Orthopedic massage protocol for post ACL reconstruction patellofemoral pain syndrome

Abstract

The intent of this study is to determine the effectiveness of orthopedic massage in the rehabilitation of post anterior cruciate ligament (ACL) reconstruction patellofemoral pain syndrome (PFPS). The primary complications following surgical repair of the ACL and classified as PFPS are hamstring flexion contracture and quadriceps weakness, leading to patellofemoral dysfunction and retropatellar pain. Treatment included lymphatic drainage, myofascial release, neuromuscular therapy including trigger point release, muscle energy techniques and cross-fiber friction. Orthopedic physical assessment tests were used to track effectiveness of massage as well as subjective reporting on pain level and function. Results of this study showed a decrease in pain levels, hamstring flexion contracture, and lateral tracking of the patella. Orthopedic massage was determined to be an effective complimentary therapy in the treatment of PFPS.