Document Detail

Patellofemoral joint stress during running in females with and without patellofemoral pain.
MedLine Citation:
PMID:  22000909     Owner:  NLM     Status:  Publisher    
Patellofemoral pain (PFP) is a common complaint among female runners. The etiology for PFP is frequently associated with increased patellofemoral joint stress (PFJS) and altered hip and knee joint kinematics during running. However, whether PFJS during running is increased among runners with PFP is unknown. The primary aim of this study was to compare PFJS during running among females with and without PFP. We also compared hip and knee transverse plane kinematics during running due to their potential influence on patellofemoral contact area and PFJS. Three dimensional hip and knee running kinematics and kinetics were obtained from 20 females with PFP and 20 females with no pain. Patellofemoral joint stress during running was estimated using patellofemoral contact area and a sagittal plane patellofemoral joint model previously described. Patellofemoral joint stress, PFJS-time integral, and hip and knee transverse plane kinematics at the time of impact peak and peak ground reaction force were compared between groups using a multivariate analysis of variance. The results show that peak PFJS and PFJS-time integral were similar between groups. Peak knee flexion angle and net knee extension moment were not different between groups. However, females with PFP demonstrated hip internal rotation that was 6° greater (P=0.04) when ground reaction forces were greatest. The extent these results are influenced by compensations for pain is unclear. However, if increased PFJS contributes to the etiology or exacerbation of PFP, interventions to minimize altered transverse plane hip kinematics may be indicated among runners who demonstrate this characteristic.
Adam D Wirtz; John D Willson; Thomas W Kernozek; Di-An Hong
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-10-12
Journal Detail:
Title:  The Knee     Volume:  -     ISSN:  1873-5800     ISO Abbreviation:  -     Publication Date:  2011 Oct 
Date Detail:
Created Date:  2011-10-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9430798     Medline TA:  Knee     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 Elsevier B.V. All rights reserved.
Saint Michael's Hospital, 900 Illinois Avenue, Stevens Point, WI 54481, USA.
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