PFPS Flashcards
Name 2 symptoms of the PFPS.
- instability of the patella
pain around the patella- femoral joint
Name 3 other diagnoses which might cause similar symptoms on the patella-femoral joint.
- Osgood Schlatter
- Patella tendinopathy
- Sinding Larsen Johanson
- Fat body impingement
- Intra articular problems
What is the incidence of PFPS?
what is the incidence for military population,
in professional cyclists, young people (adolescents) and general population
Incidence: 20-30% of all sports injuries • Military population 13,5% • More day amateur/professional cyclist 35% • Adolescence generic population 29% • General population 22,7%
In which age range occurs PFPS most often?
20-24
What could be causes for PFPS?
- loss of homeostasis
- maltracking
- neuromuscular dysfunction
What is between the y´zone of homeostasis and the zone of supraphysiologic overlaod (Dye)?
Envelope of functions
What might causes maltracking of the patella?
Powell
- impairment of quadriceps function
- impairment of soft tissue strains
- internal rotation of the femur
- abnormal PFJ anatomy
What could be a possible cause for kneeing in?
- pelvic drop
- internal rotation of the femur at the hip
- pronation of the foot
- week vastus medialis
- week quadriceps in general
- hip abductors too weak
What should be trained in which order for PFPS?
- neuromuscular activation
- endurance
- strength
- power
Which 4 muscles could be involved if there is a flexibility loss of the PFJ?
- hamstrings
- quadriceps
- tensor fascia latae
- gastrocnemius
Name 5 intrinsic risk factors for sports injuries. (Meeuwisse)
- Age
- Gender
- Body composition
- health
- physical fitness
- skills level
- anatomy
What are the most important points for exercises therapy in PFPS?
- limited load bearing exercises
- focus on ROM & VMO
- eccentric contraction exercises combined with functional load bearing
- pain-free exercises
