Which factor is not a recognized contributor to poorer treatment response in PFPS?

Which factor is not a recognized contributor to poorer treatment response in PFPS?

• A. Higher BMI
• B. Worse mental health
• C. Greater knee pain at baseline
• D. Stronger quadriceps/hamstrings strength

Answer: (D)

In PFPS, prognosis after treatment is influenced by a mix of physical and psychosocial factors. Higher BMI, worse mental health, and greater knee pain at baseline tend to be linked with less favorable responses to conservative care because they reflect higher joint load, more pain processing issues, and greater symptom burden that can limit adherence to rehab. Stronger quadriceps and hamstrings, on the other hand, do not predict a poorer treatment response. Adequate or greater strength supports knee mechanics, tolerates strengthening programs better, and is a primary target of PFPS rehab. Therefore baseline muscle strength is not a factor that would worsen outcomes; if anything, it aligns with a more favorable course.

In PFPS, prognosis after treatment is influenced by a mix of physical and psychosocial factors. Higher BMI, worse mental health, and greater knee pain at baseline tend to be linked with less favorable responses to conservative care because they reflect higher joint load, more pain processing issues, and greater symptom burden that can limit adherence to rehab.

Stronger quadriceps and hamstrings, on the other hand, do not predict a poorer treatment response. Adequate or greater strength supports knee mechanics, tolerates strengthening programs better, and is a primary target of PFPS rehab. Therefore baseline muscle strength is not a factor that would worsen outcomes; if anything, it aligns with a more favorable course.