scholarly journals Static Balance in Patients With Patellofemoral Pain Syndrome

2011 ◽  
Vol 3 (6) ◽  
pp. 524-527 ◽  
Author(s):  
Seyit Citaker ◽  
Defne Kaya ◽  
Inci Yuksel ◽  
Baran Yosmaoglu ◽  
John Nyland ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Case Series ◽  
Pain Syndrome ◽  
Patellofemoral Pain Syndrome ◽  
Patellofemoral Pain ◽  
Lower Extremity Alignment ◽  
Q Angle ◽  
Prospective Case Series ◽  
The Relationship ◽  
Symptomatic Side

Background: The relationship between one-leg static standing balance (OLSSB) and patellofemoral pain syndrome (PFPS) is unknown. Hypothesis: OLSSB decreases in patients with PFPS. Design: Prospective case series. Methods: Fifty-two women with unilateral PFPS were enrolled in this study. OLSSB was evaluated with a stabilometer. Q angle was measured with a lengthened-arm universal goniometer. Lower extremity alignment was analyzed with full-length standing anteroposterior teleroentgenograms. Quadriceps and hamstring strength was measured on an isokinetic dynamometer. Results: There were significant differences in OLSSB, Q angle, and strength of quadriceps and hamstring between the symptomatic and asymptomatic sides. There was a correlation between the strength of the quadriceps and hamstring and OLSSB, while there was no correlation between OLSSB and the severity of pain, lower extremity alignment, and Q angle on the symptomatic side. Conclusions: OLSSB and quadriceps and hamstring strength decreased and Q angle increased on the symptomatic side in PFPS patients. A relationship between OLSSB and pain, Q angle, and lower extremity alignment was not detected, while there was a correlation between the strength of the quadriceps and hamstring and OLSSB. Clinical Relevance: A quadriceps and hamstring strengthening may be beneficial to improve OLSSB in patients with PFPS.

scholarly journals Clinical rearfoot and knee static alignment measurements are not associated with patellofemoral pain syndrome

2012 ◽  
Vol 19 (1) ◽  
pp. 45-51 ◽  
Author(s):  
Sandra Aliberti ◽  
Mariana Souza Xavier Costa ◽  
Sílvia Maria Amado João ◽  
Anice de Campos Pássaro ◽  
Antonio Carlos Arnone ◽  
...  
Keyword(s):  
Odds Ratio ◽  
Pain Syndrome ◽  
Patellofemoral Pain Syndrome ◽  
Patellofemoral Pain ◽  
Cross Sectional ◽  
Q Angle ◽  
Limited Applicability ◽  
Mean Differences ◽  
Continuous Measures ◽  
Control Study

The aim of the present study was to investigate the association between the patellofemoral pain syndrome and the clinical static measurements: the rearfoot and the Q angles. The design was a cross-sectional, observational, case-control study. We evaluated 77 adults (both genders), 30 participants with patellofemoral pain syndrome, and 47 controls. We measured the rearfoot and Q angles by photogrammetry. Independent t-tests were used to compare outcome continuous measures between groups. Outcome continuous data were also transformed into categorical clinical classifications, in order to verify their statistical association with the dysfunction, and χ2 tests for multiple responses were used. There were no differences between groups for rearfoot angle [mean differences: 0.2º (95%CI -1.4-1.8)] and Q angle [mean differences: -0.3º (95%CI -3.0-2.4). No associations were found between increased rearfoot valgus [Odds Ratio: 1.29 (95%CI 0.51-3.25)], as well as increased Q angle [Odds Ratio: 0.77 (95%CI 0.31-1.93)] and the patellofemoral pain syndrome occurrence. Although widely used in clinical practice and theoretically thought, it cannot be affirmed that increased rearfoot valgus and increased Q angle, when statically measured in relaxed stance, are associated with patellofemoral pain syndrome (PFPS). These measures may have limited applicability in screening of the PFPS development.

