Miodynamic and Radiographic Evaluation in Recreative Athletes with Patellofemoral Pain

<i>Background and Objectives:</i> Patellofemoral pain (PFP) is frequent in the young and active population. The effect of muscle strength in the lower extremities after aerobic activity in patients with this condition has yet to be detailed. Our objective was to determine if patients wit...

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Main Authors: Abiel Eugenio Garza-Borjón, Mirna González-González, José Fernando de la Garza-Salazar, Mario Simental-Mendía, Carlos Acosta-Olivo
Format: Article
Language:English
Published: MDPI AG 2024-11-01
Series:Medicina
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Online Access:https://www.mdpi.com/1648-9144/60/11/1860
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author Abiel Eugenio Garza-Borjón
Mirna González-González
José Fernando de la Garza-Salazar
Mario Simental-Mendía
Carlos Acosta-Olivo
author_facet Abiel Eugenio Garza-Borjón
Mirna González-González
José Fernando de la Garza-Salazar
Mario Simental-Mendía
Carlos Acosta-Olivo
author_sort Abiel Eugenio Garza-Borjón
collection DOAJ
description <i>Background and Objectives:</i> Patellofemoral pain (PFP) is frequent in the young and active population. The effect of muscle strength in the lower extremities after aerobic activity in patients with this condition has yet to be detailed. Our objective was to determine if patients with PFP show alterations in lower extremity muscle strength measurements after performing a session of ten minutes of aerobic activity on a treadmill compared to people without patellofemoral pain. <i>Materials and Methods:</i> We conducted a prospective experimental study with a stratified, non-randomized, and non-blinded population sample with group matching, including an experimental group with PFP and a control group with no pain. Subjects completed self-reported functional questionnaires (IKDC, Kujala, KOOS, SF-12), underwent radiographic studies, and were evaluated by measuring the strength of hip and knee muscles and the Single-Leg Triple-Hop (SLTH) test before and after ten minutes of exercise on a treadmill. <i>Results:</i> Seventeen subjects diagnosed with PFP and seventeen control subjects were evaluated. Both groups were homogeneous and had no significant differences in the demographic variables. A wider sulcus angle at 30° (136.8 ± 3.8° vs. 132.5 ± 5.6°, <i>p</i> = 0.0140), a decrease strength post-exercise in the hip abductor (37.9 ± 7.1 N⋅m vs. 45.6 ± 7.7 N⋅m, <i>p</i> < 0.05) and knee extensor (36.0 ± 9.1 N⋅m vs. 47.7 ± 14.0 N⋅m, <i>p</i> < 0.05), and a shorter distance in the SLTH test (337.9 ± 74.9 cm vs. 438.6 ± 65.8 cm, <i>p</i> < 0.01) was recorded in subjects with patellofemoral pain. <i>Conclusions:</i> Subjects with PFP had an overall lower strength of hip and knee muscles, showing significant differences in the hip abductors and knee extensors between people with PFP and healthy matched controls after aerobic exercise.
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spelling doaj-art-6f6e6dfcc9344711938adc936b323d142024-11-26T18:12:42ZengMDPI AGMedicina1010-660X1648-91442024-11-016011186010.3390/medicina60111860Miodynamic and Radiographic Evaluation in Recreative Athletes with Patellofemoral PainAbiel Eugenio Garza-Borjón0Mirna González-González1José Fernando de la Garza-Salazar2Mario Simental-Mendía3Carlos Acosta-Olivo4Escuela de Medicina y Ciencias de la Salud, Tecnológico de Monterrey, Monterrey 64700, MexicoEscuela de Medicina y Ciencias de la Salud, Tecnológico de Monterrey, Monterrey 64700, MexicoInstitute of Orthopedics and Traumatology, Tecnológico de Monterrey, San Pedro Garza García 66278, MexicoService of Orthopedics and Traumatology, Hospital Universitario “Dr. José E. González”, Universidad Autónoma de Nuevo León, Monterrey 64460, MexicoInstitute of Orthopedics and Traumatology, Tecnológico de Monterrey, San Pedro Garza García 66278, Mexico<i>Background and Objectives:</i> Patellofemoral pain (PFP) is frequent in the young and active population. The effect of muscle strength in the lower extremities after aerobic activity in patients with this condition has yet to be detailed. Our objective was to determine if patients with PFP show alterations in lower extremity muscle strength measurements after performing a session of ten minutes of aerobic activity on a treadmill compared to people without patellofemoral pain. <i>Materials and Methods:</i> We conducted a prospective experimental study with a stratified, non-randomized, and non-blinded population sample with group matching, including an experimental group with PFP and a control group with no pain. Subjects completed self-reported functional questionnaires (IKDC, Kujala, KOOS, SF-12), underwent radiographic studies, and were evaluated by measuring the strength of hip and knee muscles and the Single-Leg Triple-Hop (SLTH) test before and after ten minutes of exercise on a treadmill. <i>Results:</i> Seventeen subjects diagnosed with PFP and seventeen control subjects were evaluated. Both groups were homogeneous and had no significant differences in the demographic variables. A wider sulcus angle at 30° (136.8 ± 3.8° vs. 132.5 ± 5.6°, <i>p</i> = 0.0140), a decrease strength post-exercise in the hip abductor (37.9 ± 7.1 N⋅m vs. 45.6 ± 7.7 N⋅m, <i>p</i> < 0.05) and knee extensor (36.0 ± 9.1 N⋅m vs. 47.7 ± 14.0 N⋅m, <i>p</i> < 0.05), and a shorter distance in the SLTH test (337.9 ± 74.9 cm vs. 438.6 ± 65.8 cm, <i>p</i> < 0.01) was recorded in subjects with patellofemoral pain. <i>Conclusions:</i> Subjects with PFP had an overall lower strength of hip and knee muscles, showing significant differences in the hip abductors and knee extensors between people with PFP and healthy matched controls after aerobic exercise.https://www.mdpi.com/1648-9144/60/11/1860patellofemoral painmuscle strengthaerobic activityanterior knee pain
spellingShingle Abiel Eugenio Garza-Borjón
Mirna González-González
José Fernando de la Garza-Salazar
Mario Simental-Mendía
Carlos Acosta-Olivo
Miodynamic and Radiographic Evaluation in Recreative Athletes with Patellofemoral Pain
Medicina
patellofemoral pain
muscle strength
aerobic activity
anterior knee pain
title Miodynamic and Radiographic Evaluation in Recreative Athletes with Patellofemoral Pain
title_full Miodynamic and Radiographic Evaluation in Recreative Athletes with Patellofemoral Pain
title_fullStr Miodynamic and Radiographic Evaluation in Recreative Athletes with Patellofemoral Pain
title_full_unstemmed Miodynamic and Radiographic Evaluation in Recreative Athletes with Patellofemoral Pain
title_short Miodynamic and Radiographic Evaluation in Recreative Athletes with Patellofemoral Pain
title_sort miodynamic and radiographic evaluation in recreative athletes with patellofemoral pain
topic patellofemoral pain
muscle strength
aerobic activity
anterior knee pain
url https://www.mdpi.com/1648-9144/60/11/1860
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