1,501 results match your criteria Patellofemoral Syndrome


Mulligan Knee Taping Using Both Elastic and Rigid Tape Reduces Pain and Alters Lower Limb Biomechanics in Female Patients With Patellofemoral Pain.

Orthop J Sports Med 2020 May 29;8(5):2325967120921673. Epub 2020 May 29.

School of Physiotherapy and Exercise Science, Curtin University, Perth, Western Australia, Australia.

Background: Evidence supports the use of Mulligan knee taping in managing patellofemoral pain (PFP). However, no studies have compared the efficacy of rigid and elastic tape using this technique.

Hypothesis: Mulligan knee taping applied with both rigid and elastic tape will produce similar reductions in knee pain, hip internal rotation, and knee flexion moments compared with no tape. Read More

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http://dx.doi.org/10.1177/2325967120921673DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263138PMC

Validity and Reliability of the Indonesian Version of the Kujala Score for Patients With Patellofemoral Pain Syndrome.

Orthop J Sports Med 2020 May 28;8(5):2325967120922943. Epub 2020 May 28.

Department of Orthopaedics and Traumatology, Saiful Anwar General Hospital-Brawijaya University, Malang, East Java, Indonesia.

Background: The Kujala score is a useful diagnostic tool to evaluate patellofemoral pain syndrome (PFPS). However, no validated Indonesian version of the Kujala score has been available.

Purpose: To develop and validate an Indonesian version of the Kujala score. Read More

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http://dx.doi.org/10.1177/2325967120922943DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7257862PMC

Pain catastrophizing is associated with increased physical disability in patients with anterior knee pain.

J Orthop 2020 Sep-Oct;21:283-286. Epub 2020 May 5.

NYU Langone Health, Department of Orthopedic Surgery, Division of Sports Medicine, New York, NY 10016, USA.

Introduction: The traditional nociceptive approach to pain identifies the mind and body as functionally separate. However, the biopsychosocial model accounts for the impact of social, psychological and physical factors on the patient experience. The purpose of this study was to determine the relationship between diagnosis, physical disability, and psychological distress among patients with anterior knee pain-one of the most common complaints in an orthopedic clinic. Read More

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http://dx.doi.org/10.1016/j.jor.2020.04.021DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7264004PMC

Taping, Bracing, and Injection Treatment for Patellofemoral Pain and Patellar Tendinopathy.

Curr Rev Musculoskelet Med 2020 Jun 4. Epub 2020 Jun 4.

Department of Orthopedic Surgery, Division of Physical Medicine & Rehabilitation, Stanford University, Stanford, CA, USA.

Purpose Of Review: This article will focus on additional treatment options for the two most common causes of anterior knee pain, patellofemoral pain syndrome, and patellar tendinopathy. Conservative management is the first-line treatment for these conditions. For clinicians to maximize the efficacy of conservative treatment options for their patients, they must understand the most up-to-date literature evaluating the potential benefit of taping, bracing, and injections as adjunctive treatments for maximizing treatment success. Read More

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http://dx.doi.org/10.1007/s12178-020-09646-8DOI Listing

Classifying individuals with and without patellofemoral pain syndrome using ground force profiles - Development of a method using functional data boosting.

Gait Posture 2020 May 25;80:90-95. Epub 2020 May 25.

Centre of Precision Rehabilitation for Spinal Pain (CPR Spine), School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Edgbaston B152TT, United Kingdom; LUNEX International University of Health, Exercise and Sports, 50, avenue du Parc des Sports, L-4671 Differdange, Luxembourg.

Background: Predictors of recovery in patellofemoral pain syndrome (PFPS) currently used in prognostic models are scalar in nature, despite many physiological measures originally lying on the functional scale. Traditional modelling techniques cannot harness the potential predictive value of functional physiological variables.

Research Question: What is the classification performance of PFPS status of a statistical model when using functional ground reaction force (GRF) time-series?

Methods: Thirty-one individuals (control = 17, PFPS = 14) performed maximal countermovement jumps, on two force plates. Read More

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http://dx.doi.org/10.1016/j.gaitpost.2020.05.034DOI Listing

Selected Musculoskeletal Issues in Adolescents.

Prim Care 2020 Jun 20;47(2):257-271. Epub 2020 Feb 20.

Kaiser Permanente Department of Family Medicine, 9961 Sierra Avenue, Fontana, CA 92335, USA.

Musculoskeletal care of the adolescent patient involves unique knowledge of their rapidly changing physical and psychological health. In this article, the importance of preventing early sports specialization is elucidated, and an encouragement of the safety and necessity of resistance training in adolescents is undertaken. It also explores two common conditions, one affecting the immature skeleton (apophysitis), and one affecting the improperly developed muscular system (patellofemoral syndrome), both of which are diagnosed clinically, and require little advanced imaging. Read More

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http://dx.doi.org/10.1016/j.pop.2020.02.005DOI Listing

Individuals with patellofemoral pain syndrome have altered inter-leg force coordination.

