle activation patterns, hip kinematics, pain, and function in women with PFPs. These changes indicate that the intervention effectively modified underlying neuromuscular control and biomechanics, leading to symptomatic relief.

trial registrationClinical trial number not applicable.

Indexed as

Exercise TherapyHip JointMuscle, SkeletalPatellofemoral Pain SyndromePostural BalanceAdultBiomechanical PhenomenaButtocksElectromyographyFemaleHumansPain MeasurementTreatment OutcomeYoung AdultelectromyographyHip kinematicsNeuromuscular trainingPatellofemoral pain syndromeRehabilitation

Identifiers

PMID41673842
PMCPMC12998126

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.