Kinematics and muscle forces in women with patellofemoral pain during the propulsion phase of the single leg triple hop test

• Published in: Gait & posture 2019-09, Vol.73, p.108-115
• Main Authors: Alvim, Felipe Costa, Muniz, Adriane Mara de Souza, Lucareli, Paulo Roberto Garcia, Menegaldo, Luciano Luporini
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Biomechanical Phenomena; Case-Control Studies; Female; Hip - physiology; Humans; Inverse dynamics; Knee Joint - physiology; Lower Extremity - physiology; Movement - physiology; Muscle induced accelerations; Muscle, Skeletal - physiology; Pain Measurement; Patellofemoral pain syndrome; Patellofemoral Pain Syndrome - physiopathology; Pelvis - physiology; Static optimization; Triple hop test; Weight-Bearing - physiology; Young Adult
• ISSN: 0966-6362; 1879-2219
• DOI: 10.1016/j.gaitpost.2019.07.193

•Kinematics and muscle induced accelerations between PFP and controls was compared.•PFP subjects increased lumbar extension, anterior pelvic tilt and pelvic drop.•PFP have lower muscle induced accelerations from the core and hip muscles.•PFP presented a poor lumbar muscle control.•Compensatory pelvic strategy occurs possibly to minimize knee extensor moment. Approximately 25% of orthopedic knee conditions are related to patellofemoral pain (PFP), with young women being the most affected. It is thought that this condition is associated with modifications in the kinematics and muscle control patterns of the lower limb during weight-bearing support activities, which increases femur movement under the patella. To compare kinematics and muscle induced acceleration patterns between PFP subjects and healthy controls during the preparation phase of the single leg triple hop test. Biomechanical analysis was performed using OpenSim. Ten physically active women (23.2 ± 4 years, 59.3 ± 5.8 kg, and 1.63 ± 0.06 m) with no history of lower limb injury (CG) and 11 volunteers (23.5 ± 2 years, 55.4 ± 4.9 kg, and 1.66 ± 0.04 m) with PFP (PFPG) were recruited. The participants performed a series of single leg triple hop tests while the ground reaction forces and kinematic data were recorded. Vector field statistical analysis indicated increased lumbar extension, anterior pelvic tilt, contralateral pelvic drop, and lower induced accelerations from the core and hip muscles in PFPG. PFP volunteers presented with alterations in lumbar muscle control associated with a possible compensatory pelvic strategy to minimize knee extensor moment.