Patellofemoral Pain Syndrome

Patellofemoral Pain Syndrome

Stuart Baptist  Senior Physiotherapist

BSc (Hons) Physio, RPT

Director of Clinical Education

Member Australian Physiotherapy Association

Stuart Baptist  Senior Physiotherapist

BSc (Hons) Physio, RPT

Director of Clinical Education

Member Australian Physiotherapy Association

The Simple Basics…The Simple Basics…

PROBLEMS

VMO:VL ratio FABER tightness Gluteal weakness Hamstring

tightness

PROBLEMS

VMO:VL ratio FABER tightness Gluteal weakness Hamstring

tightness

ManagementManagement

Change the pain Tape Activity modification Correct the principle causative

feature Gradually load/resume training

Change the pain Tape Activity modification Correct the principle causative

feature Gradually load/resume training

Safe Training CurveSafe Training Curve

Beware the fat padBeware the fat pad

Common pain generator Avoid hyperextension Activity modification Tape to unload Treat the biomechanical issues

Common pain generator Avoid hyperextension Activity modification Tape to unload Treat the biomechanical issues

ReferencesReferences Fukuda TY, Rossetto FM, Magalh 綟 s E, Bryk FF, Lucareli PR, de Almeida Aparecida

Carvalho N.2010.Short-term effects of hip abductors and lateral rotators strengthening in females with patellofemoral pain syndrome: a randomized controlled clinical trial. J Orthop Sports Phys Ther. Nov;40(11):736-42

Irish SE, Millward AJ, Wride J, Haas BM, Shum GL.2010 The effect of closed-kinetic chain exercises and open-kinetic chain exercise on the muscle activity of vastus medialis oblique and vastus lateralis. VMO training more effective w biofeedback J Strength Cond Res. May;24(5):1256-62.

Ng GY, Zhang AQ, Li CK. 2008.Biofeedback exercise improved the EMG activity ratio of the medial and lateral vasti muscles in subjects with patellofemoral pain syndrome. J Electromyogr Kinesiol Feb;18(1):128-33. Epub 2006 Oct 27

Witoński D, Wągrowska-Danilewicz M, Kęska R, Raczyńska-Witońska G, Stasikowska-Kanicka O. 2010 .Increased interleukin 6 and tumour necrosis factor α expression in the infrapatellar fat pad of the knee joint with the anterior knee pain syndrome: a preliminary report. Pol J Pathol. Sep;61(4):213-8

.Waryasz GR, McDermott AY Patellofemoral pain syndrome (PFPS): a systematic review of anatomy and potential risk factors.Dyn Med. 2008 Jun 26;7:9.

Fukuda TY, Rossetto FM, Magalh 綟 s E, Bryk FF, Lucareli PR, de Almeida Aparecida Carvalho N.2010.Short-term effects of hip abductors and lateral rotators strengthening in females with patellofemoral pain syndrome: a randomized controlled clinical trial. J Orthop Sports Phys Ther. Nov;40(11):736-42

Irish SE, Millward AJ, Wride J, Haas BM, Shum GL.2010 The effect of closed-kinetic chain exercises and open-kinetic chain exercise on the muscle activity of vastus medialis oblique and vastus lateralis. VMO training more effective w biofeedback J Strength Cond Res. May;24(5):1256-62.

Ng GY, Zhang AQ, Li CK. 2008.Biofeedback exercise improved the EMG activity ratio of the medial and lateral vasti muscles in subjects with patellofemoral pain syndrome. J Electromyogr Kinesiol Feb;18(1):128-33. Epub 2006 Oct 27

Witoński D, Wągrowska-Danilewicz M, Kęska R, Raczyńska-Witońska G, Stasikowska-Kanicka O. 2010 .Increased interleukin 6 and tumour necrosis factor α expression in the infrapatellar fat pad of the knee joint with the anterior knee pain syndrome: a preliminary report. Pol J Pathol. Sep;61(4):213-8

.Waryasz GR, McDermott AY Patellofemoral pain syndrome (PFPS): a systematic review of anatomy and potential risk factors.Dyn Med. 2008 Jun 26;7:9.