Massage Therapy Protocol for Post–Anterior Cruciate Ligament Reconstruction Patellofemoral Pain Syndrome: A Case Report

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. CONCLUSION Massage therapy was determined to be an effective complementary therapy in the treatment of patellofemoral pain syndrome.