Four Outcome Measures for Patellofemoral Joint Problems

Selfe, James; Harper, Liam D.; Pedersen, I; Breen-Turner, J; Waring, Jennifer

doi:10.1016/s0031-9406(05)65448-x

Cited by 51 publications

(20 citation statements)

References 19 publications

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“…It has previously been reported that patients with patellofemoral pain display altered or compensatory movement patterns when descending from a step [13,14,16,29,30]. This phenomenon was also observed in this study, manifested by an increased amount of medial/lateral displacement or 'wobble' of the knee and in some cases, of the trunk and upper limbs.…”

Section: Discussionsupporting

confidence: 86%

A clinical study of the biomechanics of step descent using different treatment modalities for patellofemoral pain

et al. 2011

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Section: Discussionsupporting

confidence: 86%

A clinical study of the biomechanics of step descent using different treatment modalities for patellofemoral pain

et al. 2011

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“…2 The modified FIQ was shown to be valid and reliable in 2 studies with 88 participants with PFPS. 28,29 More research may be required to recommend which outcome measures to use.…”

Section: Quadriceps Strengthening Combined With Other Interventionsmentioning

confidence: 99%

“…Psychometric values of several measurement outcomes have been studied 2,8,28,29 ; however, no recommendations as to which measurement outcome would be best to use in research and daily practice can be made. Future studies should use the most validated outcome measures to provide stronger evidence for the effectiveness of quadriceps strengthening for the treatment of PFPS.…”

Section: Implications For Future Studiesmentioning

confidence: 99%

Effects of Physical Therapist–Guided Quadriceps-Strengthening Exercises for the Treatment of Patellofemoral Pain Syndrome: A Systematic Review

Kooiker

Port²,

Weir³

et al. 2014

Journal of Orthopaedic & Sports Physical Therapy

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Patellofemoral pain syndrome (PFPS) is one of the most commonly reported injuries in sports medicine. 10,11,38 PFPS is characterized by diffuse retropatellar and peripatellar pain that is aggravated with squatting, prolonged sitting, and stair activities, and is diagnosed in the absence of other pathologies, such as patellar tendinopathy, chondral defects, or patellofemoral osteoarthritis. 12,25,39 Although quadriceps muscle-strengthening exercises are often included as part of the intervention for PFPS, 7,16 the most recent literature review, published in 2003 by Heintjes et al, 16 concluded that there was little evidence to support exercises as an intervention. However, this conclusion was based on the results of only 2 randomized controlled trials (RCTs) and 1 clinically controlled trial. 16Since the review by Heintjes et al, 16 a number of studies investigating the effectiveness of quadriceps strengthening for the treatment of PFPS have been published. Therefore, an updated thorough review of the literature on the clinical effectiveness of quadriceps-strengthening exercises appears warranted. The aim of this systematic review was to evaluate and summarize the evidence for therapist-guided quadriceps muscle-strengthening exercises (alone or combined with other interventions) as a treatment for PFPS when compared to advice and information or a placebo treatment. T T OBJECTIVE:To summarize the evidence for physical therapist-guided quadriceps-strengthening exercises as a treatment for patellofemoral pain syndrome. T T BACKGROUND:Although quadriceps strengthening is often included in the plan of care for patellofemoral pain syndrome, a systematic review published in 2003 found only limited evidence that exercise was more effective than no exercise for this common condition. T T METHODS:The PubMed, Embase/MEDLINE, and Cochrane Central Register of Controlled Trials databases, from inception to January 9, 2014, were searched for randomized controlled trials comparing the use of quadriceps-strengthening exercises to interventions consisting of advice/information or a placebo. Outcomes of interest were pain measures and function, as measured with selfreport questionnaires. The methodological quality of the randomized controlled trials was assessed with the Physiotherapy Evidence Database scale. Results were summarized using a best-evidence synthesis and graphically illustrated using forest plots without meta-analysis. T T RESULTS:Seven studies were included in the literature review. These studies reported strong evidence that isolated quadriceps strengthening is more effective in reducing pain and improving function than advice and information alone. In addition, compared to advice and information or placebo, there was strong evidence that quadriceps-strengthening exercises combined with other interventions may be more effective in reducing pain immediately postintervention and after 12 months, but not in improving function. T T CONCLUSION:The literature provides strong evidence for the use of quadriceps-strengtheni...

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“…• Modified functional index questionnaire (MFIQ) [45] which is scored out of 100, where higher scores indicate higher levels of disability. This questionnaire is based on the 13 question Kujula Patellofemoral Disorder Score [46] but with 10 "closed" questions [45].…”

Section: Outcome Measurement and Data Collectionmentioning

confidence: 99%

A feasibility study for a pragmatic randomised controlled trial comparing cast immobilisation versus no immobilisation for patients following first-time patellar dislocation

et al. 2012

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Four Outcome Measures for Patellofemoral Joint Problems

Cited by 51 publications

References 19 publications

A clinical study of the biomechanics of step descent using different treatment modalities for patellofemoral pain

A clinical study of the biomechanics of step descent using different treatment modalities for patellofemoral pain

Effects of Physical Therapist–Guided Quadriceps-Strengthening Exercises for the Treatment of Patellofemoral Pain Syndrome: A Systematic Review

A feasibility study for a pragmatic randomised controlled trial comparing cast immobilisation versus no immobilisation for patients following first-time patellar dislocation

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