Short-term effects of a trunk modification program on patellofemoral joint stress in asymptomatic runners

Autor: Brittany VanDine, Courtney Weeks, Heather Kincaid, Christopher Odell, Will Wu, Alyssa Dilauro, Hsiang-Ling Teng
Rok vydání: 2020
Předmět:
Zdroj: Physical Therapy in Sport. 44:107-113
ISSN: 1466-853X
Popis: To evaluate short-term effects of a four-week gait retraining program using visual feedback on trunk flexion angle, patellofemoral joint (PFJ) stress, lower extremity biomechanics and motor skill automaticity.Longitudinal interventional study.University research laboratory.Twelve asymptomatic recreational runners (seven male and five female).Trunk kinematics as well as lower extremity kinematics and kinetics were assessed prior to training at week 1 (baseline) and week 2, 3, 4 and 8 (retention). PFJ stress was computed using a sagittal plane model. A dual-task procedure was performed to examine automaticity.At week 8, runners demonstrated 10.1° increase in trunk flexion angle (p .001) and 17.8% reduction in peak PFJ stress (p .001) compared to baseline. This is associated with a 16.8% decrease in knee extensor moment and less than 2.5° change in knee flexion angle. Participants also showed 33.3% increase in peak hip extensor moment and small reduction in peak ankle plantar flexor moment. Lastly, runners demonstrated automaticity of the modified skill with a dual-task cost of less than 3%.The gait retraining program is effective to elicit short term changes in trunk position, PFJ stress, and automaticity of the new motor skill.
Databáze: OpenAIRE