Do Individuals with History of Patellofemoral Pain Walk and Squat Similarly to Healthy Controls? A 3D Kinematic Analysis During Pain Remission Phase.
# Background Patellofemoral pain (PFP) is typically accompanied by changes in movement pattern. However, it is unclear if these changes persist in the remission phase of symptoms. Investigating movement patterns in individuals in remission phase of PFP may help to further guide the rehabilitation p...
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| Format: | Article |
| Language: | English |
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North American Sports Medicine Institute
2022-02-01
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| Series: | International Journal of Sports Physical Therapy |
| Online Access: | https://doi.org/10.26603/001c.31044 |
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| author | Diego Martins Marcelo Peduzzi de Castro Caroline Ruschel Carlos Alberto Atherinos Pierri Heiliane de Brito Fontana Gilmar Moraes Santos |
| author_facet | Diego Martins Marcelo Peduzzi de Castro Caroline Ruschel Carlos Alberto Atherinos Pierri Heiliane de Brito Fontana Gilmar Moraes Santos |
| author_sort | Diego Martins |
| collection | DOAJ |
| description | # Background
Patellofemoral pain (PFP) is typically accompanied by changes in movement pattern. However, it is unclear if these changes persist in the remission phase of symptoms. Investigating movement patterns in individuals in remission phase of PFP may help to further guide the rehabilitation process and to understand whether changes are due to high levels of pain or related to other factors.
# Purpose
To compare 3D kinematics during walking and the single leg squat (SLS) between individuals with history of PFP in remission phase and a control group without history of lower limb injuries and PFP.
# Study Design
Cross-sectional case-control study.
# Methods
Individuals with onset of PFP for at least one year and in phase of remission of symptoms (experimental group \[EG]; n=13, 30±8 years) were compared to a control group (CG, n=13, 28±7 years). A 10-camera motion analysis system (Vicon-Nexus®) was used to record 3D ankle, knee, hip and trunk angles during walking and SLS.
# Results
The EG presented less ankle dorsiflexion, knee and hip flexion during the stance phase of walking compared to the CG (p=0.005, large effect size ηp2 = 0.141). During the SLS, no between-group differences were observed for the ankle, knee and hip angles at the peak of knee flexion (p>0.05). A trend for increased trunk range of movement in the EG compared to the CG was observed (p=0.075, medium effect size ηp2 = 0.127).
# Conclusion
The results of this study indicate less movement in the sagittal plane during walking, and a trend towards more movement of the trunk during SLS in the EG compared to the CG. The participants of the EG had minimal symptoms, to the point of not classifying them as pathological. However, the between-group differences suggest that even in the remission phase, kinematic differences persist for some reason and may contribute to the recurring pain in PFP individuals.
# Level of Evidence
Level 3. |
| format | Article |
| id | doaj-art-b42313667d244468a5bb1aa392a225da |
| institution | Kabale University |
| issn | 2159-2896 |
| language | English |
| publishDate | 2022-02-01 |
| publisher | North American Sports Medicine Institute |
| record_format | Article |
| series | International Journal of Sports Physical Therapy |
| spelling | doaj-art-b42313667d244468a5bb1aa392a225da2025-02-11T20:28:09ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962022-02-01172Do Individuals with History of Patellofemoral Pain Walk and Squat Similarly to Healthy Controls? A 3D Kinematic Analysis During Pain Remission Phase.Diego MartinsMarcelo Peduzzi de CastroCaroline RuschelCarlos Alberto Atherinos PierriHeiliane de Brito FontanaGilmar Moraes Santos# Background Patellofemoral pain (PFP) is typically accompanied by changes in movement pattern. However, it is unclear if these changes persist in the remission phase of symptoms. Investigating movement patterns in individuals in remission phase of PFP may help to further guide the rehabilitation process and to understand whether changes are due to high levels of pain or related to other factors. # Purpose To compare 3D kinematics during walking and the single leg squat (SLS) between individuals with history of PFP in remission phase and a control group without history of lower limb injuries and PFP. # Study Design Cross-sectional case-control study. # Methods Individuals with onset of PFP for at least one year and in phase of remission of symptoms (experimental group \[EG]; n=13, 30±8 years) were compared to a control group (CG, n=13, 28±7 years). A 10-camera motion analysis system (Vicon-Nexus®) was used to record 3D ankle, knee, hip and trunk angles during walking and SLS. # Results The EG presented less ankle dorsiflexion, knee and hip flexion during the stance phase of walking compared to the CG (p=0.005, large effect size ηp2 = 0.141). During the SLS, no between-group differences were observed for the ankle, knee and hip angles at the peak of knee flexion (p>0.05). A trend for increased trunk range of movement in the EG compared to the CG was observed (p=0.075, medium effect size ηp2 = 0.127). # Conclusion The results of this study indicate less movement in the sagittal plane during walking, and a trend towards more movement of the trunk during SLS in the EG compared to the CG. The participants of the EG had minimal symptoms, to the point of not classifying them as pathological. However, the between-group differences suggest that even in the remission phase, kinematic differences persist for some reason and may contribute to the recurring pain in PFP individuals. # Level of Evidence Level 3.https://doi.org/10.26603/001c.31044 |
| spellingShingle | Diego Martins Marcelo Peduzzi de Castro Caroline Ruschel Carlos Alberto Atherinos Pierri Heiliane de Brito Fontana Gilmar Moraes Santos Do Individuals with History of Patellofemoral Pain Walk and Squat Similarly to Healthy Controls? A 3D Kinematic Analysis During Pain Remission Phase. International Journal of Sports Physical Therapy |
| title | Do Individuals with History of Patellofemoral Pain Walk and Squat Similarly to Healthy Controls? A 3D Kinematic Analysis During Pain Remission Phase. |
| title_full | Do Individuals with History of Patellofemoral Pain Walk and Squat Similarly to Healthy Controls? A 3D Kinematic Analysis During Pain Remission Phase. |
| title_fullStr | Do Individuals with History of Patellofemoral Pain Walk and Squat Similarly to Healthy Controls? A 3D Kinematic Analysis During Pain Remission Phase. |
| title_full_unstemmed | Do Individuals with History of Patellofemoral Pain Walk and Squat Similarly to Healthy Controls? A 3D Kinematic Analysis During Pain Remission Phase. |
| title_short | Do Individuals with History of Patellofemoral Pain Walk and Squat Similarly to Healthy Controls? A 3D Kinematic Analysis During Pain Remission Phase. |
| title_sort | do individuals with history of patellofemoral pain walk and squat similarly to healthy controls a 3d kinematic analysis during pain remission phase |
| url | https://doi.org/10.26603/001c.31044 |
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