Medial contact and smaller plantar loads characterize individuals with Patellofemoral Pain Syndrome during stair descent.

Autor: Aliberti S; Laboratory of Biomechanics of the Human Movement and Posture, Physical Therapy, Speech and Occupational Therapy Department, School of Medicine, University of São Paulo, São Paulo, Brazil. aliberti@usp.br, Costa MS, Passaro AC, Arnone AC, Sacco IC
Jazyk: angličtina
Zdroj: Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine [Phys Ther Sport] 2010 Feb; Vol. 11 (1), pp. 30-4. Date of Electronic Publication: 2009 Dec 14.
DOI: 10.1016/j.ptsp.2009.11.001
Abstrakt: Objectives: To investigate plantar pressure distribution in individuals with and without Patellofemoral Pain Syndrome during the support phase of stair descent.
Design: Observational case-control study.
Participants: 30 young adults with Patellofemoral Pain Syndrome and 44 matched controls.
Main Outcome Measures: Contact area, peak pressure and pressure-time integral (Novel Pedar-X system) were evaluated in six plantar areas (medial, central and lateral rearfoot; midfoot; medial and lateral forefoot) during stair descent.
Results: Contact area was greater in the Patellofemoral Pain Syndrome Group at medial rearfoot (p = 0.019) and midfoot (p < 0.001). Subjects with Patellofemoral Pain Syndrome presented smaller peak pressures (p < 0.001).
Conclusion: The pattern of plantar pressure distribution during stair descent in Patellofemoral Pain Syndrome subjects was different from controls. This seems to be related to greater medial rearfoot and midfoot support. Smaller plantar loads found in Patellofemoral Pain Syndrome subjects during stair descent reveal a more cautious motor pattern in a challenging task.
(2009 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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