Patellofemoral pain syndrome: a critical analysis of the biomechanical mechanisms associated with pain and conservative rehabilitation

Authors

DOI:

https://doi.org/10.36453/cefe.2026.37923

Keywords:

Patellofemoral Pain Syndrome, Biomechanics, Rehabilitation

Abstract

BACKGROUND: Patellofemoral Pain Syndrome (PFPS) is a multifactorial condition characterized by anterior knee pain, frequently associated with biomechanical, neuromuscular, and functional alterations of the patellofemoral joint.
OBJECTIVE: The present study aimed to critically discuss the main biomechanical factors involved in the development, perpetuation, and rehabilitation management of PFPS.
METHODS: This study consists of a structured narrative literature review conducted through searches in the PubMed/MEDLINE, Scopus, SciELO, and Google Scholar databases. After the selection process, 48 studies published between 1979 and 2024 composed the final corpus of analysis.
RESULTS: Evidence related to patellofemoral biomechanics, altered movement patterns, and conservative treatment strategies was included. The findings demonstrate that factors such as increased patellofemoral compressive forces, dynamic genu valgum, muscular strength deficits, and alterations in neuromuscular control present biomechanical plausibility for contributing to symptom manifestation. However, the relationship between these alterations and pain appears to be multifactorial and non-linear, considering that many of these patterns may also be present in asymptomatic individuals.
CONCLUSION: Regarding rehabilitation, multimodal approaches involving muscular strengthening, motor control, and individualized load progression demonstrated the strongest scientific support for the conservative management of the condition.

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Author Biography

  • Mauricio Dalamaria Júnior, University of Passo Fundo

    Graduado em Licenciatura em Educação Física pela Universidade de Passo Fundo, complementando minha formação com especializações em áreas de grande relevância para a saúde e bem-estar físico. Atualmente discente do Programa de Mestrado em Envelhecimento Humano (UPF), Pós-graduado em Biomecânica com ênfase em Musculação e Reabilitação Musculoesquelética, pela Faculdade Escola Sobral de Oliveira - FAESDO, sob cooperação técnica do IBRAP Instituto Brasileiro de Formação de Personal Trainers, Pós-graduado em Fisiologia do Exercício pela Universidade de Passo Fundo e Pós-graduando em Reabilitação de Lesões e Correção Postural pelo Centro Educacional Elite reconhecido pela Faculdade Unità. Além disso, possuo como formação complementar mais de 60 cursos, dentre eles mais de 50 realizados na área da saúde e 6 artigos de cunho científico publicados, o que demonstra meu compromisso contínuo com o aprimoramento profissional e a busca por conhecimento atualizado. Tenho desenvoltura na língua inglesa, o que amplia minha capacidade de acessar e utilizar uma ampla gama de recursos e pesquisas internacionais. Com um perfil dinâmico e comprometido, busco constantemente atualizar meus conhecimentos para oferecer intervenções eficazes e baseadas nas mais recentes evidências científicas, contribuindo para a evolução do campo da Educação Física e da Saúde. Membro do grupo de pesquisa ''Grupo de Pesquisa em Gerontecnologia'' da Universidade de Passo Fundo. Pesquisador que compõe a linha de pesquisa ''Estudos sobre aspectos teóricos e práticos em gerontecnologia''. Endereço para acessar: dgp.cnpq.br/dgp/espelhogrupo/0371317722373394. Membro do grupo de pesquisa ''NEXUS-GERONTec - Grupo Interdisciplinar de Gerontecnologia, Inovação e Saúde no Envelhecimento'' da Universidade Federal do Paraná. Pesquisador que compõe a linha de pesquisa Tecnologias Digitais, Letramento e Inclusão Digital no Envelhecimento. Endereço para acessar: dgp.cnpq.br/dgp/espelholinha/34647561021672371438767.

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07-08-2026

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Vol. 24 (2026): Caderno de Educação Física e Esporte

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Copyright (c) 2026 Mauricio Dalamaria Júnior, Gabriele Cristina Fornari

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DALAMARIA JÚNIOR, Mauricio; FORNARI, Gabriele Cristina. Patellofemoral pain syndrome: a critical analysis of the biomechanical mechanisms associated with pain and conservative rehabilitation. Caderno de Educação Física e Esporte, Marechal Cândido Rondon, v. 24, p. e37923, 2026. DOI: 10.36453/cefe.2026.37923. Disponível em: https://e-revista.unioeste.br/index.php/cadernoedfisica/article/view/37923. Acesso em: 16 sep. 2026.