Effects of Foot Orthoses on Quality of Life for Individuals With Patellofemoral Pain Syndrome

Johnston, Lisa B; Gross, Michael T.

doi:10.2519/jospt.2004.34.8.440

Cited by 73 publications

(52 citation statements)

References 34 publications

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“…In another study, Barton et al [8] could show that greater rear-foot eversion is a predictor for the efficacy of foot orthotics in individuals with PFPS. In another study, the quality of life of patients with the combination of PFPS and pes plano valgus could be improved through the use of foot orthotics [38]. …”

Section: Therapymentioning

confidence: 99%

Patellofemoral pain syndrome

Petersen

Ellermann

Gösele-Koppenburg³

et al. 2013

Knee Surg Sports Traumatol Arthrosc

215

181

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The patellofemoral pain syndrome (PFPS) is a possible cause for anterior knee pain, which predominantly affects young female patients without any structural changes such as increased Q-angle or significant chondral damage. This literature review has shown that PFPS development is probably multifactorial with various functional disorders of the lower extremity. Biomechanical studies described patellar maltracking and dynamic valgus in PFPS patients (functional malalignment). Causes for the dynamic valgus may be decreased strength of the hip abductors or abnormal rear-foot eversion with pes pronatus valgus. PFPS is further associated with vastus medialis/vastus lateralis dysbalance, hamstring tightness or iliotibial tract tightness. The literature provides evidence for a multimodal non-operative therapy concept with short-term use of NSAIDs, short-term use of a medially directed tape and exercise programmes with the inclusion of the lower extremity, and hip and trunk muscles. There is also evidence for the use of patellar braces and foot orthosis. A randomized controlled trial has shown that arthroscopy is not the treatment of choice for treatment of PFPS without any structural changes. Patients with anterior knee pain have to be examined carefully with regard to functional causes for a PFPS. The treatment of PFPS patients is non-operative and should address the functional causes.Level of evidence V.

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Section: Therapymentioning

confidence: 99%

Patellofemoral pain syndrome

Petersen

Ellermann

Gösele-Koppenburg³

et al. 2013

Knee Surg Sports Traumatol Arthrosc

215

181

View full text Add to dashboard Cite

show abstract

“…The potential role of foot mechanics in PFP is highlighted by studies demonstrating the efficacy of foot orthotics in the treatment of the condition (Collins et al, 2008; Eng and Pierrynowski, 1993; Johnston and Gross, 2004; Sutlive et al, 2004). However, the scientific evidence for the link between abnormal pronation during gait and PFP remains inconclusive.…”

Section: Introductionmentioning

confidence: 99%

Proximal and distal kinematics in female runners with patellofemoral pain

Noehren

Pohl

Sanchez

et al. 2012

Clinical Biomechanics

194

115

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Background Female runners have a high incidence of developing patellofemoral pain. Abnormal mechanics are thought to be an important contributing factor to patellofemoral pain. However, the contribution of abnormal trunk, hip, and foot mechanics to the development of patellofemoral pain within this cohort remains elusive. Therefore the aim of this study was to determine if significant differences during running exist in hip, trunk and foot kinematics between females with and without patellofemoral pain. Methods 32 female runners (16 patellofemoral pain, 16 healthy control) participated in this study. All individuals underwent an instrumented gait analysis. Between-group comparisons were made for hip adduction, hip internal rotation, contra-lateral pelvic drop, contra-lateral trunk lean, rearfoot eversion, tibial internal rotation, as well as forefoot dorsiflexion and abduction Findings The patellofemoral pain group had significantly greater peak hip adduction and hip internal rotation. No differences in contra-lateral pelvic drop were found. A trend towards reduced contra-lateral trunk lean was found in the patellofemoral pain group. No significant differences were found in any of the rearfoot or forefoot variables but significantly greater shank internal rotation was found in the patellofemoral pain group. Interpretation We found greater hip adduction, hip internal rotation and shank internal rotation in female runners with patellofemoral pain. We also found less contra-lateral trunk lean in the patellofemoral pain group. This may be a potential compensatory mechanism for the poor hip Control seen. Rehabilitation programs that correct abnormal hip and shank kinematics are warranted in this population.

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“…However, its application in measuring the patellofemoral pain level is not rare. [17][18][19] The moderate correlations with the WOMAC Osteoarthritis Index suggested fairly strong agreement between the two different scales and indicated convergent validity of the Patellofemoral Pain Severity Scale. There are three sub-categories in the WOMAC Osteoarthritis Index, i.e.…”

Section: Discussionmentioning

confidence: 99%