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The relationship between rearfoot, tibial and hip kinematics in individuals with patellofemoral pain syndrome.
Clin Biomech (Bristol, Avon). 2012 Aug; 27(7):702-5.CB

Abstract

BACKGROUND

Excessive rearfoot eversion is thought to be a risk factor for patellofemoral pain syndrome development, based on theoretical rationale linking it to greater tibial internal rotation and hip adduction. This study aimed to establish the relationship of rearfoot eversion with tibial internal rotation and hip adduction during walking in individuals with and without patellofemoral pain syndrome.

METHODS

Twenty-six individuals with patellofemoral pain syndrome and 20 controls (18-35years) participated. Each underwent instrumented three-dimensional motion analysis during over-ground walking. Pearson's correlation coefficients (r) were calculated to establish the relationship of rearfoot eversion with tibial internal rotation and hip adduction (peak and range of motion).

FINDINGS

Greater peak rearfoot eversion was associated with greater peak tibial internal rotation in the patellofemoral pain syndrome group (r=0.394, P=0.046). Greater rearfoot eversion range of motion was associated with greater hip adduction range of motion in the patellofemoral pain syndrome (r=0.573, P=0.002) and control (r=0.460, P=0.041) groups; and greater peak hip adduction in the control group (r=0.477, P=0.033).

INTERPRETATION

Associations between greater rearfoot eversion and greater hip adduction indicate that interventions targeted at the foot or hip in individuals with patellofemoral pain syndrome may have similar overall effects on lower limb motion and clinical outcomes. The relationship between rearfoot eversion and tibial internal rotation identified in the patellofemoral pain syndrome group may be related to aetiology. However, additional prospective research is needed to confirm this.

Authors+Show Affiliations

Musculoskeletal Research Centre, La Trobe University, Australia. chris.physiophysio@hotmail.co.ukNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22436492

Citation

Barton, Christian J., et al. "The Relationship Between Rearfoot, Tibial and Hip Kinematics in Individuals With Patellofemoral Pain Syndrome." Clinical Biomechanics (Bristol, Avon), vol. 27, no. 7, 2012, pp. 702-5.
Barton CJ, Levinger P, Crossley KM, et al. The relationship between rearfoot, tibial and hip kinematics in individuals with patellofemoral pain syndrome. Clin Biomech (Bristol, Avon). 2012;27(7):702-5.
Barton, C. J., Levinger, P., Crossley, K. M., Webster, K. E., & Menz, H. B. (2012). The relationship between rearfoot, tibial and hip kinematics in individuals with patellofemoral pain syndrome. Clinical Biomechanics (Bristol, Avon), 27(7), 702-5. https://doi.org/10.1016/j.clinbiomech.2012.02.007
Barton CJ, et al. The Relationship Between Rearfoot, Tibial and Hip Kinematics in Individuals With Patellofemoral Pain Syndrome. Clin Biomech (Bristol, Avon). 2012;27(7):702-5. PubMed PMID: 22436492.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The relationship between rearfoot, tibial and hip kinematics in individuals with patellofemoral pain syndrome. AU - Barton,Christian J, AU - Levinger,Pazit, AU - Crossley,Kay M, AU - Webster,Kate E, AU - Menz,Hylton B, Y1 - 2012/03/20/ PY - 2011/12/08/received PY - 2012/02/17/revised PY - 2012/02/21/accepted PY - 2012/3/23/entrez PY - 2012/3/23/pubmed PY - 2012/12/13/medline SP - 702 EP - 5 JF - Clinical biomechanics (Bristol, Avon) JO - Clin Biomech (Bristol, Avon) VL - 27 IS - 7 N2 - BACKGROUND: Excessive rearfoot eversion is thought to be a risk factor for patellofemoral pain syndrome development, based on theoretical rationale linking it to greater tibial internal rotation and hip adduction. This study aimed to establish the relationship of rearfoot eversion with tibial internal rotation and hip adduction during walking in individuals with and without patellofemoral pain syndrome. METHODS: Twenty-six individuals with patellofemoral pain syndrome and 20 controls (18-35years) participated. Each underwent instrumented three-dimensional motion analysis during over-ground walking. Pearson's correlation coefficients (r) were calculated to establish the relationship of rearfoot eversion with tibial internal rotation and hip adduction (peak and range of motion). FINDINGS: Greater peak rearfoot eversion was associated with greater peak tibial internal rotation in the patellofemoral pain syndrome group (r=0.394, P=0.046). Greater rearfoot eversion range of motion was associated with greater hip adduction range of motion in the patellofemoral pain syndrome (r=0.573, P=0.002) and control (r=0.460, P=0.041) groups; and greater peak hip adduction in the control group (r=0.477, P=0.033). INTERPRETATION: Associations between greater rearfoot eversion and greater hip adduction indicate that interventions targeted at the foot or hip in individuals with patellofemoral pain syndrome may have similar overall effects on lower limb motion and clinical outcomes. The relationship between rearfoot eversion and tibial internal rotation identified in the patellofemoral pain syndrome group may be related to aetiology. However, additional prospective research is needed to confirm this. SN - 1879-1271 UR - https://www.unboundmedicine.com/medline/citation/22436492/The_relationship_between_rearfoot_tibial_and_hip_kinematics_in_individuals_with_patellofemoral_pain_syndrome_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0268-0033(12)00040-X DB - PRIME DP - Unbound Medicine ER -