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Biomechanical analysis of integrated parameters for diagnosis and classification of women with patellofemoral pain syndrome: study of reliability, precision, diagnostic accuracy and association with pain and function

Abstract

Patellofemoral Pain Syndrome is characterized by a multifactorial etiology, leading to changes in proximal, local and distal sites to knee regions. Evidences in the literature points to a distortion of the locomotion physiological classic pattern in subjects with Patellofemoral Pain Syndrome. However, it should be considered that: (i) there were few scientific studies that simultaneously investigate biomechanical changes in proximal, local and distal regions to the knee; (ii) the methodological care for the quality of measurement (reliability and precision) in many cases are not reported, making it difficult to insert these parameters characterizing the disorder; (iii) there is a lack of studies that verify the diagnostic accuracy of biomechanical parameters in PFPS; (iv) there is wide heterogeneity in sample selection that comprises studies on PFPS. Caused by the application of large amounts of clinical tests for individuals selection and not using more reliable parameters, such as biomechanics, for their inclusion. Therefore, this project aims to address these issues, with the aim to investigate kinematic, kinetic and muscular recruitment dynamic patterns of proximal, local and distal regions to the knee, during stair climbing, in subjects with Patellofemoral Pain Syndrome. (AU)

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Scientific publications (15)
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
PAZZINATTO, MARCELLA FERRAZ; SILVA, DANILO DE OLIVEIRA; PRADELA, JULIANA; COURA, MAIRA BERGAMASCHI; BARTON, CHRISTIAN; DE AZEVEDO, FABIO MICOLIS. Local and widespread hyperalgesia in female runners with patellofemoral pain are influenced by running volume. JOURNAL OF SCIENCE AND MEDICINE IN SPORT, v. 20, n. 4, p. 362-367, . (14/24939-7, 15/15574-8, 14/10839-0)
SILVA, DANILO DE OLIVEIRA; MAGALHAES, FERNANDO HENRIQUE; FARIA, NATHALIE CLARA; PAZZINATTO, MARCELLA FERRAZ; FERRARI, DEISI; PAPPAS, EVANGELOS; DE AZEVEDO, FABIO MICOLIS. Lower Amplitude of the Hoffmann Reflex in Women With Patellofemoral Pain: Thinking Beyond Proximal, Local, and Distal Factors. ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, v. 97, n. 7, p. 1115-1120, . (14/24939-7, 13/10755-9)
SILVA, DANILO DE OLIVEIRA; BARTON, CHRISTIAN JOHN; BRIANI, RONALDO VALDIR; TABORDA, BIANCA; FERREIRA, AMANDA SCHENATTO; PAZZINATTO, MARCELLA FERRAZ; DE AZEVEDO, FABIO MICOLIS. Kinesiophobia, but not strength is associated with altered movement in women with patellofemoral pain. GAIT & POSTURE, v. 68, p. 1-5, . (14/24939-7, 15/11534-1)
SILVA, DANILO DE OLIVEIRA; MAGALHAES, FERNANDO HENRIQUE; PAZZINATTO, MARCELLA FERRAZ; BRIANI, RONALDO VALDIR; FERREIRA, AMANDA SCHENATTO; ARAGAO, FERNANDO AMANCIO; DE AZEVEDO, FABIO MICOLIS. Contribution of altered hip, knee and foot kinematics to dynamic postural impairments in females with patellofemoral pain during stair ascent. KNEE, v. 23, n. 3, p. 376-381, . (14/24939-7, 15/11534-1)
SILVA, DANILO DE OLIVEIRA; MAGALHAES, FERNANDO HENRIQUE; FARIA, NATHALIE CLARA; FERRARI, DEISI; PAZZINATTO, MARCELLA FERRAZ; PAPPAS, EVANGELOS; DE AZEVEDO, FABIO MICOLIS. Vastus Medialis Hoffmann Reflex Excitability Is Associated With Pain Level, Self-Reported Function, and Chronicity in Women With Patellofemoral Pain. ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, v. 98, n. 1, p. 114-119, . (14/24939-7, 13/10755-9)
BRIANI, RONALDO VALDIR; FERREIRA, AMANDA SCHENATTO; PAZZINATTO, MARCELLA FERRAZ; PAPPAS, EVANGELOS; SILVA, DANILO DE OLIVEIRA; DE AZEVEDO, FABIO MICOLIS. Infographic. What interventions can improve quality of life or psychosocial factors of individuals with knee osteoarthritis? A systematic review with meta-analysis of primary outcomes from randomised controlled trials. BRITISH JOURNAL OF SPORTS MEDICINE, v. 53, n. 14, p. 901-902, . (15/17777-3, 16/02357-1, 16/19784-0, 17/20483-7, 14/24939-7)
