National Athletic Trainers’ Association Position Statement: Management of Individuals With Patellofemoral Pain.
Bolgla LA, Boling MC, Mace KL, DiStefano MJ, Fithian DC, Powers CM. J Athl Train. 2018 Sep;53(9):820-836. doi: 10.4085/1062-6050-231-15.
The National Athletic Trainers’ Association released a new position statement on the management of individuals with patellofemoral pain. The authors start the document with 22 recommendations related to risk factors, pain and functional outcome measures, nonsurgical treatment, and surgical treatment. In the next section they offer a review of the literature related to these recommendations.
This is a great position statement. I have commonly seen PFP as a chronic injury that is likely to reoccur. These recommendations have changed how I approach PFP. Knowing that it may be important to strengthen the glutes before the quadriceps will likely affect my rehabilitation protocol. When evaluating someone for PFP I look at Q-angle, heel enlightenment and forefoot movement; now that I know those factors are less likely to be associated with PFP changes the emphasis on those factors. This will likely change my PFP outcomes and hopefully have less recurrent injuries.