Management of patients with patellofemoral pain syndrome using a multimodal approach: A case series

Journal of Orthopaedic and Sports Physical Therapy

Volumn 38, Issue 11, 2008, Pages 691-702

  Lowry, Carina D ^a,b   Cleland, Joshua A ^c,d,e   Dyke, Kelly ^f  

^a ST JOSEPH HOSPITAL   (United States)

^b UNIVERSITY OF ILLINOIS AT CHICAGO   (United States)

^c FRANKLIN PIERCE COLLEGE   (United States)

^d REGIS UNIVERSITY   (United States)

^e Rehabilitation Services   (United States)

^f Drum Hill Physical and Sports Therapy   (United States)

Author keywords

Knee; Manual therapy; Orthotics; Pain; Patellofemoral joint; Spine; Taping

Indexed keywords

EID: 55849097724     PISSN: 01906011     EISSN: None     Source Type: Journal    
DOI: 10.2519/jospt.2008.2690     Document Type: Article

References (76)

1. Guide to Physical Therapist Practice. Second Edition. American Physical Therapy Association. Phys Ther. 2001;81:9-746.
2. Almeida SA, Williams KM, Shaffer RA, Brodine SK. Epidemiological patterns of musculoskeletal injuries and physical training. Med Sci Sports Exerc. 1999;31:1176-1182.
3. Baker V, Bennell K, Stillman B, Cowan S, Crossley K. Abnormal knee joint position sense in individuals with patellofemoral pain syndrome. J Orthop Res. 2002;20:208-214. http://dx.doi.org/10.1016/S0736-0266(01)00106-1
4. Binkley JM, Stratford PW, Lott SA, Riddle DL. The Lower Extremity Functional Scale (LEFS): scale development, measurement properties, and clinical application. North American Orthopaedic Rehabilitation Research Network. Phys Ther. 1999;79:371-383.
5. Bizzini M, Childs JD, Piva SR, Delitto A. Systematic review of the quality of randomized controlled trials for patellofemoral pain syndrome. J Orthop Sports Phys Ther. 2003;33:4-20.
6. Boling MC, Bolgla LA, Mattacola CG, Uhl TL, Hosey RG. Outcomes of a weight-bearing rehabilitation program for patients diagnosed with patellofemoral pain syndrome. Arch Phys Med Rehabil. 2006;87:1428-1435. http://dx.doi.org/10.1016/j.apmr.2006.07.264
7. Bullock-Saxton J, Bullock M. Repeatability of muscle length measures around the hip. Physiother Can. 1994;46:105-109.
8. Childs JD, Piva SR, Fritz JM. Responsiveness of the numeric pain rating scale in patients with low back pain. Spine. 2005;30:1331-1334.
9. Christou EA. Patellar taping increases vastus medialis oblique activity in the presence of patellofemoral pain. J Electromyogr Kinesiol. 2004;14:495-504. http://dx.doi.org/10.1016/j.jelekin.2003.10.007
10. Cibulka MT, Threlkeld-Watkins J. Patellofemoral pain and asymmetrical hip rotation. Phys Ther. 2005;85:1201-1207.
11. Cleland J. Orthopedic Clinical Examination: An Evidence-Based Approach for Physical Therapists. Carlstadt, NJ: Icon Learning Systems; 2005.
12. Coqueiro KR, Bevilaqua-Grossi D, Berzin F, Soares AB, Candolo C, Monteiro-Pedro V. Analysis on the activation of the VMO and VLL muscles during semisquat exercises with and without hip adduction in individuals with patellofemoral pain syndrome. J Electromyogr Kinesiol. 2005;15:596-603. http://dx.doi.org/10.1016/j.jelekin.2005.03.001
13. Cowan SM, Bennell KL, Crossley KM, Hodges PW, McConnell J. Physical therapy alters recruitment of the vasti in patellofemoral pain syndrome. Med Sci Sports Exerc. 2002;34:1879-1885. http://dx.doi.org/10.1249/01.MSS. 0000038893.30443.CE
14. Cowan SM, Bennell KL, Hodges PW. Therapeutic patellar taping changes the timing of vasti muscle activation in people with patellofemoral pain syndrome. Clin J Sport Med. 2002;12:339-347.
15. Cowan SM, Bennell KL, Hodges PW, Crossley KM, McConnell J. Delayed onset of electromyographic activity of vastus medialis obliquus relative to vastus lateralis in subjects with patellofemoral pain syndrome. Arch Phys Med Rehabil. 2001;82:183-189. http://dx.doi.org/10.1053/apmr.2001.19022
16. Cowan SM, Hodges PW, Bennell KL, Crossley KM. Altered vastii recruitment when people with patellofemoral pain syndrome complete a postural task. Arch Phys Med Rehabil. 2002;83:989-995.
