advertising
-
1
Boling M, Padua D, Marshall S, et al: Gender differences in the incidence and prevalence of patellofemoral pain syndrome. Scand J Med Sci Sports 20: 725, 2010.
-
2
Blond L, Hansen L: Patellofemoral pain syndrome in athletes: a 5.7-year retrospective follow-up study of 250 athletes. Acta Orthop Belg 64: 393, 1998.
-
3
Utting MR, Davies G, Newman JH: Is anterior knee pain a predisposing factor to patellofemoral osteoarthritis? Knee 12: 362, 2005.
-
4
Powers CM: The influence of altered lower-extremity kinematics on patellofemoral joint dysfunction: a theoretical perspective. J Orthop Sports Phys Ther 33: 639, 2003.
-
5
Tiberio D: The effect of excessive subtalar joint pronation on patellofemoral mechanics: a theoretical model. J Orthop Sports Phys Ther 9: 160, 1987.
-
6
Lee TQ, Morris G, Csintalan RP: The influence of tibial and femoral rotation on patellofemoral contact area and pressure. J Orthop Sports Phys Ther 33: 686, 2003.
-
7
Barton CJ, Bonanno D, Levinger P, et al: Foot and ankle characteristics in patellofemoral pain syndrome: a case control and reliability study. J Orthop Sports Phys Ther 40: 286, 2010.
-
8
Dierks TA, Manal KT, Hamill J, et al: Proximal and distal influences on hip and knee kinematics in runners with patellofemoral pain during a prolonged run. J Orthop Sports Phys Ther 38: 448, 2008.
-
9
Duffey MJ, Martin DF, Cannon DW, et al: Etiologic factors associated with anterior knee pain in distance runners. Med Sci Sports Exerc 32: 1825, 2000.
-
10
Thijs Y, De Clercq D, Roosen P, et al: Gait-related intrinsic risk factors for patellofemoral pain in novice recreational runners. Br J Sports Med 42: 466, 2008.
-
11
McCrory JL, Young MJ, Boulton JM, et al: Arch index as a predictor of arch height. Foot 7: 79, 1997.
-
12
Thijs Y, Van Tiggelen D, Roosen P, et al: A prospective study on gait-related intrinsic risk factors for patellofemoral pain. Clin J Sport Med 17: 437, 2007.
-
13
Aliberti S, Costa MS, Passaro AC, et al: Medial contact and smaller plantar loads characterize individuals with patellofemoral pain syndrome during stair descent. Phys Ther Sport 11: 30, 2010.
-
14
Aliberti S, Costa M, Passaro A, et al: Influence of patellofemoral pain syndrome on plantar pressure in the foot rollover process during gait. Clinics 66: 367, 2011.
-
15
Krauss I, Grau S, Mauch M, et al: Sex-related differences in foot shape. Ergonomics 51: 1693, 2008.
-
16
Zifchock RA, Davis I, Hillstrom H, et al: The effect of gender, age, and lateral dominance on arch height and arch stiffness. Foot Ankle Int 27: 367, 2006.
-
17
Cohen J: A power primer. Psychol Bull 112: 155, 1992.
-
18
Tegner Y, Lysholm J: Rating systems in the evaluation of knee ligament injuries. Clin Orthop Relat Res 198: 43, 1985.
-
19
Kujala U, Jaakkola L, Koskinen S, et al: Scoring of patellofemoral disorders. Arthroscopy 9: 159, 1993.
-
20
McPoil TG, Cornwall MW, Dupuis L, et al: Variability of plantar pressure data: a comparison of the two-step and midgait methods. JAPMA 89: 495, 1999.
-
21
Gurney JK, Kersting UG, Rosenbaum D: Between-day reliability of repeated plantar pressure distribution measurements in a normal population. Gait Posture 27: 706, 2008.
-
22
Martinez-Nova A, Pascual Huerta J, Sanchez-Rodriquez R: Cadence, age, and weight as determinants of forefoot plantar pressures using the Biofoot in-shoe system. JAPMA 98: 302, 2008.
-
23
Akins JS, Keenan KA, Sell TC, et al: Test-retest reliability and descriptive statistics of geometric measurements based on plantar pressure measurements in a healthy population during gait. Gait Posture 35: 167, 2012.
-
24
Menz HB, Munteanu SE: Validity of 3 clinical techniques for the measurement of static foot posture in older people. J Orthop Sports Phys Ther 35: 479, 2005.
-
25
Teyhen DS, Stoltenberg BE, Eckard TG, et al: Static foot posture associated with dynamic plantar pressure parameters. J Orthop Sports Phys Ther 41: 100, 2011.
