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Risk Factors and Prevention of Anterior Knee Pain

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Anterior Knee Pain and Patellar Instability

Abstract

Anterior knee pain is known as a very common problem in the sporting population.1,5,15,16,30 Many of the patients with anterior knee pain need conservative treatment to be able to return to sport or their daily activities. On the other hand, because of this high incidence of anterior knee pain, prevention of this pathology has been an important goal for many sports medicine practitioners for some years. However, before a scientific approach in planning and carrying out prevention and treatment of anterior knee pain can be set up, a thorough understanding of the etiology of anterior knee pain seems essential. This understanding refers to information on why a particular individual develops anterior knee pain and another individual, exposed to more or less the same exercise load, does not. In addition, it seems important to understand why some patients benefit from a treatment program while others do not, or not as well. To answer these important issues, risk factors for the development of anterior knee pain need to be identified.

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References

  1. Almeida SA, Williams KM, Shaffer RA, et al. Epide­miological patterns of musculoskeletal injuries and physical training. Med Sci Sports Exerc. 1999;31:1176-1182.

    Article  PubMed  CAS  Google Scholar 

  2. BenGal S, Lowe J, Mann G, et al. The role of the knee brace in the prevention of anterior knee pain syndrome. Am J Sports Med. 1997;25:118-122.

    Article  PubMed  CAS  Google Scholar 

  3. Birmingham TB, Inglis JT, Kramer JF, et al. Effect of a neoprene sleeve on knee joint kinesthesis: influence of different testing procedures. Med Sci Sports Exerc. 2000;32:304-308.

    Article  PubMed  CAS  Google Scholar 

  4. Cherf J, Paulos LE. Bracing for patellar instability. Clin Sports Med. 1990;9:813-821.

    PubMed  CAS  Google Scholar 

  5. Clement DB, Taunton JE, Smart GW, et al. A survey of overuse running injuries. Phys Sports Med. 1981;9:47-58.

    Google Scholar 

  6. Cowan SM, Bennell KL, Hodges PW. Therapeutic patellar taping changes the timing of vasti muscle activation in people with patellofemoral pain syndrome. Clin J Sport Med. 2002;12:339-347.

    Article  PubMed  CAS  Google Scholar 

  7. Cowan DN, Jones BH, Robinson JR. Foot morphologic characteristics and risk of exercise-related injury. Arch Fam Med. 1993;2:773-777.

    Article  PubMed  CAS  Google Scholar 

  8. Crossley K, Bennell K, Green S, et al. Physical therapy for patellofemoral pain: a randomized, double-blinded, placebo-controlled trial. Am J Sports Med. 2002;30:857-865.

    PubMed  Google Scholar 

  9. Dixon SJ, Waterworth C, Smith CV, et al. Biomechanical analysis of running in military boots with new and degraded insoles. Med Sci Sports Exerc. 2003;35:472-479.

    Article  PubMed  Google Scholar 

  10. Duffey MJ, Martin DF, Cannon DW, et al. Etiologic factors associated with anterior knee pain in distance runners. Med Sci Sports Exerc. 2000;32:1825-1832.

    Article  PubMed  CAS  Google Scholar 

  11. Dye SF. Therapeutic implications of a tissue homeostasis approach to patellofemoral pain syndrome. Sports Med Arthrosc. 2001;9:306-311.

    Article  Google Scholar 

  12. Eng JJ, Pierrynowski MR. Evaluation of soft foot orthotics in the treatment of patellofemoral pain syndrome. Phys Ther. 1993;73:62-68; discussion 68-70.

    PubMed  CAS  Google Scholar 

  13. Eng JJ, Pierrynowski MR. The effect of soft foot orthotics on three-dimensional lower-limb kinematics during walking and running. Phys Ther. 1994;74:836-844.

    PubMed  CAS  Google Scholar 

  14. Fairbank JC, Pynsent PB, Van Poortvliet JA. Mechanical factors in the incidence of knee pain in adolescents and young adults. J Bone Joint Surg Br. 1984;66:685-693.

