Subscribe to RSS
Patellofemoral Pain Syndrome Modifies the Movement of the Rearfoot, but It Does Not Alter Plantar Pressure Distribution[*]Article in several languages: português | English
Objective To compare the plantar pressure distribution and the kinematics of the rearfoot on the stance phase of subjects with or without patellofemoral pain syndrome (PFPS).
Methods A total of 26 subjects with PFPS and 31 clinically healthy subjects, who were paired regarding age, height and mass, participated in the study. The plantar pressure distribution (peak pressure) was assessed in six plantar regions, as well as the kinematics of the rearfoot (maximum eversion angle, percentage of the stance phase when the maximum angle was reached, and percentage of the stance phase in which the rearfoot was in eversion). The data were analyzed by descriptive and inferential statistics, with a significance level of p ≤ 0.05.
Results The pressure on the six plantar regions analyzed and the magnitude of the maximum eversion angle of the rearfoot when walking on flat surfaces did not present differences among the subjects with PFPS. However, the PFPS subjects showed, when walking, an earlier maximum eversion angle of the rearfoot than the subjects on the control group, and stayed less time with the rearfoot in eversion.
Conclusion The PFPS seems to be related to modifications on the temporal pattern on the kinematics of the rearfoot.
* Study developed at the Posture and Balance Laboratory, Centro de Ciências da Saúde e do Esporte da Universidade do Estado de Santa Catarina (CEFID/UDESC) and at the Biomechanics Laboratory, Universidade de Passo Fundo (UPF).
Received: 15 January 2019
Accepted: 12 June 2019
13 December 2019 (online)
© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revinter Publicações Ltda
Rio de Janeiro, Brazil
- 1 Thijs Y, Van Tiggelen D, Roosen P, De Clercq D, Witvrouw E. A prospective study on gait-related intrinsic risk factors for patellofemoral pain. Clin J Sport Med 2007; 17 (06) 437-445
- 2 Powers CM, Maffucci R, Hampton S. Rearfoot posture in subjects with patellofemoral pain. J Orthop Sports Phys Ther 1995; 22 (04) 155-160
- 3 Levinger P, Gilleard W. An evaluation of the rearfoot posture in individuals with patellofemoral pain syndrome. J Sports Sci Med 2004; 3 (YISI 1): 8-14
- 4 Barton CJ, Levinger P, Menz HB, Webster KE. Kinematic gait characteristics associated with patellofemoral pain syndrome: a systematic review. Gait Posture 2009; 30 (04) 405-416
- 5 Tiberio D. The effect of excessive subtalar joint pronation on patellofemoral mechanics: a theoretical model. J Orthop Sports Phys Ther 1987; 9 (04) 160-165
- 6 Santos JO. Aspectos cinemáticos e cinéticos do movimento de eversão do calcanhar durante a marcha [dissertação]. Florianópolis: Universidade do Estado de Santa Catarina; 2008
- 7 Aliberti S, Costa MS, Passaro AC, Arnone AC, Sacco IC. Medial contact and smaller plantar loads characterize individuals with Patellofemoral Pain Syndrome during stair descent. Phys Ther Sport 2010; 11 (01) 30-34
- 8 Thijs Y, De Clercq D, Roosen P, Witvrouw E. Gait-related intrinsic risk factors for patellofemoral pain in novice recreational runners. Br J Sports Med 2008; 42 (06) 466-471
- 9 Aliberti S, Costa MS, Passaro AC, Arnone AC, Hirata R, Sacco IC. Influence of patellofemoral pain syndrome on plantar pressure in the foot rollover process during gait. Clinics (São Paulo) 2011; 66 (03) 367-372
- 10 Cowan SM, Bennell KL, Hodges PW. Therapeutic patellar taping changes the timing of vasti muscle activation in people with patellofemoral pain syndrome. Clin J Sport Med 2002; 12 (06) 339-347
- 11 Powers CM. Patellar kinematics, part I: the influence of vastus muscle activity in subjects with and without patellofemoral pain. Phys Ther 2000; 80 (10) 956-964
- 12 Cheung RT, Ng GY. Efficacy of motion control shoes for reducing excessive rearfoot motion in fatigued runners. Phys Ther Sport 2007; 8: 75-81
- 13 Perry SD, Lafortune MA. Influences of inversion/eversion of the foot upon impact loading during locomotion. Clin Biomech (Bristol, Avon) 1995; 10 (05) 253-257
- 14 Cornwall MW, McPoil TG. Comparison of 2-dimensional and 3-dimensional rearfoot motion during walking. Clin Biomech (Bristol, Avon) 1995; 10 (01) 36-40
- 15 Chuter VH. Relationships between foot type and dynamic rearfoot frontal plane motion. J Foot Ankle Res 2010; 3 (09) 9
- 16 Diss CE. The reliability of kinetic and kinematic variables used to analyse normal running gait. Gait Posture 2001; 14 (02) 98-103
- 17 Levinger P, Gilleard W. Tibia and rearfoot motion and ground reaction forces in subjects with patellofemoral pain syndrome during walking. Gait Posture 2007; 25 (01) 2-8
- 18 Barton CJ, Levinger P, Webster KE, Menz HB. Walking kinematics in individuals with patellofemoral pain syndrome: a case-control study. Gait Posture 2011; 33 (02) 286-291
- 19 Santos GM, Ries LGK, Sperandio FF, Say KG, Pulzatto F, Pedro VM. Tempo de início da atividade elétrica dos estabilizadores patelares na marcha em sujeitos com e sem síndrome de dor femoropatelar. Fisioter Mov 2011; 24 (01) 125-132
- 20 Moseley L, Smith R, Hunt A, Gant R. Three-dimensional kinematics of the rearfoot during the stance phase of walking in normal young adult males. Clin Biomech (Bristol, Avon) 1996; 11 (01) 39-45
- 21 Cornwall MW, McPoil TG. Influence of rearfoot postural alignment on rearfoot motion during walking. Foot 2004; 14: 133-138
- 22 Duffey MJ, Martin DF, Cannon DW, Craven T, Messier SP. Etiologic factors associated with anterior knee pain in distance runners. Med Sci Sports Exerc 2000; 32 (11) 1825-1832
- 23 Barton CJ, Levinger P, Crossley KM, Webster KE, Menz HB. Relationships between the Foot Posture Index and foot kinematics during gait in individuals with and without patellofemoral pain syndrome. J Foot Ankle Res 2011; 4 (10) 10
- 24 Dierks TA, Davis I. Discrete and continuous joint coupling relationships in uninjured recreational runners. Clin Biomech (Bristol, Avon) 2007; 22 (05) 581-591