Abstract :Introduction: Evidenced based practice is grounded upon the integration of current literature and clinical practice. Throughout the musculoskeletal management of a patient, clinical questions can be answered based on current research. Patellofemoral pain syndrome (PFPS) is a common condition with a reported incidence of 20-40% of all knee cases in sports medicine clinics. The purpose of this case report is to demonstrate how a literature review can enhance clinical reasoning during the management of the patient/client with PFPS.
Case Description: 17 year old male football player with chief complaint of bilateral anterior knee pain (Right>Left) with activity limitation of squatting, running, and jumping. Methods: A literature search in Medline & CINAHL was conducted reviewing abstracts focusing on movement assessments identify dysfunctional movement patterns and individuals at risk for injuries; and movement assessment assisting in developing prognosis and plan of care. The review of literature revealed 15 articles that were deemed appropriate.
Conclusion: PFPS is a common musculoskeletal condition facing today’s clinician. The challenge for clinician’s within the current healthcare environment stem from the fact PFPS is a mutifactorial issue with no definitive diagnostic criteria, and limited clinical utility of impairment based clinical tests have provided minimal information that can assist the clinician in managing patients with this condition. Movement assessments are potential alternatives from isolated impairment based tests that can enhance clinical reasoning by capturing regional interdependence implications