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Critical Reviews™ in Physical and Rehabilitation Medicine

Publicou 4 edições por ano

ISSN Imprimir: 0896-2960

ISSN On-line: 2162-6553

SJR: 0.141 SNIP: 0.129 CiteScore™:: 0.6 H-Index: 18

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Patellofemoral Pain Syndrome: The Ongoing Challenges in Etiology, Diagnosis, and Management

Volume 13, Edição 2-3, 2001, 15 pages
DOI: 10.1615/CritRevPhysRehabilMed.v13.i2-3.20
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RESUMO

The etiology, assessment, and nonsurgical management of patellofemoral pain syndrome (PFPS) have been extensively reported in the literature. The etiology of PFPS is multifaceted; it is present most commonly in adolescents and young adults. Its incidence varies from 10–40%, with higher rates reported in athletic populations. Evidence does support that in active individuals, patellar mobility, quadriceps muscle activation, and quadriceps muscle tightness are common PFPS precursors. Less clear is the relationship between various lower limb biomechanical and neuromuscular factors and PFPS. Recent work has shown that clinical evaluation of patellar orientation has limited reliability. In addition, patellar movement during early knee flexion has also been found to vary significantly when investigated through reliable imaging techniques. Classification systems have been developed that show promise in refining the diagnosis of PFPS; however, these systems need validation. Quadriceps strengthening through home programming continues to show positive results, and patellar taping seems to have merit for some but not all patients; not one outcome tool was found to be the best indicator of good function for PFPS clients. The directions for future research into PFPS are based on a review of articles published between 1995 and 2000.

CITADO POR
  1. Selfe James, Callaghan Michael, McHenry Alec, Richards Jim, Oldham Jackie, An investigation into the effect of number of trials during proprioceptive testing in patients with patellofemoral pain syndrome, Journal of Orthopaedic Research, 24, 6, 2006. Crossref

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