Contribution of altered hip, knee and foot kinematics to dynamic postural impairments in females with patellofemoral pain during stair ascent

Author(s)

Silva, Danilo de Oliveira ^[1] ; Magalhaes, Fernando Henrique ^[2] ; Pazzinatto, Marcella Ferraz ^[1] ; Briani, Ronaldo Valdir ^[1] ; Ferreira, Amanda Schenatto ^[1] ; Aragao, Fernando Amancio ^[3] ; de Azevedo, Fabio Micolis ^[1]

Affiliation

^[1] Univ Sao Paulo State, Sch Sci & Technol, Phys Therapy Dept, Presidente Prudente, SP - Brazil

^[2] Univ Sao Paulo, Sch Arts Sci & Humanities, Sao Paulo - Brazil

^[3] State Univ West Parana, Phys Therapy Dept, Cascavel, Parana - Brazil

• Document type: Journal article
• Source: KNEE; v. 23, n. 3, p. 376-381, JUN 2016.
• Web of Science Citations: 14

Abstract

Background: Altered hip, knee and foot kinematics have been systematically observed in individuals with patellofemoral pain (PFP). However, less attention has been given to the altered dynamic postural control associated with PFP. Additionally, the relative contribution of kinematic impairments to the postural behavior of subjects with PFP remains an open question that warrants investigation. The aims of this study were: i) to investigate possible differences in hip adduction, rearfoot eversion, knee flexion and displacement area of the center of pressure (COP) in individuals with PFP in comparison to controls during stair ascent; and (ii) to determine which kinematic parameter is the best predictor of the displacement area of the COP measured during the stance phase of the stair ascent. Methods: Twenty-nine females with PFP and 25 asymptomatic pain-free females underwent three-dimensional kinematic and COP analyses during stair ascent. Between-group comparisons were made using independent t tests. Regression models were performed to identify the capability of each kinematic factor in predicting the displacement area of the COP. Results: Reduced knee flexion and displacement area of the COP as well as increased peak hip adduction and peak rearfoot eversion were observed in individuals with PFP as compared to controls. Peak hip adduction was the best predictor of the displacement area of the COP (r(2) = 23.4%). Conclusions: The excessive hip adduction was the biggest predictor of the displacement area of the COP. (C) 2016 Elsevier B.V. All rights reserved. (AU)

• FAPESP's process: 14/24939-7 - 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
• Grantee: Fábio Mícolis de Azevedo
• Support Opportunities: Regular Research Grants
• FAPESP's process: 15/11534-1 - INFLUENCE OF PAIN IN THE ANALYSIS OF PROXIMAL, LOCAL AND DISTAL KINEMATIC PARAMETERS IN FEMALES WITH PATELLOFEMORAL PAIN DURING STAIR ASCENT AND DESCENT
• Grantee: Danilo de Oliveira Silva
• Support Opportunities: Scholarships in Brazil - Doctorate