17. Crossley K, Bennell K, Green S, Cowan S, McConnell J. Physical therapy for patellofemoral pain: a randomized, double-blinded, placebo-controlled trial. Am J Sports Med. 2002;30:857-865.
18. Crossley K, Bennell K, Green S, McConnell J. A systematic review of physical interventions for patellofemoral pain syndrome. Clin J Sport Med. 2001;11:103-110.
19. Crossley KM, Bennell KL, Cowan SM, Green S. Analysis of outcome measures for persons with patellofemoral pain; which are reliable and valid? Arch Phys Med Rehabil. 2004;85:815-822.
20. Crossley KM, Cowan SM, Bennell KL, McConnell J. Knee flexion during stair ambulation is altered in individuals with patellofemoral pain. J Orthop Res. 2004;22:267-274. http://dx.doi.org/10.1016/j.orthres.2003.08.014
21. Crossley KM, Cowan SM, McConnell J, Bennell KL. Physical therapy improves knee flexion during stair ambulation in patellofemoral pain. Med Sci Sports Exerc. 2005;37:176-183.
22. Dye SF. The pathophysiology of patellofemoral pain: a tissue homeostasis perspective. Clin Orthop Relat Res. 2005;100-110.
23. Farrar JT, Berlin JA, Strom BL. Clinically important changes in acute pain outcome measures: a validation study. J Pain Symptom Manage. 2003;25:406-411.
24. Fredericson M, Yoon K. Physical examination and patellofemoral pain syndrome. Am J Phys Med Rehabil. 2006;85:234-243. http://dx.doi.org/10. 1097/01.phm.0000200390.67408.f0
25. Gill NW, Teyhen DS, Lee IE. Improved contraction of the transversus abdominis immediately following spinal manipulation: a case study using real-time ultrasound imaging. Man Ther. 2007;12:280-285. http://dx.doi.org/10.1016/j.math.2006.06.014
26. Gross MT, Foxworth JL. The role of foot orthoses as an intervention for patellofemoral pain. J Orthop Sports Phys Ther. 2003;33:661-670.
27. Herrington LC. The inter-tester reliability of a clinical measurement used to determine the medial-lateral orientation of the patella. Man Ther. 2002;7:163-167.
28. Herrington L, Al-Sherhi A. A controlled trial of weight-bearing versus non-weight-bearing exercises for patellofemoral pain. J Orthop Sports Phys Ther. 2007;37:155-160. http://dx.doi.org/10.2519/jospt.2007.2433
29. Herrington L, Nester C. Q-angle undervalued? The relationship between Q-angle and mediolateral position of the patella. Clin Biomech (Bristol, Avon). 2004;19:1070-1073. http://dx.doi.org/10.1016/j.clinbiomech.2004.07. 010
30. Herrington L, Rivett N, Munro S. The relationship between patella position and length of the iliotibial band as assessed using Ober's test. Man Ther. 2006;11:182-186. http://dx.doi.org/10.1016/j.math.2006.06.008
31. Hinman RS, Bennell KL, Metcalf BR, Crossley KM. Temporal activity of vastus medialis obliquus and vastus lateralis in symptomatic knee osteoarthritis. Am J Phys Med Rehabil. 2002;81:684-690. http://dx.doi.org/10.1097/01.CCM.0000026919.24522.59
32. Hislop HJ, Montgomery J. Daniels and Worthingham's Muscle Testing: Techniques of Manual Examination. 6th ed. Philadelphia, PA: Saunders Co; 1995.
33. Hoppenfeld S. Physical Examination of the Spine and Extremities. Norwalk, CT: Appleton & Lange; 1976.
34. Ireland ML, Willson JD, Ballantyne BT, Davis IM. Hip strength in females with and without patellofemoral pain. J Orthop Sports Phys Ther. 2003;33:671-676.
35. Iverson CA, Sutlive TG, Crowell MS, et al. Lumbopelvic manipulation for the treatment of patients with patellofemoral pain syndrome: development of a clinical prediction rule. J Orthop Sports Phys Ther. 2008;38:297-309; discussion 309-212. http://dx.doi.org/10.2519/jospt.2008.2669
36. Jaeschke R, Singer J, Guyatt GH. Measurement of health status. Ascertaining the minimal clinically important difference. Control Clin Trials. 1989;10:407-415.
37. Johnston LB, Gross MT. Effects of foot orthoses on quality of life for individuals with patellofemoral pain syndrome. J Orthop Sports Phys Ther. 2004;34:440-448. http://dx.doi.org/10.2519/jospt.2004.1384
