title: Massage therapy protocol for post-anterior cruciate ligament reconstruction patellofemoral pain syndrome: a case report.
abstract: BACKGROUND
  The intent of the present study was to determine the effectiveness of massage therapy in the rehabilitation of post-anterior cruciate ligament reconstruction patellofemoral pain syndrome. The primary complications following surgical repair of the anterior cruciate ligament-classified as patellofemoral pain syndrome-are hamstring flexion contracture and quadriceps weakness, leading to patellofemoral dysfunction and retropatellar pain.
  
  
  METHODS
  Treatment included lymphatic drainage, myofascial release, neuromuscular techniques including trigger point release, muscle energy techniques and cross-fiber friction. Orthopedic physical assessment tests were used to chart changes in patellofemoral function and changes in range of motion in the knee during the course of the massage interventions. Subjective reporting on pain level and function were also documented.
  
  
  RESULTS
  A decrease in pain level, hamstring flexion contracture and lateral tracking of the patella were documented.
  
  
  CONCLUSIONS
  Massage therapy was determined to be an effective complementary therapy in the treatment of patellofemoral pain syndrome.
authors: Jackson, WY, U.S.A.
authors: Jennifer
authors: J
authors: Zalta
references: Arthroscopy. 1994 Feb;10(1):85-9
references: 8166907
references: Am J Sports Med. 1987 May-Jun;15(3):207-13
references: 3618871
references: Phys Ther. 1996 Sep;76(9):946-55; discussion 956-67
references: 8790273
references: Med Sci Sports Exerc. 1998 Apr;30(4):556-69
references: 9565938
references: Phys Ther. 2000 Mar;80(3):251-60
references: 10696152
references: Am J Knee Surg. 2001 Spring;14(2):97-103
references: 11401177
references: Arch Orthop Trauma Surg. 1987;106(3):195-8
references: 3606363
references: Am J Sports Med. 1992 Mar-Apr;20(2):238-9
references: 1558261
references: Clin Symp. 1987;39(3):1-36
references: 3621852
references: Arthroscopy. 1992;8(1):19-22
references: 1550645
references: J Bone Joint Surg Am. 1990 Jul;72(6):871-7
references: 2365720
references: Am J Phys Med. 1979 Apr;58(2):57-67
references: 434132
references: Med Sci Sports Exerc. 2005 Apr;37(4):642-8
references: 15809564
references: J Orthop Res. 1988;6(5):630-8
references: 3404319
references: J Bone Joint Surg Am. 2000 Nov;82(11):1639-50
references: 11097456
references: Am J Sports Med. 1995 Mar-Apr;23(2):170-2
references: 7778701
references: Clin Biomech (Bristol, Avon). 2000 Mar;15(3):147-59
references: 10656976
references: Am J Sports Med. 1994 Sep-Oct;22(5):651-8
references: 7810789
references: Knee Surg Sports Traumatol Arthrosc. 2005 Mar;13(2):122-30
references: 15703965
references: Am J Sports Med. 1989 Jan-Feb;17(1):35-41
references: 2929835
references: Am J Sports Med. 1989 Nov-Dec;17(6):760-5
references: 2624287