for Anterior Knee Pain
also referred to as anterior knee pain, is a common musculoskeletal
condition in the general and sporting communities. It affects up to
25% of the population, 36% of adolescents and is more prevalent in
Patellofemoral Pain Syndrome is characterised by
anterior or peri-patellar knee pain in the absence of other knee
pathology. This pain can be diffuse or sharp and is usually
associated with at least two of the following activities:
It may be associated with crepitus on knee movements,
occasional swelling particularly after exercise, and pseudo locking
or giving way.
||ascending or descending stairs
||sitting for long periods |
Role of physiotherapy
Physiotherapy is the mainstay of conservative treatment for
this condition and the Australian physiotherapy profession has
received international recognition for anterior knee pain
The most effective treatment for patellofemoral
pain is a McConnell program, designed and monitored by a
physiotherapist according to the patient's individual needs. This
recognised anterior knee pain management program was first
introduced by Jenny McConnell, an Australian physiotherapist
(McConnell, 1986). The approach uses a specialised, functional
exercise program to improve the muscle control around the knee and
taping to reposition the patella.
When treatment is given by a physiotherapist
trained in patellofemoral pain, the results are excellent. In the
majority of cases, only five to six treatments are required to
enable the patient to return to normal and sporting activities.
Physiotherapy management, based on that described by
McConnell, has been shown to be effective in two large case-series
(McConnell 1986, Gerrard 1989) with up to 91% of anterior knee pain
patients having an excellent or good response. Australian
physiotherapists are currently undertaking the first randomised,
controlled trial evaluating the effectiveness of this treatment
compared to a placebo control. This project is being funded by the
physiotherapy profession via the Physiotherapy Research Foundation.
McConnell J (1986): The
management of chondromalacia patellae: A long-term solution. The
Australian Journal of Physiotherapy 32(4): 215-223.
B (1989): The patello-femoral pain syndrome: A clinical trial of the
McConnell program. The Australian Journal of Physiotherapy
Would you like the names of
physiotherapists who have a special interest in McConnell Treatment for
Anterior Knee Pain? This falls under the categories of
Women's Health, Continence and Incontinence - Call us on (03) 9527 7532 or contact us here.
|By courtesy of the Australian Physiotherapy Association