Predictors of pain and function outcome after rehabilitation in patients with patellofemoral pain syndrome

Piva, SR; Fitzgerald, GK; Wisniewski, S; Delitto, A

doi:10.2340/16501977-0372

Cited by 133Lower Extremity Biomechanics and PathologiesMusculoskeletal pain and rehabilitationMyofascial pain diagnosis and treatment

Predictors of pain and function outcome after rehabilitation in patients with patellofemoral pain syndrome

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Piva, SR, Fitzgerald, GK, Wisniewski, S, Delitto, A·2009·Journal of Rehabilitation Medicine

DOI 10.2340/16501977-0372

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Abstract

OBJECTIVE: To identify changes in impairments associated with functional and pain outcome in patients with patello-femoral pain syndrome following a standardized physiotherapy treatment. DESIGN: One group pre-post design. SUBJECTS: Seventy-four patients (median age 27 years, 52% female) diagnosed with patellofemoral pain syndrome and referred to physiotherapy treatment. METHODS: Baseline measures included self-reported function and pain, which were the dependent variables, and measures of independent variables: strength of quadriceps, hip abduction and hip external rotation; length of hamstrings, quadriceps, plantar flexors, iliotibial band/tensor fascia lata complex, and lateral retinaculum; quality of movement, and fear-avoidance beliefs. Following the baseline measurements, subjects participated in a standardized physiotherapy program. Measurements were repeated at 2-month follow-up. Data were analyzed using 2 forward regression models, the first using function outcome, and the second using pain outcome as the criterion. Age, gender, height and weight were controlled in the regression models. RESULTS: Change in fear-avoidance beliefs about physical activity and change in gastrocnemius length predicted function outcome. Change in fear-avoidance beliefs about physical activity and about work predicted outcome of pain. CONCLUSION: Change in fear-avoidance beliefs about physical activity was the strongest predictor of function and pain outcome. The fact that patients who decreased their fear-avoidance beliefs improved function and decreased pain indicates that perhaps fear-avoidance beliefs should be targeted during the treatment of patients with patellofemoral pain syndrome.

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Predictors for patients with knee complaints receiving physiotherapy
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Relating cortical morphology, corticospinal excitability, corticomotor representation, and quadriceps strength after anterior cruciate ligament injury
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“…et al. 1993 ), modifications were implemented to ensure knee specificity and has been previously used in patients with knee osteoarthritis (van Baar et al. 1998), patellofemoral pain syndrome (Piva et al. 2009), and ACL injuries (Geno-ese et al. 2020 ; Baez et al. 2021; Barchek et al. 2021).”

Authors: Piva, Sr., Fitzgerald, G., Wisniewski, S., & Delitto, A.
ORCID: Fitzgerald, GK
Wisniewski, S
Delitto, A
Venue: Journal of Rehabilitation Medicine
Publisher: MJS Publishing, Medical Journals Sweden AB
Published: 2009
Volume: 41
Issue: 8
Pages: 604-612
ISSN: 1650-1977 (ISSN-L)
DOI: 10.2340/16501977-0372
OpenAlex: W2017982646
Cited by: 133
References: 36
Citations by year: 2026: 4 · 2025: 6 · 2024: 5 · 2023: 8 · 2022: 5 · 2021: 9 · 2020: 8 · 2019: 15 · 2018: 12 · 2017: 12 · 2016: 4 · 2015: 5 · 2014: 12 · 2013: 5 · 2012: 8
FWCI: 4.60
Type: journal article
Language: en
Open access: gold
doi.org
Locations: Journal of Rehabilitation Medicine (publishedVersion)
PubMed (publishedVersion)
Funders: American Physical Therapy Association
Topics: Physical Sciences › Engineering › Biomedical Engineering › Lower Extremity Biomechanics and Pathologies
Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Myofascial pain diagnosis and treatment
Keywords: patellofemoral pain, fear-avoidance beliefs, physiotherapy, pain outcomes, functional outcome, quadriceps strength, hip external rotation, hamstring length, iliotibial band, lateral retinaculum, movement quality, prognostic factors
MeSH terms: Adolescent, Adult, Child, Fear, Female, Humans, Male, Middle Aged, Pain Measurement, Prognosis, Exercise, Range of Motion, Articular, Treatment Outcome, Outcome Assessment, Health Care, Physical Therapy Modalities, Patellofemoral Pain Syndrome, Muscle Strength, Young Adult

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Predictors of pain and function outcome after rehabilitation in patients with patellofemoral pain syndrome

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