Gait Posture 2020 Jun 23;79:65-70. Epub 2020 Apr 23.

Centre of Precision Rehabilitation for Spinal Pain (CPR Spine), School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Edgbaston, B152TT, United Kingdom; LUNEX International University of Health, Exercise and Sports, 50, avenue du Parc des Sports, L-4671, Differdange, Luxembourg.

Background: Patellofemoral pain syndrome (PFPS) is one of the most common musculoskeletal disorders. Pain may be further exacerbated by atypical motor coordination strategies. It has been thought that low coordination variability may concentrate loads onto painful knee tissues. Read More

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http://dx.doi.org/10.1016/j.gaitpost.2020.04.006DOI Listing

Comparison of dry needling and ischaemic compression techniques on pain and function in patients with patellofemoral pain syndrome: a randomised clinical trial.

Acupunct Med 2020 Apr 27:964528420912253. Epub 2020 Apr 27.

Department of Orthopedics, Babol University of Medical Sciences, Babol, Iran.

Background: To compare the effectiveness of ischaemic compression (IC) applied directly to the knee versus dry needling (DN) with respect to pain, functional status and sensitivity to mechanical stimulation of vastus medialis obliquus (VMO) myofascial trigger points (MTrPs) in patients with patellofemoral pain syndrome (PFPS).

Methods: A total of 54 patients with unilateral PFPS aged 20-30 years were selected randomly from patients referred to physical therapy clinics of Babol University of Medical Sciences in Iran. Twenty-seven patients were allocated to either IC or DN groups. Read More

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http://dx.doi.org/10.1177/0964528420912253DOI Listing
April 2020
1.676 Impact Factor

Effects of McConnell taping combined with strengthening exercises of vastus medialis oblique in females with patellofemoral pain syndrome.

J Pak Med Assoc 2020 Apr;70(4):728-730

Institute of Rehabilitation Sciences, Foundation University Islamabad, Pakistan.

Objective of the study was to determine the effects of McConnell taping combined with strengthening exercises of vastus medialis oblique muscle in females with Patellofemoral Pain Syndrom. Females with Patellofemoral Pain Syndrome with an age group of 25-45 years having a less than 30/80 score on a Lower Extremity Functional Index (LEFI), anterior knee pain and painful/limited range of motion (ROM) at knee, were included in the study. A total of 51 subjects were randomly assigned into two groups. Read More

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http://dx.doi.org/10.5455/JPMA.28469DOI Listing

Plica syndrome after medial patellofemoral ligament reconstruction: a case report.

J Surg Case Rep 2020 Apr 3;2020(4):rjaa036. Epub 2020 Apr 3.

Department of Orthopedic Surgery, Shinshu University School of Medicine, Asahi 3-1-1, Matsumoto, Nagano, Japan.

A 16-year-old female with a history of left recurrent patellar dislocation underwent medial patellofemoral ligament (MPFL) reconstruction surgery. Two months postoperatively, the patient presented with medial patellar pain. Left medial plica syndrome was suspected, and we performed a partial arthroscopic resection of the medial synovial plica. Read More

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http://dx.doi.org/10.1093/jscr/rjaa036DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7121211PMC

Twelve-Week Gait Retraining Reduced Patellofemoral Joint Stress during Running in Male Recreational Runners.

Biomed Res Int 2020 20;2020:9723563. Epub 2020 Mar 20.

School of Kinesiology, Shanghai University of Sport, Shanghai 200438, China.

Purpose: To explore the changes in knee sagittal angle and moment and patellofemoral joint (PFJ) force and stress before and after 12-week gait retraining.

Methods: A total of 30 healthy male recreational runners were randomized into a control group ( = 15) who ran in their original strike pattern using minimalist shoes or experimental group ( = 15) who ran in a forefoot strike pattern using minimalist shoes during the 12-week gait retraining. The kinematic and kinetic data of the dominant leg of the participants during the 12 km/h running were collected by 3D motion capture systems and 3D force platforms. Read More

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http://dx.doi.org/10.1155/2020/9723563DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7109573PMC

Zone- and layer-specific differences in proteoglycan content in patellofemoral pain syndrome are detectable on T1ρ MRI.

Skeletal Radiol 2020 Apr 7. Epub 2020 Apr 7.

Department of Orthopaedic Surgery, University of Pennsylvania, 3737 Market Street, 6th Floor, Philadelphia, PA, 19104, USA.

Objective: Determine if differences in T1ρ would be detected in specific regions or layers of patellofemoral cartilage between patients with symptomatic patellofemoral pain syndrome and asymptomatic control subjects.

