Efficasy of backward drill exercise Protocol in allievating pain and enhancing strength in athletes with Patellofemoral Pain Syndrome

Patellofemoral Pain Syndrome (PFPS), often termed anterior knee pain or chondromalacia patellae, is a prevalent condition among athletes, particularly those involved in prolonged running or jumping activities. The syndrome is characterized by gradual pain that exacerbates during specific movements and activities, such as descending stairs, squatting, or standing for extended periods. While the pain can be temporarily relieved through rest, icing, or hot fomentation, the condition frequently recurs due to treatments focusing primarily on symptom relief rather than addressing underlying causes like patellar mal-tracking or muscle imbalances. This study aim to alleviate pain and correct muscle imbalances, with innovative approaches like backward walking exercises showing promise in strengthening the vastus medialis obliquus (VMO) muscle, thereby improving patellar stability and reducing recurrence.