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Risk Factors for Patellofemoral Pain: Prevention Programs

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Anterior Knee Pain and Patellar Instability

Abstract

Patellofemoral pain is a prevalent condition among physically active individuals.

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References

  1. Lankhorst NE, van Middelkoop M, Crossley KM, Bierma-Zeinstra SM, Oei EH, Vicenzino B, et al. Factors that predict a poor outcome 5–8 years after the diagnosis of patellofemoral pain: a multicentre observational analysis. Br J Sports Med. 2016;50(14):881–6.

    Article  CAS  PubMed  Google Scholar 

  2. Smith BE, Selfe J, Thacker D, Hendrick P, Bateman M, Moffatt F, et al. Incidence and prevalence of patellofemoral pain: a systematic review and meta-analysis. PLoS One. 2018;13(1): e0190892.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Dey P, Callaghan M, Cook N, Sephton R, Sutton C, Hough E, et al. A questionnaire to identify patellofemoral pain in the community: an exploration of measurement properties. BMC Musculoskelet Disord. 2016;17:237.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Akodu A, Nwakalor N. Patellofemoral pain syndrome: prevalence and coping strategies of amateur runners in Lagos state. Medicina Sportiva: J RomanSports Med Soc. 2018;14(2):3059–67.

    Google Scholar 

  5. Xu X, Yao C, Wu R, Yan W, Yao Y, Song K, et al. Prevalence of patellofemoral pain and knee pain in the general population of Chinese young adults: a community-based questionnaire survey. BMC Musculoskelet Disord. 2018;19(1):165.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Devereaux MD, Lachmann SM. Patello-femoral arthralgia in athletes attending a Sports Injury Clinic. Br J Sports Med. 1984;18(1):18–21.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Boling M, Padua D, Marshall S, Guskiewicz K, Pyne S, Beutler A. Gender differences in the incidence and prevalence of patellofemoral pain syndrome. Scand J Med Sci Sports. 2010;20(5):725–30.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Yusuf M, Dey P, Callaghan M, Relph N, Gichuru P, Pinner S, et al. Validation and utilisation of a digital version of the survey instrument for natural history, Aetiology and Prevalence of Patellofemoral pain studies (eSNAPPS). Phys Ther Sport. 2021;50:82–8.

    Article  PubMed  Google Scholar 

  9. Fairbank JC, Pynsent PB, van Poortvliet JA, Phillips H. Mechanical factors in the incidence of knee pain in adolescents and young adults. J Bone Joint Surg Br. 1984;66(5):685–93.

    Article  CAS  PubMed  Google Scholar 

  10. Thijs Y, Pattyn E, Van Tiggelen D, Rombaut L, Witvrouw E. Is hip muscle weakness a predisposing factor for patellofemoral pain in female novice runners? A prospective study. Am J Sports Med. 2011;39(9):1877–82.

    Article  PubMed  Google Scholar 

  11. Witvrouw E, Lysens R, Bellemans J, Cambier D, Vanderstraeten G. Intrinsic risk factors for the development of anterior knee pain in an athletic population. A two-year prospective study. Am J Sports Med. 2000;28(4):480–9.

    Google Scholar 

  12. Molgaard C, Rathleff MS, Simonsen O. Patellofemoral pain syndrome and its association with hip, ankle, and foot function in 16- to 18-year-old high school students: a single-blind case-control study. J Am Podiatr Med Assoc. 2011;101(3):215–22.

    Article  PubMed  Google Scholar 

  13. Powers CM, Witvrouw E, Davis IS, Crossley KM. Evidence-based framework for a pathomechanical model of patellofemoral pain: 2017 patellofemoral pain consensus statement from the 4th international patellofemoral pain research retreat, Manchester, UK: part 3. Br J Sports Med. 2017;51(24):1713–23.

    Article  PubMed  Google Scholar 

  14. Noehren B, Hamill J, Davis I. Prospective evidence for a hip etiology in patellofemoral pain. Med Sci Sports Exerc. 2013;45(6):1120–4.