Materials And Methods: Ten subjects diagnosed with patellofemoral pain syndrome were compared with ten age-, gender-, and BMI-matched control subjects with no knee pain or prior trauma. Conventional turbo (fast) spin echo sequences and T1ρ-weighted imaging were performed on the symptomatic knee in each of the ten subjects. Read More

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http://dx.doi.org/10.1007/s00256-020-03418-8DOI Listing

Electrical Stimulation Therapies for Active Duty Military with Patellofemoral Pain Syndrome: A Randomized Trial.

Mil Med 2020 Apr 6. Epub 2020 Apr 6.

Department of Neurology, College of Medicine, University of Tennessee Health Science Center, 855 Monroe Ave, Suite 415, Memphis, TN 38163.

Introduction: Patellofemoral pain syndrome (PFPS) is a common musculoskeletal disorder among military service members that causes knee pain, quadriceps strength loss, and impaired motor performance in otherwise healthy individuals. PFPS poses a threat to the health, fitness, and subsequent readiness of the total force. The goal of rehabilitation for military service members with PFPS is to regain physical capacity of strength and function and to reduce pain, in order to restore readiness in this population. Read More

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http://dx.doi.org/10.1093/milmed/usaa037DOI Listing

Effects of Posterior X Taping on Movement Quality and Knee Pain Intensity during Forward-Step-Down in Patients with Patellofemoral Pain Syndrome.

J Sports Sci Med 2020 Mar 24;19(1):224-230. Epub 2020 Feb 24.

Department of Physical Therapy, College of Medical Science, Jeonju University, Jeonju, South Korea.

Excessive tibiofemoral rotation in weight-bearing position may be associated with patellofemoral pain syndrome (PFPS). A previous literature suggested that "posterior X taping" method is effective for correcting the reduction of hip adduction and tibiofemoral rotation in weight bearing position. The purpose of this study was to determine the effects of posterior X taping on the angles of hip adduction, tibiofemoral rotation, grades of the forward-step-down (FSD) performance test, and intensity of knee pain when descending stair in patients with PFPS. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7039014PMC

Immediate effects of an elastic patellar brace on pain, neuromuscular activity and knee kinematics in subjects with patellofemoral pain.

Arch Orthop Trauma Surg 2020 Jul 27;140(7):905-912. Epub 2020 Feb 27.

Hessingpark Clinic, Hessingstrasse 17, 86199, Augsburg, Germany.

Introduction: The aim of this randomized controlled trial was to investigate immediate effects of a patellar brace on pain, neuromuscular activity, and knee kinematics in subjects with patellofemoral pain syndrome.

Materials And Methods: Fifty subjects with a diagnosis of patellofemoral pain syndrome completed 6 activities each with and without a patellar brace in a randomized order. The subjects were asked to rate their perceived pain on a Visual Analog Scale after each activity. Read More

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http://dx.doi.org/10.1007/s00402-020-03378-7DOI Listing

Assessment and Management of Somatic Dysfunctions in Patients With Patellofemoral Pain Syndrome.

J Am Osteopath Assoc 2020 Mar;120(3):165-173

Context: Patellofemoral pain syndrome (PFPS) is one of the most common determinants of knee pain. The causes of PFPS are multifactorial, and most treatment approaches are conservative. There are many kinds of therapy for this syndrome, which are based on building strength, flexibility, proprioception, and endurance. Read More

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http://dx.doi.org/10.7556/jaoa.2020.029DOI Listing

Efficacy and experience of arthroscopic lateral patella retinaculum releasing through/outside synovial membrane for the treatment of lateral patellar compression syndrome.

BMC Musculoskelet Disord 2020 Feb 17;21(1):108. Epub 2020 Feb 17.

Department of Orthopedic Surgery, General Hospital of Central Theater Command, 68 Huangpu Road, Jiangan District, Wuhan, China.

Background: Arthroscopic closure release includes arthroscopic lateral patella retinaculum releasing (LPRR) either outside synovial membrane (OSM) or through synovial membrane (TSM). At present, there is no research to compare the clinical efficacy of the above two methods for the treatment of lateral patellar compression syndrome (LPCS). So, the goal of this study was to investigate the method and overcome of arthroscopic LPRR either OSM or TSM for the treatment of LPCS. Read More

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http://dx.doi.org/10.1186/s12891-020-3130-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7026991PMC
February 2020

Quantitative DCE-MRI demonstrates increased blood perfusion in Hoffa's fat pad signal abnormalities in knee osteoarthritis, but not in patellofemoral pain.

Eur Radiol 2020 Jun 17;30(6):3401-3408. Epub 2020 Feb 17.

Department of Radiology & Nuclear Medicine, Erasmus University Medical Center Rotterdam, Rotterdam, The Netherlands.

Objective: Infrapatellar fat pad (IPFP) fat-suppressed T2 (T2) hyperintense regions on MRI are an important imaging feature of knee osteoarthritis (OA) and are thought to represent inflammation. These regions are also common in non-OA subjects, and may not always be linked to inflammation. Our aim was to evaluate quantitative blood perfusion parameters, as surrogate measure of inflammation, within T2-hyperintense regions in patients with OA, with patellofemoral pain (PFP) (supposed OA precursor), and control subjects. Read More

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http://dx.doi.org/10.1007/s00330-020-06671-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7248045PMC

Importance of imaging in knee pain.

