Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Musculoskeletal Disorders

Background and Objective: Patellofemoral pain syndrome (PFPS) is one of most common knee pain syndromes encountered in orthopaedic physical therapy outpatient clinic. The incidence rate for PFPS was 22/1000 patients-year. The patellofemoral joint are not only completing proper knee function but also essential for performing functional daily living and working activities. Exercise therapy is shown to be effective in improving pain and function in patellofemoral pain syndrome patients. The goal of this study was to determine the most effective approach of exercise therapy on improving pain and functional mobility in patients with PFPS. Methodology: A-computer {u2013} aided search of Medline, physiotherapy evidence data base (PEDro), EMBASE, the Cochrane controlled trial register databases was undertaken from January 2004 until December 2014 for randomized controlled trials of exercise therapy for patellofemoral pain syndrome. Data were extracted and trials qualities were assessed. Results were summarized by PEDro score. Results: Three randomized controlled trials were identified, the results concluded that the evidence support the effect of exercise therapy for PFPS patients. Conclusion: The evidence summarized in this systematic review indicates that exercise therapy is more effective than no treatment or other conservative treatment for PFPS, PNF stretching exercise was more effective for pain than other exercises, leg press with hip adduction exercise and leg press exercise were more effective for functional mobility than the other exercises

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