Quad Strengthening Protocol for PFPS | Patellofemoral Pain Syndrome

🚨 HELP TRANSLATE THIS VIDEO 🚨

One hypothesis about the etiology of Patellofemoral Pain Syndrome or PFPS is altered recruitment of the vasti in the quadriceps. Therefore, strengthening of the knee extensor group should improve symptoms in patients with PFPS.

📚 ARTICLES: Chiu et al (2012)
Barton et al 2013

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This is not medical advice! The content is intended to be educational only for health professionals and students. If you are a patient, seek care of a health care professional.

[berndwalddorf]

Hello Andreas! Thank you for your great videos. Could you please explain how the leg press should be executed for best results? Is it necessary to don't go under 90 degrees? Or do I try to improve my range of motion maybe every week (for example)? Where do I have to place my feet? Would be great if you could give me some instructions here. Thank you so much. Best regards, Bernd.

[Ela-runo]

Can you reply on the following question: why aren't you training the quads unilaterally? (one leg at a time)

Because this way you are compensating with both legs and you can't focus on the weak leg itself. This is what my physio told me.

I'm just curious to know!

[mariocarlesimo]

Hello Physiotutors! Thank you for this and all the videos. About this one...what about the the load of the exercises (kg or lbs)? And what should I do to increase it reasonably week after week in a hypothetical patient 70x70 (example).
Thanks for your time!

[TheIceyeddy]

Thanks for the great set of videos on patella femoral pain syndrome! Would love you to keep making these type of videos on other conditions e.g IT band syndrome,

[samwinter]

1. VMO< VLO
8 week knee quads:
- leg press
- sitting knee extension

[aernoudvankerkhoven]

Hello Physiotutors, Great videos with really helpfull compact content! Just a question, do you distinguish between different underlying pathophysiologies for PFPS in diagnosis and treatment? for example, are treatment approaches different for patellar maltracking causing lateral pressure vs patellar instability due to flat trochlea, or acute patella femoral pain caused by jumpers knee etc.? Thanks a lot!

[hdenzymes]

Hi guys, what would you recommend for a patient who has pfps however finds full knee extension exercises painful? Would u recommend to exercising to just short of that range ? Thanks so much

[bomesen]

some therapists said dont streangth quads just gluts mussels what do u think ?

[mutlucankartal]

Sir, I do not have 8 weeks.. Even though I am at 26 and I have damn strong quads, patellofemural thing happened to me, now I cannot even bend my leg .. I am a farmer and I have a lot of work to do physically.. I have to snatch 50 kg bags from the ground to the spreader .. I need something lightning fast.. Anything you can recommend?

[ZabAzulay]

There isnt a link for the combined knee and hip strength that you mention at the end of the video?

[peterlee]

I might have misheard it but did you say "leg press and sitting knee ext at 10RM" ?

[ohcomeon]

Ive always read that leg extension should be avoided with pfps

[GalaxyWorldTV]

Andreas, I'm having trouble finding the actual quad strengthening protocol. Is it just 4 sets of 10 reps (1 min. rest), 3x/week for 8 weeks? Also, I don't see any link in the top-right corner for calculating 1RM. Can you relink? Thank you!

[altaykosova]

what about leg extension machine and shear force on knee joint ?