Patellofemoral

Essential Literature

EFFECTIVENESS OF THERAPEUTIC PHYSICAL EXERCISE IN THE TREATMENT OF PATELLOFEMORAL PAIN SYNDROME: A SYSTEMATIC REVIEW
Alba-Martin et. al. 2015
Conclusion:
The intervention programs that were most effective in relieving pain and improving function in patellofemoral pain syndrome included proprioceptive neuromuscular facilitation stretching and strengthening exercises for the hip external rotator and abductor muscles and knee extensor muscles.

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EVIDENCE BASED CONSERVATIVE MANAGEMENT OF PATELLO-FEMORAL SYNDROME
Rodriguez-Merchan EC 2014
Conclusion:
Non-steroidal anti-inflammatory drugs (NSAIDs) may reduce pain in the short term, but pain does not improve after three months. Therapeutic ultrasound appears not to have a clinically important effect on pain relief for patients with PFPS. The evidence that exercise therapy is more effective in treating PFPS than no exercise is limited with respect to pain reduction, and conflicting with respect to functional improvement. No significant difference has been found between taping and non-taping. The role of knee braces is still controversial. More well-designed studies are needed.

OUTCOME PREDICTORS FOR CONSERVATIVE PATELLOFEMORAL PAIN MANAGEMENT: A SYSTEMATIC REVIEW
Lack S et. al 2014
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This systematic review provides a comprehensive summary of current derivation level studies identifying indicators of prediction for conservative PFP management. The overall strength of evidence was low. With appropriate caution, clinicians should consider taping for those with greater usual pain, orthoses for older individuals and exercise for younger individuals, and orthoses intervention for patients with greater forefoot valgus and rearfoot eversion magnitude peak. RCTs with evaluation of outcome prediction as a primary aim are clearly warranted to provide clinicians with robust evidence and facilitate evidence-informed, tailored intervention to this heterogeneous patient population.

EFFECTS OF PHYSICAL THERAPIST-GUIDED QUADRICEPS-STRENGTHENING EXERCISES FOR THE TREATMENT OF PATELLOFEMORAL PAIN SYNDROME: A SYSTEMATIC REVIEW
Kooiker et. al 2014
Conclusion:
The literature provides strong evidence for the use of quadriceps-strengthening exercises, with or without other interventions, for the treatment of patellofemoral pain syndrome.

AN UPDATE FOR THE CONSERVATIVE MANAGEMENT OF PATELLOFEMORAL PAIN SYNDROME: A SYSTEMATIC REVIEW
Bolgla LA 2011
Conclusion:
Current evidence supports the continued use of quadriceps exercise for the conservative management of PFPS. However, inconsistent or limited data regarding the other interventions precluded the authors’ ability to make conclusive recommendations about their use. Future investigations should focus on identifying cohorts of patients with PFPS who may benefit from the other treatment approaches included in this systematic review.

EVALUATION OF THE SCOPE AND QUALITY OF SYSTEMATIC REVIEWS ON NON-PHARMACOLOGICAL CONSERVATIVE TREATMENT FOR PATELLOFEMORAL PAIN SYNDROME
Barton CJ 2008
Conclusion:
Published systematic reviews and clinical trials need to be conducted with more rigorous methodological design. There are no up-to-date, high-quality systematic reviews covering conservative nonpharmacological treatments for individuals with PFPS, which indicates that updates in all areas are needed.