Patellofemoral Pain Syndrome Research Paper

The knee joints is one of the primary joints stressed when running and thus most of the

C: Pt will increase ROM and strength in her hips, knees, and ankles to aid in functional mobility. The pt currently has deficits in these areas due to hypertonicity, this impedes on her ability to walk effectively and safely with her crutches. Increasing ROM and breaking up the tone will aid in better functional mobility. If improved over time, this could translate into a long term goal of the pt not needing crutches for mobility.

With patellar dislocation, there are many ways for this injury to occur. One of the most common ways is through contact sports such as football, soccer and lacrosse where there is more of a higher risk to have a patellar injury (Dath, 2006, p. 6). In 2004, Dr. Fiftain recorded that the most prominent sports to manifest anterior knee pain are soccer players, weight lifters, runners, and shooters. From my experience, this pain arises from improper form, sharp movements to the left or right, and prolonged stress on the knee.

In addition, regression analysis was used to determine independent variable among age, BMI, grip strength, sex and K/L grade for knee pain. The result indicated that the most significant variable was BMI correlated with the occurrence of knee pain. ORs of BMI (+5 kg/m2) was 1.54 and the risk was 0.60 which was significant. This implied that the ORs of K/L grade for knee pain can be overestimated due to the possibility of extremely low risk of K/L grade. In fact, the percentage of participants who suffered from knee pain with K/L (grade 2) and K/L (grade 3 and 4) was just 61.0% and 71.0% respectively. In other words, it will be about 40% of participants with K/L grade 2 and about a third of subjects with K/L grade 3 and 4 had no pain at the knee joint at follow-up.

Subjects: 50 participants with PFPS between 18 and 45 years of age, with patellofemoral pain Syndrome for more than 1 month, pain level ≥ 3 on a Numeric Pain Rating Scale (NPRS), pain during at least 2 activities, such as squatting, ascending, descending stairs, and/or running, Unilateral PFPS, and participants are not on pain medication.

A clinician, respectively, should produce the patient’s clinical history and results, as well as the measurement properties of the index, this well better format and put in place short- and long-term goals based on an individual-report functional scale like the LEFS (1). The intention of this research was to assess the reliability, construct validity, and sensitivity to change the Lower Extremity Functional Scale. This test was given to 107 patients with lower-extremity musculoskeletal dysfunction referred to twelve outpatient PT clinics. This index was dispensed during the patient’s initial assessment, 24 to 48 hours following the initial assessment, and then at weekly intervals for four weeks (1). A patient with an initial LEFS score of 56/80, an example of lower extremity functional scale is to create functional level, set goals, and track progress and outcome, based on the error at any specific position in time for the LEFS of five points, the therapist can be highly confident that the actual scale score is between 51 and 61 (1). The leeway, or error, associated with an assumed measure on the LEFS is about plus or minus five scale points (90% confident intervals). A clinician, ergo, can be moderately confident that an observed score within the parameter of five points of the patient’s “true” outcome (1). The short-form 36-health survey (SF-36) is a 36-item, patient-delivered

01/11/16 PT Evaluation Report documented that the patient is showing good progress towards goals, with a decrease in pain in the right lower leg, ankle and foot when ambulating. But the remaining impairments, including reduced strength, limited ROM and gait deviations cause poor ability to ambulate. Continue skilled PT is necessary in order to address the remaining deficits. Sort-term and long-term goals were discussed.

The participants then completed the functional evaluation by completing three one-leg hop tests on each limb. The longest distance was recorded and calculated as the percentage of the performance of the ACL reconstructed leg over the uninvolved leg, the scores were calculated as the limb symmetric index (LSI). The authors of this study defined the ceiling effect as the percent of participants who received the maximum score of 100 points. The Spearman correlation coefficient was used to examine the correlation between both scales and the limb symmetric index and was interpreted as r > 0.5 which indicated a strong association. The Kolmogorov-Smirnov test was then used to examine the distribution

