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  • Patello Femoral Pain Syndrome Rehab Guidelines

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    Henrique Pina
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    This document outlines a four phase rehabilitation program for patello-femoral pain syndrome. Phase I focuses on decreasing joint irritation, promoting healing, education, flexibility exercises, and isometric quadriceps strengthening. Phase II establishes pain-free range of motion and improves strength with exercises like leg presses and hip adduction. Phase III improves quadriceps control, normalizes biomechanics with eccentric leg presses and squats. Phase IV improves endurance, returns to functional activity with a running program, lateral drills, agility, and plyometrics.

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    This document outlines a four phase rehabilitation program for patello-femoral pain syndrome. Phase I focuses on decreasing joint irritation, promoting healing, education, flexibility exercises, and isometric quadriceps strengthening. Phase II establishes pain-free range of motion and improves strength with exercises like leg presses and hip adduction. Phase III improves quadriceps control, normalizes biomechanics with eccentric leg presses and squats. Phase IV improves endurance, returns to functional activity with a running program, lateral drills, agility, and plyometrics.

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    22 views2 pages

    Patello Femoral Pain Syndrome Rehab Guidelines

    Uploaded by

    Henrique Pina
    This document outlines a four phase rehabilitation program for patello-femoral pain syndrome. Phase I focuses on decreasing joint irritation, promoting healing, education, flexibility exercises, and isometric quadriceps strengthening. Phase II establishes pain-free range of motion and improves strength with exercises like leg presses and hip adduction. Phase III improves quadriceps control, normalizes biomechanics with eccentric leg presses and squats. Phase IV improves endurance, returns to functional activity with a running program, lateral drills, agility, and plyometrics.

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    Kyle Anderson, MD William Beaumont Hospital

    26025 Lahser Road, 2nd Floor Southfield, MI 48033 Ph. (248) 663-1900 6900 Orchard Lake Road, #103 West Bloomfield, MI 48322 Ph. (248) 855-7400 3535 W. 13 Mile Road, #742 Royal Oak, MI 48073 Ph. (248) 551-9100

    PATELLO-FEMORAL PAIN SYNDROME REHABILITATION GUIDELINES Phase I: Goals: Decrease patello-femoral joint irritation Promote healing Patient education Activity modification Modalities, PRN Flexibility exercises/Patella mobility evaluation based Quadriceps isometrics (quad sets with towel roll; isometrics with foot on ground) utilizing biofeedback, e-stim SLR series Supine with knee unlocked Hip adduction Hip abduction (gluteus medius progression) Phase II: Goals: Establish pain-free ROM Improve strength deficits Modalities (ice) SLR series increase weight/ progress exercise as tolerated Bicycle (resistance to tolerance) Leg press (B/L) Contralateral Theraband Hip Adduction Retro-ambulation (treadmill, pool, underwater treadmill)

    Kyle Anderson, MD William Beaumont Hospital


    26025 Lahser Road, 2nd Floor Southfield, MI 48033 Ph. (248) 663-1900 6900 Orchard Lake Road, #103 West Bloomfield, MI 48322 Ph. (248) 855-7400 3535 W. 13 Mile Road, #742 Royal Oak, MI 48073 Ph. (248) 551-9100

    Phase III: Goals: Improve quadriceps control Normalize biomechanical forces Modalities (ice after exercise) Continue flexibility program Progress strengthening program Leg press (eccentric) Squats Step-ups Step-downs Initiate knee flexion isotonics to 90 Assess for external supports (taping, bracing)

    Phase IV: Goals: Improve endurance Return to functional activity Modalities (ice after exercise) Continue flexibility training Continue strengthening Initiate running program Retro-running forward running Unweighted treadmill Underwater treadmill Cross training Initiate lateral drills Agility training Progress proprioceptive training Initiate plyometrics progression

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