Proc (Bayl Univ Med Cent) 2020 Jan 25;33(1):95-96. Epub 2019 Oct 25.

Department of Family and Community Medicine, Baylor Scott & White Health and Texas A&M Health Science Center College of MedicineTempleTexas.

A 72-year-old woman with a prior history of stage IIIa lung adenocarcinoma was seen with complaints of knee pain, swelling, and difficulty sleeping at night for 1 month. Although mimicking osteoarthritis, patellofemoral syndrome, and iliotibial band syndrome, radiographs showed a lytic lesion suspicious for metastatic disease. The right tibial lesion was excised, saphenous neurolysis was performed, and radiation treatment and four cycles of chemotherapy were administered. Read More

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http://dx.doi.org/10.1080/08998280.2019.1681814DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6988648PMC
January 2020

Accuracy of three dimensional-planned patient-specific instrumentation in femoral and tibial rotational osteotomy for patellofemoral instability.

Int Orthop 2020 Feb 13. Epub 2020 Feb 13.

Balgrist University Hospital, Department of Orthopedics, University of Zurich, Forchstrasse 340, 8008, Zürich, Switzerland.

Purpose: Patellofemoral instability can be caused by tibial or femoral torsional deformity. Established surgical treatment options are rotational osteotomies, but the transfer from pre-operative planning to surgical execution can be challenging. Patient-specific instruments (PSI) are proofed to be helpful tools in realignment surgery. Read More

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http://dx.doi.org/10.1007/s00264-020-04496-yDOI Listing
February 2020

Lower extremity alignment due to patellofemoral syndrome and dynamic postural balance.

J Orthop Surg (Hong Kong) 2020 Jan-Apr;28(1):2309499019900819

Department of Orthopaedics and Traumatology, Ankara Yildirim Beyazit University, Ankara, Turkey.

Study Design: This study is a prospective study.

Aim: Lower extremity malalignment is an important etiologic factor in patellofemoral pain syndrome (PFPS). We hypothesized that lower limb malalignment may affect dynamic balance and physical function. Read More

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http://dx.doi.org/10.1177/2309499019900819DOI Listing
February 2020

Unilateral and bilateral patellofemoral pain in young female dancers: Associated factors.

J Sports Sci 2020 Apr 12;38(7):719-730. Epub 2020 Feb 12.

Orthopedic Rehabilitation Department, Sheba Medical Center, Tel Hashomer, Israel.

Aiming to evaluate the prevalence of unilateral/bilateral patellofemoral pain (PFP) among young dancers, and to investigate whether different factors are associated with PFP in young dancers, 132 dancers aged 12-14 years were assessed for PFP. Anthropometric parameters, proprioception ability, dynamic postural balance (DPB), and muscle strength were measured. PFP was found in 64. Read More

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http://dx.doi.org/10.1080/02640414.2020.1727822DOI Listing

Patellofemoral Joint Stress during Running with Added Load in Females.

Int J Sports Med 2020 Jun 11;41(6):412-418. Epub 2020 Feb 11.

Department of Health Professions, University of Wisconsin-La Crosse, La Crosse, United States.

Patellofemoral joint (PFJ) pain syndrome is a commonly reported form of pain in female runners and military personnel. Increased PFJ stress may be a contributing factor. Few studies have examined PFJ stress running with added load. Read More

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http://dx.doi.org/10.1055/a-1088-5467DOI Listing

Analysis of Running-Related Injuries: The Vienna Study.

J Clin Med 2020 Feb 6;9(2). Epub 2020 Feb 6.

Orthopädie-Zentrum Innere Stadt, 1010 Vienna, Austria.

Background: This study aimed to provide an extensive and up-to-date analysis of running-related injuries (RRI) and analyze a broad range of contributing factors for a large heterogeneous and non-selected running population from Central Europe.

Methods: Anthropometric, training, footwear, anatomic malalignment, and injury data from 196 injured runners were assessed case-controlled and retrospectively. Univariate and multivariate regression models were developed to identify associated factors for specific injury locations and diagnoses. Read More

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http://dx.doi.org/10.3390/jcm9020438DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7073658PMC
February 2020

Investigation of different application techniques for Kinesio Taping® with an accompanying exercise protocol for improvement of pain and functionality in patients with patellofemoral pain syndrome: A pilot study.

J Bodyw Mov Ther 2020 Jan 22;24(1):47-55. Epub 2019 May 22.

Federal University of São Paulo (UNIFESP), Human Movement Sciences Department, Campus Baixada Santista, Santos, São Paulo, Brazil.