-
26
Cornwall MW, McPoil TG: Relationship between static foot posture and foot mobility. J Foot Ankle Res 4: 4, 2011.
-
27
McPoil TG, Cornwall MW: Use of plantar contact area to predict medial longitudinal arch height during walking. JAPMA 96: 489, 2006.
-
28
Wearing SC, Hills AP, Byrne NM, et al: The arch index: a measure of flat or fat feet? Foot Ankle Int 25: 575, 2004.
-
29
Williams DS, Davis IM, Scholz JP, et al: High-arched runners exhibit increased leg stiffness compared to low-arched runners. Gait Posture 19: 263, 2004.
-
30
McPoil TG, Warren M, Vicenzino B, et al: Variations in foot posture and mobility between individuals with patellofemoral pain and those in a control group. JAPMA 101: 289, 2011.
-
31
Witvrouw E, Lysens R, Bellemans J, et al: Intrinsic risk factors for the development of anterior knee pain in an athletic population: a two-year prospective study. Am J Sports Med 28: 480, 2000.
-
32
Cornwall MW, McPoil TG: Effect of ankle dorsiflexion range of motion on rearfoot motion during walking. JAPMA 89: 272, 1999.
-
33
Willson JD, Davis IS: Lower extremity mechanics of females with and without patellofemoral pain across activities with progressively greater task demands. Clin Biomech 23: 203, 2008.
-
34
Nester C: The relationship between transverse plane leg rotation and transverse plane motion at the knee and hip during normal walking. Gait Posture 12: 251, 2000.
-
35
Hetsroni I, Finestone A, Milgrom C, et al: A prospective biomechanical study of the association between foot pronation and the incidence of anterior knee pain among military recruits. J Bone Joint Surg Br 88: 905, 2006.
-
36
Powers CM, Chen PY, Reischl SF, et al: Comparison of foot pronation and lower extremity rotation in persons with and without patellofemoral pain. Foot Ankle Int 23: 634, 2002.
-
37
Vicenzino B, Collins N, Cleland J, et al: A clinical prediction rule for identifying patients with patellofemoral pain who are likely to benefit from foot orthoses: a preliminary determination. Br J Sports Med 44: 862, 2010.
-
38
Barton C, Menz H, Levinger P, et al: Greater peak rearfoot eversion predicts foot orthoses efficacy in individuals with patellofemoral pain syndrome. Br J Sports Med 45: 697, 2011.
-
39
Collins N, Crossley K, Beller E, et al: Foot orthoses and physiotherapy in the treatment of patellofemoral pain syndrome: randomised clinical trial. Br J Sports Med 43: 169, 2009.
-
40
Noehren B, Scholz J, Davis I: The effect of real-time gait retraining on hip kinematics, pain and function in subjects with patellofemoral pain syndrome. Br J Sports Med 45: 691, 2011.
-
41
Cheung R, Davis I: Landing pattern modification to improve patellofemoral pain in runners: a case series. J Orthop Sports Phys Ther 41: 914, 2011.
Plantar Loading Characteristics During Walking in Females With and Without Patellofemoral Pain
Search for other papers by John D. Willson in
Current site
Google Scholar
PubMed
Search for other papers by Eric D. Ellis in
Current site
Google Scholar
PubMed
Search for other papers by Thomas W. Kernozek in
Current site
Google Scholar
PubMed
Background
Patellofemoral pain (PFP) is a common injury, particularly in females. Foot pronation may promote knee and hip transverse plane joint kinematics during gait thought to contribute to PFP. Greater knowledge of plantar loading characteristics in females with PFP may be valuable to provide a basis for clinical decisions regarding footwear and foot orthoses. The purpose of this study was to compare plantar loading distribution in females with and without PFP during gait.
Methods
Plantar pressure during walking was recorded from 19 females with PFP and 20 females without PFP. Contact area, peak force, and force-time integral were evaluated in ten plantar areas. Arch index was also calculated from contact area data during gait.
Results
Contact area in females with PFP was 9% smaller in the first metatarsal region (P = .039) and 20% smaller in the midfoot region (P = .042) than in females without PFP. Peak force was 31% lower in the midfoot region for females with PFP (P = .027) and 13% lower in the first metatarsal region (P = .064). Force-time integral was 18% lower in the first metatarsal region in females with PFP (P = .024). Females with PFP demonstrated a lower arch index (suggesting a higher arch) (P = .028).
Conclusions
Decreased medial forefoot loading and decreased midfoot contact suggest decreased foot pronation during gait in females with PFP relative to females without PFP. Decreased foot pronation may foster increased patellofemoral joint loading rates. These data contribute to rationale for footwear modifications to modify plantar loading characteristics in people experiencing PFP.
advertising
