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Patellofemoral Pain Syndrome

Patellofemoral Pain Syndrome. Stuart Baptist Senior Physiotherapist BSc (Hons) Physio, RPT Director of Clinical Education Member Australian Physiotherapy Association. The Simple Basics…. PROBLEMS VMO:VL ratio FABER tightness Gluteal weakness Hamstring tightness. Management.

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Patellofemoral Pain Syndrome

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  1. Patellofemoral Pain Syndrome Stuart Baptist Senior Physiotherapist BSc (Hons) Physio, RPT Director of Clinical Education Member Australian Physiotherapy Association

  2. The Simple Basics… • PROBLEMS • VMO:VL ratio • FABER tightness • Gluteal weakness • Hamstring tightness

  3. Management • Change the pain • Tape • Activity modification • Correct the principle causative feature • Gradually load/resume training

  4. Safe Training Curve

  5. Beware the fat pad • Common pain generator • Avoid hyperextension • Activity modification • Tape to unload • Treat the biomechanical issues

  6. References • Fukuda TY, Rossetto FM, Magalh綟s E, Bryk FF, Lucareli PR, de Almeida Aparecida Carvalho N.2010.Short-term effects of hip abductors and lateral rotators strengthening in females with patellofemoral pain syndrome: a randomized controlled clinical trial. J Orthop Sports Phys Ther. Nov;40(11):736-42 • Irish SE, Millward AJ, Wride J, Haas BM, Shum GL.2010 The effect of closed-kinetic chain exercises and open-kinetic chain exercise on the muscle activity of vastus medialis oblique and vastus lateralis.VMO training more effective w biofeedback J Strength Cond Res. May;24(5):1256-62. • Ng GY, Zhang AQ, Li CK. 2008.Biofeedback exercise improved the EMG activity ratio of the medial and lateral vasti muscles in subjects with patellofemoral pain syndrome.J Electromyogr KinesiolFeb;18(1):128-33. Epub 2006 Oct 27 • Witoński D, Wągrowska-Danilewicz M, Kęska R, Raczyńska-Witońska G, Stasikowska-Kanicka O. 2010 .Increased interleukin 6 and tumour necrosis factor α expression in the infrapatellar fat pad of the knee joint with the anterior knee pain syndrome: a preliminary report. Pol J Pathol. Sep;61(4):213-8 • .Waryasz GR, McDermott AY Patellofemoralpain syndrome (PFPS): a systematic review of anatomy and potential risk factors.Dyn Med. 2008 Jun 26;7:9.

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