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Comparison of Hip Muscle Strength between Normals and Patellofemoral Pain Syndrome Patients


Affiliations
1 Department of Physiotherapy, Padmashree Dr. D.Y. Patil University, Nerul, Navi Mumbai, India
     

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Patellofemoral pain syndrome (PFPS) is common problem among young and active individuals. The aetiology of PFPS has been attributed to biomechanical abnormalities. Hip muscle strength is a major contributing factor for alterations in patellofemoral joint.

Purpose of the study: To compare the hip muscle strength between normals and patellofemoral pain syndrome patients using push-pull dynamometer.

Materials and methodology: 60 subjects were taken. 30 were patellofemoral pain syndrome patients and 30 were normals (age, gender, BMI matched). They were allocated to 2 study groups;

Group A : subjects with PFPS

Group B : Normals (age, gender, BMI matched).

Hip muscle strength of all the hip muscle groups was assessed by Baseline push-pull dynamometer. Outcome measure was in the form of hip muscle strength in kgs.

Results: Unpaired 't'test was used to compare the hip muscle strength in kgs between normals and PFPS patients.

There was a significant difference between all the muscle groups. Major difference was seen in abductors, extensors and external rotators.

Repeated measures ANOVA was used to compare the hip muscle strength difference amongst the patient's hip muscle groups. Muscle strength deficit was maximum in external rotators followed by internal rotators, abductors, extensors, adductors and then flexors.

Conclusion: Hip muscle strength of PFPS patients is less when compared to the normals. Majorly affected muscles are abductors, extensors and internal rotators.


Keywords

Pain Syndrome, Hip Muscle Strength, Dynamometer
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  • Bolgla L A, Malone T R, Umberger B R, Uhl T L; Hip Strength And Hip And Knee Kinematics During Stair Descent In Females With And Without Patelllofemoral Pain Syndrome; Journal Of Orthopaedic And Sports Physical Therapy; 2008; Volume 38; 12-18

  • Cahalan T D, Johnson M E et Al; Quantitaive Measurements Of Hip Strength In Different Age Groups; Clinical Orthopaedics; 1989; 136-145

  • Calliet.R; Patellofemoral Pain And Impairement; , Knee Pain And Disabilty (3rd Edition)

  • Carlan.K.Yates, William.A.Grana; The Patellofemoral Pain; Clinical Orthopedic And Related Research

  • Caylor D, Fites R et al; The Relationship Between Quadriceps Angle And Anterior Knee Pain Syndrome; Journal Of Orthopaedic And Sports Physical Therapy; 1993; Volume 17; 11-16

  • Cichanowski H R, Schmitt J S, Johnson R J, Niemuth P E; Hip Strength In Collegiate Female Athletes With Patellofemoral Pain; Medicine And Science In Sports Exercise; 2007; 39: 1227-1232

  • Crossley K M; Benell K L; Green S; Cowan S; Mcconnell J; Physical Therapy For Patellofemoral Pain; A Randomized, Double Blinded, Placebo Controlled Trial; Am J Sports Med. 2002;30: 857-865

  • David J Magee; 4th Edition; Orthopaedic Physical Assessment

  • Eduardo Magalhaes; A Comparison Of Hip Strength Between Sedentary Females With And Without Patellofemoiral Pain Syndrome; Journal Of Orthopaedic And Sports Physical Therapy; Volume 40; Number 10; October 2010; 641-647

  • Elias J J, Mattessich S M, Kumagai S M, et al (2004); In Vitro Charecterisation Of The Relationship Between The Q-Angle And The Lateral Component Of The Quadriceps Force; Proceedings Of The Institution Of Mechanical Engineers ( H ) 218; 63-67

  • Engebretsen AH et al; Baseline push pull dynamometer, American journal of sports medicine Preview, August 2010

  • Fells Point; Patellofemoral Pain Syndrome : Proximal, Distal And Lateral Factors, An International Research Retreat Journal Of Orthopaedic And Sports Physical Therapy 2010; Volume 40; Number 3; A1-A48

  • Frances Long-Rossi And Gretchen B Salsich; Physiotherapy Res. Int. 15 ( 2010 ) 57-64

  • Fredericson M, Yoon K, ( 2006 ) Physical Examination And Patellofemoral Pain Syndrome; American Journal Of Sports Medicine And Rehabilitation; 85: 234-243

  • Fulkerson JP; Diagnosis and treatment of patients with patellofemoral pain. Am J Sports Med. 2002; 03: 447-456

  • Gerrad Barry ; The Patellofemoral Complex; Sports Physiotherapy And Applied Science And Practice, Maria Zuluga

  • Heino Brechter J, Powers CM; Patellofemoral Stress During Walking In Persons With And Without Patellofemoral Pain. Med Sci Sports Exercise; 2002;34: 1582-1593

  • Ireland M L, Wilson J D et al; ( 2003 ) Hip Strength In Females With And Without Patellofemoral Pain; Journal Of Orthopaedic And Sports Physical Therapy; Volume 33; 671 676

  • Kendall F P; McCreary E K; Provance P G; Muscles: Testing And Function; 4th Edition; Baltimore, M D; Williams And Wilkins; 1993

  • Kirsty Mckenzie et al; Lower Extremity Kinematics Of Females With Patellofemoral Pain Syndrome While Stair Stepping Journal Of Orthopaedic And Sports Physical Therapy; Volume 40; Number 10; October 2010; 625-632

