Efficacy of Feedback on Running Gait Retraining in Patients With Patellofemoral Pain: A Critically Appraised Topic

in International Journal of Athletic Therapy and Training
Restricted access

Purchase article

USD  $24.95

Student 1 year subscription

USD  $74.00

1 year subscription

USD  $99.00

Student 2 year subscription

USD  $141.00

2 year subscription

USD  $188.00

Clinical Question: Is it beneficial to utilize feedback motion retraining in improving gait biomechanics, pain, and self-reported function on patients with patellofemoral pain (PFP)? Clinical Bottom Line: There is sufficient evidence to support the use of feedback motion retraining to improve gait, pain, and function in PFP rehabilitation.

Jeon and Thomas are with the University of North Carolina at Charlotte, Charlotte, NC.

Address author correspondence to Hyunjae Jeon at hjeon2@uncc.edu.
  • 1.

    Willy RW, Scholz JP, Davis IS. Mirror gait retraining for the treatment of patellofemoral pain in female runners. Clin Biomech (Bristol, Avon). 2012;27(10):1045–1051. PubMed ID: 22917625 doi:10.1016/j.clinbiomech.2012.07.011

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2.

    Willy RW, Davis IS. Varied response to mirror gait retraining of gluteus medius control, hip kinematics, pain, and function in 2 female runners with patellofemoral pain. J Orthop Sports Phys Ther. 2013;43(12):864–874. PubMed ID: 24175611 doi:10.2519/jospt.2013.4516

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    Noehren B, Scholz J, Davis I. The effect of real-time gait retraining on hip kinematics, pain and function in subjects with patellofemoral pain syndrome. Br J Sports Med. 2011;45(9):691–696. PubMed ID: 20584755 doi:10.1136/bjsm.2009.069112

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Roper JL, Harding EM, Doerfler D, et al. The effects of gait retraining in runners with patellofemoral pain: a randomized trial. Clin Biomech (Bristol, Avon). 2016;35:14–22. doi:10.1016/j.clinbiomech.2016.03.010

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 5.

    Petersen W, Rembitzki I, Liebau C. Patellofemoral pain in athletes. Open Access J Sports Med. 2017;8:143–154. PubMed ID: 28652829 doi:10.2147/OAJSM.S133406

  • 6.

    Crossley KM, Stefanik JJ, Selfe J, et al. 2016 Patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester. Part 1: terminology, definitions, clinical examination, natural history, patellofemoral osteoarthritis and patient-reported outcome measures. Br J Sports Med. 2016;50(14):839–843. PubMed ID: 27343241 doi:10.1136/bjsports-2016-096384

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    Barber Foss KD, Myer GD, Chen SS, Hewett TE. Expected prevalence from the differential diagnosis of anterior knee pain in adolescent female athletes during preparticipation screening. J Athl Train. 2012;47(5):519–524. PubMed ID: 23068589 doi:10.4085/1062-6050-47.5.01

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 8.

    Glaviano NR, Baellow A, Saliba S. Physical activity levels in individuals with and without patellofemoral pain. Phys Ther Sport. 2017;27:12–16. PubMed ID: 28780340 doi:10.1016/j.ptsp.2017.07.002

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    Thomas MJ, Wood L, Selfe J, Peat G. Anterior knee pain in younger adults as a precursor to subsequent patellofemoral osteoarthritis: a systematic review. BMC Musculoskelet Disord. 2010;11:201. PubMed ID: 20828401 doi:10.1186/1471-2474-11-201

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    Waryasz GR, McDermott AY. Patellofemoral pain syndrome (PFPS): a systematic review of anatomy and potential risk factors. Dyn Med. 2008;7:9. PubMed ID: 18582383 doi:10.1186/1476-5918-7-9

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Dierks TA, Manal KT, Hamill J, Davis IS. Proximal and distal influences on hip and knee kinematics in runners with patellofemoral pain during a prolonged run. J Orthop Sports Phys Ther. 2008;38(8):448–456. PubMed ID: 18678957 doi:10.2519/jospt.2008.2490

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12.

    Ferber R, Kendall KD, Farr L. Changes in knee biomechanics after a hip-abductor strengthening protocol for runners with patellofemoral pain syndrome. J Athl Train. 2011;46(2):142–149. PubMed ID: 21391799 doi:10.4085/1062-6050-46.2.142

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    Thomson C, Krouwel O, Kuisma R, Hebron C. The outcome of hip exercise in patellofemoral pain: a systematic review. Man Ther. 2016;26:1–30. PubMed ID: 27428378 doi:10.1016/j.math.2016.06.003

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 14.

