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From Fellrnr.com, Running tips
→Maltracking/malalignment
* '''[[VMO]] Delay.''' There is some evidence that people suffering from knee pain (PFPS) have a delay in the activation of the [[VMO]] compared with the main quad muscles<ref name="KneeVMODelay"/><ref name="KneeVMODelayMeta"/>, which reduced the lateral force by 25%<ref name="KneeVMODelayPower"/>. Detecting this timing difference is normally requires sophisticated clinical equipment, but there is some suggestion that the delay can be felt directly by placing fingers on the belly of the [[VMO]] and the VL<ref name="PFClinical"/>.
* '''Weak Hips.''' A weakness in the hip muscles has been linked to knee pain<ref name="KneeHip"/>. Weak hip muscles result in the leg rotating so the foot points towards the midline of the body (internal rotation), so when the leg bends extra stress is placed on the knee.
* '''[[Q angleAngle]]'''. The thigh bone and lower leg are not in a straight line, but form an angle at the knee called the '[[Q Angle]]'. A large [[Q Angle]] is often thought to cause or contribute to knee pain, but a high Q angle was only seen in 6% of knee pain (PFPS) cases<ref name="RunningInjuries"/> and a high [[Q Angle]] is not associated with biomechanical knee stress<ref name="KneeQAngle"/>. * '''Over Pronation'''. Pronation is the natural movement of the foot where the arch flattens to absorb landing forces. If the foot pronates too much, the foot will lean towards the midline of the body and the lower leg and knee will follow this motion, moving towards the midline. Like weak hips, the movement of the knee towards the midline creates extra stress on the knee.
==Arthritis==
Arthritis is an inflammation of the joints and can affect the knee. There are various types of arthritis, and diagnosis requires X-Ray, testing the fluid around the joint or inserting a viewing scope into the joint. Arthritis is outside of the scope of this article.