Background: Patellofemoral pain syndrome (PFPS), characterized by retropatellar and peripatellar pain, is a common disorder affecting young women. Treatment has included exercise-based therapy and taping techniques for rapid reduction of symptoms and pain. Although Kinesio Taping® (KT) has been studied as adjunctive therapy, evidence on its effectiveness is limited and conflicting. Read More

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http://dx.doi.org/10.1016/j.jbmt.2019.05.022DOI Listing
January 2020

Prevalence and sensitivity of trigger points in lumbo-pelvic-hip muscles in patients with patellofemoral pain syndrome.

J Bodyw Mov Ther 2020 Jan 15;24(1):126-130. Epub 2019 Oct 15.

BS, Department of Physical Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.

Objectives: Changes in the activity of the lumbo-pelvic-hip muscles have been established as a major cause of patellofemoral pain syndrome (PFPS), a common orthopedic problem. The present study aimed to compare the prevalence and sensitivity of myofascial trigger points (MTrPs) in lumbo-pelvic-hip muscles in persons with and without PFPS.

Methods: Thirty women with PFPS and 30 healthy women 18-40 years old were recruited for this study. Read More

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http://dx.doi.org/10.1016/j.jbmt.2019.10.012DOI Listing
January 2020

Sharp margin of antero-inferior lateral femoral condyle as a risk factor for patellar tendon-lateral femoral condyle friction syndrome.

Eur Radiol 2020 Apr 3;30(4):2261-2269. Epub 2020 Jan 3.

Department of Radiology, The First Affiliated Hospital of Chongqing Medical University, 1 Youyi Road, Yuzhong Distract, Chongqing, 400016, People's Republic of China.

Objective: To determine the correlation between patellar tendon-lateral femoral condyle friction syndrome (PLFFS) and the morphological characteristics of the antero-inferior part of the lateral femoral condyle (ALFC) to explore the potential pathogenesis.

Methods: A total of 170 knees of 140 patients with PLFFS (PLFFS group) were retrospectively analyzed using magnetic resonance imaging (MRI) data for a 4-year period from our database. The Insall-Salvati ratio, shape of the ALFC (SALFC, defined as two subtypes: sharp versus blunt), lateral femoral condyle angle (LFCA), lateral trochlear length (LTL), and lateral trochlear height (LTH) were measured on MRI. Read More

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http://dx.doi.org/10.1007/s00330-019-06592-zDOI Listing

Tensor Fascia Latae Muscle Structure and Activation in Individuals With Lower Limb Musculoskeletal Conditions: A Systematic Review and Meta-Analysis.

Sports Med 2020 May;50(5):965-985

The University of Queensland, School of Health and Rehabilitation Sciences, Brisbane, QLD, 4072, Australia.

Background: Dysfunction of the tensor fascia latae (TFL) muscle is often clinically implicated in many musculoskeletal disorders.

Objective: To systematically review the literature of the TFL muscle to determine whether there are differences in its structure and activation between individuals with and without lower limb musculoskeletal conditions.

Data Sources: A comprehensive search in MEDLINE, EMBASE, CINHAL, and LILACS was undertaken from year of inception to 9 July 2019. Read More

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http://dx.doi.org/10.1007/s40279-019-01251-1DOI Listing

Electromyographic analysis of VMO and VL across straight leg raise, short arc quad, medial tibial rotation and hip adduction in normal individuals.

Work 2020 ;65(1):153-159

Department of Mechanical Engineering, Industrial Kinesiology Laboratory, Faculty of Engineering, Dayalbagh Educational Institute (Deemed University), Dayalbagh, Agra, India.

Background: The lateral malalignment of patella is considered to be the main cause of patellofemoral pain syndrome (PFPS). PFPS, in an occupational setup, is aggravated by prolonged sitting, climbing stairs, squatting, and kneeling. Strengthening of vastus medialis oblique (VMO) opposes the lateral force produced by vastus lateralis (VL) and helps in stabilizing patella. Read More

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http://dx.doi.org/10.3233/WOR-193068DOI Listing
January 2020

Patellofemoral Pain Syndrome and Pain Severity Is Associated With Asymmetry of Gluteus Medius Muscle Activation Measured Via Ultrasound.

Am J Phys Med Rehabil 2020 Jul;99(7):595-601

From the School of Medicine, University of Wollongong, Wollongong, Australia.

Objective: The aim of the study was to determine whether gluteus medius muscle thickness or activation differed between left and right sides and was associated with patellofemoral pain presence or severity.

Design: Males and females were recruited and screened by a physiotherapist for inclusion in the control or patellofemoral pain syndrome group. Bilateral measures were obtained for Q angle and gluteus medius muscle thickness at rest and on contraction via standing hip external rotation, using ultrasound. Read More

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http://dx.doi.org/10.1097/PHM.0000000000001367DOI Listing

Patellofemoral pain: One year results of a randomized trial comparing hip exercise, knee exercise, or free activity.

