Clinical classification of patellofemoral pain syndrome: guidelines for non-operative treatment

被引:128
作者
Witvrouw, E
Werner, S
Mikkelsen, C
Van Tiggelen, D
Vanden Berghe, L
Cerulli, G
机构
[1] Ghent Univ Hosp 6K3 REVAKI, Fac Med, Dept Rehabil Sci & Phys Therapy, B-9000 Ghent, Belgium
[2] Karolinska Inst, Div Phys Therapy, Dept Neurotec, Stockholm, Sweden
[3] Karolinska Inst, Dept Surg Sci, Sect Sports Med, Stockholm, Sweden
[4] St Gorans Univ Hosp, Astro Clin, Stockholm, Sweden
[5] Univ Perugia, Let People Move Biomech Lab, I-06100 Perugia, Italy
关键词
anterior knee pain; conservative treatment; physiotherapy;
D O I
10.1007/s00167-004-0577-6
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The patellofemoral pain syndrome (PFPS) remains a challenging musculoskeletal entity encountered by clinicians. Reviewing the literature, conflicting data seem to exist regarding the effect of non-operative treatment in PFPS patients. A possible explanation may be lack of a clear classification system of patients with PFPS. It is our opinion that the term PFPS still is a 'wastebasket', which probably comprises several different entities. Therefore, it seems important to subdivide this broad group of patients into different categories with a specific rehabilitation approach. In this study, we introduce a classification system, which reflects a consensus reached by the European Rehabilitation Panel. This classification system should help the clinicians to identify the cause(s) of patellofemoral pain, and consequently help to select the most appropriate non-operative treatment. The authors are aware that no rehabilitation protocol will work for all PFPS patients, since the underlying mosaic of pathophysiology and tissue-healing responses are unique. Therefore, the aim of this study with a classification system was to guide the clinician through clinical examination in order to develop a non-operative treatment protocol, specific for each individual with PFPS.
引用
收藏
页码:122 / 130
页数:9
相关论文
共 79 条
[1]
Ageberg E, 1998, SCAND J MED SCI SPOR, V8, P198
[2]
Weight training of the thigh muscles using closed vs. open kinetic chain exercises: A comparison of performance enhancement [J].
Augustsson, J ;
Esko, A ;
Thomee, R ;
Svantesson, U .
JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY, 1998, 27 (01) :3-8
[3]
THE EFFECT OF TIME ON STATIC STRETCH ON THE FLEXIBILITY OF THE HAMSTRING MUSCLES [J].
BANDY, WD ;
IRION, JM .
PHYSICAL THERAPY, 1994, 74 (09) :845-850
[4]
Bennell K L, 1996, Aust J Sci Med Sport, V28, P69
[5]
BENNETT JG, 1986, MED SCI SPORT EXER, V18, P526
[6]
QUADRICEPS FEMORIS MUSCLE-ACTIVITY IN PATELLOFEMORAL PAIN SYNDROME [J].
BOUCHER, JP ;
KING, MA ;
LEFEBVRE, R ;
PEPIN, A .
AMERICAN JOURNAL OF SPORTS MEDICINE, 1992, 20 (05) :527-532
[7]
The effect of open and closed chain exercise and knee joint position on patellar tracking in lateral patellar compression syndrome [J].
Doucette, SA ;
Child, DD .
JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY, 1996, 23 (02) :104-110
[8]
Therapeutic implications of a tissue homeostasis approach to patellofemoral pain [J].
Dye, SF .
SPORTS MEDICINE AND ARTHROSCOPY REVIEW, 2001, 9 (04) :306-311
[9]
EVALUATION OF SOFT FOOT ORTHOTICS IN THE TREATMENT OF PATELLOFEMORAL PAIN SYNDROME [J].
ENG, JJ ;
PIERRYNOWSKI, MR .
PHYSICAL THERAPY, 1993, 73 (02) :62-68
[10]
Biomechanics of the knee during closed kinetic chain and open kinetic chain exercises [J].
Escamilla, RF ;
Fleisig, GS ;
Zheng, NG ;
Barrentine, SW ;
Wilk, KE ;
Andrews, JR .
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE, 1998, 30 (04) :556-569