Validity: Overall the study is valid but limited as the study examined individual patients as a single case making the ability to generalize limited. The foremost dilemma with the study is the challenge in determining the difference in scores that correspond directly to a clinically important modification. The ability of the VAS to detect significant changes relies heavily on an established baseline as a standard to compare future data. Throughout the duration of the study, patients were asked frequently to complete the VAS and RMQ, this may possibly lead to learning effects which may impact the results of the pain and functional status

2001, Withrow, Huston et al. 2006). Quadriceps inserts on the proximal-anterior part of tibia and isolated contraction of the muscle will cause anterior translation of tibia in relation to femur, putting strain on the ACL and possibly rupture the ligament (Renström, Arms et al. 1986, DeMorat, Weinhold et al. 2004, Withrow, Huston et al. 2006). Furthermore, landing and cutting manoeuvres produce abduction, adduction and rotational torques about the hip and knee (Besier, Lloyd et al. 2001). Without an opposing force to these torques the loaded leg(s) will be forced into the valgus position with the femur adducted and internally rotated, the tibia externally rotated and the knee abducted further increasing strain on the ACL (Markolf, Burchfield et al. 1995). Ireland (2002) has characterized this the position of no return, unassumingly because it habitations the stabilizing muscles of the knee in a mechanical disadvantage disabling them from re-establishing a sound posture. I should notate that several studies have associated this position of no return to an increased risk of knee injury. Female athletes exhibit increased knee valgus 6 movement patterns during landing and cutting activities compared to male athletes (Chappell, Yu et al. 2002, Ford, Myer et al. 2003, Zeller, McCrory et al. 2003, Olsen,

Patellar Tracking Disorder (PTD) is characterized as "an imbalance in the knee area that causes the kneecap to shift out of place as the leg moves". It feels as if your knee bones are grinding together and could give out any second. I began to develop PTD when I was twelve years old, the summer after my last gold

Patellofemoral Pain Syndrome (PFPS) is a common disorder of the knee. Most patients present with complaints of stiffness or pain behind the patella. Physical Therapists and Physical Therapist Assistants use a variety of interventions to treat PFPS. Conservative interventions and treatments may include: muscle strengthening exercises, flexibility exercises, thermotherapy, cryotherapy, splinting, bracing, and Electrical Muscle Stimulation (Estem). Two additional PFPS interventions, mainly reserved for athletes, include Kinesio taping and McConnell taping. At first glance Kinesio taping and McConnell taping might appear to be the same thing. However, this is not the case, as they are two different types of tape applied using different techniques. In the article, “Effects of Kinesio

Both outline the importance of gait analysis, recovering joint ROM, increasing the strength of the muscles surrounding the knee and gradually increasing the difficulty of the program until the joint is fully recovered. The core aspects to a rehabilitation program for a patella dislocation, as collated by the limited evidence, includes: gait and patella alignment analysis, risk factor screening, recovery of the knee ROM, strengthening of the quadriceps, glutes and abdominal muscles, gradual progression of exercise difficulty before return to normal

Osteoarthritis is the most common joint disorder, and more than half of all Americans who are older than 65 have been diagnosed with osteoarthritis. However, recent US data has revealed knee osteoarthritis does not discriminate age, and there is growing evidence that osteoarthritis affects individuals at a young age. The annual cost of osteoarthritis due to treatment and loss of productivity in the US is estimated to be more than 65 billion dollars.1 With no cure currently available for osteoarthritis, current treatments focus on management of symptoms. The primary goals of therapy include improved joint function, pain relief, and increased joint stability. Although the exact cause of osteoarthritis is unknown, many risk factors have been identified including increased age, female gender, obesity, and trauma.2 Within these risk factors, the etiology of osteoarthritis has been divided into anatomy, body mass, and gender.

There are two groups of reflexes in the human body, with two ways to categorize each of them. Reflexes can either be inborn and connected through the nervous system, or they can be learned through practice. Another way to explain a reflexive category would be autonomic reflexes or somatic reflexes. Autonomic reflexes are those which are unaware to us and act on visceral organs of the body, whereas somatic reflexes involve skeletal muscle stimulation. Both types of reflexes are put into effect via the nervous system. (1)