Patellofemoral pain during step descents with and without fatigue-induced hip internal rotation

Context: Previous studies have reported that the incidence of patellofemoral pain in women is 2.2 times higher than that in men. Lower hip frontal dynamic joint stiffness in women may be related to the magnitude of hip adduction and internal rotation associated with patellofemoral pain. Objective: To identify sex differences in hip frontal dynamic joint stiffness and examine the relationship between hip frontal dynamic joint stiffness and hip adduction and internal rotation during gait. Design: Cross-sectional study. Setting: University campus. Participants: A total of 80 healthy volunteers (40 women and 40 men) participated in this study. Intervention(s): Kinematic and kinetic data during gait were collected using a motion capture system and force plates. Main Outcome Measures: Hip frontal dynamic joint stiffness, hip adduction, and hip internal rotation were calculated during gait. Results: Women demonstrated lower hip frontal dynamic joint stiffness than men during gait (P < .01). They also displayed decreased hip frontal dynamic joint stiffness associated with increased hip adduction (r = −.85, P < .001) and internal rotation (r = −.48, P < .001). Conversely, in men, decreased hip frontal dynamic joint stiffness was associated with increased hip adduction (r = −.74, P < .001) but not internal rotation (r = .17, P = .28). Conclusions: Sex differences between hip frontal dynamic joint stiffness and hip internal rotation during gait may contribute to the increased incidence of patellofemoral pain in women.

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Acute Effects of Hip Mobilization With Movement Technique on Pain and Biomechanics in Females With Patellofemoral Pain: A Randomized, Placebo-Controlled Trial

Journal of Sport Rehabilitation ◽

10.1123/jsr.2018-0497 ◽

2020 ◽

Vol 29 (6) ◽

pp. 707-715

Author(s):

Guilherme S. Nunes ◽

Débora Faria Wolf ◽

Daniel Augusto dos Santos ◽

Marcos de Noronha ◽

Fábio Viadanna Serrão

Keyword(s):

Internal Rotation ◽

Lower Limb ◽

Sham Group ◽

Controlled Trial ◽

Movement Analysis ◽

Patellofemoral Pain ◽

Acute Effects ◽

Significant Difference ◽

Hip Internal Rotation ◽

Experimental Group

Context: People with patellofemoral pain (PFP) present altered lower-limb movements during some activities. Perhaps, joint misalignment in the hip is one of the reasons for altered movement patterns in people with PFP. Some mobilization techniques have been designed to address joint misalignments. Objective: To investigate the acute effects of hip mobilization with movement (MWM) technique on pain and biomechanics during squats and jumps in females with and without PFP. Design: Randomized, placebo-controlled trial. Setting: Movement analysis laboratory. Patients: Fifty-six physically active females (28 with PFP and 28 asymptomatic) were divided into 4 groups: experimental group with PFP, sham group with PFP, experimental group without PFP, and sham group without PFP. Intervention(s): The experimental groups received MWM for the hip, and the sham groups received sham mobilization. Main Outcome Measures: Pain, trunk, and lower-limb kinematics, and hip and knee kinetics during single-leg squats and landings. Results: After the interventions, no difference between groups was found for pain. The PFP experimental group decreased hip internal rotation during squats compared with the PFP sham group (P = .03). There was no other significant difference between PFP groups for kinematic or kinetic outcomes during squats, as well as for any outcome during landings. There was no difference between asymptomatic groups for any of the outcomes in any of the tasks. Conclusions: Hip mobilization was ineffective to reduce pain in people with PFP. Hip MWM may contribute to dynamic lower-limb realignment in females with PFP by decreasing hip internal rotation during squats. Therefore, hip MWM could be potentially useful as a complementary intervention for patients with PFP.

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Which is the best predictor of excessive hip internal rotation in women with patellofemoral pain: Rearfoot eversion or hip muscle strength? Exploring subgroups

Gait & Posture ◽

10.1016/j.gaitpost.2018.03.037 ◽

2018 ◽

Vol 62 ◽

pp. 366-371 ◽

Cited By ~ 5

Author(s):

Amanda Schenatto Ferreira ◽

Danilo de Oliveira Silva ◽

Ronaldo Valdir Briani ◽

Deisi Ferrari ◽

Fernando Amâncio Aragão ◽

...

Keyword(s):

Muscle Strength ◽

Internal Rotation ◽

Patellofemoral Pain ◽

Hip Muscle ◽

Rearfoot Eversion ◽

Hip Internal Rotation

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Comparing the Effects of Mobilization With Movement (MWM), Self MWM, and Dynamic Stretching on Hip Internal Rotation)

Case Medical Research ◽

10.31525/ct1-nct04279756 ◽

2020 ◽

Author(s):

Keyword(s):

Internal Rotation ◽

Dynamic Stretching ◽

Hip Internal Rotation

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Effects of Self-stretching with Mobilization on Hip Range of Motion in Individuals with Hip Internal Rotation Deficits

Korean Academy of Clinical Movement Therapy ◽

10.52901/ppms.2021.1.1.43 ◽

2021 ◽

Vol 1 (1) ◽

pp. 45-53

Author(s):

