Table 1.

Summary of the Key Results from the Physical Examination

Test Item	Subject’s Response	Patient Findings Supporting MSI† Diagnosis of Patellar Tracking Syndrome with Superior Glide: Patella Alta
Alignment	No pain increase	Superior displacement of patella Adduction and medial rotation of the femur
Bilateral hip and knee flexion (partial squat)	Pain increase	Correction of resting alignment of patella decreased pain with movement
Active Knee Extension in Sitting	Pain increase; Crepitus	Correction of resting alignment of patella decreased pain with movement
Physiological Range of Motion of the Tibiofemoral Joint	Pain increase	Limited range of motion into flexion
Accessory Range of Motion Patellofemoral joint	No pain increase	Limited accessory mobility of patellofemoral joint in an inferior direction
Modified Ober Test	No pain increase	Shortened length
Manual Muscle Testing	Pain increase	Weak posterior gluteus medius bilaterally Quadriceps not tested secondary to pain Gluteus maximus not tested secondary to pain

^†Movement System Impairment