REHABILITATION FOR ANTERIOR KNEE PAIN EVALUATION AND REHABILITATION FOR ANTERIOR KNEE PAIN

................................................................................................3 Introduction.............................................................................................5 Case Description.......................................................................................8 Literature Review......................................................................................9 Biomechanics.................................................................................9 Evaluation...................................................................................11 Contact Pressures...........................................................................12 Maltracking..................................................................................13 Patellar Position............................................................................15 Pes Planus...................................................................................15 Heel Height..................................................................................15 Lateral Retinaculum & IT Band Tightness..............................................16 Hallux Valgus...............................................................................16 Hamstring Muscle Length.................................................................17 Hamstring Weakness/Under-Activation................................................17 Hip Muscle Weakness......................................................................18 Lumbar Radiculopathy.....................................................................18 Joint Laxity..................................................................................19 Quadriceps Weakness.....................................................................19 Symptomatic Bipartite Patella............................................................20 Leg Length Discrepancy...................................................................21 Rehabilitation for Anterior Knee Pain 2 Poor Quad Flexibility.......................................................................21 Articular Cartilage Injury..................................................................21 Bone Tumors.................................................................................21 Osgood-Schlatter Disease.................................................................22 Osteochondritis Dissecans................................................................22 Patellar Stress Fracture....................................................................22 Patellar/Quadriceps Tendinopathy.......................................................23 Osteoarthritis................................................................................23 Pes Anserine and Prepatellar Bursitis...................................................23 Summary.....................................................................................24 Case Report............................................................................................24 Tests and Measures.........................................................................25 Self-Reported Measures....................................................................27 Clinical Impression.........................................................................28 Intervention..................................................................................29 Outcomes....................................................................................30 Discussion....................................................................................31 Conclusion...........................................................................................33 Table 1: Clinical Outcome Measures....................................................34 References............................................................................................35 Appendix A: Anterior Knee Pain Algorithm...................................................40 Rehabilitation for Anterior Knee Pain 3