Conclusion
This case report presents a novel clinical assessment of the lower
extremity movement patterns and a clinical neuromuscular
training and education program for a patient with PFPS.
Examination findings utilizing 2D frontal plane projection
indicated the patient exhibited medial collapse. Treatment was
described which emphasized the modification of movements and
alignment during functional activities. This patient was able to
eliminate pain and return to unlimited functional activities
without treatment focused on proximal or distal impairments.
Learned motor patterns and neuromuscular training that optimizes
alignment of the lower extremity should continue to be evaluated
226 B. Yemm & D. A. Krause Physiother Theory Pract, 2015; 31(3): 221–229
in the treatment of patients with PFPS who demonstrate medial
collapse. Further research is indicated to determine the reliability
and validity of the 2D evaluation method of medial collapse
utilized to create a universally acceptable classification system.
There is a need to establish clinical identification of patients with
PFPS who will best respond to this or similar neuromuscular
training programs.