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Proximal and distal kinematics in female runners with patellofemoral pain.
Clin Biomech (Bristol, Avon). 2012 May; 27(4):366-71.CB

Abstract

BACKGROUND

Female runners have a high incidence of developing patellofemoral pain. Abnormal mechanics are thought to be an important contributing factor to patellofemoral pain. However, the contribution of abnormal trunk, hip, and foot mechanics to the development of patellofemoral pain within this cohort remains elusive. Therefore the aim of this study was to determine if significant differences during running exist in hip, trunk and foot kinematics between females with and without patellofemoral pain.

METHODS

32 female runners (16 patellofemoral pain, 16 healthy control) participated in this study. All individuals underwent an instrumented gait analysis. Between-group comparisons were made for hip adduction, hip internal rotation, contra-lateral pelvic drop, contra-lateral trunk lean, rearfoot eversion, tibial internal rotation, as well as forefoot dorsiflexion and abduction

FINDINGS

The patellofemoral pain group had significantly greater peak hip adduction and hip internal rotation. No differences in contra-lateral pelvic drop were found. A trend towards reduced contra-lateral trunk lean was found in the patellofemoral pain group. No significant differences were found in any of the rearfoot or forefoot variables but significantly greater shank internal rotation was found in the patellofemoral pain group.

INTERPRETATION

We found greater hip adduction, hip internal rotation and shank internal rotation in female runners with patellofemoral pain. We also found less contra-lateral trunk lean in the patellofemoral pain group. This may be a potential compensatory mechanism for the poor hip control seen. Rehabilitation programs that correct abnormal hip and shank kinematics are warranted in this population.

Authors+Show Affiliations

Division of Physical Therapy, University of Kentucky, KY 40536-0200, USA. b.noehren@uky.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22071426

Citation

Noehren, Brian, et al. "Proximal and Distal Kinematics in Female Runners With Patellofemoral Pain." Clinical Biomechanics (Bristol, Avon), vol. 27, no. 4, 2012, pp. 366-71.
Noehren B, Pohl MB, Sanchez Z, et al. Proximal and distal kinematics in female runners with patellofemoral pain. Clin Biomech (Bristol, Avon). 2012;27(4):366-71.
Noehren, B., Pohl, M. B., Sanchez, Z., Cunningham, T., & Lattermann, C. (2012). Proximal and distal kinematics in female runners with patellofemoral pain. Clinical Biomechanics (Bristol, Avon), 27(4), 366-71. https://doi.org/10.1016/j.clinbiomech.2011.10.005
Noehren B, et al. Proximal and Distal Kinematics in Female Runners With Patellofemoral Pain. Clin Biomech (Bristol, Avon). 2012;27(4):366-71. PubMed PMID: 22071426.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Proximal and distal kinematics in female runners with patellofemoral pain. AU - Noehren,Brian, AU - Pohl,Michael B, AU - Sanchez,Zack, AU - Cunningham,Tom, AU - Lattermann,Christian, Y1 - 2011/11/08/ PY - 2011/07/27/received PY - 2011/10/05/revised PY - 2011/10/09/accepted PY - 2011/11/11/entrez PY - 2011/11/11/pubmed PY - 2012/7/24/medline SP - 366 EP - 71 JF - Clinical biomechanics (Bristol, Avon) JO - Clin Biomech (Bristol, Avon) VL - 27 IS - 4 N2 - BACKGROUND: Female runners have a high incidence of developing patellofemoral pain. Abnormal mechanics are thought to be an important contributing factor to patellofemoral pain. However, the contribution of abnormal trunk, hip, and foot mechanics to the development of patellofemoral pain within this cohort remains elusive. Therefore the aim of this study was to determine if significant differences during running exist in hip, trunk and foot kinematics between females with and without patellofemoral pain. METHODS: 32 female runners (16 patellofemoral pain, 16 healthy control) participated in this study. All individuals underwent an instrumented gait analysis. Between-group comparisons were made for hip adduction, hip internal rotation, contra-lateral pelvic drop, contra-lateral trunk lean, rearfoot eversion, tibial internal rotation, as well as forefoot dorsiflexion and abduction FINDINGS: The patellofemoral pain group had significantly greater peak hip adduction and hip internal rotation. No differences in contra-lateral pelvic drop were found. A trend towards reduced contra-lateral trunk lean was found in the patellofemoral pain group. No significant differences were found in any of the rearfoot or forefoot variables but significantly greater shank internal rotation was found in the patellofemoral pain group. INTERPRETATION: We found greater hip adduction, hip internal rotation and shank internal rotation in female runners with patellofemoral pain. We also found less contra-lateral trunk lean in the patellofemoral pain group. This may be a potential compensatory mechanism for the poor hip control seen. Rehabilitation programs that correct abnormal hip and shank kinematics are warranted in this population. SN - 1879-1271 UR - https://www.unboundmedicine.com/medline/citation/22071426/Proximal_and_distal_kinematics_in_female_runners_with_patellofemoral_pain_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0268-0033(11)00263-4 DB - PRIME DP - Unbound Medicine ER -