Dong-Kyu Lee ◽

In-Joon Uh

Keyword(s):

Range Of Motion ◽

Internal Rotation ◽

Hip Range Of Motion ◽

Hip Internal Rotation

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Trunk and Lower Extremity Kinematics During Stair Descent in Women With or Without Patellofemoral Pain

Journal of Athletic Training ◽

10.4085/1062-6050-49.3.100 ◽

2015 ◽

Vol 50 (7) ◽

pp. 704-712 ◽

Cited By ~ 7

Author(s):

Brandi G. Schwane ◽

Benjamin M. Goerger ◽

Shiho Goto ◽

J. Troy Blackburn ◽

Alain J. Aguilar ◽

...

Keyword(s):

Lower Extremity ◽

Internal Rotation ◽

Mixed Model ◽

Current Knowledge ◽

Patellofemoral Pain ◽

Control Group ◽

Cross Sectional ◽

Exercise Interventions ◽

Stair Descent ◽

Trunk Kinematics

Context There is limited evidence indicating the contribution of trunk kinematics to patellofemoral pain (PFP). A better understanding of the interaction between trunk and lower extremity kinematics in this population may provide new avenues for interventions to treat PFP. Objective To compare trunk and lower extremity kinematics between participants with PFP and healthy controls during a stair-descent task. Design Cross-sectional study. Setting Research laboratory. Patients or Other Participants Twenty women with PFP (age = 22.2 ± 3.1 years, height = 164.5 ± 9.2 cm, mass = 63.5 ± 13.6 kg) and 20 healthy women (age = 21.0 ± 2.6 years, height = 164.5 ± 7.1 cm, mass = 63.8 ± 12.7 kg). Intervention(s) Kinematics were recorded as participants performed stair descent at a controlled velocity. Main Outcome Measure(s) Three-dimensional joint displacement of the trunk, hip, and knee during the stance phase of stair descent for the affected leg was measured using a 7-camera infrared optical motion-capture system. Pretest and posttest pain were assessed using a visual analogue scale. Kinematic differences between groups were determined using independent-samples t tests. A 2 × 2 mixed-model analysis of variance (group = PFP, control; time = pretest, posttest) was used to compare knee pain. Results We observed greater knee internal-rotation displacement for the PFP group (12.8° ± 7.2°) as compared with the control group (8.9° ± 4.4°). No other between-groups differences were observed for the trunk, hip, or other knee variables. Conclusions We observed no difference in trunk kinematics between groups but did note differences in knee internal-rotation displacement. These findings contribute to the current knowledge of altered movement in those with PFP and provide direction for exercise interventions.

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RESTRICTION IN HIP INTERNAL ROTATION AND 5TH METATARSAL STRESS FRACTURES (JONES FRACTURE) IN PROFESSIONAL FOOTBALL PLAYERS

British Journal of Sports Medicine ◽

10.1136/bjsports-2016-097372.247 ◽

2017 ◽

Vol 51 (4) ◽

pp. 381.2-381

Author(s):

Yoshitomo Saita ◽

Masashi Nagao ◽

Yohei Kobayashi ◽

Keiji Kobayashi ◽

Hiroshi Ikada

Keyword(s):

Internal Rotation ◽

Stress Fractures ◽

Football Players ◽

Professional Football ◽

Jones Fracture ◽

Hip Internal Rotation

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Lower Extremity Joint Moments of Collegiate Soccer Players Differ between Genders during a Forward Jump

Journal of Sport Rehabilitation ◽

10.1123/jsr.17.2.137 ◽

2008 ◽

Vol 17 (2) ◽

pp. 137-147 ◽

Cited By ~ 5

Author(s):

Joseph M. Hart ◽

J. Craig Garrison ◽

Riann Palmieri-Smith ◽

D. Casey Kerrigan ◽

Christopher D. Ingersoll

Keyword(s):

Lower Extremity ◽

Internal Rotation ◽

Outcome Measures ◽

Cruciate Ligament ◽

Ligament Injury ◽

Initial Contact ◽

Joint Angles ◽

Joint Moments ◽

Heel Contact ◽

Hip Internal Rotation

Context:Lower extremity kinetics while performing a single-leg forward jump landing may help explain gender biased risk for noncontact anterior cruciate ligament injury.Objective:Gender comparison of lower extremity joint angles and moments.Design:Static groups comparison.Setting:Motion analysis laboratory.Patients or Other Participants:8 male and 8 female varsity, collegiate soccer athletes.Intervention:5 single-leg landings from a 100cm forward jump.Main Outcome Measures:Peak and initial contact external joint moments and joint angles of the ankle, knee, and hip.Results:At initial heel contact, males exhibited a adduction moment whereas females exhibited a abduction moment at the hip. Females also had significantly less peak hip extension moment and significantly less peak hip internal rotation moment than males had. Females exhibited greater knee adduction and hip internal rotation angles than men did.Conclusions:When decelerating from a forward jump, gender differences exist in forces acting at the hip.

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