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Pablo Fanlo-Mazas, Elena Bueno-Gracia, Alazne Ruiz de Escudero-Zapico, José Miguel Tricás-Moreno and María Orosia Lucha-López

Context: Tightness or lack of flexibility of several muscles of the thigh has been associated with patellofemoral joint pain. A tight iliotibial band can lead to laterally located patella and an abnormal patellar tracking pattern. Diacutaneous fibrolysis (DF) is commonly used to reduce muscle tightness, but no studies have evaluated the effects of this technique in the treatment of patients with patellofemoral pain syndrome. Objective: To assess the effect of DF on patellar position in patients with patellofemoral pain syndrome. Design: A single-group, pretest–posttest clinical trial. Setting: University of Zaragoza. Participants: A total of 46 subjects with patellofemoral pain (20 males, 26 females; age: 27.8 [6.9] y). Intervention: Three sessions of DF. Main Outcome Measures: Patellar position measurement using real-time ultrasound scanning; pain intensity measured with visual analog scale and function measured with the Anterior Knee Pain Scale. Results: The application of 3 sessions of DF significantly increased the patellar position at posttreatment evaluation (P < .001) and at 1-week follow-up (P < .001). There was not a significant difference on patellar position between posttreatment and follow-up measurements (P = .28). There were also a statistically significant decrease in pain and increase in function at posttreatment and at 1-week follow-up measurements (P < .001). Conclusion: This study found that patellar position, pain intensity, and function were significantly improved after 3 sessions of DF and at 1-week follow-up.

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Lütfiye Akkurt, İpek Alemdaroğlu Gürbüz, Ayşe Karaduman and Öznur Tunca Yilmaz

. PLoS ONE . 2015 ; 10 ( 3 ): 0121360 . PubMed ID: 25786251 doi:10.1371/journal.pone.0121360 10.1371/journal.pone.0121360 8. Czaprowski D , Leszczewska J , Kolwicz A , et al . The comparison of the effects of three physiotherapy techniques on hamstring flexibility in children: a prospective

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Yvonne G. Ellis, Dylan P. Cliff, Steven J. Howard and Anthony D. Okely

ID: 20068495 doi:10.1249/MSS.0b013e3181cea406 10.1249/MSS.0b013e3181cea406 20068495 Appendix References 1. Czaprowski D, Leszczewska J, Kolwicz A, et al. The comparison of the effects of three physiotherapy techniques on hamstring flexibility in children: a prospective, randomized, single-blind study

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Jesús Seco-Calvo, Juan Mielgo-Ayuso, César Calvo-Lobo and Alfredo Córdova

greater costs than CWI in the long term. From a wider perspective, the present work supported the theory that physiotherapy techniques, such as CWI, contribute to a better and faster recovery from fatigue, thereby improving performance during a regular season. The study also suggested that future research