WAITEMAN, MARINA CABRAL; BRIANI, RONALDO VALDIR; PAZZINATTO, MARCELLA FERRAZ; FERREIRA, AMANDA SCHENATTO; FERRARI, DEISI; SILVA, DANILO DE OLIVEIRA; DE AZEVEDO, FABIO MICOLIS. Relationship between knee abduction moment with patellofemoral joint reaction force, stress and self-reported pain during stair descent in women with patellofemoral pain. CLINICAL BIOMECHANICS, v. 59, p. 110-116, . (14/24939-7, 16/09665-3)
BRIANI, RONALDO VALDIR; FERREIRA, AMANDA SCHENATTO; PAZZINATTO, MARCELLA FERRAZ; PAPPAS, EVANGELOS; SILVA, DANILO DE OLIVEIRA; DE AZEVEDO, FABIO MICOLIS. What interventions can improve quality of life or psychosocial factors of individuals with knee osteoarthritis? A systematic review with meta-analysis of primary outcomes from randomised controlled trials. BRITISH JOURNAL OF SPORTS MEDICINE, v. 52, n. 16, p. 1031+, . (14/24939-7, 16/19784-0, 16/02357-1, 15/17777-3)
BRIANI, RONALDO VALDIR; PAZZINATTO, MARCELLA FERRAZ; WAITEMAN, MARINA CABRAL; SILVA, DANILO DE OLIVEIRA; DE AZEVEDO, FABIO MICOLIS. Association between increase in vertical ground reaction force loading rate and pain level in women with patellofemoral pain after a patellofemoral joint loading protocol. KNEE, v. 25, n. 3, p. 398-405, . (14/24939-7, 15/00406-2)
PAZZINATTO, MARCELLA FERRAZ; SILVA, DANILO DE OLIVEIRA; BARTON, CHRISTIAN; RATHLEFF, MICHAEL SKOVDAL; BRIANI, RONALDO VALDIR; DE AZEVEDO, FABIO MICOLIS. Female Adults with Patellofemoral Pain Are Characterized by Widespread Hyperalgesia, Which Is Not Affected Immediately by Patellofemoral Joint Loading. PAIN MEDICINE, v. 17, n. 10, p. 1953-1961, . (14/24939-7, 15/11534-1, 14/10839-0)
WAITEMAN, MARINA; TABORDA, BIANCA; BRIANI, RONALDO; SILVA, DANILO DE OLIVEIRA; SCHENATTO, AMANDA; PAZZINATTO, MARCELLA; MAGALHAES, FERNANDO; DE AZEVEDO, FABIO; COSTAFELIX, R; MACHADO, JC; et al. Influence of Knee Abductor Moment on Patellofemoral Joint Stress and Self-reported Pain of Women with Patellofemoral Pain. XXVI BRAZILIAN CONGRESS ON BIOMEDICAL ENGINEERING, CBEB 2018, VOL 1, v. 70, n. 1, p. 7-pg., . (16/09665-3, 14/24939-7)
BOTTA, ANA FLAVIA BALOTARI; WAITEMAN, MARINA CABRAL; PEREZ, VITORIA OZORES; GARCIA, CARMEN LUCIA GOMES; BAZETT-JONES, DAVID MATTHEW; DE AZEVEDO, FABIO MICOLIS; BRIANI, RONALDO VALDIR. Trunk muscle endurance in individuals with and without patellofemoral pain: Sex differences and correlations with performance tests. PHYSICAL THERAPY IN SPORT, v. 52, p. 248-255, . (17/20483-7, 14/24939-7)
BRIANI, RONALDO VALDIR; SILVA, DANILO DE OLIVEIRA; FLORIDE, CAROLINA SILVA; ARAGAO, FERNANDO AMANCIO; DE ALBUQUERQUE, CARLOS EDUARDO; MAGALHAES, FERNANDO HENRIQUE; DE AZEVEDO, FABIO MICOLIS. Quadriceps neuromuscular function in women with patellofemoral pain: Influences of the type of the task and the level of pain (vol 13, e0205553, 2018). PLoS One, v. 13, n. 11, p. 1-pg., . (15/00406-2, 15/13096-1, 14/24939-7)
FERREIRA, AMANDA SCHENATTO; SILVA, DANILO DE OLIVEIRA; BRIANI, RONALDO VALDIR; FERRARI, DEISI; ARAGAO, FERNANDO AMANCIO; PAZZINATTO, MARCELLA FERRAZ; DE AZEVEDO, FABIO MICOLIS. Which is the best predictor of excessive hip internal rotation in women with patellofemoral pain: Rearfoot eversion or hip muscle strength? Exploring subgroups. GAIT & POSTURE, v. 62, p. 366-371, . (14/24939-7, 16/02357-1)
SILVA, DANILO DE OLIVEIRA; BARTON, CHRISTIAN JOHN; PAZZINATTO, MARCELLA FERRAZ; BRIANI, RONALDO VALDIR; DE AZEVEDO, FABIO MICOLIS. Proximal mechanics during stair ascent are more discriminate of females with patellofemoral pain than distal mechanics. CLINICAL BIOMECHANICS, v. 35, p. 56-61, . (14/24939-7, 15/11534-1)

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