6 of My Favorite Treatments [Patellofemoral Pain] Evidence Based

By dpope2020

August 16, 2024

dan pope, diagnosing pfps, fitness pain free, how to fix knee pain, knee pain, knee pain exercises, knee pain treatment, patellofemoral disorder, patellofemoral pain, patellofemoral pain assessment, patellofemoral pain syndrome, patellofemoral pain syndrome diagnosis, patellofemoral pain syndrome exercises, patellofemoral pain syndrome treatment, patellofemoral syndrome, physical therapist

Patellofemoral Pain Clinical Examination [Physical Therapist Guide]

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In today's video we go over Patellofemoral Pain Clinical Examination [Physical Therapist Guide].  Learn how to differentiate it from other knee conditions, identify key red flags, and perform essential tests to guide your treatment plan.

We'll cover:

  1. Common patient presentation and history
  2. Objective findings: ROM, palpation, special tests, and movement analysis
  3. Differential diagnosis considerations

Time Stamps: 

  • 0:00 - Intro
  • 0:10 - What is Patellofemoral Pain?
  • 0:50 - Common Populations
  • 1:07 - Where is Pain Located?
  • 1:44 - What Hurts?
  • 1:55 - Symptom Onset
  • 3:43 - Objective Examination
  • 6:18 - Palpation
  • 7:32 - Provocative Movements
  • 8:32 - Manual Muscle Testing (MMT)
  • 10:00 - Movement Analysis
  • 11:20 - Conclusion

Always capped,

- Dan Pope DPT,OCS,CSCS

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Thank you!

Dan Pope DPT, OCS, CSCS

References: 

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  2. Tenforde AS, Sayres LC, McCurdy ML, Collado H, Sainani KL, Fredericson M. Overuse injuries in high school runners: lifetime prevalence and prevention strategies. PM R. 2011 Feb;3(2):125-31; quiz 131. doi: 10.1016/j.pmrj.2010.09.009. PMID: 21333951.

  3. Willy RW, Hoglund LT, Barton CJ, Bolgla LA, Scalzitti DA, Logerstedt DS, Lynch AD, Snyder-Mackler L, McDonough CM. Patellofemoral Pain. J Orthop Sports Phys Ther. 2019 Sep;49(9):CPG1-CPG95. doi: 10.2519/jospt.2019.0302. PMID: 31475628.

  4. Lankhorst NE, van Middelkoop M, Crossley KM, Bierma-Zeinstra SM, Oei EH, Vicenzino B, Collins NJ. Factors that predict a poor outcome 5-8 years after the diagnosis of patellofemoral pain: a multicentre observational analysis. Br J Sports Med. 2016 Jul;50(14):881-6. doi: 10.1136/bjsports-2015-094664. Epub 2015 Oct 13. PMID: 26463119.

  5. Collins NJ, Vicenzino B, van der Heijden RA, van Middelkoop M. Pain During Prolonged Sitting Is a Common Problem in Persons With Patellofemoral Pain. J Orthop Sports Phys Ther. 2016 Aug;46(8):658-63. doi: 10.2519/jospt.2016.6470. Epub 2016 Jul 3. PMID: 27374012.

  6. Lankhorst NE, Bierma-Zeinstra SM, van Middelkoop M. Risk factors for patellofemoral pain syndrome: a systematic review. J Orthop Sports Phys Ther. 2012 Feb;42(2):81-94. doi: 10.2519/jospt.2012.3803. Epub 2011 Oct 25. PMID: 22031622.

  7. Loudon JK. BIOMECHANICS AND PATHOMECHANICS OF THE PATELLOFEMORAL JOINT. Int J Sports Phys Ther. 2016 Dec;11(6):820-830. PMID: 27904787; PMCID: PMC5095937.

  8. Current Concepts and Treatment of Patellofemoral Compressive Issues IJSPT 2016 https://www.ncbi.nlm.nih.gov/pubmed/27904792

  9. 2016 Patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester. Part 1: Terminology, definitions, clinical examination, natural history, patellofemoral osteoarthritis and patient-reported outcome measures" in Br J Sports Med, volume 50 on page 839.  

  10. Blønd L, Hansen L. Patellofemoral pain syndrome in athletes: a 5.7-year retrospective follow-up study of 250 athletes. Acta Orthop Belg. 1998 Dec;64(4):393-400. PMID: 9922542.

  11. Hoglund LT, Hulcher TA, Amabile AH. Males with patellofemoral pain have altered movements during step-down and single-leg squatting tasks compared to asymptomatic males: A cross-sectional study. Health Sci Rep. 2024 Jun 12;7(6):e2193. doi: 10.1002/hsr2.2193. PMID: 38868539; PMCID: PMC11168284.

  12. Chamorro-Moriana G, Espuny-Ruiz F, Ridao-Fernández C, Magni E. Clinical value of questionnaires & physical tests for patellofemoral pain: Validity, reliability and predictive capacity. PLoS One. 2024 Apr 17;19(4):e0302215. doi: 10.1371/journal.pone.0302215. PMID: 38630735; PMCID: PMC11023591.

  13. Xie P, István B, Liang M. The Relationship between Patellofemoral Pain Syndrome and Hip Biomechanics: A Systematic Review with Meta-Analysis. Healthcare (Basel). 2022 Dec 28;11(1):99. doi: 10.3390/healthcare11010099. PMID: 36611559; PMCID: PMC9818693.

  14. Hott A, Pripp AH, Juel NG, Liavaag S, Brox JI. Self-efficacy and Emotional Distress in a Cohort With Patellofemoral Pain. Orthop J Sports Med. 2022 Mar 8;10(3):23259671221079672. doi: 10.1177/23259671221079672. PMID: 35284585; PMCID: PMC8908394.

  15. Sanchis, G.J.B., Nascimento, J.A.S., Santana, R.C. et al. Biomechanical factors associated with patellofemoral pain in children and adolescents. Sci Rep 14, 15490 (2024). https://doi.org/10.1038/s41598-024-64394-w

  16. Rethman KK, Mansfield CJ, Moeller J, De Oliveira Silva D, Stephens JA, Di Stasi S, Briggs MS. Kinesiophobia Is Associated With Poor Function and Modifiable Through Interventions in People With Patellofemoral Pain: A Systematic Review With Individual Participant Data Correlation Meta-Analysis. Phys Ther. 2023 Sep 1;103(9):pzad074. doi: 10.1093/ptj/pzad074. PMID: 37354454; PMCID: PMC10517194.