    PubMed  CAS  Google Scholar 

  15. Fulkerson JP, Arendt EA. Anterior knee pain in females. Clin Orthop Relat Res. 2000;372:69-73.

    Article  PubMed  Google Scholar 

  16. Fulkerson JP, Shea KP. Current concepts review. Disorders of patellofemoral alignment. J Bone Joint Surg. 1990;72-A:1424-1429.

    Google Scholar 

  17. Gilleard W, McConnell J, Parsons D. The effect of patellar taping on the onset of vastus medialis obliquus and vastus lateralis muscle activity in persons with patellofemoral pain. Phys Ther. 1998;78:25-32.

    PubMed  CAS  Google Scholar 

  18. Gross MT, Foxworth JL. The role of foot orthoses as an intervention for patellofemoral pain. J Orthop Sports Phys Ther. 2003;33:661-670.

    PubMed  Google Scholar 

  19. Gulling LK, Lephart SM, Stone DA, et al. The effect of patellar bracing on quadriceps EMG activity during isokinetic exercise. Isokinet Exerc Sci. 1996;6:133-138.

    Google Scholar 

  20. Hardin EC, van den Bogert AJ, Hamill J. Kinematic adaptations during running: effects of footwear, surface, and duration. Med Sci Sports Exerc. 2004;36:838-844.

    Article  PubMed  Google Scholar 

  21. Hertel J, Sloss BR, Earl JE. Effect of foot orthotics on quadriceps and gluteus medius electromyographic activity during selected exercises. Arch Phys Med Rehabil. 2005;86:26-30.

    Article  PubMed  Google Scholar 

  22. Hoffman JR, Chapnik L, Shamis A, et al. The effect of leg strength on the incidence of lower extremity overuse injuries during military training. Mil Med. 1999;164:153-156.

    PubMed  CAS  Google Scholar 

  23. House CM, Waterworth C, Allsopp AJ, et al. The influence of simulated wear upon the ability of insoles to reduce peak pressures during running when wearing military boots. Gait Posture. 2002;16:297-303.

    Article  PubMed  Google Scholar 

  24. Hreljac A. Impact and overuse injuries in runners. Med Sci Sports Exerc. 2004;36:845-849.

    Article  PubMed  Google Scholar 

  25. Hung YJ, Gross MT. Effect of foot position on electromyographic activity of the vastus medialis oblique and vastus lateralis during lower-extremity weight-bearing activities. J Orthop Sports Phys Ther. 1999;29:93-102; discussion 103–105.

    PubMed  CAS  Google Scholar 

  26. Kaufman KR, Brodine SK, Shaffer RA, et al. The effect of foot structure and range of motion on musculoskeletal overuse injuries. Am J Sports Med. 1999;27:585-593.

    PubMed  CAS  Google Scholar 

  27. Klingman RE. Foot pronation and patellofemoral joint function. J Orthop Sports Phys Ther. 1999;29:421.

    PubMed  CAS  Google Scholar 

  28. Livingston LA, Mandigo JL. Bilateral rearfoot asymmetry and anterior knee pain syndrome. J Orthop Sports Phys Ther. 2003;33:48-55.

    PubMed  Google Scholar 

  29. Lun V, Meeuwisse WH, Stergiou P, et al. Relation between running injury and static lower limb alignment in recreational runners. Br J Sports Med. 2004;38:576-580.

    Article  PubMed  CAS  Google Scholar 

  30. McConnell J. The management of chondromalacia patellae: a long-term solution. Aust J Physiotheraphy. 1986;32:215-223.

    Google Scholar 

  31. McNair PJ, Stanley SN, Strauss GR. Knee bracing: effects on proprioception. Arch Phys Med Rehabil. 1996;77:287-289.

    Article  PubMed  CAS  Google Scholar 

  32. Meeuwisse WH. Assessing causation in sport injury: a multifactorial model. Clin J Sport Med. 1994;4:166-170.

    Article  Google Scholar 

  33. Messier SP, Davis SE, Curl WW, et al. Etiologic factors associated with patellofemoral pain in runners. Med Sci Sports Exerc. 1991;23:1008-1015.

    PubMed  CAS  Google Scholar 

  34. Milgrom C, Finestone A, Shlamkovitch N, et al. Anterior knee pain caused by overactivity: a long term prospective followup. Clin Orthop Relat Res. 1996;331:256-260.