  • Krause DA et al; Influence of lever arm and stabilization on measures of hip abduction and adduction torque obtained by hand-held dynamometry; baseline push pull dynamometer; Arch Phys Med Rehabilitation. 2007; 88:37-42

  • Mary Lloyd et al; Hip Strength In Females With And Without Patellofemoral Pain Journal Of Orthopaedic And Sports Physical Therapy; Volume 40; Number 10; October 2010; 641 647

  • Mark S Juhn; Patellofemoral Pain Syndrome; A Review And Guidelines Of Treatment; American Family Physician 1999; 60:2012-22

  • Michelle C. Boling; Darin A. Padua; R. Alexander Creighton; Concentric and Eccentric Torque of the Hip Musculature in Individuals With and Without Patellofemoral Pain; Journal of Athletic Training 2009; 44(1):7–13

  • Norkin C Cynthia et al; joint structure and function : a comprehensive analysis (3rd edition)

  • Powers CM; Ward SR; Fredericson M; Guillet M; Shellock FG: Patellofemoral kinematics during weight-bearing and non-weight-bearing knee extension in persons with lateral subluxation of the patella: a preliminary study. J Orthop Sports Phys Ther. 2003; [33]:677 685, American Physical Therapy Association.

  • Prins And Wurrf; Females With Patellofemoral Pain Syndrome Have Weak Hip Muscles; A Sytematics Review; Australian Journal Of Physiotherapy; 2009; Volume 55; 9-15

  • Richard BS ; Chritie E Draper, Christopher M Powers; Femur Rotation And Patellofemoral Joint Kinematics: A Weight Bearing Magnetic Resonance Imaging Analysis Journal Of Orthopaedic And Sports Physical Therapy; 2010; Volume 40; Number 5; 277-285

  • Richard B Souza; Differences In Hip Kinematics, Muscle Strength And Muscle Activation Between Subjects With And Without Patellofemoral Pain Journal Of Orthopaedic And Sports Physical Therapy; Volume 39; Number 1;January 2009; 12-19

  • Robert Teitge; Patellofemoral Syndrome; A Paradigm For Current Surgical Strategies; 287 311 Orthopedic Clinics Of North America; 39 ( 2008 )

  • Ronald P Grelsamer et al; The Pathophysiology Of Patellofemoral Arthritis; 269-274; Anil .Bhave; Prescribing Quality Of Patellofemoral Rehab Before Advocating Operative Care; 275-285; Orthopedic Clinics Of North America; 39 ( 2008 )

  • Ryan L Robinson; Robert J Nee; Analysis Of Hip Strength In Females Seeking Physical Therapy Treatment For Unilateral Patellofemoral Pain Syndrome; Journal Of Orthopaedic And Sports Physical Therapy; 2007; Volume 37; Number 5; 232-238

  • Steffen k et al; Baseline push pull dynamometer; Scandinavian journal of medicine and science in sports; May 2007

  • Syme G et al; Disability In Patients With Chronic Patellofemoral Pain Syndrome; A Randomized Contolled Trai; Of VMO Selective Trainingversus General Quadriceps Strengthening Science Direct; Manual Therapy 14 ( 2009 ) 252-263

  • Thiago Yukio Fukuda et al; Short Term Effects Of Hip Abductors And Lateral Rotators Strengthening In Females With Patellofemoral Pain Syndrome: A Randomized Controlled Clinical Trial; Journal Of Orthopaedic And Sports Physical Therapy; 2010; Volume 40; Number 11; 736-742

  • Zahan Ahmed Iqbal; Nusrat Hamdani; Indian Journal Of Physiotherapy And Occupational Therapy; October-December 2010; Volume 4; Number 4


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  • Comparison of Hip Muscle Strength between Normals and Patellofemoral Pain Syndrome Patients

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Authors

Ajit Dabholkar
Department of Physiotherapy, Padmashree Dr. D.Y. Patil University, Nerul, Navi Mumbai, India
Swapnaja Joshi
Department of Physiotherapy, Padmashree Dr. D.Y. Patil University, Nerul, Navi Mumbai, India
Sujata Yardi
Department of Physiotherapy, Padmashree Dr. D.Y. Patil University, Nerul, Navi Mumbai, India

Abstract


Patellofemoral pain syndrome (PFPS) is common problem among young and active individuals. The aetiology of PFPS has been attributed to biomechanical abnormalities. Hip muscle strength is a major contributing factor for alterations in patellofemoral joint.

Purpose of the study: To compare the hip muscle strength between normals and patellofemoral pain syndrome patients using push-pull dynamometer.

Materials and methodology: 60 subjects were taken. 30 were patellofemoral pain syndrome patients and 30 were normals (age, gender, BMI matched). They were allocated to 2 study groups;

Group A : subjects with PFPS

Group B : Normals (age, gender, BMI matched).

Hip muscle strength of all the hip muscle groups was assessed by Baseline push-pull dynamometer. Outcome measure was in the form of hip muscle strength in kgs.

Results: Unpaired 't'test was used to compare the hip muscle strength in kgs between normals and PFPS patients.

There was a significant difference between all the muscle groups. Major difference was seen in abductors, extensors and external rotators.

Repeated measures ANOVA was used to compare the hip muscle strength difference amongst the patient's hip muscle groups. Muscle strength deficit was maximum in external rotators followed by internal rotators, abductors, extensors, adductors and then flexors.

Conclusion: Hip muscle strength of PFPS patients is less when compared to the normals. Majorly affected muscles are abductors, extensors and internal rotators.


Keywords


Pain Syndrome, Hip Muscle Strength, Dynamometer

References