    Article  PubMed  Google Scholar 

  15. Boling MC, Nguyen AD, Padua DA, Cameron KL, Beutler A, Marshall SW. Gender-specific risk factor profiles for patellofemoral pain. Clin J Sport Med. 2021;31(1):49–56.

    PubMed  PubMed Central  Google Scholar 

  16. Boling MC, Padua DA, Marshall SW, Guskiewicz K, Pyne S, Beutler A. A prospective investigation of biomechanical risk factors for patellofemoral pain syndrome: the Joint Undertaking to Monitor and Prevent ACL Injury (JUMP-ACL) cohort. Am J Sports Med. 2009;37(11):2108–16.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Holden S, Boreham C, Doherty C, Delahunt E. Two-dimensional knee valgus displacement as a predictor of patellofemoral pain in adolescent females. Scand J Med Sci Sports. 2015.

    Google Scholar 

  18. Nakagawa TH, Dos Santos AF, Lessi GC, Petersen RS, Scattone Silva R. Y-balance test asymmetry and frontal plane knee projection angle during single-leg squat as predictors of patellofemoral pain in male military recruits. Phys Ther Sport. 2020;44:121–7.

    Article  PubMed  Google Scholar 

  19. Finnoff JT, Hall MM, Kyle K, Krause DA, Lai J, Smith J. Hip strength and knee pain in high school runners: a prospective study. PM R. 2011;3(9):792–801.

    Article  PubMed  Google Scholar 

  20. Herbst KA, Barber Foss KD, Fader L, Hewett TE, Witvrouw E, Stanfield D, et al. Hip strength is greater in athletes who subsequently develop patellofemoral pain. Am J Sports Med. 2015;43(11):2747–52.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Neal BS, Lack SD, Lankhorst NE, Raye A, Morrissey D, van Middelkoop M. Risk factors for patellofemoral pain: a systematic review and meta-analysis. Br J Sports Med. 2019;53(5):270–81.

    Article  PubMed  Google Scholar 

  22. Milgrom C, Finestone A, Eldad A, Shlamkovitch N. Patellofemoral pain caused by overactivity. A prospective study of risk factors in infantry recruits. J Bone Joint Surg Am. 1991;73(7):1041–3.

    Google Scholar 

  23. Van Tiggelen D, Witvrouw E, Coorevits P, Croisier J, Roget P. Analysis of isokinetic parameters in the development of anterior knee pain syndrome: a prospective study in a military setting. Isokinet Exer Sci. 2004;12:223–8.

    Article  Google Scholar 

  24. Duvigneaud N, Bernard E, Stevens V, Witvrouw E, Van Tiggelen D. Isokinetic assessment of patellofemoral pain syndrome: a prospective study in female recruits. Isokinet Exer Sci. 2008;16(4):213–9.

    Article  Google Scholar 

  25. Livingston LA. The quadriceps angle: a review of the literature. J Orthop Sports Phys Ther. 1998;28(2):105–9.

    Article  CAS  PubMed  Google Scholar 

  26. Schulthies SS, Francis RS, Fisher AG, Van de Graaff KM. Does the Q angle reflect the force on the patella in the frontal plane? Phys Ther. 1995;75(1):24–30.

    Article  CAS  PubMed  Google Scholar 

  27. McClay I, Manal K. A comparison of three-dimensional lower extremity kinematics during running between excessive pronators and normals. Clin Biomech (Bristol, Avon). 1998;13(3):195–203.

    Article  PubMed  Google Scholar 

  28. Tiberio D. The effect of excessive subtalar joint pronation on patellofemoral mechanics: a theoretical model. J Orthop Sports Phys Ther. 1987;9(4):160–5.

    Article  CAS  PubMed  Google Scholar 

  29. Thijs Y, Van Tiggelen D, Roosen P, De Clercq D, Witvrouw E. A prospective study on gait-related intrinsic risk factors for patellofemoral pain. Clin J Sport Med. 2007;17(6):437–45.

    Article  PubMed  Google Scholar 

  30. Thijs Y, De Clercq D, Roosen P, Witvrouw E. Gait-related intrinsic risk factors for patellofemoral pain in novice recreational runners. Br J Sports Med. 2008;42(6):466–71.

