Patellofemoral pain syndrome (PFP) presents differently depending on the patient's musculoskeletal profile. A distinct subgroup is characterised by hypermobility of the foot combined with restricted mobility in key soft-tissue structures — a pattern that influences both assessment and management.
People with mobility impairment caused by PFP may present with hypermobility of the foot alongside hypomobility of the hamstrings, quadriceps, gastrocnemius-soleus complex, patellar retinaculum, or iliotibial band. This combined pattern of hyper- and hypomobility defines a specific sub-population requiring targeted intervention.
For this presentation, management centres on a specific type of off-the-shelf supportive device targeting foot mechanics. The full structured regimen — including selection criteria, sequencing, and accompanying interventions — is detailed in the complete protocol.
People with mobility impairment caused by PFP have hypermobility of the foot with hypomobility of the hamstrings, quadriceps, gastrocnemius-soleus complex, patellar retinaculum, or iliotibial band.
Prefabricated foot orthoses may be beneficial for this group.
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