38. Kaltenborn FM, Evjenth O. Manual Mobilization of the Extremity Joints: Basic Examination and Treatment Techniques. 4th ed. Oslo, Norway: Olaf Norlis; 1989.
39. Kendall F, McCreary EK, Provence PG. Muscles: Testing and Function. 4th ed. Baltimore, MD: Lippincott, Williams, & Wilkins; 1993.
40. Kujala UM, Jaakkola LH, Koskinen SK, Taimela S, Hurme M, Nelimarkka O. Scoring of patellofemoral disorders. Arthroscopy. 1993;9:159-163.
41. Laprade J, Culham E. Radiographic measures in subjects who are asymptomatic and subjects with patellofemoral pain syndrome. Clin Orthop Relat Res. 2003;172-182. http://dx.doi.org/10.1097/01.blo.0000079269.91782. f5
42. Lee TQ, Morris G, Csintalan RP. The influence of tibial and femoral rotation on patellofemoral contact area and pressure. J Orthop Sports Phys Ther. 2003;33:686-693.
43. Lesher JD, Sutlive TG, Miller GA, Chine NJ, Garber MB, Wainner RS. Development of a clinical prediction rule for classifying patients with patellofemoral pain syndrome who respond to patellar taping. J Orthop Sports Phys Ther. 2006;36:854-866. http://dx.doi.org/10.2519/jospt.2006.2208
44. Loudon JK, Wiesner D, Goist-Foley HL, Asjes C, Loudon KL. Intrarater Reliability of Functional Performance Tests for Subjects With Patellofemoral Pain Syndrome. J Athl Train. 2002;37:256-261.
45. Magee D. Orthopedic Physical Assessment. Philadelphia, PA: W.B. Saunders Co; 1997.
46. Maitland G. Peripheral Manipulation. London, UK: Butterworth Heinemann; 1986.
47. Mascal CL, Landel R, Powers C. Management of patellofemoral pain targeting hip, pelvis, and trunk muscle function: 2 case reports. J Orthop Sports Phys Ther. 2003;33:647-660.
48. Nijs J, Van Geel C, Van der auwera C, Van de Velde B. Diagnostic value of five clinical tests in patellofemoral pain syndrome. Man Ther. 2006;11:69-77. http://dx.doi.org/10.1016/j.math.2005.04.002
49. O'Sullivan PB, Phyty GD, Twomey LT, Allison GT. Evaluation of specific stabilizing exercise in the treatment of chronic low back pain with radiologic diagnosis of spondylolysis or spondylolisthesis. Spine. 1997;22:2959-2967.
50. O'Sullivan SP, Popelas CA. Activation of vastus medialis obliquus among individuals with patellofemoral pain syndrome. J Strength Cond Res. 2005;19:302-304. http://dx.doi.org/10.1519/1533-4287(2005)19[302;AOVMOA]2.0.CO;2
51. Peeler J, Cooper J, Porter MM, Thliveris JA, Anderson JE. Structural parameters of the vastus medialis muscle. Clin Anat. 2005;18:281-289. http://dx.doi.org/10.1002/ca.20110
52. Piva SR, Fitzgerald K, Irrgang JJ, et al. Reliability of measures of impairments associated with patellofemoral pain syndrome. BMC Musculoskelet Disord. 2006;7:33-46. http://dx.doi.org/10.1186/1471-2474-7-33
53. Powers CM. The influence of altered lower-extremity kinematics on patellofemoral joint dysfunction: a theoretical perspective. J Orthop Sports Phys Ther. 2003;33:639-646.
54. Powers CM, Chen PY, Reischl SF, Perry J. Comparison of foot pronation and lower extremity rotation in persons with and without patellofemoral pain. Foot Ankle Int. 2002;23:634-640.
55. Powers CM, Ward SR, Fredericson M, Guillet M, Shellock FG. Patellofemoral kinematics during weight-bearing and non-weight-bearing knee extension in persons with lateral subluxation of the patella: a preliminary study. J Orthop Sports Phys Ther. 2003;33:677-685.
56. Puniello MS. Iliotibial band tightness and medial patellar glide in patients with patellofemoral dysfunction. J Orthop Sports Phys Ther. 1993;17:144-148.
57. Reese NB, Bandy WD. Use of an inclinometer to measure flexibility of the iliotibial band using the Ober test and the modified Ober test: differences in magnitude and reliability of measurements. J Orthop Sports Phys Ther. 2003;33:326-330.
58. Robinson RL, Nee RJ. Analysis of hip strength in females seeking physical therapy treatment for unilateral patellofemoral pain syndrome. J Orthop Sports Phys Ther. 2007;37:232-238. http://dx.doi.org/10.2519/jospt.2007.2439
