Biomechanical characteristics and muscle function in individuals with patellofemoral osteoarthritis: A systematic review of cross-sectional studies

Author(s)

Carvalho, Cristiano ; Braz de Oliveira, Marcos Paulo ; Pisani, Giulia Keppe ; Marolde, Isabela Bianchini ; Mendes da Silva Serrao, Paula Regina

• Document type: Journal article
• Source: CLINICAL BIOMECHANICS; v. 98, p. 16-pg., 2022-07-19.

Abstract

Background: Our objective was to investigate kinematic and kinetic characteristics and changes in muscle function in individuals with patellofemoral osteoarthritis compared to healthy individuals. Methods: Searches were performed of the Medline, Embase, Web of Science, The Cochrane Library, LILACS, and SciELO databases until May of 2022 for observational studies comparing individuals with patellofemoral osteoarthritis to a control group. The PRISMA guidelines and recommendations of the Cochrane Collaboration were followed. The GRADE approach was used to analyze and synthesize the level of evidence. Findings: Fourteen studies were included, involving a total of 594 participants (360 with patellofemoral osteoarthritis and 234 controls). The level of evidence for pelvis, hip adduction and knee abduction angles at 45 degrees of knee flexion during the single-leg squat, and knee flexion angle during the task of walking was very low. Regarding muscle strength, the level of evidence for isometric strength of the hip abductors, extensors and external rotators, and concentric strength of the knee extensors and flexors was very low. It was not possible to synthesize any type of evidence for kinetic, electromyography, or muscle volume variables. Interpretation: The level of evidence was very low for all synthesized evidence for kinematic and muscle strength variables. However, individuals with patellofemoral osteoarthritis have lower isometric strength of the hip abductor muscles. Further studies with adequate adjustment for confounding factors, such as the non-inclusion of individuals with osteoarthritis in the tibiofemoral compartment concomitant to patellofemoral osteoarthritis, are needed to gain a better understanding of the clinical characteristics of patellofemoral osteoarthritis. (AU)

• FAPESP's process: 18/10329-3 - Hip eccentric torque, gluteal muscles activation and trunk and lower limb kinematics during single-leg squat and functional performance in individuals with isolated patellofemoral osteoarthritis
• Grantee: Paula Regina Mendes da Silva Serrão
• Support Opportunities: Regular Research Grants
• FAPESP's process: 17/20057-8 - Hip muscles function in trunk and lower limb kinematics during single-leg squat and functional performance in individuals with Isolated Patellofemoral Osteoarthritis
• Grantee: Cristiano Carvalho
• Support Opportunities: Scholarships in Brazil - Doctorate (Direct)