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Patellofemoral pain: consensus statement from the 3rd International Patellofemoral Pain Research Retreat held in Vancouver, September 2013
  1. Erik Witvrouw1,2,
  2. Michael J Callaghan3,
  3. Joshua J Stefanik4,
  4. Brian Noehren5,
  5. David M Bazett-Jones6,
  6. John D Willson7,
  7. Jennifer E Earl-Boehm8,
  8. Irene S Davis9,
  9. Christopher M Powers10,
  10. Jenny McConnell11,
  11. Kay M Crossley12
  1. 1Aspetar, Qatar Orthopedic and Sports Medicine Hospital, Doha, Qatar
  2. 2Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Ghent, Belgium
  3. 3Manchester Academic Health Science Centre (MAHSC), University of Manchester, Manchester, UK
  4. 4College of Health and Rehabilitation Sciences, Boston University School of Medicine, Boston, Massachusetts, USA
  5. 5Division of Physical Therapy, University of Kentucky, Lexington, Kentucky, USA
  6. 6Department of Physical Therapy, Carroll University, Waukesha, Wisconsin, USA
  7. 7Department of Physical Therapy, East Carolina University, Greenville, North Carolina, USA
  8. 8Department of Kinesiology, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin, USA
  9. 9Department of Physical Medicine and Rehabilitation, Harvard Medical School, Cambridge, Massachusetts, USA
  10. 10Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, California, USA
  11. 11McConnell and Clements Physiotherapy, Mosman, Australia
  12. 12Division of Physiotherapy, School of Health & Rehabilitation Sciences, University of Queensland, Brisbance, Queensland, Australia
  1. Correspondence to Professor Erik Witvrouw, Aspetar, Qatar Orthopedic and Sports Medicine Hospital, Doha, Qatar; erik.witvrouw{at}aspetar.com

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Introduction

Patellofemoral pain (PFP) is often seen in physically active individuals and may account for 25–40% of all knee problems seen in a sports injury clinic.1 ,2 Patellofemoral-related problems occur more frequently in women than in men.3 PFP is characterised by diffuse pain over the anterior aspect of the knee and aggravated by activities that increase patellofemoral joint (PFJ) compressive forces, such as squatting, ascending and descending stairs and prolonged sitting, as well as repetitive activities such as running. It, therefore, has a debilitating effect on sufferers’ daily lives by reducing their ability to perform sporting and work-related activities pain free. Dye has described PFP as an orthopaedic enigma, and it is one of the most challenging pathologies to manage.4 Alarmingly, a high number of individuals with PFP have recurrent or chronic pain.5 While physiotherapy interventions for PFP have proven effective compared with sham treatments, treatment results can be disappointing in a proportion of patients. This variability in treatment results may be due to the fact that the underlying factors that contribute to the development of PFP are not being addressed, or are not the same for all patients with PFP. The mission of the 3rd International Patellofemoral Research Retreat was to improve our understanding concerning the factors that contribute to the development and consequently to the treatment of PFP.

The 3rd International Patellofemoral Research Retreat was held in Vancouver, Canada, in September 2013, for 3 days: from 18 September to 21 September. After peer-review for scientific merit and relevance to the retreat, 58 abstracts were accepted for the retreat (39 podiums, 8 posters and 11 thematic posters). The podium and poster presentations were grouped into three categories: (1) natural history of PFP and local factors that influence PFP, (2) trunk and distal factors that influence PFP and …

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