Jayaseelan Dhinu J, Holshouser Cameron, McMurray Michael W
Total Motion Physical Therapy. Blacksburg, VA, USA.
Int J Sports Phys Ther. 2020 Aug;15(4):643-649.
Patellofemoral pain syndrome (PFPS) is often effectively managed with appropriate exercise prescription, yet in many cases PFPS related symptoms can become persistent and result in reduced daily, functional and sport-related activity levels. Patellofemoral mobilizations may be incorporated to minimize the impact of mobility deficits, and are frequently performed in the patellofemoral joint's open-packed position of knee extension. However, many individuals with PFPS have pain during weight-bearing activities requiring knee flexion such as stairs, squatting, or running. Therefore, it seems reasonable that utilizing joint mobilizations in more symptomatic functional positions may enhance treatment plans. The purpose of this clinical suggestion is to present patellofemoral joint mobilization options in positions more closely replicating positions of symptom provocation, in an effort to offer clinicians different intervention strategies for the challenging condition of PFPS.
髌股疼痛综合征(PFPS)通常通过适当的运动处方得到有效管理,但在许多情况下,与PFPS相关的症状可能会持续存在,并导致日常、功能和与运动相关的活动水平降低。可采用髌股关节松动术来尽量减少活动障碍的影响,且通常在膝关节伸展的髌股关节开放位进行。然而,许多患有PFPS的个体在诸如上下楼梯、下蹲或跑步等需要膝关节屈曲的负重活动中会感到疼痛。因此,在更具症状的功能位使用关节松动术可能会增强治疗方案,这似乎是合理的。本临床建议的目的是在更接近症状激发位的位置提供髌股关节松动术选项,以便为临床医生针对具有挑战性的PFPS病情提供不同的干预策略。
5级。