COMPARATIVE STUDY
JOURNAL ARTICLE

Patellofemoral joint stress during running in females with and without patellofemoral pain

Adam D Wirtz, John D Willson, Thomas W Kernozek, Di-An Hong
Knee 2012, 19 (5): 703-8
22000909
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.

Full Text Links

Find Full Text Links for this Article

Discussion

You are not logged in. Sign Up or Log In to join the discussion.

Related Papers

Remove bar
Read by QxMD icon Read
22000909
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"