scholarly journals DERAJAT QUADRICEPS ANGLE MEMPENGARUHI PATELLA FEMORAL PAIN SYNDROME

2020 ◽  
Vol 4 (1) ◽  
pp. 72-78
Author(s):  
Adnan Faris Naufal ◽  
Dini Afriani Khasanah ◽  
Ulfa Noviyana
Keyword(s):  
Patellofemoral Joint ◽  
Pain Syndrome ◽  
Patellofemoral Pain Syndrome ◽  
Patellofemoral Pain ◽  
P Value ◽  
Q Angle ◽  
Kujala Score

ABSTRAK Patellofemoral pain syndrome tidak memikili definisi gejala yang jelas karena gejala dan sakit yang dirasakan pasien mungkin berbeda dan rata-rata mengganggu aktivitas fisik pasien. Salah satu konsep penting dalam patellofemoral joint adalah Q-angle. Secara teoritis, lebih tinggi Q-angle meningkatkan tarikan lateral paha depan femoris pada patella dan mempotensiasi gangguan patellofemoral. Penelitian ini dilakukan untuk mengevaluasi hubungan antara nyeri lutut anterior dan Q-angle. Pengukuran pada penelitian ini dilakukan dengan menggunakan kujala score untuk mengukur keluhan patellofemoral pain syndrome, untuk mengukur besar sudut Q-angle diukur dengan goniometer. Data yang dikumpulkan kemudian dianalisis menggunakan uji Spearman Rho. Hasil penelitian menunjukan adanya hubungan Q-angle dan patellafemoral pain syndrome pada pemain bola basket wanita. Nilai p value dari Q-angle sebesar 0,024 sehingga Ho ditolak dengan nilai r = 0,579 menunjukan hubungan positif dan kekuatan korelasi yang tinggi, patellofemoral pain syndrome 0,043 dengan nilai r = 0,528 menunjukan hubungan positif dan kekuatan korelasi yang kuat. Nilai korelasi tersebut menunjukkan terdapat hubungan Q-angle terhadap keluhan patellofemoral pain syndrome.  

The Effect of Foot Orthoses on Patellofemoral Pain Syndrome

2003 ◽  
Vol 93 (4) ◽  
pp. 264-271 ◽  
Author(s):  
Amol Saxena ◽  
Jack Haddad
Keyword(s):  
Pain Syndrome ◽  
Patellofemoral Pain Syndrome ◽  
Patellofemoral Pain ◽  
Joint Disease ◽  
Treatment Modalities ◽  
Foot Orthoses ◽  
Chi Square ◽  
Multiple Treatment ◽  
Q Angle ◽  
Forefoot Varus

In a retrospective review of 102 patients treated for chondromalacia pa-tellae and patellofemoral pain syndrome/retropatellar dysplasia (PFPS/RPD), the effectiveness of semiflexible foot orthoses was investigated. The combined disorders were diagnosed in 89.3% of the patients. Subjects were 46 women and 54 men, aged 12 to 87 years (mean, 37.9 years; SD, 15.9), who exhibited excessive forefoot varus or rearfoot varus. The initial screening and clinical diagnosis were based on an examination by an orthopedist. Particular attention was directed to patellar crepitation, patellofemoral malalignment, Q-angle measurements, limitation of range of motion, and knee effusion. Patients were evaluated for the onset and duration of patellofemoral pain and degree of knee joint disease. Semiflexible orthoses for each subject were fabricated, based on a clinical lower extremity biomechanical examination. At their follow-up visit, 76.5% were improved and 2% were asymptomatic, showing a significant decrease in the level of pain with orthoses intervention (chi-square P < .001). Although multiple treatment modalities are used for these patients, the results suggest that the use of semiflexible orthoses is significant in reducing symptoms of PFPS/RPD. (J Am Podiatr Med Assoc 93(4): 264-271, 2003)

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