Effects of three gait retraining techniques in runners with patellofemoral pain

Autor(es)

dos Santos, Ana F. ^[1] ; Nakagawa, Theresa H. ^[2] ; Lessi, Giovanna C. ^[1] ; Luz, Bruna C. ^[1] ; Matsuo, Heitor T. M. ^[1] ; Nakashima, Giovana Y. ^[3] ; Maciel, Carlos D. ^[3] ; Serrao, Fabio V. ^[1]

Afiliação do(s) autor(es)

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

^[2] Fundacao Oswaldo Cruz, Manaus, Amazonas - Brazil

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

• Tipo de documento: Artigo Científico
• Fonte: PHYSICAL THERAPY IN SPORT; v. 36, p. 92-100, MAR 2019.
• Citações Web of Science: 3

Resumo

Objectives: Analyze the effects of 3 gait retraining: forefoot landing (FFOOT), 10% step rate increase (SR10%) and forward trunk lean (FTL) on lower limb biomechanics and clinical measurements in patellofemoral pain (PFP) runners. Design: Case series report. Settings: Biomechanical laboratory and treadmill running. Participants: Eighteen recreational PFP runners randomized in 3 groups. Main outcome measures: Lower limb kinematics and muscle activation were assessed at baseline and 2-week post-training. Pain intensity and function limitation, measured by AKPS (Anterior Knee Pain Scale) and LEFS (Lower Extremity Functional Scale) assessed at baseline, post-training and 6-month follow-up. Repeated measures analysis of variance was used to compare the effects of gait retraining. Results: FFOOT and FTL increased the AKPS score at post-training(P =.001; P =.008) and 6-month follow-up(P < .001; P < .001). SR10% increased the AKPS score from baseline to 6-month followup(P =.006). Pain and LEFS score were improved after gait retraining regardless group. FFOOT presented greater gastrocnemius(P = .037) and rectus femoris pre-activation(P =.006) at post-retraining session. Gait retraining reduced the muscle activity during stance phase and increased during the late-swing regardless group. Conclusion: The three techniques presented clinical benefits, improvement of pain symptoms and functional scores, was not accompanied with significant biomechanics differences that could entirely explain this clinical improvement after the intervention. (C) 2019 Elsevier Ltd. All rights reserved. (AU)

• Processo FAPESP: 13/26318-7 - Efeitos da modificação da técnica de corrida na cinemática e ativação muscular dos membros inferiores em corredores com e sem dor patelofemoral
• Beneficiário: Ana Flávia dos Santos
• Modalidade de apoio: Bolsas no Brasil - Doutorado