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The interaction of hip and foot biomechanics in the presentation and management of patellofemoral pain
  1. Simon Lack1,2
  1. 1 Department of Sports and Exercise Medicine, William Harvey Research Institute, School of Medicine and Dentistry, Queen Mary University, London, UK
  2. 2 Pure Sports Medicine, London, UK
  1. Correspondence to Dr Simon Lack, Department of Sports and Exercise Medicine, Mile End Hospital, London E1 4DG, UK; s.lack{at}

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What did I do?

My thesis, consisting of six independent studies, investigated whether the interaction of hip and foot biomechanics better explains patellofemoral pain (PFP) presentation and management and could be used to inform feasibility studies delivering biomechancially tailored interventions for individuals with this recalcitrant condition.

Why did I do it?

PFP remains one of the most common conditions within sports medicine, orthopaedic and general practice settings.1 Long-term treatment outcomes are poor and emerging evidence indicates PFP may be on a continuum with patellofemoral osteoarthritis.2 Delivering tailored interventions, directed at the hip and foot, that reflected mine and others clinical practice has been proposed as an approach that improves patient outcome.3 To achieve patient-specific intervention, a greater understanding of effective treatments and the mechanisms of these effects was required.

How did I do it?

I conducted two systematic reviews with meta-analysis to (Study 1) identify predictors of conservative management outcomes …

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  • Funding This work was supported by the Private Physiotherapy Education Fund (PPEF) grant number A1 and A2.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.