Kinematic analysis of the ankle/foot complex mobility of women with PFP during weight bearing functional tests
DOI:
https://doi.org/10.5585/21.2022.23125Keywords:
knee, Biomechanics, Step down test, Anterior knee pain, Rehabilitation.Abstract
Background: Patellofemoral pain (PFP) has been frequently associated with abnormalities in the alignment of the lower limbs and trunk, particularly during weight-bearing activities. In this context, proximal and local factors have been widely discussed. Distal factors could also be involved and need to be investigated in more detail. Our objective was to compare the foot kinematics of the ankle/foot complex in women with pronated feet and patellofemoral pain with the kinematics of asymptomatic women during the execution of anterior and lateral step down tests.
Methods: Fifty women were divided into two groups: control (n=16); and patellofemoral pain (n=34). All volunteers were evaluated using three-dimensional motion capture during the forward and lateral step-down tests. For each session, nine repetitions of each clinical test were performed on the most painful limb of the women with PFP and the dominant limb of the women in the control group. The mobility of the ankle/foot complex was measured and the range of motion was calculated for all segments. The two groups were compared using multivariate analysis of variance.
Results: Women in the PFP group exhibited less knee flexion and significantly greater mobility of: the hindfoot in relation to the tibia and the laboratory; the forefoot in relation to the tibia; and the forefoot in relation to the hindfoot.
Conclusion: Women with PFP exhibited greater mobility of the ankle/foot complex during the anterior and lateral step down tests, when compared with asymptomatic women.
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