Patellofemoral pain in adolescence and adulthood: same same, but different?

Rathleff, M. S., Vicenzino, B., Middelkoop, M., Graven-Nielsen, T., van Linschoten, R., Holmich, P. and Thorborg, K. (2015) Patellofemoral pain in adolescence and adulthood: same same, but different?. Sports Medicine, 45 11: 1489-1495. doi:10.1007/s40279-015-0364-1

Author Rathleff, M. S.
Vicenzino, B.
Middelkoop, M.
Graven-Nielsen, T.
van Linschoten, R.
Holmich, P.
Thorborg, K.
Title Patellofemoral pain in adolescence and adulthood: same same, but different?
Journal name Sports Medicine   Check publisher's open access policy
ISSN 1179-2035
Publication date 2015-07-16
Sub-type Article (original research)
DOI 10.1007/s40279-015-0364-1
Open Access Status Not Open Access
Volume 45
Issue 11
Start page 1489
End page 1495
Total pages 7
Place of publication Auckland, New Zealand
Publisher Adis International
Language eng
Abstract The mainstay of patellofemoral pain (PFP) treatment is exercise therapy, often in combination with adjunct treatments such as patient education, orthoses, patella taping and stretching, making the intervention multimodal in nature. The vast majority of randomised controlled trials among patients with PFP have investigated the effect of treatment among adults (>18 years of age). So, while systematic reviews and meta-analyses provide evidence-based recommendations for treating PFP, these recommendations are largely based upon the trials in adults. In the present article, we have summarised the findings on the efficacy of multimodal treatment (predominantly exercise) from the three largest trials concerning patients with PFP, focusing on the long-term success-rate 1 year after receiving multimodal treatment, and with a particular focus on the success rate across the different age groups, including both adolescents, young adults and adults. The results of this paper show that there appears to be a difference in the success rate between adolescents and adults, despite providing similar exercise treatment and having similar exercise compliance. While PFP may present in a similar fashion in adolescence and adults, it may not be the same underlying condition or stage, and different treatments may be required. Collectively, this highlights the importance of increasing our understanding of the underlying pathology, pain mechanisms and why treatment may—or may not—work in adolescents and adults with PFP.
Keyword Patellofemoral pain
Exercise therapy
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ
Additional Notes Published online 16 July 2015.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Health and Rehabilitation Sciences Publications
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