Disciplines: Physical Therapy
Hours: 3 Contact Hours
Author(s):

Robert Maschi, PT, DPT, OCS, CSCS

Peer Reviewer(s): Richard Souza, PT, PhD, ATC
Item#: Q3493
Contents: 1 Course Book (90 pages)

Patellofemoral Pain Syndrome: Current Concepts in Evaluation and Treatment



Price $29.95
Item # Q3493
When available, the Online Course format is included with the hard copy, eBook, or audio book formats!

Patellofemoral pain syndrome (PFPS) is one of the most common lower extremity disorders seen in orthopedic practice and is very common in active individuals. PFPS is the most common injury in runners and is prevalent in 12%-15 % of the military population. PFPS is related to a combination of factors involving overuse and overload of the patellofemoral joint and may involve biomechanical issues and muscular dysfunction. The multifactorial etiology of PFPS has led to much controversy regarding causes, classifications, and optimal interventions for this disorder. For these reasons it is one of the most challenging knee problems to manage. Conservative interventions have proven to be effective for some individuals, but PFPS’s high recurrence rate and level of chronicity emphasize the importance of identifying and addressing underlying causes of pain . Recent research has generated some consensus on the best management strategies for PFPS examination and treatment.  This course presents the latest evidence and expert consensus regarding the management of patellofemoral disorders.  

This intermediate-level course reviews relevant anatomy and important biomechanical considerations for the loading of the patellofemoral joint during static and dynamic activities. Evidence regarding the reliability and validity of commonly used examination techniques is presented. Discussion of etiology and presentations of various categories of PFPS clarify the classification process and selection of treatment strategies based on the unique signs and symptoms for each individual. The current evidence regarding efficacy of interventions is presented as well as appropriate outcome measures to assess patient progress and clinically important changes. Operative procedures for the patellofemoral joint and post- operative rehabilitation principles are discussed. Finally, prevention strategies are outlined with evidence regarding their efficacy. 

This course presents the latest, evidence-based examination and treatment approaches for conservative management of PFPS and post-surgical rehabilitation for patellofemoral disorders.  Upon completing this course the learner will be able to evaluate, classify and provide evidence-based examinations, interventions, and treatment progressions for patients with PFPS.


Texas PTs & PTAs - This activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #1611021TX (from 12/1/13 to 11/30/16) and meets continuing competence requirements for PT & PTA license renewal in Texas.

Course Objectives
  • Describe the anatomy and mechanics of the patellofemoral joint.
  • Describe the etiology of patellofemoral pain syndrome (PFPS).
  • Describe the diagnosis, examination, and classification of patients with PFPS.
  • Describe an appropriate evidence-informed physical therapy treatment plan for a patient with PFPS.
  • Describe the surgical interventions and postoperative rehabilitation considerations used in treating PFPS.
  • Identify outcome measures and prevention strategies for PFPS.

Robert Maschi, PT, DPT, OCS, CSCS, received his master of science degree in physical therapy from Columbia University, in New York City, in 1994. He completed his DPT at Temple University, in Philadelphia, in 2004. He also received board certification in orthopaedic physical therapy from the American Board of Physical Therapy Specialties (ABPTS) in 2011. Currently, Dr. Maschi is an assistant clinical professor in the Department of Physical Therapy and Rehabilitation Sciences at Drexel University in Philadelphia. He teaches the musculoskeletal and orthopaedic curricula in the professional DPT program and post-professional PT program. Dr. Maschi practices in the Drexel University Running Performance and Research Center and the faculty-driven Drexel Physical Therapy Services Clinic, where he also serves as clinical mentor to orthopaedic residents and students. His clinical and research interests focus on the assessment of lower quarter biomechanics and their relationship to overuse injury, as well as the role of the pelvic girdle and core function in musculoskeletal injury.

Richard Souza, PT, PhD, ATC, is an associate professor in the Department of Physical Therapy and Rehabilitation Science at the University of California, San Francisco (UCSF). He currently teaches radiology and running biomechanics in the second year of the doctoral curriculum in physical therapy and is program director for the doctoral program in rehabilitation science. Dr. Souza received his PhD in biokinesiology from the University of Southern California. His doctoral dissertation investigated abnormal hip mechanics and patellofemoral pain in young, active females, using a combination of motion analysis and kinematic MRI. Dr. Souza received advanced MRI training during his postdoctoral residency in the Department of Radiology and Biomedical Imaging at UCSF. He received a National Space Biomedical Research Institute (NSBRI) postdoctoral fellowship to investigate the effects of unloading on cartilage composition using MR relaxation time mapping. 
Dr. Souza’s areas of expertise include biomechanics, medical imaging for orthopaedics, running overuse injuries, motion analysis, and osteoarthritis. His research interests are focused on the relationships between mechanics of human movement and lower extremity injuries. Much of his research combines advanced quantitative MR imaging and the evaluation of physical activity and loading behaviors. The goal of these studies is to determine the influence of loading mechanics on hip, knee, and ankle health, and to develop preventative and rehabilitative strategies for debilitating diseases such as osteoarthritis.

  • Courses must be completed within one (1) year of the date of purchase.
  • You must score 75% or higher on the final exam and complete the course evaluation to pass this course and receive a certificate of completion.
  • Through our review processes, Western Schools ensures that the course content is presented in a balanced, unbiased manner and is free from commercial influence. It is Western Schools’ policy not to accept commercial support.
  • All persons involved in the planning and development of this course have disclosed no relevant financial relationships or other conflicts of interest related to the course content.
  • There are no prerequisites for this course.
  • Richard Souza has disclosed that he serves as a consultant to Mitsui Chemicals America, Inc., a company that manufactures knee braces for knee osteoarthritis and patellofemoral pain. Western Schools ensures that this content is free from bias and commercial influence.