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Title: Low-cost evaluation and real-time feedback of static and dynamic weight bearing asymmetry in patients undergoing in-patient physiotherapy rehabilitation for neurological conditions.
Epworth Authors: Whitehead, Timothy
Other Authors: Culvenor, Adam
Collins, Natalie
Vicenzino, Bill
Cook, Jill
Morris, Hayden
Crossley, Kay
Keywords: Musculoskeletal Clinical Institute, Epworth HealthCare, Victoria, Australia
Anterior Knee Pain
Quality Of Life
Anterior Cruciate Ligament Reconstruction
Patellofemoral Pain
Return To Sport
Hamstring-tendon Anterior Cruciate Ligament Reconstruction
Issue Date: Jul-2015
Publisher: Elsevier
Citation: J Sci Med Sport. 2015 Jul 10. pii: S1440-2440(15)00143-7.
Abstract: OBJECTIVES: Patellofemoral pain is a frequent and troublesome complication following anterior cruciate ligament reconstruction (ACLR), irrespective of graft source. Yet, little is known about the factors associated with patellofemoral pain following hamstring-tendon ACLR. DESIGN: Retrospective analysis of potential patellofemoral pain predictors, and cross-sectional analysis of possible patellofemoral pain consequences. METHODS: Potential predictors (pre-injury patellofemoral pain and activity level, concomitant patellofemoral cartilage damage and meniscectomy, age, sex, and surgical delay) and consequences (hopping performance, quality of life, kinesiophobia, and return to sport rates and attitudes) of patellofemoral pain 12 months following hamstring-tendon ACLR were assessed in 110 participants using univariate and multivariate analyses. RESULTS: Thirty-three participants (30%) had patellofemoral pain at 12 months post-ACLR. Older age at the time of ACLR was the only predictor of post-operative patellofemoral pain. Following ACLR, those with patellofemoral pain had a higher body mass index, and worse physical performance, quality of life, kinesiophobia and return to sport attitudes. Patellofemoral pain has a significant burden on individuals 12 months following hamstring-tendon ACLR. CONCLUSIONS: Clinicians need to be cognisant of patellofemoral pain, particularly in older individuals and those with a higher body mass index. The importance of considering psychological factors that are not typically addressed during ACLR rehabilitation, such as kinesiophobia, quality of life and return to sport attitudes is emphasised.
DOI: 10.1016/j.jsams.2015.07.008
PubMed URL:
ISSN: 1440-2440
Journal Title: Journal of Science and Medicine in Sport
Type: Journal Article
Affiliated Organisations: The University of Queensland, School of Health and Rehabilitation Sciences, Division of Physiotherapy, Australia
The University of Melbourne, Department of Mechanical Engineering, Australia
La Trobe University, Department of Physiotherapy, School of Allied Health, College of Science, Health and Engineering, Australia
Monash University, Department of Physiotherapy, School of Primary Health Care, Australia
The University of Melbourne, Department of Physiotherapy, Melbourne School of Health Sciences, Australia
Type of Clinical Study or Trial: Retrospective studies
Appears in Collections:Musculoskeletal
Pain Management

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