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Abstract
Background and Purpose: Physical training is recommended as an efficient therapy in patients with anterior cruciate ligament reconstruction. Massage therapy and orthopedic massage located published peer-reviewed studies on the effectiveness of integrating massage therapy into the postoperative rehabilitation of anterior cruciate ligament reconstruction. The aim of this study was to determine the effectiveness of trigger point deactivation by using deep transverse friction massage in the rehabilitation of post anterior cruciate ligament (ACL) reconstruction patellofemoral pain syndrome (PFPS), the primary complications following surgical repair of the anterior cruciate ligament . Results: revealed that there was a significant effect of deep friction massage on prevention of patellofemoral pain after anterior cruciate ligament reconstruction. Results showed that there was improvement of the patient functional activity (in the form of Pain, Stiffness, and Physical Function) which was assessed by the Western Ontario and Mcmaster Universities Osteoarthritis Index (WOMAC). Conclusion: 3 months of physical therapy rehabilitation including deep friction massage to the pre-patellar trigger points is considered a primary phase in preventing patellofemoral pain that may occur post anterior cruciate ligament reconstruction and improving the physical function of the patient post operative.