The Management of Chondromalacia Patellae: A Long Term Solution

Abstract

Patellofemoral pain syndrome can be a difficult condition to manage effectively. The success rate of most treatment regimes has been poor and in the long term the condition frequently recurs. The author has developed a treatment programme which has a ninety-six percent success rate. Long term follow up of patients, after twelve months demonstrated that all patients reviewed have remained pain free. The programme involves two major components: a thorough understanding of the mechanics of the patellofemoral joint so that an adequate assessment of the patient's lower limb can be made, and context specific training of certain muscles which contribute to patellar alignment. This training must be relatively pain free so that muscle control can be enhanced.

Evaluation of the Scope and Quality of Systematic Reviews on Nonpharmacological Conservative Treatment for Patellofemoral Pain Syndrome

“…This could potentially lead to publication bias because clinical trials with positive findings are more likely to be published. 54 However, attempting to…”

“…42,52 The Cochrane Collaboration is an independent international organization dedicated to providing health care professionals with up-to-date and accurate information, primarily via dissemination of unbiased systematic reviews. 43 While the Cochrane Collaboration adheres to stringent methods for evaluating and summarizing the evidence, 54 this may not always be the case with other sources of systematic reviews.…”

Effect of patellar taping on vasti onset timing, knee kinematics, and kinetics in asymptomatic individuals with a delayed onset of vastus medialis oblique

“…3,4 A number of factors have been proposed to influence patellar tracking, including bony alignment, soft tissue tightness, and muscle activity, [5][6][7] and most treatments for PFP aim to address these aspects. [8][9][10] Application of medially directed tape over the patella, as developed by McConnell, 11 is widely used to treat patellofemoral pain (PFP). McConnell originally hypothesized that patellar taping normalized patellar tracking by mechanically shifting the patella.…”

“…McConnell originally hypothesized that patellar taping normalized patellar tracking by mechanically shifting the patella. 11 Although it is not clear if tape actually alters patellar position, [12][13][14] it is well documented that immediate pain relief occurs with patellar taping 12,14,[16][17][18][19][20] and that this pain relief is greater than that seen with tape applied over the skin without attempts to realign the patella. [20][21][22] There is evidence that neuromotor control of the vasti is altered in individuals with PFP.…”

Uso del taping en el manejo clínico de sujetos con pinzamiento sub-acromial: revisión sistemática

“…También se ha reportado un aumento del rango de movimiento (35,38,(48)(49)(50)59), mejoras en el drenaje linfático (23,35,(60)(61)(62), movilidad escapular (63), soporte de mús-culos débiles (35,63) y corrección de desalineamiento articular (35,43,64). Por esto es que esta intervención es ampliamente utilizada en el campo de la rehabilitación como herramienta útil, tanto como un medio de tratamiento, como en la prevención de las lesiones deportivas (43,64,65).Actualmente, el uso del taping se está llevando a cabo como terapia paralela a la brindada por el fisioterapeuta, principalmente orientada a mantener la evolución alcanzada durante las intervenciones. Sin embargo, varios autores mencionan que la función de soporte del tape se pierde dentro de un tiempo relativamente corto después de su aplicación (68-70).…”