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Etiology and Exercise Treatment of Patellofemoral Pain Syndrome

Received: 26 April 2023    Accepted: 10 May 2023    Published: 18 May 2023
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Abstract

Objective: As a result of peripatellar pain or anatomical or biomechanical anomalies in the anterior knee, patellofemoral pain syndrome (PFPS) is a knee injury that can be made worse by weight-bearing activities like climbing and descending stairs. According to long-term follow-up studies, patellofemoral arthritis may eventually develop in 45% of PFPS patients who do not receive prompt and efficient treatment in the early stages, causing irreparable harm that may significantly impair the patient's quality of life. In order to prevent injuries, enhance daily life activities and athletes' sporting performance, it is important that we understand the mechanism and exercise treatment of PFPS. Methods: We reviewed the China Knowledge Network (CNKI) and PubMed life science database, searched for the terms "patellofemoral pain syndrome," "patellar tenderness," "running knee," and "anterior knee pain," and summarized the pertinent research. Results: Its cause is still unknown, and its etiology is complicated, with the main contributing factors being poor lower extremity function, decreased muscle strength, lack of flexibility, and impaired neuromuscular control. The majority of exercise therapy currently performed includes training the hip, knee, core, retraining the gait, and blood flow restriction training. The impact of the condition may depend on quick and efficient interventions. Conclusion: Exercise therapy had the strongest evidence base, particularly for the positive effects of either single hip or knee muscle strength training or a combination of the two, according to systematic evaluations that came to conclusions about the effectiveness of interventions. However, there was insufficient evidence to determine the ideal form of training and long-term effects. Contrarily, there is still scant evidence to support interventions such as gait retraining, blood flow restriction training, and core stability training. When it comes to selecting a course of treatment, a combination of treatments is typically advised and chosen in accordance with the precise evaluation of the patient's condition.

Published in Rehabilitation Science (Volume 8, Issue 2)
DOI 10.11648/j.rs.20230802.12
Page(s) 23-29
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Patellofemoral Pain Syndrome, Exercise Therapy, Quadriceps

References
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  • APA Style

    Qiu Nie, Huili Hu, Furong Xiang, Yinxu Wang. (2023). Etiology and Exercise Treatment of Patellofemoral Pain Syndrome. Rehabilitation Science, 8(2), 23-29. https://doi.org/10.11648/j.rs.20230802.12

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    ACS Style

    Qiu Nie; Huili Hu; Furong Xiang; Yinxu Wang. Etiology and Exercise Treatment of Patellofemoral Pain Syndrome. Rehabil. Sci. 2023, 8(2), 23-29. doi: 10.11648/j.rs.20230802.12

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    AMA Style

    Qiu Nie, Huili Hu, Furong Xiang, Yinxu Wang. Etiology and Exercise Treatment of Patellofemoral Pain Syndrome. Rehabil Sci. 2023;8(2):23-29. doi: 10.11648/j.rs.20230802.12

