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Analysis of pain, functional capacity, muscular strength and balance in young women with Patellofemoral Pain Syndrome

Zamboti Camile Ludovico, da Silva Rubens Alexandre, Gobbi Cynthia, Shigaki Leonardo et Macedo Christiane de Souza Guerino. (2017). Analysis of pain, functional capacity, muscular strength and balance in young women with Patellofemoral Pain Syndrome. Fisioterapia em Movimento, 30, (3), p. 433-441.

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URL officielle: http://dx.doi.org/doi:10.1590/1980-5918.030.003.AO...

Résumé

Introduction : Patellofemoral Pain Syndrome (PFPS) is associated with anterior knee pain, changes in functional capacity, balance and muscle strength disorders.

Objective : To quantify pain, functional capacity, strength in quadriceps (Q), gluteus medium (GM), hip external rotator (ER) muscles and balance in sedentary women with PFPS.

Methods : Twenty sedentary women, aged 18 to 25 years, were divided into two groups: PFPS (N=10) and control group (N=10). All the volunteers answered the items of the Visual Analogue Scale (VAS), the Lysholm Knee Score Scale, the Anterior Knee Pain Scale (AKPS), and the Lower Extremity Functional Scale (LEFS). The participants performed the following tests: maximal voluntary isometric contraction measured by dynamometry; postural balance using the Star Excursion Balance Test (SEBT) and a force platform. Statistical analyses were performed using the Shapiro Wilk test, the Mann Whitney U test and Spearman’s correlation coefficient. Data were submitted to SPSS 20 software.

Results : The PFPS group presented greater pain, balance impairment and higher average velocity of oscillation; however, no differences were observed in Q, GM and RE muscle strength and in balance analyzed by SEBT.

Conclusion : Women with PFPS exhibited greater pain, worse functional capacity and body balance. Moderate correlation between both balance tests suggests the use of SEBT when the force platform is not available, which could facilitate and highlight the importance of clinical diagnosis with regard to postural balance.

Introdução : A Síndrome da Dor Femoropatelar (SDFP) está relacionada à dor anterior do joelho, alteração de funcionalidade, déficits de equilíbrio e força muscular.

Objetivo : Quantificar a dor, funcionalidade, força muscular do quadríceps (Q), glúteo médio (GM), rotadores externos de quadril (RE) e o equilíbrio em mulheres com SDFP.

Métodos : Avaliou-se 20 voluntárias, sedentárias, entre 18 e 25 anos; divididas em grupo SDFP (N=10) e controle (N=10). Todas responderam a Escala Visual Analógica de Dor, Lysholm Knee Score Scale, Anterior Knee Pain Scale e Lower Extremity Functional Scale, realizaram a contração isométrica voluntária máxima dos músculos Q, GM e RE por meio de dinamometria e análise do equilíbrio postural pelo Star Excursion Balance Test (SEBT) e plataforma de força. Para análise estatística utilizou-se os testes Shapiro Wilk, Mann Whitney e Correlação de Spearmann, pelo SPSS® 20.

Resultados : O grupo SDFP apresentou maior dor, incapacidade e velocidade média de oscilação do centro de pressão, entretanto não foram observadas diferenças para a força muscular de Q, GM e RE e equilíbrio analisado pelo SEBT. Estabeleceu-se correlação moderada entre SEBT e Centro de Oscilação de Pressão (COP) unipodal.

Conclusão : Mulheres com SDFP apresentam maior dor, pior funcionalidade e alterações no equilíbrio corporal. A correlação moderada entre SEBT e o COP-unipodal aponta a possibilidade de uso deste teste funcional quando a plataforma de força não é acessível, o que facilita e destaca a importância do diagnóstico clínico do equilíbrio postural.

Type de document:Article publié dans une revue sans comité d'évaluation
Volume:30
Numéro:3
Pages:p. 433-441
Date:2017
Sujets:Sciences de la santé
Sciences de la santé > Sciences de l'activité physique et réadaptation
Sciences de la santé > Sciences de l'activité physique et réadaptation > Physiothérapie
Département, module, service et unité de recherche:Départements et modules > Département des sciences de la santé > Unité d'enseignement en physiothérapie
Mots-clés:Patellofemoral Pain Syndrome, knee, physical therapy speciality, Syndrome fémoropatellaire, genou, physiothérapie. Síndrome da Dor Patelofemoral, joelho, fisioterapia
Déposé le:13 oct. 2017 01:52
Dernière modification:13 oct. 2017 01:52
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