Methods to assess patellofemoral joint stress: A systematic review

Autor(es)

Nunes, Guilherme S. ^[1] ; Silva, Rodrigo Scattone ^[2] ; dos Santos, Ana Flavia ^[1] ; Fernandes, Ricardo A. S. ^[3] ; Serrao, Fabio Viadanna ^[1] ; de Noronha, Marcos ^[4]

Afiliação do(s) autor(es)

^[1] Univ Fed Sao Carlos, Dept Physiotherapy, Sao Carlos, SP - Brazil

^[2] Univ Fed Rio Grande do Norte, Fac Hlth Sci, Santa Cruz - Brazil

^[3] Univ Fed Sao Carlos, Dept Elect Engn, Sao Carlos, SP - Brazil

^[4] La Trobe Univ, Dept Community & Allied Hlth, Bendigo, Vic - Australia

• Tipo de documento: Artigo de Revisão
• Fonte: GAIT & POSTURE; v. 61, p. 188-196, MAR 2018.
• Citações Web of Science: 2

Resumo

Changes in patellofemoral joint (PFJ) stress are related to the development and course of PFJ dysfunctions. Different methods for PFJ stress calculation have been used, making the comparison of PFJ stress values across different studies difficult. The purpose of this study was to systematically review the methods for PFJ stress calculation and highlight the differences among the methods. A systematic literature search was conducted in Medline, Embase, CINAHL, SPORTDiscus and Web of Science databases. Included studies examined PFJ stress in subjects with or without musculoskeletal conditions. Of 12,670 identified studies, 53 were included, with a total of 1134 subjects evaluated. The main differences among the methods to calculate PFJ stress were: i) method to calculate PFJ contact area; ii) method to calculate a constant (coefficient k) that defines the relation between quadriceps force and PFJ reaction force; iii) the inclusion of adjustments for sagittal plane forces. Considerable variability in PFJ stress results was observed. The greatest PFJ stress value was 55.03 MPa during a dance jump and the lowest value was 1.9 MPa during walking at the speed of 1.4 m/s. Most studies applied methods which use data from previous studies. However, methods which use data from their own participants for most parts of the calculation might be preferred to minimize potential errors. When direct measures are not possible, a standard method could be applied to facilitate comparisons among studies. (AU)

• Processo FAPESP: 16/09438-7 - O efeito de órteses para os pés na biomecânica do membro inferior, pelve e tronco durante agachamentos unipodais de indivíduos com e sem dor patelofemoral
• Beneficiário: Guilherme Silva Nunes
• Modalidade de apoio: Bolsas no Exterior - Estágio de Pesquisa - Doutorado
• Processo FAPESP: 15/01704-7 - Análise morfológica, do pico de torque isométrico e da taxa de desenvolvimento de torque dos músculos do quadril e suas relações com a cinemática e a cinética do membro inferior, pelve e tronco em mulheres com e sem dor patelofemoral
• Beneficiário: Guilherme Silva Nunes
• Modalidade de apoio: Bolsas no Brasil - Doutorado