Physical activity levels in individuals with and without patellofemoral pain

Glaviano, Neal R.; Baellow, Andrea L.; Saliba, Susan A.

doi:10.1016/j.ptsp.2017.07.002

Cited by 77 publications

(77 citation statements)

References 24 publications

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“…Participant height, weight, BMI, body fat percentage, age and Q angle did not predict future PFP in any cohort. The recent systematic review of Hart et al 48 reports a cross sectional association between high BMI and both PFP and patellofemoral osteoarthritis in adults, again perhaps due to a reduction in activity levels after symptom development 49. Higher BMI was not a risk factor for future PFP in either adults or adolescents, nor was a high BMI linked to intervention outcomes in participants with PFP 48…”

Section: Discussionmentioning

confidence: 99%

Risk factors for patellofemoral pain: a systematic review and meta-analysis

et al. 2018

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BackgroundPatellofemoral pain (PFP) is a prevalent condition commencing at various points throughout life. We aimed to provide an evidence synthesis concerning predictive variables for PFP, to aid development of preventative interventions.MethodsWe searched Medline, Web of Science and SCOPUS until February 2017 for prospective studies investigating at least one potential risk factor for future PFP. Two independent reviewers appraised methodological quality using the Newcastle–Ottawa Scale. We conducted meta-analysis where appropriate, with standardised mean differences (SMD) and risk ratios calculated for continuous and nominal scaled data.ResultsThis review included 18 studies involving 4818 participants, of whom 483 developed PFP (heterogeneous incidence 10%). Three distinct subgroups (military recruits, adolescents and recreational runners) were identified. Strong to moderate evidence indicated that age, height, weight, body mass index (BMI), body fat and Q angle were not risk factors for future PFP. Moderate evidence indicated that quadriceps weakness was a risk factor for future PFP in the military, especially when normalised by BMI (SMD −0.69, CI −1.02, –0.35). Moderate evidence indicated that hip weakness was not a risk factor for future PFP (multiple pooled SMDs, range −0.09 to −0.20), but in adolescents, moderate evidence indicated that increased hip abduction strength was a risk factor for future PFP (SMD 0.71, CI 0.39, 1.04).ConclusionsThis review identified multiple variables that did not predict future PFP, but quadriceps weakness in military recruits and higher hip strength in adolescents were risk factors for PFP. Identifying modifiable risk factors is an urgent priority to improve prevention and treatment outcomes.

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Section: Discussionmentioning

confidence: 99%

Risk factors for patellofemoral pain: a systematic review and meta-analysis

et al. 2018

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“…Therefore, the maximum score on the STROBE that each study could receive was 20 ( Table 1). Glaviano et al 18 did not describe any efforts to address potential biases, failed to give adequate description of the setting, locations, and relevant dates, and did not indicate the number of participants with missing data for each variable of interest. Neither Ross 16 nor Piva et al 17 provided a sample size calculation or described any efforts to address potential bias.…”

Section: Results Of Evidence Quality Assessmentmentioning

confidence: 99%

“…Self-perceived levels of knee function were measured by the KOS, 16 KOS-ADL, 17 KOS-SAS, 16 or Anterior Knee Pain Scale (AKPS). 18 • The results of Ross 16 demonstrated that fear-avoidance beliefs explained 12% of the variance in self-perceived functional outcomes in both activities of daily living and sports in patients post ACLR. Piva et al 17 and Glaviano et al 18 identified a significant negative association between self-reported knee function and fear-avoidance beliefs in patients with patellofemoral pain.…”

Section: Summary Of Search Best Evidence Appraised and Key Findingsmentioning

confidence: 99%

“…After review of the abstracts, 14 studies were excluded as they did not meet the inclusion criteria for this CAT. Two cross-sectional studies 16,17 and one case-control study 18 met inclusion criteria for this CAT. Study characteristics are categorized in Table 1.…”

Section: Summary Of Search Best Evidence Appraised and Key Findingsmentioning

confidence: 99%

“…• The three studies assessed the association between fearavoidance beliefs and self-reported knee function in patients with a knee injury. [16][17][18] Two of the studies examined the association in PFP patients, 17,18 while the other study examined this relationship in patients post ACL reconstruction. 16 All studies used the FABQ or one of the subscales, FABQ-Work (FABQ-W) or FABQ-PA, to evaluate fear-avoidance beliefs in their respective populations.…”

Section: Summary Of Search Best Evidence Appraised and Key Findingsmentioning

confidence: 99%

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The Association of Fear-Avoidance Beliefs and Self-Reported Knee Function in Patients With a Knee Injury: A Critically Appraised Topic

Genoese

Baez

Hoch

2018

International Journal of Athletic Therapy and Training

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Clinical Question: Are fear-avoidance beliefs associated with self-reported knee function in patients with a knee injury? Clinical Bottom Line: There is currently consistent, good-quality, patient-oriented evidence that demonstrates an association between fear-avoidance beliefs and self-reported knee function in patients with a knee injury. Future research should longitudinally examine the association of fear-avoidance beliefs and self-reported knee function in patients with a knee injury.

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Males with patellofemoral pain have altered movements during step‐down and single‐leg squatting tasks compared to asymptomatic males: A cross‐sectional study

Hoglund,

Hulcher,

Amabile

2024

Health Science Reports

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Background and AimsPatellofemoral pain (PFP) is common in males, causing reduced physical activity and chronic pain. One proposed cause of PFP is aberrant biomechanics during tasks loading the patellofemoral joint. Consistent evidence exists for females with PFP, but it is uncertain if males with PFP have altered biomechanics. This study investigated the kinematics of males with PFP compared to pain‐free males during forward step‐down (StDn) and single‐leg squat (SLSq).MethodsA cross‐sectional study including 40 males aged 20–39 years (28.28 ± 5.46) was conducted (20 PFP, 20 pain‐free). Participants performed StDn and SLSq while motion was captured with a video‐based motion capture system (Motion Analysis Corporation). Triplanar peak angles and angular ranges of motion (ROM) of the trunk, pelvis, and weight‐bearing hip, knee, and ankle were dependent variables. Mixed‐model ANOVA tests were used to determine the presence of significant interactions and main effects of group and task.ResultsMales with PFP had significantly lower peak knee adduction angles compared to pain‐free males (p = 0.01). Significant group x task interactions were found for hip and pelvis ROM (p < 0.05). PFP participants had increased hip and pelvis ROM during StDn in the frontal and transverse planes but reduced or nearly equal ROM for these variables during SLSq. Peak hip adduction, hip internal rotation, contralateral pelvic drop and anterior tilt, trunk flexion, and ankle dorsiflexion were greater during StDn compared to SLSq (p < 0.05). ROM of the hip, pelvis, trunk, and ankle were greater during StDn compared to SLSq (p < 0.05).ConclusionMales with PFP had reduced peak knee adduction angles in StDn and SLSq. Males with PFP demonstrated increased hip and pelvis ROM during StDn versus SLSq, particularly in the frontal and transverse planes. Clinicians should consider StDn as a clinical test since aberrant movement may be easier to detect than in SLSq.

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Physical activity levels in individuals with and without patellofemoral pain

Cited by 77 publications

References 24 publications

Risk factors for patellofemoral pain: a systematic review and meta-analysis

Risk factors for patellofemoral pain: a systematic review and meta-analysis

The Association of Fear-Avoidance Beliefs and Self-Reported Knee Function in Patients With a Knee Injury: A Critically Appraised Topic

Males with patellofemoral pain have altered movements during step‐down and single‐leg squatting tasks compared to asymptomatic males: A cross‐sectional study

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