Patellofemoral Pain Syndrome - Runner's Knee
running-physio.com
Patellofemoral Pain Syndrome - Runner's Knee
The first part of a series of articles on managing patellofemoral pain syndrome in runners by an experienced physio.
Jan 1, 2009
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CAUSE AND DIAGNOSIS OF PFPS There are several clinical findings and tests for patellofemoral pain syndrome (PFPS) in the literature. Cook et al. (2010) evaluated clinical tests in a systematic review and found the following: - Cluster 1: 1) Retropatellar pain during muscle contraction of the quadriceps against resistance by the examiner 2) Pain reported by the patient during squatting --> 35% Sensitivity, 89% specificity, LR 3.3, LR- 0.73 for both positive tests Cluster 2: 1) Retropatellar pain
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CAUSE AND DIAGNOSIS OF PFPS There are several clinical findings and tests for patellofemoral pain syndrome (PFPS) in the literature. Cook et al. (2010) evaluated clinical tests in a systematic review and found the following: - Cluster 1: 1) Retropatellar pain during muscle contraction of the quadriceps against resistance by the examiner 2) Pain reported by the patient during squatting --> 35% Sensitivity, 89% specificity, LR 3.3, LR- 0.73 for both positive tests Cluster 2: 1) Retropatellar pain
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CAUSE AND DIAGNOSIS OF PFPS There are several clinical findings and tests for patellofemoral pain syndrome (PFPS) in the literature. Cook et al. (2010) evaluated clinical tests in a systematic review and found the following: - Cluster 1: 1) Retropatellar pain during muscle contraction of the quadriceps against resistance by the examiner 2) Pain reported by the patient during squatting --> 35% Sensitivity, 89% specificity, LR 3.3, LR- 0.73 for both positive tests Cluster 2: 1) Retropatellar pain
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CLARKE'S SIGN / PATELLAR GRIND TEST FOR PFPS The Clarke's Sign is a common test that is used in the diagnosis of patellofemoral pain syndrome (PFPS) as it is reasoned to stress the patellar cartilage. However, Cook et al. (2012) did a systematic review on various tests and clinical findings and found a variable sensitivity of 39-49% and a variable specificity of 67-95%. For this reason, the Clarke's Sign does not seem to be able to add much value to the diagnosis of PFPS. | Physiotutors
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