Running Retraining Technique and Neuromuscular Exercises in Runners with Patellofemoral Pain: A Scoping Review.
Miguel Farraj, Thomas Guilhem, Joachim Van Cant and 1 others
PMID 40756789WHAT IT FOUND
No standard protocol emerged: 15 studies of runners with patellofemoral pain used very different neuromuscular and running retraining programmes.
Key findings
01Only 15 studies met eligibility criteria; eight used running retraining alone, five combined neuromuscular exercise and running retraining, and two used neuromuscular exercise alone.
02The included studies were very heterogeneous, and the literature showed significant variability in protocol design and reporting.
03Running retraining instructions reported increasing step cadence by 7.5 to 10% above habitual cadence.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
This was a scoping review, not a test of whether either treatment works, so it cannot tell you which programme is best. Only 15 studies met the eligibility criteria, and the protocols were very heterogeneous. The definition of neuromuscular exercise was broad and influenced which studies were included. Some studies lacked precise reporting, requiring subjective interpretation. The search was limited to English and French, and some relevant studies may have been missed. People who were not runners, children, and runners with other knee problems or prior knee surgery were excluded, so this does not address those groups. Conference abstracts and protocol studies without results were excluded. Many studies were by the same researchers or teams, which may emphasize certain approaches.
The easy way to misread this
Do not read this as evidence that running retraining or neuromuscular exercise reduces patellofemoral pain. The review described how these programmes were done and found very heterogeneous protocols, not a tested effect.