Tags

Type your tag names separated by a space and hit enter

Associates of physical function and pain in patients with patellofemoral pain syndrome.
Arch Phys Med Rehabil. 2009 Feb; 90(2):285-95.AP

Abstract

OBJECTIVES

To explore whether impairment of muscle strength, soft tissue length, movement control, postural and biomechanic alterations, and psychologic factors are associated with physical function and pain in patients with patellofemoral pain syndrome (PFPS).

DESIGN

Cross-sectional study.

SETTING

Rehabilitation outpatient.

PARTICIPANTS

Seventy-four patients diagnosed with PFPS.

INTERVENTIONS

Not applicable.

MAIN OUTCOME MEASURES

Measurements were self-reported function and pain; strength of quadriceps, hip abduction, and hip external rotation; length of hamstrings, quadriceps, plantar flexors, iliotibial band/tensor fasciae latae complex, and lateral retinaculum; foot pronation; Q-angle; tibial torsion; visual observation of quality of movement during a lateral step-down task; anxiety; and fear-avoidance beliefs.

RESULTS

After controlling for age and sex, anxiety and fear-avoidance beliefs about work and physical activity were associated with function, while only fear-avoidance beliefs about work and physical activity were associated with pain.

CONCLUSIONS

Psychologic factors were the only associates of function and pain in patients with PFPS. Factors related to physical impairments did not associate to function or pain. Our results should be validated in other samples of patients with PFPS. Further studies should determine the role of other psychologic factors, and how they relate to anxiety and fear-avoidance beliefs in these patients.

Authors+Show Affiliations

Department of Physical Therapy, University of Pittsburgh, Pittsburgh, PA 15260, USA. spiva@pitt.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19236982

Citation

Piva, Sara R., et al. "Associates of Physical Function and Pain in Patients With Patellofemoral Pain Syndrome." Archives of Physical Medicine and Rehabilitation, vol. 90, no. 2, 2009, pp. 285-95.
Piva SR, Fitzgerald GK, Irrgang JJ, et al. Associates of physical function and pain in patients with patellofemoral pain syndrome. Arch Phys Med Rehabil. 2009;90(2):285-95.
Piva, S. R., Fitzgerald, G. K., Irrgang, J. J., Fritz, J. M., Wisniewski, S., McGinty, G. T., Childs, J. D., Domenech, M. A., Jones, S., & Delitto, A. (2009). Associates of physical function and pain in patients with patellofemoral pain syndrome. Archives of Physical Medicine and Rehabilitation, 90(2), 285-95. https://doi.org/10.1016/j.apmr.2008.08.214
Piva SR, et al. Associates of Physical Function and Pain in Patients With Patellofemoral Pain Syndrome. Arch Phys Med Rehabil. 2009;90(2):285-95. PubMed PMID: 19236982.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Associates of physical function and pain in patients with patellofemoral pain syndrome. AU - Piva,Sara R, AU - Fitzgerald,G Kelley, AU - Irrgang,James J, AU - Fritz,Julie M, AU - Wisniewski,Stephen, AU - McGinty,Gerald T, AU - Childs,John D, AU - Domenech,Manuel A, AU - Jones,Scott, AU - Delitto,Anthony, PY - 2008/05/15/received PY - 2008/07/09/revised PY - 2008/08/11/accepted PY - 2009/2/25/entrez PY - 2009/2/25/pubmed PY - 2009/3/26/medline SP - 285 EP - 95 JF - Archives of physical medicine and rehabilitation JO - Arch Phys Med Rehabil VL - 90 IS - 2 N2 - OBJECTIVES: To explore whether impairment of muscle strength, soft tissue length, movement control, postural and biomechanic alterations, and psychologic factors are associated with physical function and pain in patients with patellofemoral pain syndrome (PFPS). DESIGN: Cross-sectional study. SETTING: Rehabilitation outpatient. PARTICIPANTS: Seventy-four patients diagnosed with PFPS. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Measurements were self-reported function and pain; strength of quadriceps, hip abduction, and hip external rotation; length of hamstrings, quadriceps, plantar flexors, iliotibial band/tensor fasciae latae complex, and lateral retinaculum; foot pronation; Q-angle; tibial torsion; visual observation of quality of movement during a lateral step-down task; anxiety; and fear-avoidance beliefs. RESULTS: After controlling for age and sex, anxiety and fear-avoidance beliefs about work and physical activity were associated with function, while only fear-avoidance beliefs about work and physical activity were associated with pain. CONCLUSIONS: Psychologic factors were the only associates of function and pain in patients with PFPS. Factors related to physical impairments did not associate to function or pain. Our results should be validated in other samples of patients with PFPS. Further studies should determine the role of other psychologic factors, and how they relate to anxiety and fear-avoidance beliefs in these patients. SN - 1532-821X UR - https://www.unboundmedicine.com/medline/citation/19236982/Associates_of_physical_function_and_pain_in_patients_with_patellofemoral_pain_syndrome_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0003-9993(08)01632-8 DB - PRIME DP - Unbound Medicine ER -