Consensus statement Consensus statement on exercise therapy and physical interventions (orthoses, taping and manual therapy) to treat patellofemoral pain:recommendations from the 5th InternationalPatellofemoral Pain Research Retreat, Gold Coast, Australia, 2017Natalie J Collins,1,2 Christian J Barton,2,3 Marienke van Middelkoop,4Michael J Callaghan,5 Michael Skovdal Rathleff,6 Bill T Vicenzino,1 Irene S Davis,7Christopher M Powers,8 Erin M Macri,9,10 Harvi F Hart,2,11 Danilo de Oliveira Silva,2,12 Kay M Crossley2AbsTRACTPatellofemoral pain affects a large proportion of the population, from adolescents to older adults, andcarries a substantial personal and societal burden.An international group of scientists and cliniciansmeets biennially at the International PatellofemoralResearch Retreat to share research findings relatedto patellofemoral pain conditions and developconsensus statements using best practice methods.This consensus statement, from the 5th International Patellofemoral Research Retreat held in Australiain July 2017, focuses on exercise therapy andphysical interventions (eg, orthoses, taping andmanual therapy) for patellofemoral pain. Literaturesearches were conducted to identify new systematic reviews and randomised controlled trials (RCTs)published since the 2016 Consensus Statement.The methodological quality of included systematicreviews and RCTs was graded using AMSTAR andPEDro, respectively. Evidence-based statements were developed from included papers and presented to apanel of 41 patellofemoral pain experts for consensus discussion and voting. Recommendations from theexpert panel support the use of exercise therapy(especially the combination of hip-focused and knee- focused exercises), combined interventions and foot orthoses to improve pain and/or function in peoplewith patellofemoral pain. The use of patellofemoral,knee or lumbar mobilisations in isolation, orelectrophysical agents, is not recommended. Thereis uncertainty regarding the use of patellar taping/bracing, acupuncture/dry needling, manual soft tissue techniques, blood flow restriction training and gaitretraining in patients with patellofemoral pain. In2017, we launched the International PatellofemoralResearch Network (www.ipfrn.org) to consolidateand grow our patellofemoral research community,facilitate collaboration and disseminate patellofemoral pain knowledge to clinicians and the general public. The 6th International Patellofemoral Research Retreat will be held in Milwaukee, Wisconsin, USA, in October 2019.To cite: Collins NJ, Barton CJ, van Middelkoop M, et al.Br J Sports Med Epub ahead of print: [please include Day Month Year]. doi:10. 1136/ bjsports-Correspondence toDr Natalie J Collins, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, QLD 4072, Australia;lli 1@dFor numbered affiliations see end of article.Accepted 31 May 2018Consensus statementINTRoDuCTIoNPatellofemoral pain is a common, c...
