| Abstract/Notes |
Patellofemoral pain is a common ailment within both the
running and general populations. Many of the structures
of the anterior knee that comprise the patellofemoral
joint can be the source of chronic pain and inflammation
that is associated with this condition. Much of the
evidence in the literature points to a delay in activation of the vastus medialis oblique muscle as compared to the
vastus lateralis, vastus medialis weakness, and ultimately
faulty patellar tracking as the chief causative factors in
the development of patellofemoral pain. This is a single case study of a 51-year-old recreational runner with an 18-month history of bilateral patellofemoral knee pain. Treatment included the use of low-tech in office rehabilitation strategies known to affect those causative factors responsible for patellofemoral pain. Evidence based treatment modalities were utilized in combination, which included patellar mobilization, spinal manipulation, proprioceptive and strength training, and semi-rigid orthotic use, to effect vastus medialis oblique vs. vastus lateralis activation, vastus medialis strength, and patellar movement. The patient responded very well to a 12 week course of treatment and resumed recreational running with minimal to no pain at the six month, one and two year follow-ups. This abstract is reproduced with the permission of the publisher. Full text is available free online for this article; click on the above link.
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