Patellofemoral Pain

(Willy et al., 2019) Aims: Guidelines on PFP Methods: Review of literature & experts' consensus. Limitations: May be bias in experts’ opinion. Broad topic. Expert consensus In Practice: Diagnosis: The presence of retro-patellar or peri-patellar pain, (2) reproduction of retro-patellar or peri-patellar pain with squatting, stair climbing, prolonged sitting, or other functional activities loading the... Continue Reading →

Validity of clinical small-fiber sensory testing to detect small-fiber degeneration

(Ridehalgh, Sandy-Hindmarch, & Schmid, 2018) Aims: To examine the validity of clinical tests to assess small nerve fibers degeneration using Carpal Tunnel Syndrome (CST) as a model neuropathy. Methods: Prospective cross-sectional. Presence of CTS was assessed with skin biopsies. 85 patients with CTS were evaluated with Neurotip and Quantitative sensory testing (T°). A subgroup of... Continue Reading →

Massage for LBP

(Furlan, Giraldo, Baskwill, Irvin, & Imamura, 2015) Aims: To assess the effects of massage therapy for people with non-specific LBP. Methods: RCTs, LBP, Inactive (supposed to be ineffective) or active modalities. Outcomes measures = pain and functional status, < or > to 6months. Secondary outcome = overall improvement, patient satisfaction, quality of life and work-related... Continue Reading →

Runners with PFP have altered biomechanics which targeted interventions can modify

(Neal, Barton, Gallie, O’Halloran, & Morrissey, 2016) Aims: To synthesise prospective, observational and intervention studies that measure clinical and biomechanical outcomes in symptomatic running populations. Methods: SR, 2 independent reviewers, 28 studies, PeDro scale for quality. Results: Very limited prospective evidence indicates that increased peak hip adduction is a risk factor for PFP development in... Continue Reading →

No difference in quantitative MRI in PFP cartilage composition between patients with PFP and healthy controls

(Van Der Heijden et al., 2015) Aims: To investigate differences in patellofemoral cartilage composition between patients with PFP and healthy control sub- jects using quantitative MRI Methods: Cross-sectional case-control study, PFP group symptom duration from 2 months to 2 years, 14 to 40 yo. 64 patients and 70 controls. Results: No significant differences were found... Continue Reading →

Exercise for treating PFPS Review

(Van der Heijden, Lankhorst, Van Linschoten, Bierma-Zeinstra, & Van Middelkoop, 2015) Aim: To assess the effects (benefits and harms) of exercise therapy aimed at reducing knee pain and improving knee function for people with patellofemoral pain syndrome. Methods: Cochrane Review of RCT and quasi RCT about exercise for PFP, 2 indep reviewers, outcomes : pain... Continue Reading →

Proximal muscle rehabilitation is effective for PFP: A SR with MA.

(Lack, Barton, Sohan, Crossley, & Morrissey, 2015) Aims: This review (1) evaluates the efficacy of proximal musculature rehabilitation for patients with PFP; (2) compares the efficacy of various rehabilitation protocols; and (3) identifies potential biomechanical mechanisms of effect in order to optimise outcomes from proximal rehabilitation in this problematic patient group. Methods: SR, 2 independent... Continue Reading →

Lessons from a trial of acupuncture & massage for LBP: patient expectations & treatment effects.

(Kalauokalani, Cherkin, Sherman, Koepsell, & Deyo, 2001) Aims: To evaluate the association of a patient’s expectation for benefit from a specific treatment with improved functional outcome. Methods: Secondary analysis from a RCT comparing massage, acupuncture, and self-care material (control group) used for patients with chronic LBP. 135 patients, 10 treatments within 10 weeks. The participants... Continue Reading →

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