Six recommendations for managing patellofemoral pain – Consensus statement
The patellofemoral pain research community met in July 2015 to present recent research findings and discuss the current state of the evidence. The meeting resulted in six key recommendations, based on evidence published between January 2010 and June 2015, and voting by those attending the meeting:
1) Exercise is recommended to reduce pain in the short, medium and long term, and improve function in the medium and long term.
2) Combining hip and knee exercises is recommended to reduce pain and improve function in the short, medium and long term, and this combination should be used in preference to knee exercises alone.
3) Combined interventions are recommended to reduce pain in adults with patellofemoral pain in the short and medium term.
4) Foot orthoses are recommended to reduce pain in the short term.
Other adjunctive interventions
5) Patellofemoral, knee and lumbar mobilisations may not improve outcomes.
6) Electrophysical agents may not improve outcomes.
Nb: These recommendations should be combined with information gathered from individual patients, regarding their preferences, experiences, presentation and values, along with the values, expertise and skills of individual practitioners to create a patient-centred treatment approach.