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Patellofemoral pain syndrome

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https://www.readbyqxmd.com/read/29140144/joint-moment-angle-properties-of-the-hip-extensors-in-subjects-with-and-without-patellofemoral-pain
#1
Curtis Kindel, John Challis
Strength deficits of hip extension in individuals with patellofemoral syndrome are commonly reported in the literature. No literature to date has examined these deficits with variable positions of the knee and hip; altering knee angle alters the length and therefore potentially the force produced by the biarticular muscles. Beyond strength, neuromuscular control can also be assessed through the analysis of isometric joint moment steadiness. Subjects consisted of a group of individuals with patellofemoral syndrome (n=9), and a group of age and size matched controls with no symptoms (n=9)...
November 15, 2017: Journal of Applied Biomechanics
https://www.readbyqxmd.com/read/29133185/squatting-re-education-with-lumbo-pelvic-thigh-muscles-cocontraction-improves-functional-performance-in-patellofemoral-pain-syndrome-a-case-report
#2
Nagarajan Manickaraj
Anterior knee pain with or without joint crepitus during squatting is the common clinical feature in the individuals with patellofemoral pain syndrome (PFPS). Altered lower extremity alignment and lumbo-pelvic-thigh muscles motor control is often associated with PFPS. Although current interventions recommend individual muscle activation and strength training exercises, the reported benefits of cocontraction based exercises in PFPS is limited. It might be due to the long standing hypothesis that the exercise induced cocontraction of thigh muscles may induce a negative effect by increasing the joint contact forces in individuals with knee osteoarthritis...
November 10, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29120261/effects-of-vision-and-cognitive-load-on-static-postural-control-in-subjects-with-and-without-patellofemoral-pain-syndrome
#3
Afsaneh Zeinalzadeh, Saeed Talebian, Soofia Naghdi, Mahyar Salavati, Salman Nazary-Moghadam, Bahareh Zeynalzadeh Ghoochani
OBJECTIVE: To compare the effects of vision and cognitive load on static postural control in subjects with and without patellofemoral pain syndrome (PFPS). METHODS: Twenty-eight PFPS patients and 28 controls participated in the study. Postural control was assessed in isolation as well as with visual manipulation and cognitive loading on symptomatic limb. The outcome measures of postural control were quantified in terms of area, anterior-posterior (AP), medial-lateral (ML), and mean velocity (MV) of the displacements of center of pressure (COP)...
November 9, 2017: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29099880/comparison-of-lateral-retinaculum-release-and-lengthening-in-the-treatment-of-patellofemoral-disorders
#4
Berkay Unal, Betina B Hinckel, Seth L Sherman, Christian Lattermann
For lateral retinaculum (LR) tightness, release or lengthening is the indicated surgical correction. LR release (LRR) or lengthening (LRL) may be a primary treatment for painful lateral compression syndrome or as an adjunct treatment in the setting of patellofemoral instability. Although it is challenging, assessment of the soft-tissue balance between the medial restraint (the medial patellofemoral ligament) and the lateral restraint (the lateral retinaculum) is fundamental to a good outcome. LRR and LRL are effective in the treatment of patellofemoral disorders in which lateral tightness is part of the pathology...
September 2017: American Journal of Orthopedics
https://www.readbyqxmd.com/read/29056595/effectiveness-of-foot-orthoses-for-the-prevention-of-lower-limb-overuse-injuries-in-naval-recruits-a-randomised-controlled-trial
#5
Daniel R Bonanno, George S Murley, Shannon E Munteanu, Karl B Landorf, Hylton B Menz
OBJECTIVES: To evaluate the effectiveness of prefabricated foot orthoses for the prevention of lower limb overuse injuries in naval recruits. METHODS: This study was a participant-blinded and assessor-blinded, parallel-group randomised controlled trial. Three-hundred and six participants aged 17-50 years who undertook 11 weeks of initial defence training at the Royal Australian Navy Recruit School (Cerberus, Australia) were randomised to a control group (flat insoles, n=153) or an intervention group (contoured, prefabricated foot orthoses, n=153)...
