There is a wealth of research available to clinicians today guiding treatment of patellofemoral pain. Most common interventions address proximal, local and/or distal factors. Patellofemoral pain is commonly seen in young active females. Case Description A 17-year old female high-school runner with patellofemoral pain in her right knee was seen in an orthopedic outpatient clinic. The patient had pain in her right knee, decreased hip and knee strength, limited function and ability to participate in her state and district cross country races, limited tissue extensibility and tightness of the right quadriceps muscle and abnormal hip mechanics during running. Her acute symptoms were most likely related to a dramatic increase in training volume and intensity following a period of relative low activity, further confounded by abnormal hip mechanics and strength deficits. The patient was seen for 6 visits over the course of approximately 2 months. Outcomes and Discussion The patients symptoms completely resolved by the end of her 6th session and she was cleared for a full return to pre-season running levels with a home based exercise program and training protocol. Interventions chosen focused on building maximal strength and endurance in lower extremity musculoskeletal tissues, decreasing muscle tone and tenderness through soft tissue massage and interferential current and working on developing increased body awareness during movement patterns related to the activity of running. An evidence-based review of the current literature was performed to address the above PICO question. There is moderate evidence to suggest that hip strengthening and verbal/visual feedback are all advantageous interventions in the treatment of patellofemoral pain.
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knee pain, feedback, patellofemoral pain, neuromuscular, athlete
Taylor, Jason. "Effect of feedback and neuromuscular training in young female athletes with patellofemoral pain compared with strengthening of the hip to increase function and decrease pain." (2014). http://digitalrepository.unm.edu/dpt/71
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