    Article  CAS  PubMed  Google Scholar 

  31. Dye SF. The knee as a biologic transmission with an envelope of function: a theory. Clin Orthop Relat Res. 1996;325:10–8.

    Article  Google Scholar 

  32. Dye SF. The pathophysiology of patellofemoral pain: a tissue homeostasis perspective. Clin Orthop Relat Res. 2005;436:100–10.

    Article  Google Scholar 

  33. Brushoj C, Holmich P, Nielsen MB, Albrecht-Beste E. Acute patellofemoral pain: aggravating activities, clinical examination, MRI and ultrasound findings. Br J Sports Med. 2008;42(1):64–7; discussion 7.

    Google Scholar 

  34. Wills AK, Ramasamy A, Ewins DJ, Etherington J. The incidence and occupational outcome of overuse anterior knee pain during army recruit training. J R Army Med Corps. 2004;150(4):264–9.

    Article  CAS  PubMed  Google Scholar 

  35. van Mechelen W, Hlobil H Fau-Kemper HC, Kemper HC. Incidence, severity, aetiology and prevention of sports injuries. A review of concepts. Sports Med. 1992;14:82–9.

    Google Scholar 

  36. Finch C. A new framework for research leading to sports injury prevention. J Sci Med Sport. 2006;9(1–2):3–9.

    Article  PubMed  Google Scholar 

  37. Coppack RJ, Etherington J, Wills AK. The effects of exercise for the prevention of overuse anterior knee pain: a randomized controlled trial. Am J Sports Med. 2011;39(5):940–8.

    Article  PubMed  Google Scholar 

  38. Cumps E, Verhagen EA, Duerinck S, Devillé A, Duchene L, Meeusen R. Effect of a preventive intervention programme on the prevalence of anterior knee pain in volleyball players. Eur J Sport Sci. 2008;8(4):183–92.

    Article  Google Scholar 

  39. Noehren B, Scholz J, Davis I. The effect of real-time gait retraining on hip kinematics, pain and function in subjects with patellofemoral pain syndrome. Br J Sports Med. 2011;45(9):691–6.

    Article  CAS  PubMed  Google Scholar 

  40. Willy RW, Scholz JP, Davis IS. Mirror gait retraining for the treatment of patellofemoral pain in female runners. Clin Biomech (Bristol, Avon). 2012;27(10):1045–51.

    Article  PubMed  PubMed Central  Google Scholar 

  41. Bonanno DR, Murley GS, Munteanu SE, Landorf KB, Menz HB. Effectiveness of foot orthoses for the prevention of lower limb overuse injuries in naval recruits: a randomised controlled trial. Br J Sports Med. 2018;52(5):298–302.

    Article  PubMed  Google Scholar 

  42. Schwellnus MP, Jordaan G, Noakes TD. Prevention of common overuse injuries by the use of shock absorbing insoles. A prospective study. Am J Sports Med. 1990;18(6):636–41.

    Google Scholar 

  43. Milgrom C, Finestone A, Shlamkovitch N, Wosk J, Laor A, Voloshin A, et al. Prevention of overuse injuries of the foot by improved shoe shock attenuation. A randomized prospective study. Clin Orthop Relat Res. 1992(281):189–92.

    Google Scholar 

  44. Van Tiggelen D, Witvrouw E, Roget P, Cambier D, Danneels L, Verdonk R. Effect of bracing on the prevention of anterior knee pain–a prospective randomized study. Knee Surg Sports Traumatol Arthrosc. 2004;12(5):434–9.

    Article  PubMed  Google Scholar 

  45. BenGal S, Lowe J, Mann G, Finsterbush A, Matan Y. The role of the knee brace in the prevention of anterior knee pain syndrome. Am J Sports Med. 1997;25(1):118–22.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Michelle C. Boling .

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Boling, M.C., Glaviano, N.R. (2023). Risk Factors for Patellofemoral Pain: Prevention Programs. In: Sanchis-Alfonso, V. (eds) Anterior Knee Pain and Patellar Instability. Springer, Cham. https://doi.org/10.1007/978-3-031-09767-6_11

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  • DOI: https://doi.org/10.1007/978-3-031-09767-6_11

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