Patellofemoral Pain Syndrome and Its Association with Hip, Ankle, and Foot Function in 16- to 18-Year-Old High School Students

Mølgaard, Carsten; Rathleff, Michael Skovdal; Simonsen, Ole

doi:10.7547/1010215

Cited by 104 publications

(89 citation statements)

References 33 publications

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“…Among adolescents, the population prevalence is 6-7 % [1,8]. No population-based studies have been conducted among adults, leaving the exact incidence and prevalence unknown in adults.…”

Section: Introductionmentioning

confidence: 95%

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

et al. 2015

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The mainstay of patellofemoral pain (PFP) treatment is exercise therapy, often in combination with adjunct treatments such as patient education, orthoses, patella taping and stretching, making the intervention multimodal in nature. The vast majority of randomised controlled trials among patients with PFP have investigated the effect of treatment among adults (>18 years of age). So, while systematic reviews and meta-analyses provide evidence-based recommendations for treating PFP, these recommendations are largely based upon the trials in adults. In the present article, we have summarised the findings on the efficacy of multimodal treatment (predominantly exercise) from the three largest trials concerning patients with PFP, focusing on the long-term success-rate 1 year after receiving multimodal treatment, and with a particular focus on the success rate across the different age groups, including both adolescents, young adults and adults. The results of this paper show that there appears to be a difference in the success rate between adolescents and adults, despite providing similar exercise treatment and having similar exercise compliance. While PFP may present in a similar fashion in adolescence and adults, it may not be the same underlying condition or stage, and different treatments may be required. Collectively, this highlights the importance of increasing our understanding of the underlying pathology, pain mechanisms and why treatment may-or may not-work in adolescents and adults with PFP.

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“…Among adolescents, the population prevalence is 6-7 % [1,8]. No population-based studies have been conducted among adults, leaving the exact incidence and prevalence unknown in adults.…”

Section: Introductionmentioning

confidence: 95%

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

et al. 2015

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“…Although it is common clinical practice to assess and treat the foot and ankle in patients with other lower quarter impairments, very few studies aside from those mentioned previously have looked specifically at the influence that the ankle or foot can have on outcomes related to the hip, pelvis, or lumbar spine. Molgaard et al 48 studied high school students with patellofemoral pain (PFPS) found greater navicular drop, navicular drift, and dorsiflexion in the subjects with PFPS compared with healthy students (Table 2).…”

Section: Clinical Studies Lower Quartermentioning

confidence: 99%

A regional interdependence model of musculoskeletal dysfunction: research, mechanisms, and clinical implications

Sueki

Cleland

Wainner

2013

Journal of Manual & Manipulative Therapy

144

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The term 'regional interdependence' or RI has recently been introduced into the vernacular of physical therapy and rehabilitation literature as a clinical model of musculoskeletal assessment and intervention. The underlying premise of this model is that seemingly unrelated impairments in remote anatomical regions of the body may contribute to and be associated with a patient's primary report of symptoms. The clinical implication of this premise is that interventions directed at one region of the body will often have effects at remote and seeming unrelated areas. The formalized concept of RI is relatively new and was originally derived in an inductive manner from a variety of earlier publications and clinical observations. However, recent literature has provided additional support to the concept. The primary purpose of this article will be to further refine the operational definition for the concept of RI, examine supporting literature, discuss possible clinically relevant mechanisms, and conclude with a discussion of the implications of these findings on clinical practice and research.

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“…The prevalence of PFP at adolescence is about 7% in the general population, 10 and, although there is no conclusive evidence available, it has been suggested that PFP…”

Section: Characteristics and Outcome Of Patellofemoral Pain In Adolesmentioning

confidence: 99%

Characteristics and Outcome of Patellofemoral Pain in Adolescents: Do They Differ From Adults?

Middelkoop¹,

Heijden²,

Bierma-Zeinstra³

2017

J Orthop Sports Phys Ther

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Patellofemoral Pain Syndrome and Its Association with Hip, Ankle, and Foot Function in 16- to 18-Year-Old High School Students

Abstract: This study demonstrated greater navicular drop, navicular drift, and dorsiflexion in high school students with PFPS compared with healthy students and highlights that foot posture is important to consider as a factor where patients with PFPS diverge from healthy individuals.

Cited by 104 publications

References 33 publications

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

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

A regional interdependence model of musculoskeletal dysfunction: research, mechanisms, and clinical implications

Characteristics and Outcome of Patellofemoral Pain in Adolescents: Do They Differ From Adults?

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