October 22, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/29037636/effects-of-kinesio-taping-%C3%A2-on-knee-function-and-pain-in-athletes-with-patellofemoral-pain-syndrome
#6
Elaheh Aghapour, Fahimeh Kamali, Ehsan Sinaei
OBJECTIVE: To compare the knee performance and pain in athletes with patellofemoral pain syndrome (PFPS) before and after applying Kinesio Tape(®) (KT) on vastus medialis obliquus (VMO) muscle. PARTICIPANTS: Fifteen participants (10 females, five males) with unilateral PFPS were examined and compared under taped and untaped conditions. INTERVENTION: VMO of the involved leg was taped from origin to insertion, with 75% of KT's maximal length tension...
October 2017: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/29037624/does-leg-predomination-affect-measuring-vasti-muscle-onsets-during-single-leg-squatting-a-reliability-study
#7
Javid Mostamand, Dan L Bader, Zoë Hudson
INTRODUCTION: Although measuring vasti muscle onset may reveal whether pain relief is associated with altering this parameter during activities in subjects with patellofemoral pain syndrome (PFPS), it may be necessary to determine whether the inherent properties of the dominant leg influences the reliability of measuring VMO-VL muscle onset. The aim of the present study was to examine the effect of leg predomination on reliability testing of the VMO-VL muscle onset measurement during single leg squatting in healthy subjects...
October 2017: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/29035979/effect-of-a-commercially-available-footwear-insole-on-biomechanical-variables-associated-with-common-running-injuries
#8
Ryan T Lewinson, Darren J Stefanyshyn
OBJECTIVE: To determine whether Dr. Scholl's Active Series (DSAS) footwear insoles alter biomechanical variables associated with running injuries. DESIGN: Randomized, controlled experiment. SETTING: Sport medicine and biomechanics gait analysis laboratory. PARTICIPANTS: Fifteen healthy adults. INTERVENTIONS: The control condition was the participant's own athletic footwear. The experimental condition was the participant's own athletic footwear plus a DSAS insole...
October 10, 2017: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/29021089/patellofemoral-arthritis-treated-with-resurfacing-implant-clinical-outcome-and-complications-at-a-minimum-two-year-follow-up
#9
Juan Pablo Zicaro, Carlos Yacuzzi, Juan Astoul Bonorino, Lisandro Carbo, Matias Costa-Paz
BACKGROUND: This study evaluated the clinical and radiographic outcomes of a series of patients treated with an anatomic inlay resurfacing implant, with a minimum two-year follow-up. METHODS: Fifteen patients underwent patellofemoral-resurfacing procedures using a HemiCAP Wave Patellofemoral Inlay Resurfacing implant from 2010 to 2013. Clinical outcomes included: Visual Analog Scale (VAS), Lysholm score, Knee Society Score (KSS), and evaluation of Kujala, and Hospital for Special Surgery Patellofemoral score (HSS-PF)...
October 8, 2017: Knee
https://www.readbyqxmd.com/read/28970998/a-modified-osteotomy-for-anteromedialization-of-the-tibial-tubercle
#10
Michael G Saper, Benjamin A Cox, David A Shneider
Tibial tubercle osteotomy is a common treatment option for a number of patellofemoral joint disorders including chondromalacia, "anterior knee pain" syndromes, patellofemoral arthritis, and patellar instability. Tibial tubercle osteotomy can modify tracking and/or patellofemoral contact forces to effect the unloading of chondral defects of the patella or trochlea, correct multiplanar suboptimal alignment, and be used in conjunction with soft-tissue stabilization procedures for instability. The purpose of this Technical Note is to describe, in detail, a modified osteotomy for anteromedialization of the tibial tubercle...
