Age 18 – 40 years |
Disabling general illness |
Female or male |
Reported knee ligamentous or meniscal injuries |
Characteristic history of PFPS and symptoms lasting at least 6 months |
Previous knee surgery |
Patellofemoral pain during knee loading physical activity, such as jumping, running, squatting, or going up or down stairs |
Physician diagnosed knee osteoarthritis |
Patellofemoral pain when the knee was kept in flexion for a prolonged period, with relief on extension |
A history of patellar dislocation; however, subjects with patellar subluxation are included in the study |
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Other knee problems than PFPS diagnosed clinically (such as jumper's knee) |
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Other knee problems than PFPS diagnosed radiographically (such as osteochondritis dissecans) |
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Physical therapy for PFPS within the previous 4 weeks |
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Pregnancy |
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Competitive athlete |
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The second stage (orthopedic surgeon's clinical and radiological evaluation in ORTON) |
Inclusion criteria |
Exclusion criteria |
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As in stage one |
Clear medio-lateral instability in manual instability measurement |
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Knee problems other than PFPS |
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Knee osteoarthritis |
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Osteochondritis dissecans, loose bodies in the patellofemoral and tibiofemoral joints |