    Neal BS, Barton CJ, Gallie R, O’Halloran P, Morrissey D. Runners with patellofemoral pain have altered biomechanics which targeted interventions can modify: a systematic review and meta-analysis. Gait Posture. 2016;45:69–82. PubMed ID: 26979886 doi:10.1016/j.gaitpost.2015.11.018

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Milner CE, Fairbrother JT, Srivatsan A, Zhang S. Simple verbal instruction improves knee biomechanics during landing in female athletes. Knee. 2012;19(4):399–403. PubMed ID: 21676618 doi:10.1016/j.knee.2011.05.005

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16.

    Munro A, Herrington L. The effect of videotape augmented feedback on drop jump landing strategy: implications for anterior cruciate ligament and patellofemoral joint injury prevention. Knee. 2014;21(5):891–895. PubMed ID: 24950995 doi:10.1016/j.knee.2014.05.011

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17.

    Taunton JE, Ryan MB, Clement DB, McKenzie DC, Lloyd-Smith DR, Zumbo BD. A retrospective case-control analysis of 2002 running injuries. Br J Sports Med. 2002;36(2):95–101. PubMed ID: 11916889 doi:10.1136/bjsm.36.2.95

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 18.

    Powers CM. The influence of abnormal hip mechanics on knee injury: a biomechanical perspective. J Orthop Sports Phys Ther. 2010;40(2):42–51. PubMed ID: 20118526 doi:10.2519/jospt.2010.3337

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 19.

    Powers CM, Witvrouw E, Davis IS, Crossley KM. Evidence-based framework for a pathomechanical model of patellofemoral pain: 2017 patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester, UK: part 3. Br J Sports Med. 2017;51(24):1713–1723. PubMed ID: 29109118 doi:10.1136/bjsports-2017-098717

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 20.

    Ericksen HM, Thomas AC, Gribble PA, Doebel SC, Pietrosimone BG. Immediate effects of real-time feedback on jump-landing kinematics. J Orthop Sports Phys Ther. 2015;45(2):112–118. PubMed ID: 25552287 doi:10.2519/jospt.2015.4997

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 21.

    Mandelbaum BR, Silvers HJ, Watanabe DS, et al. Effectiveness of a neuromuscular and proprioceptive training program in preventing anterior cruciate ligament injuries in female athletes: 2-year follow-up. Am J Sports Med. 2005;33(7):1003–1010. PubMed ID: 15888716 doi:10.1177/0363546504272261

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 22.

    Etnoyer J, Cortes N, Ringleb SI, Van Lunen BL, Onate JA. Instruction and jump-landing kinematics in college-aged female athletes over time. J Athl Train. 2013;48(2):161–171. PubMed ID: 23672380 doi:10.4085/1062-6050-48.2.09

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 23.

    Hewett TE, Myer GD, Ford KR. Reducing knee and anterior cruciate ligament injuries among female athletes: a systematic review of neuromuscular training interventions. J Knee Surg. 2005;18(1):82–88. PubMed ID: 15742602 doi:10.1055/s-0030-1248163

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 24.

    Padua DA, DiStefano LJ, Hewett TE, et al. National Athletic Trainers’ Association position statement: prevention of anterior cruciate ligament injury. J Athl Train. 2018;53(1):5–19. PubMed ID: 29314903 doi:10.4085/1062-6050-99-16

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 25.

    Gokeler A, Benjaminse A, Welling W, Alferink M, Eppinga P, Otten B. The effects of attentional focus on jump performance and knee joint kinematics in patients after ACL reconstruction. Phys Ther Sport. 2015;16(2):114–120. PubMed ID: 25443228 doi:10.1016/j.ptsp.2014.06.002

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 26.

    Fukuda TY, Melo WP, Zaffalon BM, et al. Hip posterolateral musculature strengthening in sedentary women with patellofemoral pain syndrome: a randomized controlled clinical trial with 1-year follow-up. J Orthop Sports Phys Ther. 2012;42(10):823–830. PubMed ID: 22951491 doi:10.2519/jospt.2012.4184

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 27.

    Myer GD, Ford KR, Brent JL, Hewett TE. Differential neuromuscular training effects on ACL injury risk factors in“high-risk” versus “low-risk” athletes. BMC Musculoskelet Disord. 2007;8:39. PubMed ID: 17488502 doi:10.1186/1471-2474-8-39

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
All Time Past Year Past 30 Days
Abstract Views 116 116 0
Full Text Views 54 54 37
PDF Downloads 11 11 8