August 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28952850/sex-specific-relationships-between-hip-strength-and-hip-pelvis-and-trunk-kinematics-in-healthy-runners
#11
James J Hannigan, Louis R Osternig, Li-Shan Chou
Weak hip muscle strength and excessive hip motion during running have been suggested as potential risk factors for developing patellofemoral pain syndrome (PFPS) in females, but not males. There is conflicting evidence on the relationship between hip strength and hip kinematics, which may be partly due to sex differences in the relationship between these parameters. Hip, pelvis, and trunk kinematics were collected while 60 healthy, habitual runners (23 females, 37 males) ran overground, and isometric hip abduction and external rotation strengths were measured bilaterally...
September 27, 2017: Journal of Applied Biomechanics
https://www.readbyqxmd.com/read/28884103/lateral-patellar-retinacular-release-changes-over-the-last-ten-years
#12
REVIEW
Leonardo Pini Rosalem Marciano da Fonseca, Ednei Haruo Kawatake, Alberto de Castro Pochini
Lateral retinacular release is a useful resource in knee surgery that can be used for disorders of the extensor mechanism. For many years, it was indiscriminately used in the treatment of the various patellofemoral joint alterations, with conflicting functional results. This study aimed to analyze the changes that have occurred in the indications and clinical effectiveness of lateral retinacular release by reviewing the relevant literature of the past ten years, comparing it to the classic literature on the subject...
June 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28878459/carryover-effect-of-hip-and-knee-exercises-program-on-functional-performance-in-individuals-with-patellofemoral-pain-syndrome
#13
Hamada Ahmed Hamada, Amira Hussein Draz, Ghada Mohamed Koura, Ibtissam M Saab
[Purpose] This study was carried out to investigate the carryover effect of hip and knee exercises program on functional performance (single legged hop test as functional performance test and Kujala score for functional activities). [Subjects and Methods] Thirty patients with patellofemoral pain syndrome were randomly assigned into two equal groups. Group (A) consisted of 15 patients undergoing hip strengthening exercises for four weeks then measuring all variables followed by additional four weeks of knee exercises program then measuring all variables again...
August 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/28795010/evaluation-and-management-of-knee-pain-in-young-athletes-overuse-injuries-of-the-knee
#14
REVIEW
Dilip R Patel, Ana Villalobos
Recurrent or chronic activity related knee pain is common in young athletes. Numerous intrinsic conditions affecting the knee can cause such pain. In addition, knee pain can be referred pain from low back, hip or pelvic pathology. The most common cause of knee pain in young athletes is patellofemoral pain syndrome, or more appropriately termed idiopathic anterior knee pain. Although, numerous anatomical and biomechanical factors have been postulated to contribute the knee pain in young athletes, the most common underlying reason is overuse injury...
July 2017: Translational pediatrics
https://www.readbyqxmd.com/read/28750964/comparison-of-ischemic-compression-and-lumbopelvic-manipulation-as-trigger-point-therapy-for-patellofemoral-pain-syndrome-in-young-adults-a-double-blind-randomized-clinical-trial
#15
Shabnam Behrangrad, Fahimeh Kamali
OBJECTIVE: To compare the effectiveness of ischemic compression (IC) directly to the vastus medialis obliquus (VMO) versus lumbopelvic manipulation (LPM) in improving pain, functional status and sensitivity to mechanical stimulation of the VMO trigger point in patients with patellofemoral pain syndrome (PFPS). PARTICIPANTS: 40 patients with unilateral PFPS aged 20-30 years were selected randomly among patients with unilateral PFPS referred to physical therapy clinics of Shiraz University of Medical Sciences in Shiraz, Iran, between March 2014 and July 2014...