    Article  PubMed  Google Scholar 

  35. Natri A, Kannus P, Järvinen M. Which factors predict the long-term outcome in chronic patellofemoral pain? Med Sci Sports Exerc. 1998;30:1572-1577.

    Article  PubMed  CAS  Google Scholar 

  36. Nawoczenski DA, Ludewig PM. Electromyographic effects of foot orthotics on selected lower extremity muscles during running. Arch Phys Med Rehabil. 1999;80:540-544.

    Article  PubMed  CAS  Google Scholar 

  37. Neptune RR, Wright IC, van den Bogert AJ. The influence of orthotic devices and vastus medialis strength and timing on patellofemoral loads during running. Clin Biomech (Bristol, Avon). 2000;15:611-618.

    Article  CAS  Google Scholar 

  38. Nigg BM, Cole GK, Nachbauer W. Effects of arch height of the foot on angular motion of the lower extremities in running. J Biomech. 1993;26:909-916.

    Article  PubMed  CAS  Google Scholar 

  39. Parsons D, Gilleard W. The effect of patellar taping on quadriceps activity onset in the absence of pain. J Appl Biomech. 1999;15:373-380.

    Google Scholar 

  40. Perlau R, Frank C, Fick G. The effect of elastic bandages on human knee proprioception in the uninjured population. Am J Sports Med. 1995;23:251-255.

    Article  PubMed  CAS  Google Scholar 

  41. Powers CM. Rehabilitation of the patellofemoral joint disorders: a critical review. J Orthop Sports Phys Ther. 1998;28: 345-354.

    PubMed  CAS  Google Scholar 

  42. Razeghi M, Batt ME. Biomechanical analysis of the effect of orthotic shoe inserts: a review of the literature. Sports Med. 2000;29:425-438.

    Article  PubMed  CAS  Google Scholar 

  43. Reider B. An ounce of prevention. Am J Sports Med. 2004; 32:1383-1384.

    Article  PubMed  Google Scholar 

  44. Sutlive TG, Mitchell SD, Maxfield SN, et al. Identification of individuals with patellofemoral pain whose symptoms improved after a combined program of foot orthoses use and modified activity: a preliminary investigation. Phys Ther. 2004;84:49-61.

    PubMed  Google Scholar 

  45. Thomee R, Augustsson J, Karlsson J. Patellofemoral pain syndrome: a review of current issues. Sports Med. 1999;28: 245-262.

    Article  PubMed  CAS  Google Scholar 

  46. Van Mechelen W, Hlobil H, Kemper HC, et al. Incidence, aetiology and prevention of sports injuries: a review of concepts. Sports Med. 1992;14:82-89.

    Article  PubMed  Google Scholar 

  47. Van Tiggelen D, Witvrouw E, Coorevits P, et al. Analysis of isokinetic parameters in the development of anterior knee pain syndrome: a prospective study in a military setting. Isokinet Exerc Sci. 2004;12:223-228.

    Google Scholar 

  48. Van Tiggelen D, Witvrouw E, Roget Ph, et al. Effect of bracing on the prevention of anterior knee pain: a prospective randomized study. Knee Surg Sports Traumatol Arthrosc. 2004;12:434-439.

    Article  PubMed  Google Scholar 

  49. Wedderkopp N, Kaltoft M, Lundgaard B. Prevention of injuries in young female players in European team handball: a prospective intervention study. Scand J Med Sci Sports. 1999;9:41-47.

    Article  PubMed  CAS  Google Scholar 

  50. Witvrouw E, Lysens R, Bellemans J, et al. Intrinsic risk factors for the development of anterior knee pain in an athletic population: a two-year prospective study. Am J Sports Med. 2000;28:480-489.

    PubMed  CAS  Google Scholar 

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Witvrouw, E., Van Tiggelen, D., Willems, T. (2011). Risk Factors and Prevention of Anterior Knee Pain. In: Sanchis-Alfonso, V. (eds) Anterior Knee Pain and Patellar Instability. Springer, London. https://doi.org/10.1007/978-0-85729-507-1_11

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  • DOI: https://doi.org/10.1007/978-0-85729-507-1_11

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