Women with patellofemoral pain syndrome have quadriceps femoris volume and strength deficiency

Wiley - Tập 19 - Trang 242-247 - 2010
Defne Kaya1, Seyit Citaker2, Ulku Kerimoglu3, Ozgur Ahmet Atay4, John Nyland5, Michael Callaghan6, Yavuz Yakut2, Inci Yüksel2, Mahmut Nedim Doral1,4
1Department of Sports Medicine, Faculty of Medicine, Hacettepe University, Sihhiye, Ankara, Turkey
2Department of Physical Therapy and Rehabilitation, Faculty of Health Science, Orthopaedic Rehabilitation, Hacettepe University, Ankara, Turkey
3Department of Radiology, Meram Faculty of Medicine, Selcuk University, Konya, Turkey
4Department of Orthopaedic and Traumatology, Hacettepe University, Sihhiye, Ankara, Turkey
5University of Louisville, Louisville, USA
6Centre For Rehabilitation Science, Manchester University, Manchester, UK

Tóm tắt

The aim of this study was to assess muscle torque, total volume, and cross-sectional area, and lower limb function of the quadriceps muscle in women with unilateral patellofemoral pain syndrome (PFPS). Twenty-four women with unilateral patellofemoral pain participated in the study, with each subject acting as their own internal control by using the unaffected limb. quadriceps muscle torque was measured with the Isomed 2000®. The total volume and cross-sectional area (CSA) of the quadriceps muscle were measured by using magnetic resonance imaging. Lower limb function was assessed by hop and step-down tests. There was a significant difference in the total volume (P < 0.05) and in the cross-sectional area (P < 0.05) of the quadriceps muscle between affected and unaffected sides. There was a significant difference in the peak torque of the quadriceps muscle at 60°/s between affected and unaffected sides (P < 0.05). There were significant correlations between quadriceps largest CSA and volume on the affected side (P < 0.05) and on the unaffected side (P < 0.05). There were significant negative correlations between the smallest CSA and the peak torque at 180°/s (P < 0.05) and at 60°/s (P < 0.05) on the affected side. Decreased torque, total volume, and CSA of the quadriceps muscle are presented in unilateral with PFPS although cause or effect cannot be established. Large prospective longitudinal studies are needed to detect the changes in the muscle structure and to establish whether these features are a cause of PFPS.

Tài liệu tham khảo

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