Manual & Physical Therapies for Patellofemoral Pain Syndrome – Systematic Review
- RRS Education
Patellofemoral pain syndrome (PFPS) is a common lower extremity disorder, representing approximately 25-40% of sports medicine cases. This condition is characterized by vague retro-patellar or anterior knee pain, typically caused or aggravated by repetitive activities such as running, squatting, jumping or even climbing stairs. Symptoms are often bilateral, appear gradually and described as ‘stiffness’ or crepitus. Patients report pain, though inflammation is not typically present.
PFPS is thought to be caused by aberrant forces that control patellar movement during flexion and extension. Typically, the etiology of PFPS is considered multifactorial. Anatomical characteristics such as femoral anteversion or internal rotation, patellar malalignment or hypermobility, genu recurvatum (hyperextension), knee valgus, lateral tibial torsion or quadriceps weakness may be associated with the development of PFPS. External factors such as repetitive activity, surface or equipment or changes in the intensity of physical activity may also contribute. Finally, psychological factors such as anxiety or fear-avoidance beliefs could play a role in the development of PFPS.
The aim of treatment for PFPS is to reduce pain and improve the function and mobility of the patellofemoral joint. Manual therapy (MT) (including manipulation or mobilization of the joints and soft tissue therapy), exercises, proprioceptive neuromuscular facilitation (PNF), electrical stimulation are potential treatment options for PFPS. Given the number of possible conservative treatment options, the purpose of this review was to analyze and compare the scientific evidence of effectiveness of MT and other physical therapy techniques for the treatment of PFPS...LOG IN OR SUBSCRIBE TO ACCESS THE COMPLETE REVIEW!