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Patellofemoral joint stress during running in females with and without patellofemoral pain.
Knee. 2012 Oct; 19(5):703-8.KNEE

Abstract

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.

Authors+Show Affiliations

Saint Michael's Hospital, 900 Illinois Avenue, Stevens Point, WI 54481, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

22000909

Citation

Wirtz, Adam D., et al. "Patellofemoral Joint Stress During Running in Females With and Without Patellofemoral Pain." The Knee, vol. 19, no. 5, 2012, pp. 703-8.
Wirtz AD, Willson JD, Kernozek TW, et al. Patellofemoral joint stress during running in females with and without patellofemoral pain. Knee. 2012;19(5):703-8.
Wirtz, A. D., Willson, J. D., Kernozek, T. W., & Hong, D. A. (2012). Patellofemoral joint stress during running in females with and without patellofemoral pain. The Knee, 19(5), 703-8. https://doi.org/10.1016/j.knee.2011.09.006
Wirtz AD, et al. Patellofemoral Joint Stress During Running in Females With and Without Patellofemoral Pain. Knee. 2012;19(5):703-8. PubMed PMID: 22000909.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Patellofemoral joint stress during running in females with and without patellofemoral pain. AU - Wirtz,Adam D, AU - Willson,John D, AU - Kernozek,Thomas W, AU - Hong,Di-An, Y1 - 2011/10/13/ PY - 2011/05/12/received PY - 2011/08/30/revised PY - 2011/09/12/accepted PY - 2011/10/18/entrez PY - 2011/10/18/pubmed PY - 2013/1/23/medline SP - 703 EP - 8 JF - The Knee JO - Knee VL - 19 IS - 5 N2 - 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. SN - 1873-5800 UR - https://www.unboundmedicine.com/medline/citation/22000909/Patellofemoral_joint_stress_during_running_in_females_with_and_without_patellofemoral_pain_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0968-0160(11)00168-2 DB - PRIME DP - Unbound Medicine ER -