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What did I do?
I investigated if we could optimise who should receive foot orthoses in the management of people who have patellofemoral pain. I did this by investigating if a patient’s presenting characteristic—foot mobility—helps to determine who benefits most from foot orthoses, compared with hip exercises, in a large multicentre randomised clinical trial in Australia and Denmark.
Why did I do it?
I was driven by clinical curiosity. Patellofemoral pain is considered a multifactorial condition with underlying biomechanical, neuromuscular and/or psychological contributors. International consensus1 and clinical guidelines2 recommend exercise therapy targeting the hip muscles and/or the knee and a distal consideration of foot orthoses. The recommendation of proximal and distal approaches presents two clinical quandaries. First, which individual’s presenting characteristic(s) may help guide clinicians which end of the lower limb to prioritise (ie, foot orthoses or hip exercises) and second, which of these treatments …
Contributors The manuscript was prepared by the author with contributions from Professor Bill Vicenzino.
Funding This study was funded by National Health and Medical Research Council (631717).
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.