Scand J Med Sci Sports 2020 Apr 5;30(4):741-753. Epub 2020 Jan 5.

Department of Orthopedic Surgery, Sørlandet Hospital Kristiansand, Kristiansand, Norway.

Objective: Extended follow-up of a randomized trial comparing hip-focused exercise, knee-focused exercise, and free physical activity in patellofemoral pain (PFP).

Methods: A single-blind randomized controlled trial included 112 patients aged 16-40 years (mean 27.6 years) with a clinical diagnosis of PFP ≥3 months (mean 39 months) and pain ≥3/10 on a Visual Analog Scale. Read More

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http://dx.doi.org/10.1111/sms.13613DOI Listing

Use of Wearables: Tracking and Retraining in Endurance Runners.

Curr Sports Med Rep 2019 Dec;18(12):437-444

School of Physical Therapy & Health Sciences, University of Montana, Missoula, MT.

Wearable devices are ubiquitous among runners, coaches, and clinicians with an ever-increasing number of devices coming on the market. In place of gold standard measures in the laboratory, these devices attempt to provide a surrogate means to track running biomechanics outdoors. This review provides an update on recent literature in the field of wearable devices in runners, with an emphasis on criterion validity and usefulness in the coaching and rehabilitation of runners. Read More

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http://dx.doi.org/10.1249/JSR.0000000000000667DOI Listing
December 2019

Two Weeks of Wearing a Knee Brace Compared With Minimal Intervention on Kinesiophobia at 2 and 6 Weeks in People With Patellofemoral Pain: A Randomized Controlled Trial.

Arch Phys Med Rehabil 2020 04 10;101(4):613-623. Epub 2019 Dec 10.

Department of Physiotherapy, School of Science and Technology, Sao Paulo State University (UNESP), Presidente Prudente, Brazil; La Trobe Sport and Exercise Medicine Research Centre (LASEM), School of Allied Health, La Trobe University, Melbourne, Australia. Electronic address:

Objective: To investigate the effect of a knee brace compared with minimal intervention on self-reported kinesiophobia and function, objective function, and physical activity level in people with patellofemoral pain (PFP).

Design: Single-blind randomized controlled trial (1:1), parallel.

Participants: Individuals with PFP (N=50). Read More

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http://dx.doi.org/10.1016/j.apmr.2019.10.190DOI Listing

Does Acute Fatigue Negatively Affect Intrinsic Risk Factors of the Lower Extremity Injury Risk Profile? A Systematic and Critical Review.

Sports Med 2020 Apr;50(4):767-784

Human Physiology and Sports Physiotherapy Research Group, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Pleinlaan 2, 1050, Brussels, Belgium.

Background: Acute fatigue is hypothesized to alter lower extremity injury risk profiles by affecting intrinsic risk factors (i.e. single leg postural control, hamstring strength). Read More

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http://dx.doi.org/10.1007/s40279-019-01235-1DOI Listing
April 2020
5.038 Impact Factor

Effects of balance taping using kinesiology tape in a female with patellofemoral pain syndrome: A case report.

J Back Musculoskelet Rehabil 2019 ;32(6):829-832

Department of Biomedical Health Science, Graduate School, Dong-Eui University, Busan, Korea.

Background: Patellofemoral pain syndrome (PFPS) is one of the most common knee disorders affecting women.

Objective: The purpose of this study was to investigate the effects of balance taping on PFPS.

Methods: Balance taping using kinesiology tape was applied for 2. Read More

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http://dx.doi.org/10.3233/BMR-171004DOI Listing

Targeted Treatment Protocol in Patellofemoral Pain: Does Treatment Designed According to Subgroups Improve Clinical Outcomes in Patients Unresponsive to Multimodal Treatment?

Sports Health 2020 Mar/Apr;12(2):170-180. Epub 2019 Nov 21.

IMC University of Applied Sciences, Krems, Austria.

Background: Targeted intervention for subgroups is a promising approach for the management of patellofemoral pain.

Hypothesis: Treatment designed according to subgroups will improve clinical outcomes in patients unresponsive to multimodal treatment.

Study Design: Prospective crossover intervention. Read More

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http://dx.doi.org/10.1177/1941738119883272DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7040939PMC

Evidence based treatment options for common knee injuries in runners.

Ann Transl Med 2019 Oct;7(Suppl 7):S249

Rubin Institute for Advanced Orthopedics, Sinai Hospital, Baltimore, MD, USA.

The purpose of this paper is to review the current literature regarding conservative treatment options for the three most common knee injuries in runners including patellofemoral pain syndrome (PFPS), iliotibial band friction syndrome (ITBFS), and patellar tendinopathy (PT). Each diagnosis is discussed using current research to describe the pathophysiology, evaluation process, and evidence based effective treatment strategies including therapeutic exercise, manual therapy, neuromuscular re-education, and modalities. The result is a comprehensive overview of each diagnosis and a research-based approach to effectively evaluate and treat each condition for best outcomes. Read More

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http://dx.doi.org/10.21037/atm.2019.04.08DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6829001PMC
October 2019

When to Add Lateral Soft Tissue Balancing?

