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Objective: Patellofemoral pain syndrome is a common cause of anterior knee pain .This condition may arise from abnormal muscular and biomechanical factors , that alter tracking of the patella within the femoral trachlear notch , contributing to increased patellofemoral contact pressures that result in pain and dysfunction . It was suggested that there was some pathological correlation between spinal alignment and knee symptoms. The purpose of this study was to investigate the relationship between spinal curvatures with anterior knee pain Materials & Methods: Fifteen patients with patellofemoral pain syndrome and 15 age matched controls participated in the study .Thoracic and lumbar curvatures were measured by a standard flexible ruler in both groups. Results:Our results have shown no differences in the thoracic and lumbar curvatures measurments between persons with and without anterior knee pain ( p>0.05). Conclusion: The present study showed no differences in the thoracic and lumbar curvatures measurments between persons with and without anterior knee pain.Abnormal lower limb muscular and biomechanical factors that alter tracking of the patella within the femoral trochlear notch may be important to consider in the conservative management of anterior knee pain.

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