59. Rowlands BW, Brantingham JW. The efficacy of patella mobilization in patients suffering from patellofemoral pain syndrome. J Neuromusculoskeletal System. 1999;7:142-149.
60. Selfe J, Callaghan M, McHenry A, Richards J, Oldham J. An investigation into the effect of number of trials during proprioceptive testing in patients with patellofemoral pain syndrome. J Orthop Res. 2005;24:1218-1224. http://dx.doi.org/10.1002/jor.20127
61. Suter E, McMorland G, Herzog W, Bray R. Conservative lower back treatment reduces inhibition in knee-extensor muscles: a randomized controlled trial. J Manipulative Physiol Ther. 2000;23:76-80,
62. Suter E, McMorland G, Herzog W, Bray R. Decrease in quadriceps inhibition after sacroiliac joint manipulation in patients with anterior knee pain. J Manipulative Physiol Ther. 1999;22:149-153.
63. Sutlive TG, Mitchell SD, Maxfield SN, et al. Identification of individuals with patellofemoral pain whose symptoms improved after a combined program of foot orthosis use and modified activity: a preliminary investigation. Phys Ther. 2004;84:49-61.
64. Teyhen DS, Miltenberger CE, Deiters HM, et al. The use of ultrasound imaging of the abdominal drawing-in maneuver in subjects with low back pain. J Orthop Sports Phys Ther. 2005;35:346-355. http://dx.doi.org/10.2519/ jospt.2005.1780
65. van den Dolder PA, Roberts DL. Six sessions of manual therapy increase knee flexion and improve activity in people with anterior knee pain: a randomised controlled trial. Aust J Physiother. 2006;52:261-264.
66. Vroomen PC, de Krom MC, Knottnerus JA. Consistency of history taking and physical examination in patients with suspected lumbar nerve root involvement. Spine. 2000;25:91-96; discussion 97.
67. Wainner RS, Flynn TW, Whitman JM. Spinal and Extremity Manipulation: The Basic Skill Set for Physical Therapists. San Antonio, TX: Manipulations, Inc; 2001.
68. Wainner RS, Whitman JM, Cleland JA, Flynn TW. Regional interdependence: a musculoskeletal examination model whose time has come. J Orthop Sports Phys Ther. 2007;37:658-660. http://dx.doi.org/10.2519/jospt.2007.0110
69. Ward SR, Powers CM. The influence of patella alta on patellofemoral joint stress during normal and fast walking. Clin Biomech (Bristol, Avon). 2004;19:1040-1047. http://dx.doi.org/10.1016/j.clinbiomech.2004.07.009
70. Watkins M, Riddle DL, Lamb R, Personius W. Reliability of goniometric measurements and visual estimate of knee range of motion obtained in a clinical setting. Phys Ther. 1991;71:90-97.
71. Watson CJ, Propps M, Galt W, Redding A, Dobbs D. Reliability of McConnell's classification of patellar orientation in symptomatic and asymptomatic subjects. J Orthop Sports Phys Ther. 1999;29:378-385; discussion 386-393.
72. Watson CJ, Propps M, Ratner J, Zeigler DL, Horton P, Smith SS. Reliability and responsiveness of the lower extremity functional scale and the anterior knee pain scale in patients with anterior knee pain. J Orthop Sports Phys Ther. 2005;35:136-146. http://dx.doi.org/10.2519/jospt.2005.1403
73. Whittingham M, Palmer S, Macmillan F. Effects of taping on pain and function in patellofemoral pain syndrome: a randomized controlled trial. J Orthop Sports Phys Ther. 2004;34:504-510. http://dx.doi.org/10.2519/jospt. 2004.1484
74. Wilson T. The measurement of patellar alignment in patellofemoral pain syndrome: are we confusing assumptions with evidence? J Orthop Sports Phys Ther. 2007;37:330-341. http://dx.doi.org/10.2519/jospt.2007.2281
75. Wilson T, Carter N, Thomas G. A multicenter, single-masked study of medial, neutral, and lateral patellar taping in individuals with patellofemoral pain syndrome. J Orthop Sports Phys Ther. 2003;33:437-443; discussion 444-438.
76. Witvrouw E, Lysens R, Bellemans J, Cambier D, Vanderstraeten G. Intrinsic risk factors for the development of anterior knee pain in an athletic population. A two-year prospective study. Am J Sports Med. 2000;28:480-489.