Sports Med Arthrosc Rev 2019 Dec;27(4):e25-e31

Brigham and Woman's Hospital, Harvard Medical School, Boston, MA.

Lateral patellofemoral (PF) soft tissue abnormalities range from excessive lateral PF tightness (lateral patellar compression syndrome, lateral patellar instability and arthritis), to excessive laxity (iatrogenic lateral PF soft tissue insufficiency postlateral release). The lateral soft tissue complex is composed of the iliotibial band extension to the patella, the vastus lateralis tendon, the lateral PF ligament, lateral patellotibial ligament, and lateral patellomeniscal ligament, with intimate connections between those structures. To identify lateral retinaculum tightness or insufficiency the most important tests are the patellar glide test and patellar tilt test. Read More

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http://dx.doi.org/10.1097/JSA.0000000000000268DOI Listing
December 2019
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Long-term efficacy of conditioning training program combined with feedback on kinetics and kinematics in male runners.

Scand J Med Sci Sports 2020 Mar 2;30(3):429-441. Epub 2019 Dec 2.

Sports Injury and Corrective Exercises, Faculty of Physical Education and Sports Sciences, Kharazmi University, Tehran, Iran.

This study was aimed to compare the effects of 8-week conditioning training (CT) programs with and without feedback on lower limbs' biomechanics and injury incidence in free-injury male runners and assess their effectiveness across a 1-year observation. A total of 49 healthy male runners were randomly assigned to one of three groups of CT (n = 16), CT with feedback (n = 17), and placebo (n = 16) group. Kinematic and kinetic measurements were conducted at pre-intervention, 8 weeks post-intervention, and 1-year follow-up stage. Read More

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http://dx.doi.org/10.1111/sms.13587DOI Listing
March 2020
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A 10% Increase in Step Rate Improves Running Kinematics and Clinical Outcomes in Runners With Patellofemoral Pain at 4 Weeks and 3 Months.

Am J Sports Med 2019 12 28;47(14):3406-3413. Epub 2019 Oct 28.

School of Health Sciences, University of Salford, Salford, UK.

Background: Aberrant frontal-plane hip and pelvis kinematics have been frequently observed in runners with patellofemoral pain (PFP). Gait retaining interventions have been shown to improve running kinematics and may therefore be beneficial in runners with PFP.

Purpose: To investigate whether a 10% increase in the running step rate influences frontal-plane kinematics of the hip and pelvis as well as clinical outcomes in runners with PFP. Read More

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http://dx.doi.org/10.1177/0363546519879693DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6883353PMC
December 2019
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Is multidisciplinary biopsychosocial rehabilitation effective on pain, disability, and work outcomes in adults with subacute low back pain? A Cochrane Review summary with commentary.

Authors:
Aydan Oral

Musculoskelet Sci Pract 2019 12 26;44:102065. Epub 2019 Sep 26.

Department of Physical Medicine and Rehabilitation, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey. Electronic address:

The aim of this commentary is to discuss, in a rehabilitation perspective, the Cochrane Review "Multidisciplinary biopsychosocial rehabilitation for subacute low back pain" (Marin et al., 2017) published under the supervision of the Cochrane Back and Neck Group. This "Cochrane Corner" is produced in agreement with Musculoskeletal Science and Practice by Cochrane Rehabilitation. Read More

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http://dx.doi.org/10.1016/j.msksp.2019.102065DOI Listing
December 2019
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Effects of neuromuscular training and strengthening of trunk and lower limbs muscles in women with Patellofemoral Pain: A protocol of randomized controlled clinical trial, blinded.

Trials 2019 Oct 11;20(1):586. Epub 2019 Oct 11.

Programa de Pós-Graduação em Fisioterapia na Universidade Federal de Uberlândia (UFU), Faculdade de Educação Física e Fisioterapia (FAEFI) , Rua Benjamin Constant, 1286, Uberlândia, MG, CEP: 38400-678, Brazil.

Background: Patellofemoral pain (PFP) often affects young women, and the etiology is multifactorial and poorly understood. Conservative intervention has been focused on risk factors or aggravating factors and is composed of hip- and knee-strengthening exercises, as this population often has muscle weakness and poor motor control during daily and sports activities. The objective of this study was to evaluate the additional effects of neuromuscular training in a conservative treatment of trunk-, hip-, and knee-muscle strengthening on pain, function, and kinematics of the trunk, pelvis, and lower limb in women with PFP. Read More

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http://dx.doi.org/10.1186/s13063-019-3650-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6788005PMC
October 2019
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The reliability, validity, interpretability, and responsiveness of the Norwegian version of the Anterior Knee Pain Scale in patellofemoral pain.

Disabil Rehabil 2019 Oct 4:1-10. Epub 2019 Oct 4.

