The effect of exercise on healing in sedentary individuals with front KNEE pain

Purpose : This research was conducted to compare the effectiveness of exercise and laser applications in the treatment of sedentary persons with anterior knee pain for at least 3 months. Material and Method : 54 sedentary persons between the ages of 18-65 who experienced anterior knee pain participated in the research. 27 of the participants are female and 27 are male. Participants were randomly divided into 2 groups. The first group received 15 sessions of laser treatment 3 days a week for 5 weeks, the second group received laser treatment 3 days a week for 5 weeks and a home exercise program from the first session. Participants were encouraged and controlled to do these exercises regularly at home. In the 1st and 15th sessions, evaluation questionnaires were applied to the persons. These questionnaires were determined as: sociodemographic characteristics form, VAS, Womac, Lequesne, SF-36 and Time up and Go(TUG). Pre-treatment and treatment results were evaluated separately for both groups and the results were compared. Results : The outcome parameters of the participants' 5-week laser and exercise treatments were evaluated. Both groups showed a decrease in symptoms according to the first and last test results. It was observed that the Womac, Lequesne, VAS and TUG values ​​of the laser treatment group were statistically significantly higher in the posttest than the first test values (p<0,01). Statistically significant increases were observed in Womac, Lequesne, VAS and TUG values ​​in the group that received laser and exercise therapy (p<0,01). There was no statistically significant difference between the first test and post test differences of Womac, Lequesne, VAS and TUG values ​​of the group that received only laser treatment and the group that received laser and exercise treatments together (p>0,05). Significant changes were observed in six of the eight evaluation parameters of SF-36 in the group receiving laser treatment, and it was concluded that the quality of life increased (p<0,01 and p<0,05). Significant changes were observed in five of the eight evaluation parameters of SF-36 in the group that received laser and exercise therapy, and it was concluded that the quality of life increased with the treatment (p<0,01 and p<0,05). When the SF-36 results of both groups were compared, no statistically significant difference was found between the first test and the last test (p>0,05). Conclusion : As a result; both laser therapy and exercise therapy were effective in reducing pain and increasing mobility in patients with anterior knee pain. It is obvious that both treatments are effective, but according to the statistical evaluation of the differences, it was seen that there was no difference between the two treatments. Therefore, both methods can be recommended for patients with anterior knee pain.