July 2017: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/28697399/patellar-bracing-affects-semg-activity-of-leg-and-thigh-muscles-during-stance-phase-in-patellofemoral-pain-syndrome
#16
Fatemeh Salarie Sker, Mehrdad Anbarian, Amir H Yazdani, Pouria Hesari, Arash Babaei-Ghazani
BACKGROUND: Decreases in patellofemoral pain symptoms with bracing treatment have been established; but, the mechanisms remain unclear. The purpose of this study was to determine the immediate and long-term effects of the patellar bracing on electromyography (EMG) activity of the Vastus Medialis (VM) and Lateralis (VL), Rectus Femoris, lateral Gastrocnemius, Biceps Femoris and Semitendinosus (ST) muscles during level walking. METHODS: 12 eligible women aged 20-30 years with diagnosis of patellofemoral pain participated in the before and after study...
October 2017: Gait & Posture
https://www.readbyqxmd.com/read/28652829/patellofemoral-pain-in-athletes
#17
REVIEW
Wolf Petersen, Ingo Rembitzki, Christian Liebau
Patellofemoral pain (PFP) is a frequent cause of anterior knee pain in athletes, which affects patients with and without structural patellofemoral joint (PFJ) damage. Most younger patients do not have any structural changes to the PFJ, such as an increased Q angle and a cartilage damage. This clinical entity is known as patellofemoral pain syndrome (PFPS). Older patients usually present with signs of patellofemoral osteoarthritis (PFOA). A key factor in PFPS development is dynamic valgus of the lower extremity, which leads to lateral patellar maltracking...
2017: Open Access Journal of Sports Medicine
https://www.readbyqxmd.com/read/28617653/systematic-review-of-the-effect-of-taping-techniques-on-patellofemoral-pain-syndrome
#18
REVIEW
Catherine A Logan, Abhiram R Bhashyam, Ashley J Tisosky, Daniel B Haber, Anna Jorgensen, Adam Roy, Matthew T Provencher
CONTEXT: Taping is commonly used in the management of several musculoskeletal conditions, including patellofemoral pain syndrome (PFPS). Specific guidelines for taping are unknown. OBJECTIVE: To investigate the efficacy of knee taping in the management of PFPS. Our hypothesis was that tension taping and exercise would be superior to placebo taping and exercise as well as to exercise or taping alone. DATA SOURCES: The PubMed/MEDLINE, Cochrane, Rehabilitation and Sports Medicine Source, and CINAHL databases were reviewed for English-language randomized controlled trials (RCTs) evaluating the efficacy of various taping techniques that were published between 1995 and April 2015...
September 2017: Sports Health
https://www.readbyqxmd.com/read/28580253/arthroscopic-patellar-lateral-facetectomy
#19
Marcio B Ferrari, George Sanchez, Jorge Chahla, Gilbert Moatshe, Robert F LaPrade
Isolated patellofemoral osteoarthritis is relatively prevalent, with the lateral facet of the patella being the most commonly affected portion. This pathology can be a result of a patellar maltracking syndrome, patella instability, or idiopathic degenerative changes. A thorough diagnostic work-up with a physical examination and imaging studies are mandatory for a proper diagnosis and to rule out other causes of patellofemoral knee pain. These patients are often treated nonoperatively with exercises for patella mobility, intra-articular injections, braces, patellar tracking, quadriceps balance and strength, and activity modification...
April 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28559754/effectiveness-of-manual-therapy-combined-with-physical-therapy-in-treatment-of-patellofemoral-pain-syndrome-systematic-review
#20
REVIEW
Gemma Victoria Espí-López, Anna Arnal-Gómez, Mercè Balasch-Bernat, Marta Inglés
OBJECTIVES: The purpose of this study was to conduct a review of randomized controlled trials (RCTs) to determine the treatment effectiveness of the combination of manual therapy (MT) with other physical therapy techniques. METHODS: Systematic searches of scientific literature were undertaken on PubMed and the Cochrane Library (2004-2014). The following terms were used: "patellofemoral pain syndrome," "physical therapy," "manual therapy," and "manipulation." RCTs that studied adults diagnosed with patellofemoral pain syndrome (PFPS) treated by MT and physical therapy approaches were included...
June 2017: Journal of Chiropractic Medicine
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