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ward movement control in squats. Stretching Stretches for muscles that are identified as being tight are also an important element of the prescribed regime. The best types are probably those combining an active use of the antagonist muscle and include good alignment of the rest of the body. Assisted stretching as a treatment technique may also be of use.

A progressive exercise programme The elements described above, including gluteus medius, VMO activation and strengthening, stretching of tight muscu- lature and postural correction need to be incorporated into a patient specific programme.

The programme design and

contents will vary depending on the patient’s requirements for return to activity and sport; concurrent problems and the physiotherapy treatment required.

References 1. Brukner P and Kahn K. Clinical Sports Medicine 2nd Ed., McGraw-Hill 2001

5. Crossley K, Bennell K, Green S, McConnell J (2001): A systematic review of physical inter- ventions for patellofemoral pain syndrome. Clinical Journal of Sports Medicine 2001;11(2):103-110 6. McConnell J. Management of patellofemoral problems. Manual Therapy 1996;1:60-66

2. Lieb FJ and Perry J. Quadriceps function. An anatomical and mechanical study. Journal of Bone and Joint Surgery 1968;50A:1535- 1548 3. Crossley K, Bennell K et al. The efficacy of physiotherapy treatment for patellofemoral pain syndrome: A randomized double-blind, placebo controlled trial. Personal communica- tion 2002 4. Crossley KM, Cowan SM, Bennell KL and McConnell J. Patella taping: Is clinical success supported by scientific evidence? Manual Therapy 2000;5(3):142-150

Rachele Quested Bphty (Hons) MCSP MAPA SRP, currently works for the Ministry of Defence at the Defence Services Medical Rehabilitation Centre at Headley Court in Surrey. This is a res- idential rehabilitation centre for all mem- bers of the armed forces suffering muscu- loskeletal injuries. She previously worked at the sports injuries clinic at the University of Bath and with British Triathlon and Swimming. Rachele complete her physio- therapy degree at the University of Queensland, Australia.

Note: We have not reproduced a patient leaflet or a practitioner prompt with this article as similar versions appeared Issue 6 (Sept ‘00). However we felt a new article was justified from a professional rehabilitation aspect, to include advances in rehabilitation approaches in light of more recent research (covered in the article on p9 ‘Diagnosis of PFPS’).

moving musculoskeletal medicine forwards Courses for 2002/2003 ‘Looking Over Your Shoulder’

The Combined Symposium of The Society of Orthopaedic Medicine &

The British Institute of Musculoskeletal Medicine with

Jenny McConnell Keynote Speaker

Lectures include:

● Arthroscopy and its use in difficult shoulders - Dr Tim Bunker ● Shoulder dysfunction in elite athletes, a video assisted presentation - Dr Bryan English ● Examination of the diagnosis and treatment of multidirec- tional instability in the athletic individual - Jenny McConnell Other speakers include: Dr Simon Petrides, Dr Peter Dangerfield, Lucy Redhead

For more details contact Stephanie Brown at Procare Medisport on 0161 678 0233

Saturday 7th December 2002 at the Hilton London Metropole, Edgware Road, London

Sponsored by 18 SportEX

The Society of Orthopaedic Medicine offers a three-module course in clinical diagnosis and treatment of non-surgical musculoskeletal lesions. The course is open to both doctors and chartered physio- therapists encouraging an exchange of information in a shared learning environment.

Theory and Practice of Injection Therapy This module in injection skills is designed to develop cognitive and psychomotor skills essential to the advancement of the chartered physiotherapist specialising in injection treatments for musculoskeletal lesions.

Advanced Clinical Practice in Orthopaedic Medicine This module intends to extend the manual skills of chartered physiotherapists as applied in clinical practice in orthopaedic medicine. It is targeted at those students who have completed the Society of Orthopaedic Medicine Membership (SOM) course and who wish to develop those manual skills further based on their continuing clinical experience.

PGDip/MSc Orthopaedic Medicine

This exciting programme is a collaborative venture between Middlesex University and the Society of Orthopaedic Medicine and is targeted at post-graduate doctors and physiotherapists who wish to extend their qualifications.

Further details available from: Administrative Director, PO Box 223, Patchway, Bristol BS32 4XD Tel/Fax: 01454 610255; Email:AmandaSherwood@Compuserve.com Or visit our web site: www.soc-ortho-med.org