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  • @article{10.11648/j.rs.20230802.12,
      author = {Qiu Nie and Huili Hu and Furong Xiang and Yinxu Wang},
      title = {Etiology and Exercise Treatment of Patellofemoral Pain Syndrome},
      journal = {Rehabilitation Science},
      volume = {8},
      number = {2},
      pages = {23-29},
      doi = {10.11648/j.rs.20230802.12},
      url = {https://doi.org/10.11648/j.rs.20230802.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.rs.20230802.12},
      abstract = {Objective: As a result of peripatellar pain or anatomical or biomechanical anomalies in the anterior knee, patellofemoral pain syndrome (PFPS) is a knee injury that can be made worse by weight-bearing activities like climbing and descending stairs. According to long-term follow-up studies, patellofemoral arthritis may eventually develop in 45% of PFPS patients who do not receive prompt and efficient treatment in the early stages, causing irreparable harm that may significantly impair the patient's quality of life. In order to prevent injuries, enhance daily life activities and athletes' sporting performance, it is important that we understand the mechanism and exercise treatment of PFPS. Methods: We reviewed the China Knowledge Network (CNKI) and PubMed life science database, searched for the terms "patellofemoral pain syndrome," "patellar tenderness," "running knee," and "anterior knee pain," and summarized the pertinent research. Results: Its cause is still unknown, and its etiology is complicated, with the main contributing factors being poor lower extremity function, decreased muscle strength, lack of flexibility, and impaired neuromuscular control. The majority of exercise therapy currently performed includes training the hip, knee, core, retraining the gait, and blood flow restriction training. The impact of the condition may depend on quick and efficient interventions. Conclusion: Exercise therapy had the strongest evidence base, particularly for the positive effects of either single hip or knee muscle strength training or a combination of the two, according to systematic evaluations that came to conclusions about the effectiveness of interventions. However, there was insufficient evidence to determine the ideal form of training and long-term effects. Contrarily, there is still scant evidence to support interventions such as gait retraining, blood flow restriction training, and core stability training. When it comes to selecting a course of treatment, a combination of treatments is typically advised and chosen in accordance with the precise evaluation of the patient's condition.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Etiology and Exercise Treatment of Patellofemoral Pain Syndrome
    AU  - Qiu Nie
    AU  - Huili Hu
    AU  - Furong Xiang
    AU  - Yinxu Wang
    Y1  - 2023/05/18
    PY  - 2023
    N1  - https://doi.org/10.11648/j.rs.20230802.12
    DO  - 10.11648/j.rs.20230802.12
    T2  - Rehabilitation Science
    JF  - Rehabilitation Science
    JO  - Rehabilitation Science
    SP  - 23
    EP  - 29
    PB  - Science Publishing Group
    SN  - 2637-594X
    UR  - https://doi.org/10.11648/j.rs.20230802.12
    AB  - Objective: As a result of peripatellar pain or anatomical or biomechanical anomalies in the anterior knee, patellofemoral pain syndrome (PFPS) is a knee injury that can be made worse by weight-bearing activities like climbing and descending stairs. According to long-term follow-up studies, patellofemoral arthritis may eventually develop in 45% of PFPS patients who do not receive prompt and efficient treatment in the early stages, causing irreparable harm that may significantly impair the patient's quality of life. In order to prevent injuries, enhance daily life activities and athletes' sporting performance, it is important that we understand the mechanism and exercise treatment of PFPS. Methods: We reviewed the China Knowledge Network (CNKI) and PubMed life science database, searched for the terms "patellofemoral pain syndrome," "patellar tenderness," "running knee," and "anterior knee pain," and summarized the pertinent research. Results: Its cause is still unknown, and its etiology is complicated, with the main contributing factors being poor lower extremity function, decreased muscle strength, lack of flexibility, and impaired neuromuscular control. The majority of exercise therapy currently performed includes training the hip, knee, core, retraining the gait, and blood flow restriction training. The impact of the condition may depend on quick and efficient interventions. Conclusion: Exercise therapy had the strongest evidence base, particularly for the positive effects of either single hip or knee muscle strength training or a combination of the two, according to systematic evaluations that came to conclusions about the effectiveness of interventions. However, there was insufficient evidence to determine the ideal form of training and long-term effects. Contrarily, there is still scant evidence to support interventions such as gait retraining, blood flow restriction training, and core stability training. When it comes to selecting a course of treatment, a combination of treatments is typically advised and chosen in accordance with the precise evaluation of the patient's condition.
    VL  - 8
    IS  - 2
    ER  - 

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Author Information
  • Department of Rehabilitation Medicine, Affiliated Hospital of Chuanbei Medical College, Nanchong, China

  • General Hospital of Central War Zone, Wuhan, China

  • Hubei Provincial Organ Hospital, Wuhan, China

  • Department of Rehabilitation Medicine, Affiliated Hospital of Chuanbei Medical College, Nanchong, China

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