Patellofemoral Pain syndrome

Patellofemoral Pain syndrome

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l  Diagnosis

n  Patellofemoral joint syndrome, anterior knee pain, chondromalacia patellae

n  “Umbrella” term used absence of other pathologies

l  Contributing factor

n  Extrinsic factor

u  Body mass, speed of gait, surfaces, footwear

n  Remote intrinsic factors

u  Increased femoral internal rotation, increased apparent knee valgus, increased tibial rotation, pronated foot type, inadequate flexibility

n  Local intrinsic factor

u  Patella position, soft tissue contriction, neuromuscular control of the vasti

l  Treatment

n  Reduction pain

u  Resting+ Ice, medication, mobilization of patella, taping

n  Addressing extrinsic contributing factor

u  Reduce the load

n  Addressing intrinsic contributing factor

u  Remote factors: hip muscle retraining, improving musculotendinous compliance, foot orthoses.

u  Local factors: patella taping or bracing, improving lateral soft tissue compliance, generalized quadriceps strengthening or vasti retraining

Ref) Clinical Sports Medicine P.686,690,693