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Updated: May 2, 2026

Comparative Analysis of Lower Limb Kinematics between the Initial and Terminal Phase of 5km Treadmill Running
Published on: July 17, 2020
Patellofemoral pain in runners.
1Department of Functional Restoration, Division of Physical Medicine and Rehabilitation, Stanford University Medical Center, R105-D, 300 Pasteur Drive, Stanford, California 94305, USA.
Patellofemoral pain in runners often stems from patellar malalignment. This article details assessing static and dynamic factors, including anatomical and strength deficits, for effective rehabilitation.
Area of Science:
- Orthopedics
- Sports Medicine
- Biomechanics
Background:
- Patellofemoral pain is a prevalent knee condition in runners.
- Most cases are linked to some degree of patellar malalignment.
- Understanding contributing factors is crucial for effective treatment.
Purpose of the Study:
- To outline methods for assessing static and dynamic factors of patellar malalignment.
- To identify key anatomical, soft tissue, and strength deficits.
- To guide successful rehabilitation programs for runners with patellofemoral pain.
Main Methods:
- Assessment of static patellar positioning.
- Evaluation of dynamic lower extremity mechanics during running.
- Identification of anatomical variations.
- Analysis of soft tissue restrictions.
- Strength testing of key muscle groups.
Main Results:
- Altered patellar position is frequently associated with specific biomechanical deviations.
- Anatomical variations can predispose individuals to malalignment.
- Soft tissue tightness and muscle strength imbalances are common contributors.
- A comprehensive assessment identifies multifactorial causes of patellar malalignment.
Conclusions:
- Effective management of patellofemoral pain requires addressing both static and dynamic malalignment.
- Correction of anatomical, soft tissue, and strength deficits is essential for successful rehabilitation.
- A thorough evaluation is key to developing individualized treatment plans for runners.
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