2016 Patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester. Part 1: Terminology, definitions, clinical examination, natural history, patellofemoral osteoarthritis and patient-reported outcome measures
Kay M. Crossley,Joshua J. Stefanik,James Selfe,Natalie J. Collins,Irene S. Davis,Christopher M. Powers,Jenny McConnell,Bill Vicenzino,David M. Bazett-Jones,Jean-Francois Esculier,Dylan Morrissey,Michael J. Callaghan +11 more
TLDR
The 4th International Patellofemoral Research Retreat was held in Manchester, UK, over 3 days (September 2–4th, 2015) and developed a consensus statement addressing different presentation categories, including PFP and factors that influence PFP.Abstract:
Patellofemoral pain (PFP) typically presents as diffuse anterior knee pain, usually with activities such as squatting, running, stair ascent and descent. It is common in active individuals across the lifespan,1–4 and is a frequent cause for presentation at physiotherapy, general practice, orthopaedic and sports medicine clinics in particular.5 ,6 Its impact is profound, often reducing the ability of those with PFP to perform sporting, physical activity and work-related activities pain-free. Increasing evidence suggests that it is a recalcitrant condition, persisting for many years.7–9 In an attempt to share recent innovations, build on the first three successful biennial retreats and define the ‘state of the art’ for this common, impactful condition; the 4th International Patellofemoral Pain Research Retreat was convened.
The 4th International Patellofemoral Research Retreat was held in Manchester, UK, over 3 days (September 2–4th, 2015). After undergoing peer-review for scientific merit and relevance to the retreat, 67 abstracts were accepted for the retreat (50 podium presentations, and 17 short presentations). The podium and short presentations were grouped into five categories; (1) PFP, (2) factors that influence PFP (3) the trunk and lower extremity (4) interventions and (5) systematic analyses. Three keynote speakers were chosen for their scientific contribution in the area of PFP. Professor Andrew Amis spoke on the biomechanics of the patellofemoral joint. Professor David Felson spoke on patellofemoral arthritis,10 and Dr Michael Ratleff's keynote theme was PFP in the adolescent patient.11 As part of the retreat, we held structured, whole-group discussions in order to develop consensus relating to the work presented at the meeting as well as evidence gathered from the literature.
### Consensus development process
In our past three International Patellofemoral Research Retreats, we developed a consensus statement addressing different presentation categories.12–14 In Manchester in 2015, we revised the format. For the exercise and …read more
Citations
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Journal ArticleDOI
Incidence and prevalence of patellofemoral pain: A systematic review and meta-analysis.
Benjamin E. Smith,Benjamin E. Smith,James Selfe,Damian Thacker,Paul Hendrick,Marcus Bateman,Fiona Moffatt,Michael Skovdal Rathleff,Toby O. Smith,Pip Logan +9 more
TL;DR: High incidence and prevalence levels for patellofemoral pain are demonstrated and within the context of this, and poor long term prognosis and high disability levels, PFP should be an urgent research priority.
Journal ArticleDOI
2016 Patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester. Part 2: recommended physical interventions (exercise, taping, bracing, foot orthoses and combined interventions)
Kay M. Crossley,Marienke van Middelkoop,Michael J. Callaghan,Natalie J. Collins,Michael Skovdal Rathleff,Christian J Barton +5 more
TL;DR: A consensus meeting to update the current evidence base and produce consensus-based recommendations regarding treatment for patellofemoral pain was held in Manchester 2015, where many of the world leading researchers were in attendance and contributed to the consensus meeting.
Journal ArticleDOI
2018 Consensus statement on exercise therapy and physical interventions (orthoses, taping and manual therapy) to treat patellofemoral pain: recommendations from the 5th International Patellofemoral Pain Research Retreat, Gold Coast, Australia, 2017.
Natalie J. Collins,Christian J Barton,Marienke van Middelkoop,Michael J. Callaghan,Michael Skovdal Rathleff,Bill Vicenzino,Irene S. Davis,Christopher M. Powers,Erin M Macri,Harvi F. Hart,Danilo de Oliveira Silva,Kay M. Crossley +11 more
TL;DR: Recommendations from the expert panel support the use of exercise therapy, combined interventions and foot orthoses to improve pain and/or function in people with patellofemoral pain.
Journal ArticleDOI
The psychological features of patellofemoral pain: A systematic review
TL;DR: Anxiety, depression, catastrophising and fear of movement may be elevated in individuals with PFP and correlate with pain and reduced physical function.
Journal ArticleDOI
Risk factors for patellofemoral pain: a systematic review and meta-analysis.
Bradley S. Neal,Simon Lack,Nienke E Lankhorst,Andrew Raye,Dylan Morrissey,Dylan Morrissey,Marienke van Middelkoop +6 more
TL;DR: This review identified multiple variables that did not predict future PFP, but quadriceps weakness in military recruits and higher hip strength in adolescents were risk factors for PFP.
References
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Journal ArticleDOI
A retrospective case-control analysis of 2002 running injuries
Jack E. Taunton,Michael Ryan,D. B. Clement,Donald C. McKenzie,D. R. Lloyd-Smith,Bruno D. Zumbo +5 more
TL;DR: Various risk factors were shown to be positively associated with a risk for, or protection from, specific injuries, and future research should include a non-injured control group and a more precise measure of weekly running distance and running experience to validate these results.
Journal ArticleDOI
Radiographic patterns of osteoarthritis of the knee joint in the community: the importance of the patellofemoral joint.
TL;DR: Patellofemoral joint osteoarthritis is common, associated with disability, occurs in the absence of tibiofemoral disease, and can no longer be omitted from future studies of osteoartritis of the knee joint.
Journal ArticleDOI
Differences in hip kinematics, muscle strength, and muscle activation between subjects with and without patellofemoral pain.
TL;DR: The increased activation of the gluteus maximus in individuals with PFP suggests that these subjects were attempting to recruit a weakened muscle, perhaps in an effort to stabilize the hip joint.
Journal ArticleDOI
Gender differences in the incidence and prevalence of patellofemoral pain syndrome
Michelle C. Boling,Darin A. Padua,Stephan W Marshall,Kevin M. Guskiewicz,Scott W. Pyne,Anthony I. Beutler +5 more
TL;DR: Females at the USNA are significantly more likely to develop patellofemoral pain syndrome than males, and the prevalence of PFPS at study enrollment tended to be higher in females than in males.
Journal ArticleDOI
Proximal and Distal Influences on Hip and Knee Kinematics in Runners With Patellofemoral Pain During a Prolonged Run
TL;DR: Runners with PFPS displayed weaker hip abductor muscles that were associated with an increase in hip adduction during running, and this relationship became more pronounced at the end of the run.