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Management of a patient with patellofemoral pain syndrome using neuromuscular training in decreasing medial collapse : a case report

YEMM B; KRAUSE DA
PHYSIOTHER THEORY PRACT , 2015, vol. 31, n° 3, p. 221-229
Doc n°: 174515
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.3109/09593985.2014.982233
Descripteurs : DE551 - PATELLA PATHOLOGIE

Medial collapse has been reported to increase
patellofemoral stresses. This case describes the examination and treatment of a
patient with patellofemoral pain syndrome (PFPS), displaying medial collapse
during functional activities. The purpose of this case is twofold: (1) to
describe a clinical movement pattern assessment using a 2-dimensional (2D)
assessment; and (2) to describe a clinical neuromuscular training program focused
on optimal movement patterns. CASE DESCRIPTION: A 19-year-old female diagnosed
with PFPS. Initially, the patient exhibited medial collapse. A treatment approach
focused on optimization of functional movement patterns to correct medial
collapse through visual input and neuromuscular training was implemented.
Interventions focused on correction of faulty movement patterns. OUTCOMES: After
four sessions over 3 weeks, the patient reported cessation of pain and displayed
an improved movement pattern without medial collapse during functional
activities. Discussion and evidence-based recommendations: The clinical
assessment of medial collapse utilized was novel, and a successful outcome with
minimal visits was achieved for a patient with PFPS. Further research to
establish the reliability and validity of the 2D evaluation method of medial
collapse and optimum alignment training for patients with PFPS is necessary.

Langue : ANGLAIS

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