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

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

Safe Training Curve

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

References  Fukuda TY, Rossetto FM, Magalh 綟 s E, Bryk FF, Lucareli PR, de Almeida Aparecida Carvalho N 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): Fukuda TYRossetto FMMagalh 綟 s EBryk FFLucareli PRde Almeida Aparecida Carvalho N J Orthop Sports Phys Ther.  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): Irish SEMillward AJWride JHaas BMShum GL J Strength Cond Res.  Ng GY, Zhang AQ, Li CK Biofeedback exercise improved the EMG activity ratio of the medial and lateral vasti muscles in subjects with patellofemoral pain syndrome. J Electromyogr Kinesiol Feb;18(1): Epub 2006 Oct 27 Ng GYZhang AQLi CK J Electromyogr Kinesiol  Witoński D, Wągrowska-Danilewicz M, Kęska R, Raczyńska-Witońska G, Stasikowska- Kanicka O 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 Witoński DWągrowska-Danilewicz MKęska RRaczyńska-Witońska GStasikowska- Kanicka OPol J Pathol. .Waryasz GR, McDermott AY Patellofemoral pain syndrome (PFPS): a systematic review of anatomy and potential risk factors.Dyn Med Jun 26;7:9.. Patellofemoral pain syndrome (PFPS): a systematic review of anatomy and potential risk factors  Fukuda TY, Rossetto FM, Magalh 綟 s E, Bryk FF, Lucareli PR, de Almeida Aparecida Carvalho N 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): Fukuda TYRossetto FMMagalh 綟 s EBryk FFLucareli PRde Almeida Aparecida Carvalho N J Orthop Sports Phys Ther.  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): Irish SEMillward AJWride JHaas BMShum GL J Strength Cond Res.  Ng GY, Zhang AQ, Li CK Biofeedback exercise improved the EMG activity ratio of the medial and lateral vasti muscles in subjects with patellofemoral pain syndrome. J Electromyogr Kinesiol Feb;18(1): Epub 2006 Oct 27 Ng GYZhang AQLi CK J Electromyogr Kinesiol  Witoński D, Wągrowska-Danilewicz M, Kęska R, Raczyńska-Witońska G, Stasikowska- Kanicka O 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 Witoński DWągrowska-Danilewicz MKęska RRaczyńska-Witońska GStasikowska- Kanicka OPol J Pathol. .Waryasz GR, McDermott AY Patellofemoral pain syndrome (PFPS): a systematic review of anatomy and potential risk factors.Dyn Med Jun 26;7:9.. Patellofemoral pain syndrome (PFPS): a systematic review of anatomy and potential risk factors