Evidence Based Guide to Patellofemoral Pain Syndrome
Click HERE to download the Patellofemoral Pain Syndrome "Cheat Sheet"
In today's episode we go over an Evidence Based Guide to Patellofemoral Pain Syndrome
- 0:00 Intro
- 2:29 What is Patellofemoral Pain Syndrome? PFPS Definition
- 3:10 Relavent anatomy - Patella, trochlear groove and support structures
- 6:10 What is the source of pain or "pain generator" in Patellofemoral Pain Syndrome?
- 8:08 What is the prevalence of Patellofemoral Pain Syndrome?
- 8:57 What is the clinical presentation of Patellofemoral Pain Syndrome (onset, population, common symptoms)
- 10:40 What is the natural history of patellofemoral pain syndrome? Does it improve with time?
- 12:45 What risk factors are NOT associated with patellofemoral pain?
- 14:00 What risk factors ARE associated with patellofemoral pain?
- 16:03 Mechanism of injury for patellofemoral pain [FPF Mini Course - 7 Reasons Why Injuries Happen in the Gym and What to do About it]
- 21:34 Exercise prescription for knee pain - FPF Insiders
- 22:22 Differential diagnosis for Patellofemoral Pain
- 25:19 Diagnosing Patellofemoral Pain (History, subjective)
- 25:19 Diagnosing Patellofemoral Pain (History, subjective)
- 28:26 Diagnosing Patellofemoral Pain (Objective - palpation, manual muscle testing, range of motion testing, special tests, imaging, psychosocial factors)
- 33:56 Evidence based treatments for patellofemoral pain
- 38:05 What treatment is BEST for patellofemoral pain syndrome?
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Show Notes / Relevant Articles:
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Dan Pope DPT, OCS, CSCS
References:
1. Current Concepts and Treatment of Patellofemoral Compressive Issues IJSPT 2016 https://www.ncbi.nlm.nih.gov/pubmed/27904792
- Current Concepts in Biomechanical Interventions for Patellofemoral Pain IJSPT 2016 https://www.ncbi.nlm.nih.gov/pubmed/27904791
- Examination of the Patellofemoral Joint IJSPT 2016 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5095938/
- Biomechanics and pathomechanics of the Patellofemoral Joint IJSPT 2016 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5095937/
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- Christian John Barton, Simon Lack, Steph Hemmings, Saad Tufail, Dylan Morrissey, The ‘Best Practice Guide to Conservative Management of Patellofemoral Pain’: incorporating level 1 evidence with expert clinical reasoning BJSM 2015http://bjsm.bmj.com/content/49/14/923#T
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- The Association of Ankle Dorsiflexion Range of Motion With Hip and Knee Kinematics During the Lateral Step-down Test. JOSPT 2016
https://www.ncbi.nlm.nih.gov/pubmed/27686412 - The effect of reduced ankle dorsiflexion on lower extremity mechanics during landing: A systematic review Journal Sci Med Sport 2017 https://www.ncbi.nlm.nih.gov/pubmed/26117159
- Stress and Your Body: The Great Courses by Robert Sapolsky
- Effectiveness of Manual Therapy on Pain and Self-Reported Function in Individuals With Patellofemoral Pain: Systematic Review and Meta-Analysis JOSPT 2018 https://www.jospt.org/doi/pdf/10.2519/jospt.2018.7243
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- Therapeutic Neuroscience Education – Adriaan Louw
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- Nascimento LR, Teixeira-Salmela LF, Souza RB, Resende RA. Hip and Knee Strengthening Is More Effective Than Knee Strengthening Alone for Reducing Pain and Improving Activity in Individuals With Patellofemoral Pain: A Systematic Review With Meta-analysis. J Orthop Sports Phys Ther. 2018 Jan;48(1):19-31. doi: 10.2519/jospt.2018.7365. Epub 2017 Oct 15. PMID: 29034800.
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- PFPS X-ray Image: Source: Attribution: Jmarchn / CC BY-SA (https://creativecommons.org/licenses/by-sa/3.0) Edited by fitness pain free LLC
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- Maclachlan LR, Collins NJ, Matthews ML, et al The psychological features of patellofemoral pain: a systematic review British Journal of Sports Medicine 2017;51:732-742.
- Winters M, Holden S, Lura CB, et al. Comparative effectiveness of treatments for patellofemoral pain: a living systematic review with network meta-analysis [published online ahead of print, 2020 Oct 26]. Br J Sports Med. 2020;55(7):369-377. doi:10.1136/bjsports-2020-102819
- Nascimento LR, Teixeira-Salmela LF, Souza RB, Resende RA. Hip and Knee Strengthening Is More Effective Than Knee Strengthening Alone for Reducing Pain and Improving Activity in Individuals With Patellofemoral Pain: A Systematic Review With Meta-analysis. J Orthop Sports Phys Ther. 2018 Jan;48(1):19-31. doi: 10.2519/jospt.2018.7365. Epub 2017 Oct 15. PMID: 29034800.