Influence of the hip on patients with patellofemoral pain syndrome: a systematic review.

Sports Health

Black Diamond Physical Therapy, Portland, Oregon.

Published: September 2011

Context: Patellofemoral pain syndrome (PFPS) is one of the most common conditions limiting athletes. There is a growing body of evidence suggesting that dysfunction at the hip may be a contributing factor in PFPS.

Data Sources: MEDLINE (1950-September 2010), CINAHL (1982-September 2010), and SPORTDiscus (1830-September 2010) were searched to identify relevant research to this report.

Study Selection: Studies were included assessing hip strength, lower extremity kinematics, or both in relation to PFPS were included.

Data Extraction: Studies included randomized controlled trials, quasi-experimental designs, prospective epidemiology, case-control epidemiology, and cross-sectional descriptive epidemiology in a scientific peer-reviewed journal.

Results: PFPS is associated with decreased hip strength, specifically at the abductors and external rotators. There is a correlation between PFPS and faulty hip mechanics (adduction and internal rotation).

Conclusions: There is a link between the strength and position of the hip and PFPS. These patients have a common deficit once symptomatic. Hip strengthening and a coordination program may be useful in a conservative treatment plan for PFPS.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3445210PMC
http://dx.doi.org/10.1177/1941738111415006DOI Listing

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