Hip strength and hip and knee kinematics during stair descent in females with and without patellofemoral pain syndrome

Lori Ann Bolgla, Terry R. Malone, Brian R. Umberger, Timothy L. Uhl

Research output: Contribution to journalArticle

191 Citations (Scopus)

Abstract

Fisheye STUDY DESIGN: Cross-sectional. Fisheye OBJECTIVE: To determine if females presenting with patellofemoral pain syndrome (PFPS) from no discernable cause other than overuse demonstrate hip weakness and increased hip internal rotation, hip adduction, and knee valgus during stair descent. Fisheye BACKGROUND: Historically, PFPS has been viewed exclusively as a knee problem. Recent findings have indicated a possible association between hip weakness and PFPS. Researchers have hypothesized that patients who demonstrate hip weakness would exhibit increased hip internal rotation, hip adduction, and knee valgus during functional activities. To date, researchers have not simultaneously examined hip and knee strength and kinematics in subjects with PFPS to make this determination. Fisheye METHODS AND MEASURES: Eighteen females diagnosed with PFPS and 18 matched controls participated. Strength measures were taken for the hip external rotators and hip abductors. Hip and knee kinematics were collected as subjects completed a standardized stair-stepping task. Independent t tests were used to determine between-group differences in strength and kinematics during stair descent. Fisheye RESULTS: Subjects with PFPS generated 24% less hip external rotator (P = .002) and 26% less hip abductor (P =. 006) torque. No between-group differences (P>.05) were found for average hip and knee transverse and frontal plane angles during stair descent. Fisheye CONCLUSION: Subjects with PFPS had significant hip weakness but did not demonstrate altered hip and knee kinematics as previously theorized. Additional investigations are needed to better understand the association between hip weakness and PFPS etiology. Fisheye LEVEL OF EVIDENCE: Symptom Prevalence, Level 4.

Original languageEnglish (US)
Pages (from-to)12-18
Number of pages7
JournalJournal of Orthopaedic and Sports Physical Therapy
Volume38
Issue number1
DOIs
StatePublished - Jan 1 2008

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Patellofemoral Pain Syndrome
Biomechanical Phenomena
Hip
Knee
Research Personnel

Keywords

  • Anterior knee pain
  • Hip abduction
  • Hip external rotation
  • Kinematics

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Health Professions(all)

Cite this

Hip strength and hip and knee kinematics during stair descent in females with and without patellofemoral pain syndrome. / Bolgla, Lori Ann; Malone, Terry R.; Umberger, Brian R.; Uhl, Timothy L.

In: Journal of Orthopaedic and Sports Physical Therapy, Vol. 38, No. 1, 01.01.2008, p. 12-18.

Research output: Contribution to journalArticle

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abstract = "Fisheye STUDY DESIGN: Cross-sectional. Fisheye OBJECTIVE: To determine if females presenting with patellofemoral pain syndrome (PFPS) from no discernable cause other than overuse demonstrate hip weakness and increased hip internal rotation, hip adduction, and knee valgus during stair descent. Fisheye BACKGROUND: Historically, PFPS has been viewed exclusively as a knee problem. Recent findings have indicated a possible association between hip weakness and PFPS. Researchers have hypothesized that patients who demonstrate hip weakness would exhibit increased hip internal rotation, hip adduction, and knee valgus during functional activities. To date, researchers have not simultaneously examined hip and knee strength and kinematics in subjects with PFPS to make this determination. Fisheye METHODS AND MEASURES: Eighteen females diagnosed with PFPS and 18 matched controls participated. Strength measures were taken for the hip external rotators and hip abductors. Hip and knee kinematics were collected as subjects completed a standardized stair-stepping task. Independent t tests were used to determine between-group differences in strength and kinematics during stair descent. Fisheye RESULTS: Subjects with PFPS generated 24{\%} less hip external rotator (P = .002) and 26{\%} less hip abductor (P =. 006) torque. No between-group differences (P>.05) were found for average hip and knee transverse and frontal plane angles during stair descent. Fisheye CONCLUSION: Subjects with PFPS had significant hip weakness but did not demonstrate altered hip and knee kinematics as previously theorized. Additional investigations are needed to better understand the association between hip weakness and PFPS etiology. Fisheye LEVEL OF EVIDENCE: Symptom Prevalence, Level 4.",
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