CLINICAL MUSCULAR EVALUATION IN PATELLOFEMORAL PAIN SYNDROME

ABSTRACT Objective: To define a profile of the muscle groups affected by patellofemoral pain syndrome (PFPS) to determine a pattern of functional weaknesses around the knee. Methods: Sixty-three female patients were randomly selected, and 17 included in this study, receiving a clinical evaluation with pre-established protocol which evaluated the quadriceps, abductors, range of motion in the internal rotators and ankle dorsiflexors, pelvic tilt, and dynamic valgus. Results: Losses were seen in abductor strength and ankle dorsiflexor range of motion in comparison with the contralateral limb (0.031 and 0.040, respectively). There was a loss of quadriceps strength and decreased amplitude of internal hip rotation when compared to the Kujala score (0.032 and 0.002, respectively). Dynamic valgus and pelvic fall were greater in comparison with the Kujala score (0.668 and 0.567, respectively). Conclusion: Clinical evaluation showed deficits in the quadriceps and abductor muscle groups, as well as decreased range of motion in the internal hip rotators and ankle dorsiflexors and increased dynamic valgus and pelvic drop. Level of Evidence IV; Case series.

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Main Authors: LOBO JÚNIOR,PAULO, BARBOSA NETO,ITAMAR ALVES, BORGES,JOSÉ HUMBERTO DE SOUZA, TOBIAS,RODRIGO FERREIRA, BOITRAGO,MARCOS VINÍCIUS DA SILVA, OLIVEIRA,MÁRCIO DE PAULA
Format: Digital revista
Language:English
Published: ATHA EDITORA 2018
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522018000200091
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spelling oai:scielo:S1413-785220180002000912018-06-07CLINICAL MUSCULAR EVALUATION IN PATELLOFEMORAL PAIN SYNDROMELOBO JÚNIOR,PAULOBARBOSA NETO,ITAMAR ALVESBORGES,JOSÉ HUMBERTO DE SOUZATOBIAS,RODRIGO FERREIRABOITRAGO,MARCOS VINÍCIUS DA SILVAOLIVEIRA,MÁRCIO DE PAULA Patellofemoral pain syndrome/physiopathology Patellofemoral pain syndrome/therapy Knee joint Muscle, skeletal/physiology. ABSTRACT Objective: To define a profile of the muscle groups affected by patellofemoral pain syndrome (PFPS) to determine a pattern of functional weaknesses around the knee. Methods: Sixty-three female patients were randomly selected, and 17 included in this study, receiving a clinical evaluation with pre-established protocol which evaluated the quadriceps, abductors, range of motion in the internal rotators and ankle dorsiflexors, pelvic tilt, and dynamic valgus. Results: Losses were seen in abductor strength and ankle dorsiflexor range of motion in comparison with the contralateral limb (0.031 and 0.040, respectively). There was a loss of quadriceps strength and decreased amplitude of internal hip rotation when compared to the Kujala score (0.032 and 0.002, respectively). Dynamic valgus and pelvic fall were greater in comparison with the Kujala score (0.668 and 0.567, respectively). Conclusion: Clinical evaluation showed deficits in the quadriceps and abductor muscle groups, as well as decreased range of motion in the internal hip rotators and ankle dorsiflexors and increased dynamic valgus and pelvic drop. Level of Evidence IV; Case series.info:eu-repo/semantics/openAccessATHA EDITORAActa Ortopédica Brasileira v.26 n.2 20182018-04-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522018000200091en10.1590/1413-785220182602187215
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author LOBO JÚNIOR,PAULO
BARBOSA NETO,ITAMAR ALVES
BORGES,JOSÉ HUMBERTO DE SOUZA
TOBIAS,RODRIGO FERREIRA
BOITRAGO,MARCOS VINÍCIUS DA SILVA
OLIVEIRA,MÁRCIO DE PAULA
spellingShingle LOBO JÚNIOR,PAULO
BARBOSA NETO,ITAMAR ALVES
BORGES,JOSÉ HUMBERTO DE SOUZA
TOBIAS,RODRIGO FERREIRA
BOITRAGO,MARCOS VINÍCIUS DA SILVA
OLIVEIRA,MÁRCIO DE PAULA
CLINICAL MUSCULAR EVALUATION IN PATELLOFEMORAL PAIN SYNDROME
author_facet LOBO JÚNIOR,PAULO
BARBOSA NETO,ITAMAR ALVES
BORGES,JOSÉ HUMBERTO DE SOUZA
TOBIAS,RODRIGO FERREIRA
BOITRAGO,MARCOS VINÍCIUS DA SILVA
OLIVEIRA,MÁRCIO DE PAULA
author_sort LOBO JÚNIOR,PAULO
title CLINICAL MUSCULAR EVALUATION IN PATELLOFEMORAL PAIN SYNDROME
title_short CLINICAL MUSCULAR EVALUATION IN PATELLOFEMORAL PAIN SYNDROME
title_full CLINICAL MUSCULAR EVALUATION IN PATELLOFEMORAL PAIN SYNDROME
title_fullStr CLINICAL MUSCULAR EVALUATION IN PATELLOFEMORAL PAIN SYNDROME
title_full_unstemmed CLINICAL MUSCULAR EVALUATION IN PATELLOFEMORAL PAIN SYNDROME
title_sort clinical muscular evaluation in patellofemoral pain syndrome
description ABSTRACT Objective: To define a profile of the muscle groups affected by patellofemoral pain syndrome (PFPS) to determine a pattern of functional weaknesses around the knee. Methods: Sixty-three female patients were randomly selected, and 17 included in this study, receiving a clinical evaluation with pre-established protocol which evaluated the quadriceps, abductors, range of motion in the internal rotators and ankle dorsiflexors, pelvic tilt, and dynamic valgus. Results: Losses were seen in abductor strength and ankle dorsiflexor range of motion in comparison with the contralateral limb (0.031 and 0.040, respectively). There was a loss of quadriceps strength and decreased amplitude of internal hip rotation when compared to the Kujala score (0.032 and 0.002, respectively). Dynamic valgus and pelvic fall were greater in comparison with the Kujala score (0.668 and 0.567, respectively). Conclusion: Clinical evaluation showed deficits in the quadriceps and abductor muscle groups, as well as decreased range of motion in the internal hip rotators and ankle dorsiflexors and increased dynamic valgus and pelvic drop. Level of Evidence IV; Case series.
publisher ATHA EDITORA
publishDate 2018
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522018000200091
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