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Table 2 Physiotherapy treatment components

From: Targeted physiotherapy for patellofemoral joint osteoarthritis: A protocol for a randomised, single-blind controlled trial

Functional retraining exercises† performed four times/week – participants perform a contraction of medial quadriceps in two of the following functional activities

 

- sitting (isometric)

 

- sit-stand

 

- step up

 

- single leg squat

 

Quadriceps muscle strengthening † performed four times/week – participants complete one exercise in each of the following

 

- inner range (open kinetic chain)

 

- mid range (open kinetic chain)

 

- weight-bearing (wall squat)

 

Hip abduction strengthening † performed four times/week

 

- sidelying hip abduction

 

Patellar taping

 

- combination of tilt, medial glide and fat pad unloading – tape will be applied by the physiotherapist at each visit, worn continuously for one week and then removed

-

Patellofemoral and soft-tissue mobilisation

 

- mobilisation of the patella (medial glides) performed by the physiotherapists

 

- massage to the painful and tight soft tissue structures, performed by the physiotherapist

 
  1. †Exact exercise and its number of repetitions will be determined by the physiotherapist from a schedule of permissible exercises based on each participant's clinical presentation (eg strength, pain severity, swelling), presence of comorbidities (eg back and hip pain or pathology) and will be progressed based on individual response to exercise load