Efficacy of Nonsurgical Interventions for Anterior Knee Pain

Patellofemoral Pain in Adolescence and Adulthood: Same Same, but Different?

“…The mainstay of PFP treatment is exercise therapy, often in combination with adjunct treatments such as patient education, orthoses, patella taping and/or stretching, making the intervention multimodal in nature [23,24]. Multimodal physiotherapy offers 8-20 mm greater improvement in worst pain on a 100-mm visual analogue scale after 6 weeks compared with placebo [23,25].…”

“…Multimodal physiotherapy offers 8-20 mm greater improvement in worst pain on a 100-mm visual analogue scale after 6 weeks compared with placebo [23,25]. The total improvement from baseline to 6 weeks is between 33 and 40 mm, which is deemed a clinically relevant effect [23,25].…”

“…Multimodal physiotherapy offers 8-20 mm greater improvement in worst pain on a 100-mm visual analogue scale after 6 weeks compared with placebo [23,25]. The total improvement from baseline to 6 weeks is between 33 and 40 mm, which is deemed a clinically relevant effect [23,25]. However, an important and often overlooked aspect is that despite a positive mean effect on pain from multimodal treatment, many patients are still not fully recovered when re-assessed 1 year later and still have pain [18].…”

“…1). So, while systematic reviews and meta-analyses provide evidence-based recommendations for treating PFP, these recommendations are largely based upon the trials in adults [23], with less emphasis on the age group in which many individuals develop their initial symptoms.…”

Hip and Knee Strengthening Is More Effective Than Knee Strengthening Alone for Reducing Pain and Improving Activity in Individuals With Patellofemoral Pain: A Systematic Review With Meta-analysis

“…9,13 Nonlocal factors are related to the mechanics of the distal and proximal joints, such as increased foot pronation and increased hip adduction and Hip and Knee Strengthening Is More Effective Than Knee Strengthening Alone for Reducing Pain and Improving Activity in Individuals With Patellofemoral Pain: A Systematic Review With Meta-analysis Traditionally, rehabilitation protocols for treating persons with patellofemoral pain have focused exclusively on local factors, such as the use of knee orthoses (eg, patellar taping and bracing) and strengthening of the quadriceps muscles. 5,6,8,41 Although there is a lack of evidence on the use of knee orthoses, 41 knee strengthening increases patellofemoral joint contact area 6 and reduces pain intensity. 5,15,44 It has been suggested that strengthening of the hip abductors, lateral rotators, and extensors, associated or not with knee strengthening, may reduce excessive hip adduction and medial rotation during weight-bearing activities and decrease patellofemoral joint stress.…”