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Relationship between rearfoot, tibia and femur kinematics in runners with and without patellofemoral pain.
Gait Posture. 2018 03; 61:416-422.GP

Abstract

BACKGROUND

Patellofemoral pain (PFP) is the most common running overuse injury. Excessive rearfoot eversion is commonly considered as a PFP risk factor and the relationship between ankle-foot complex movement and lower limb may be involved with this dysfunction. The purpose of this study was to evaluate the correlation between rearfoot eversion with tibia and femur kinematics in frontal and transverse planes during running in individuals with and without PFP. The secondary purpose was to compare the lower limb kinematics between runners with and without PFP.

METHODS

Fifty-four recreational runners were divided into 2 groups: healthy runners (CG, n = 27) and runners with patellofemoral pain (PFPG, n = 27). Kinematics during running were assessed using three-dimensional motion analysis system. Pearson's correlation coefficients (r) were calculated to establish the correlation of rearfoot eversion with tibial and femur movements.

FINDINGS

Greater peak rearfoot eversion was correlated with greater peak femur adduction in PFP runners. Greater peak rearfoot eversion was correlated with greater peak tibial internal rotation and tibial adduction in the PFPG and CG. Additionally, greater peak rearfoot eversion was correlated with greater tibial internal rotation range of motion in the PFPG and CG. No significant differences were found between the PFPG and CG for all kinematics variables.

INTERPRETATION

Correlation between greater rearfoot eversion and greater peak hip adduction in the PFPG might be related to PFP persistence in runners with excessive rearfoot eversion, and indicates that treatment strategies aimed at controlling the movement of the rearfoot could help modify the symptoms.

Authors+Show Affiliations

Department of Physical Therapy, Federal University of São Carlos, São Carlos, Brazil.Department of Physical Therapy, Federal University of São Carlos, São Carlos, Brazil.Department of Physical Therapy, Federal University of São Carlos, São Carlos, Brazil.Department of Physical Therapy, Federal University of São Carlos, São Carlos, Brazil.Department of Orthopaedics, University of Rochester Medical Center, Rochester, NY, USA.Department of Physical Therapy, Federal University of São Carlos, São Carlos, Brazil. Electronic address: fserrao@ufscar.br.

Pub Type(s)

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

Language

eng

PubMed ID

29475152

Citation

Luz, Bruna Calazans, et al. "Relationship Between Rearfoot, Tibia and Femur Kinematics in Runners With and Without Patellofemoral Pain." Gait & Posture, vol. 61, 2018, pp. 416-422.
Luz BC, Dos Santos AF, de Souza MC, et al. Relationship between rearfoot, tibia and femur kinematics in runners with and without patellofemoral pain. Gait Posture. 2018;61:416-422.
Luz, B. C., Dos Santos, A. F., de Souza, M. C., de Oliveira Sato, T., Nawoczenski, D. A., & Serrão, F. V. (2018). Relationship between rearfoot, tibia and femur kinematics in runners with and without patellofemoral pain. Gait & Posture, 61, 416-422. https://doi.org/10.1016/j.gaitpost.2018.02.008
Luz BC, et al. Relationship Between Rearfoot, Tibia and Femur Kinematics in Runners With and Without Patellofemoral Pain. Gait Posture. 2018;61:416-422. PubMed PMID: 29475152.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Relationship between rearfoot, tibia and femur kinematics in runners with and without patellofemoral pain. AU - Luz,Bruna Calazans, AU - Dos Santos,Ana Flávia, AU - de Souza,Mariana Carvalho, AU - de Oliveira Sato,Tatiana, AU - Nawoczenski,Deborah A, AU - Serrão,Fábio Viadanna, Y1 - 2018/02/12/ PY - 2017/05/23/received PY - 2018/02/08/revised PY - 2018/02/10/accepted PY - 2018/2/24/pubmed PY - 2018/10/6/medline PY - 2018/2/24/entrez KW - Femur KW - Kinematics KW - Patellofemoral pain KW - Rearfoot KW - Running KW - Tibia SP - 416 EP - 422 JF - Gait & posture JO - Gait Posture VL - 61 N2 - BACKGROUND: Patellofemoral pain (PFP) is the most common running overuse injury. Excessive rearfoot eversion is commonly considered as a PFP risk factor and the relationship between ankle-foot complex movement and lower limb may be involved with this dysfunction. The purpose of this study was to evaluate the correlation between rearfoot eversion with tibia and femur kinematics in frontal and transverse planes during running in individuals with and without PFP. The secondary purpose was to compare the lower limb kinematics between runners with and without PFP. METHODS: Fifty-four recreational runners were divided into 2 groups: healthy runners (CG, n = 27) and runners with patellofemoral pain (PFPG, n = 27). Kinematics during running were assessed using three-dimensional motion analysis system. Pearson's correlation coefficients (r) were calculated to establish the correlation of rearfoot eversion with tibial and femur movements. FINDINGS: Greater peak rearfoot eversion was correlated with greater peak femur adduction in PFP runners. Greater peak rearfoot eversion was correlated with greater peak tibial internal rotation and tibial adduction in the PFPG and CG. Additionally, greater peak rearfoot eversion was correlated with greater tibial internal rotation range of motion in the PFPG and CG. No significant differences were found between the PFPG and CG for all kinematics variables. INTERPRETATION: Correlation between greater rearfoot eversion and greater peak hip adduction in the PFPG might be related to PFP persistence in runners with excessive rearfoot eversion, and indicates that treatment strategies aimed at controlling the movement of the rearfoot could help modify the symptoms. SN - 1879-2219 UR - https://www.unboundmedicine.com/medline/citation/29475152/Relationship_between_rearfoot_tibia_and_femur_kinematics_in_runners_with_and_without_patellofemoral_pain_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0966-6362(18)30086-9 DB - PRIME DP - Unbound Medicine ER -