Hypothesis: Anterior knee pain in the young patient-what causes the pain?"Neural model"

Sanchis-Alfonso, Vicente; Roselló-Sastre, Esther

doi:10.1080/00016470310018225

Cited by 59 publications

(34 citation statements)

References 29 publications

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“…21 tis of the peroneal or sciatic nerve in adult rats. Observations made by Sanchis-Alfonso and Roselló-Sastre 21,22 that patients with anterior knee pain presented with hyperinnervation in the lateral retinaculum might also explain the alteration of femoral nerve mechanosensitivity in the patient group.…”

Section: Discussionmentioning

confidence: 99%

“…With the arrival of neurodynamic theory, some researchers have proposed that minor nerve damage or altered mechanosensitivity of the femoral nerve may contribute to anterior knee pain. 2,[21][22][23] It has been shown that mechanosensitivity of nerves increases following injuries. 6,7 Sanchis-Alfonso and Roselló-Sastre 21,22 further suggested that excessive local pressure over the patella might cause periodic short episodes of ischemia, which may trigger neural proliferation and cause pain.…”

mentioning

confidence: 99%

“…2,[21][22][23] It has been shown that mechanosensitivity of nerves increases following injuries. 6,7 Sanchis-Alfonso and Roselló-Sastre 21,22 further suggested that excessive local pressure over the patella might cause periodic short episodes of ischemia, which may trigger neural proliferation and cause pain. Neurodynamic testing is designed to assess the responses of the nervous system (neurodynamic responses) when encountering mechanical stimuli.…”

mentioning

confidence: 99%

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Neurodynamic Responses to the Femoral Slump Test in Patients With Anterior Knee Pain Syndrome

Lin¹,

Shih²,

Chen³

et al. 2014

J Orthop Sports Phys Ther

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Neurodynamic Responses to the Femoral Slump Test in Patients With Anterior Knee Pain Syndrome

Lin¹,

Shih²,

Chen³

et al. 2014

J Orthop Sports Phys Ther

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“…While other theories have evolved as an explanation for PFPS, 16,17,78,82 none have gained sufficient clinical momentum to challenge the malalignment theory. The answer appears to have its origins in the assumption that PFPS and subluxation/ dislocation occupy different positions on the same pathological continuum 6,56,57 and that the pathologic forces which cause PFPS are of a similar nature, but simply of a lesser magnitude, to those which cause patellar dislocation/subluxation.…”

Section: Lateral Patellar Malalignment and Pfpsmentioning

confidence: 99%

The Measurement of Patellar Alignment in Patellofemoral Pain Syndrome: Are We Confusing Assumptions With Evidence?

Wilson¹

2007

J Orthop Sports Phys Ther

102

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“…(PFP) may also be attributable to vascular disturbance 50 and ischaemia [3] and some argue that biomechanics 51 alone cannot fully account for pain in all patients with…”

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confidence: 99%

An investigation of the relationship between thermal imaging and digital thermometer testing at the knee

Erande

Dey

Richards

et al. 2015

PPR

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U n c o r r e c t e d A u t h o r P r o o f BACKGROUND:A number of research papers and theoretical clinical models summarising how temperature of the skin over the knee may be altered according to different pathological processes have been published. Thermal imaging (TI) is generally regarded as the 'Gold' or 'reference' standard for measuring skin temperature, however this technology is not widely accessible to most musculoskeletal physiotherapists working in clinical environments. This is largely due to the time required for analysis of the thermal images and the high cost of the equipment. A digital thermometer (DT) is portable with a convenient display of results which could offer an inexpensive substitute. PURPOSE:The aim of this study was to determine the interchangeability between thermal imaging and a digital thermometer, using Bland-Altman limits of agreement, to determine skin temperature differences between right and left knees. 16METHODS: Seventy-one healthy participants in the age group of 8 to 40 participated in the study. Data were collected in two phases. The first phase was as part of a public engagement event at the Lancashire Science Festival where school children were invited to learn about science. The second phase of data collection took place as part of a PhD study where staff and students at the university were recruited via electronic advert and posters displayed around the campus. All subjects were free from lower back or lower limb problems and had not had any previous lower limb surgery. RESULTS:Matched paired t tests showed no significant difference between temperature difference between right and left using DT and TI (t = 1.41, df = 69, P = 0.08). The DT and TI were interchangeable to measure knee skin temperature difference with a limit of agreement of -0.64 and 0.75; this limit of agreement is acceptable based on previous literature where skin temperature differences between affected and non-affected knees are equal to or greater than 1 • C. CONCLUSION: This study concludes that an inexpensive handheld digital thermometer shows acceptable agreement with a thermal imaging camera. Clinically a handheld digital thermometer has the potential to play an important role in the localized assessment of skin temperature in physiotherapy and can offer an inexpensive substitute to thermal imaging; due to the massive difference in cost it is worth considering the adoption of digital thermometry in routine musculoskeletal physiotherapy practice.

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Hypothesis: Anterior knee pain in the young patient-what causes the pain?"Neural model"

Cited by 59 publications

References 29 publications

Neurodynamic Responses to the Femoral Slump Test in Patients With Anterior Knee Pain Syndrome

Neurodynamic Responses to the Femoral Slump Test in Patients With Anterior Knee Pain Syndrome

The Measurement of Patellar Alignment in Patellofemoral Pain Syndrome: Are We Confusing Assumptions With Evidence?

An investigation of the relationship between thermal imaging and digital thermometer testing at the knee

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