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Patellofemoral Pain Syndrome (PFPS) - Coggle Diagram
Patellofemoral Pain Syndrome (PFPS)
Outcome Measures
Capacity testing.
Oxford.
VAS.
Subjective
Locking and giving way both Pseudo.
Common in runners. Sudden increase in activity?
Insidious onset.
Aggs
Stairs
Squats
Prolonged sitting
Overdoing it
Usually pain front knee, around patella.
Objective
Muscle weakness may be present, test all.
May be stiff, loss of extension.
Instability and or pain during function testing - PFPS 80% can reproduce pain during single leg squat
Special tests
Pain on palpation local.
Patella compression test / patella grind
Capacity testing.
Observation.
Position of patella
Swelling
Muscle wastage/ imbalance
Alignment
Pathology
Acute or chronic.
Patients with patella tendinopathy may present in a similar manner.
Umbrella term for pain from patellofemoral joint.
Research
JOSPT - strengthen hip and knee to reduce pain increase functional performance.
Alba-Martin et al. 2015 Systematic review
Proprioceptive neuromuscular facilitation stretching and strengthening exercises for the hip external rotator and abductor muscles and knee extensor muscles.
Winters et al/ 2021 Systematic review
Education combined with a physical treatment (exercise, orthoses or patellar taping/mobilisation).
At 12 months, education appears comparable to education with a physical treatment. There was insufficient evidence to recommend a specific type of physical treatment over another
Treatments
Strengthen around weak areas. Think both hip and knee - Increasing support.
Education and activity modification.
Reassurance this is very common. Can help with it.