{"id":10879,"date":"2022-06-01T15:44:35","date_gmt":"2022-06-01T13:44:35","guid":{"rendered":"https:\/\/www.physiotutors.com\/?p=10879"},"modified":"2023-05-05T15:27:09","modified_gmt":"2023-05-05T13:27:09","slug":"psychosocial-awareness-in-the-management-of-patellofemoral-pain","status":"publish","type":"post","link":"https:\/\/www.physiotutors.com\/psychosocial-awareness-in-the-management-of-patellofemoral-pain\/","title":{"rendered":"Psychosocial Awareness in the Management of Patellofemoral Pain"},"content":{"rendered":"\n

Patellofemoral pain, (PFP) has historically been approached in a very biomedical way. After all, it\u2019s looking at pain arising from a joint and if the load on that joint is affected by biomechanics. So why should we bother with psychosocial considerations and what do we know about these in the PFP field? <\/p>\n\n\n\n

When research started around PFP in the 1980\u2019s most attention was placed on the VMO. A plethora of research led to inconclusive results around VMO anatomy, function and firing. The 1990s and into the 2000s saw focus turn to proximal structures and the role of pelvic and femoral position and control. Alongside this, there have been publications on the role of the foot, muscle length, trunk activation, and more recently running technique. External factors have been researched looking at load, footwear, stair load, etc. All useful, all informative but all very, very biomedical.<\/p>\n\n\n

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The silence around psychosocial considerations for patellofemoral pain was deafening<\/p>\n <\/div>\n

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The silence around psychosocial considerations was deafening. The research culture was housed around 3D camera systems, force plates, and EMG and it was very difficult to persuade those in positions of influence to embrace qualitative areas of research embracing the exploration of psychosocial topics. I had my crepitus research rejected for publication on the grounds of being, \u2018of insufficient interest to the readership\u2019 and similarly rejected to present at the Patellofemoral Research Retreat whilst alongside it my anatomy research on the architecture of the vmo was happily accepted to both. How off the mark these decision-makers at the time were. You cannot argue with the 1.1 Million views that the Physiotutors have received on their video about crepitus and their work!!<\/p>\n\n\n\n

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