Department of Research & Innovation, Helse Fonna , Haugesund , Norway.

To determine the reliability, validity, responsiveness, and interpretability of the Norwegian Anterior Knee Pain Scale (AKPS) in patients with patellofemoral pain (PFP). The AKPS was translated into Norwegian. One hundred and twelve patients with PFP participated in a randomized controlled trial. Read More

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http://dx.doi.org/10.1080/09638288.2019.1671499DOI Listing
October 2019
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Altered pain processing and sensitisation is evident in adults with patellofemoral pain: a systematic review including meta-analysis and meta-regression.

Scand J Pain 2019 12;20(1):11-27

Centre for Sports and Exercise Medicine, Queen Mary University of London, London, UK.

Background and aims Previous systematic reviews have reported manifestations of pain sensitisation as a feature of painful knee disorders, in particular osteoarthritis, with moderate evidence for pain sensitisation in patellofemoral pain (PFP). However, despite past studies recruiting female mostly adolescent PFP patients, it is unclear if sex or age plays a role. Investigation is required to determine if altered pain processing is a key feature of PFP and if a subgroup of patients is at an increased risk to help provide targeted management. Read More

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http://dx.doi.org/10.1515/sjpain-2019-0079DOI Listing
December 2019
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Is neuromuscular electrical stimulation effective for management of patellofemoral pain syndrome? A Cochrane Review summary with commentary.

Musculoskelet Sci Pract 2019 12 16;44:102059. Epub 2019 Sep 16.

Department of Rehabilitation Medicine, PNS Shifa Hospital, Karachi, Pakistan. Electronic address:

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http://dx.doi.org/10.1016/j.msksp.2019.102059DOI Listing
December 2019
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Dynamic knee valgus kinematics and their relationship to pain in women with patellofemoral pain compared to women with chronic hip joint pain.

J Sport Health Sci 2019 Sep 18;8(5):486-493. Epub 2017 Aug 18.

Program in Physical Therapy, Department of Physical Therapy and Athletic Training, Saint Louis University, St. Louis, MO 63104, USA.

Background: Dynamic knee valgus (DKV) is an abnormal movement pattern visually characterized by excessive medial movement of the lower extremity during weight bearing. Differences in hip and knee kinematic components of DKV may explain the emergence of different pain problems in people who exhibit the same observed movement impairment. Using a secondary analysis of exiting data sets, we sought to determine whether hip and knee frontal and transverse plane angles during a functional task differed between women with patellofemoral pain and women with chronic hip joint pain, and the relationship between joint-specific kinematics and pain in these 2 pain populations. Read More

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http://dx.doi.org/10.1016/j.jshs.2017.08.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6738932PMC
September 2019
5 Reads

People with patellofemoral pain have impaired functional performance, that is correlated to hip muscle capacity.

Phys Ther Sport 2019 Nov 27;40:85-90. Epub 2019 Aug 27.

La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, La Trobe University, Melbourne, Australia; Department of Surgery, St Vincent's Hospital, University of Melbourne, Australia. Electronic address:

Objective: To (i) compare objective function in a range of tasks between people with and without patellofemoral pain (PFP); and (ii) evaluate the relationship of objective function with hip muscle capacity and self-reported function in people with PFP.

Design: Cross-sectional.

Settings: Laboratory. Read More

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http://dx.doi.org/10.1016/j.ptsp.2019.08.010DOI Listing
November 2019

Patellofemoral Pain: Using the Evidence to Guide Physical Therapist Practice.

Authors:

J Orthop Sports Phys Ther 2019 09;49(9):631-632

Kneecap pain, also known as anterior knee pain or patellofemoral pain, is the most common injury seen in sports medicine clinics. The goal of the clinical practice guidelines on patellofemoral pain, published in the September 2019 issue of the , was to make recommendations based on best scientific evidence that help clinicians and patients make decisions about managing this pain. Clinicians can use these guidelines to combine the latest scientific evidence with their clinical expertise and the preferences of the patient to develop a tailored management plan. Read More

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http://dx.doi.org/10.2519/jospt.2019.0503DOI Listing
September 2019

Patellofemoral Pain.

J Orthop Sports Phys Ther 2019 09;49(9):CPG1-CPG95

Patellofemoral pain (PFP) is a common musculoskeletal-related condition that is characterized by insidious onset of poorly defined pain, localized to the anterior retropatellar and/or peripatellar region of the knee. The onset of symptoms can be slow or acutely develop with a worsening of pain accompanying lower-limb loading activities (eg, squatting, prolonged sitting, ascending/descending stairs, jumping, or running). Symptoms can restrict participation in physical activity, sports, and work, as well as recur and persist for years. Read More

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https://www.jospt.org/doi/10.2519/jospt.2019.0302
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http://dx.doi.org/10.2519/jospt.2019.0302DOI Listing
September 2019
6 Reads