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Patellofemoral pain and asymmetrical hip rotation

Discussion in 'Biomechanics, Sports and Foot orthoses' started by admin, Oct 31, 2005.

  1. admin

    admin Administrator Staff Member


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    Patellofemoral pain and asymmetrical hip rotation.
    Phys Ther. 2005 Nov;85(11):1201-7.

    Full text of article
     
  2. Craig Payne

    Craig Payne Moderator

    Articles:
    6
    A lot of work has been done recently on proximal control issues on PFPS ... it not all about foot orthoses and distal control issues.
     
  3. Skiboot Dr

    Skiboot Dr Member

    what treatment modalities did you use for this patient?
     
  4. admin

    admin Administrator Staff Member

  5. DaFlip

    DaFlip Active Member

    nothing new here

    I don't think this anything any of us didn't already know. Cibulka has a long history of looking at asymmetrical hip ROM and its effects on LBP and SI jt dysfunction and has quite extensively covered the topic. Only this time he looked at a case of PFD, with what he reports as an unusual pattern of restricted medial(internal) movement. No big deal. Take home message, hip ROM can influence knee symptoms. Not rocket science.
    DaFlip :mad:
     
  6. Craig Payne

    Craig Payne Moderator

    Articles:
    6
    I was just cheking the refs on that paper an found this one from Chris Powers --- i missed it previously:
     
  7. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Here is a different take on this:

    Tibia and rearfoot motion and ground reaction forces in subjects with patellofemoral pain syndrome during walking.
    Gait Posture. 2006 Feb 14;
    Authors: Levinger P, Gilleard W
     
  8. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    The Role of Hip Muscle Function in the Treatment of Patellofemoral Pain Syndrome
    The American Journal of Sports Medicine 34:630-636 (2006)
     
  9. efuller

    efuller MVP

    Well the tissue stress folks would say that you are looking at position and not moment or force. I have not been really happy with the pronation/ internal rotation theory of patella femoral pain. Transverse plane torque would be a key variable to look at. The idea is that the tibia is internally rotated relative to the femur. A difficult measure and still not torqure. For, me the jury is still out.
    Eric
     
  10. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Hip Muscle Activity is Altered in Patellofemoral Pain: Clinical Implications
    Crossley, Kay M.; Bryant, Adam; Cowan, Sallie
     
  11. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Analysis of hip strength in females seeking physical therapy treatment for unilateral patellofemoral pain syndrome.
    J Orthop Sports Phys Ther. 2007 May;37(5):232-8.
    Robinson RL, Nee RJ.
     
  12. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Hip strength in collegiate female athletes with patellofemoral pain.
    Cichanowski HR, Schmitt JS, Johnson RJ, Niemuth PE.
    Med Sci Sports Exerc. 2007 Aug;39(8):1227-32.
     
  13. Admin2

    Admin2 Administrator Staff Member

  14. Bruce Williams

    Bruce Williams Well-Known Member

    Re: Here is a different take on this:

    "Tibial transverse rotation was not shown to be different in PFPS subjects. However, there was prolonged rearfoot eversion during the stance phase of walking. The earlier appearance of rearfoot dorsiflexion as well as the lower GRFs indicate altered propulsive function of the foot during supination. "

    Now this is something that makes perfect sense to me. It encompasses the paper that Craig P. listed and it's findings and includes some references to the timing of eversion during stance phase.

    It is amazing to me that anyone would still think that the amount of measured in- or eversion of the heel, or internal rotation of the tibia would really matter. No matter the patient, they will usually fully pronate as much as their joints will allow. It is not a matter of what position they get to, but how long they stay in that position that really matters. This paper seems to verify that issue, to me at least.

    I do not find it surprising that there would be a limitation of hip ROM either as this is often a compensation brought on by a stoppage of foot motion or rotation as recorded.

    Call it a chicken / egg scenario if you like, but if you do not control for the pathologic foot function, your outcomes will rarely hold just by focusing on the hip musculature alone. IMHO!

    Bruce
     
  15. Stanley

    Stanley Well-Known Member

    Re: Here is a different take on this:

    Bruce,

    You're too young:p to remember how the PT's and Orthopedic surgeons would recommend quad strengthening exercises for "chondromalacia patella". These also worked temporarily at best. :wacko:

    The key is finding and treating the cause, not one of several results. :cool:

    Regards,

    Stanley
     
  16. Bruce Williams

    Bruce Williams Well-Known Member

    Re: Here is a different take on this:

    Stanley;

    You think I am younger than I actually am! I rember those exercises from school and I think it is still in the some of the most current texts, though I could be mistaken.
    :drinks
    Bruce
     
  17. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Proximal and distal influences on hip and knee kinematics in runners with patellofemoral pain during a prolonged run.
    Dierks TA, Manal KT, Hamill J, Davis IS.
    J Orthop Sports Phys Ther. 2008 Aug;38(8):448-56.
     
  18. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Predictors of Hip Internal Rotation During Running: An Evaluation of Hip Strength and Femoral Structure in Women With and Without Patellofemoral Pain
    Richard B. Souza, Christopher M. Powers
    American Journal of Sports Medicine First published on December 19, 2008
     
  19. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Iliotibial band tightness and patellofemoral pain syndrome: A case-control study
    Zoe Hudsona and Emma Darthuy
    Manual Therapy Volume 14, Issue 2, April 2009, Pages 147-151
     
  20. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Press Release:
    Hip exercises found effective at reducing, eliminating common knee pain in runners.
     
  21. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    The effect of real-time gait retraining on hip kinematics, pain and function in subjects with patellofemoral pain syndrome
    B Noehren, J Scholz, I Davis
    Br J Sports Med doi:10.1136/bjsm.2009.069112
     
  22. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Lower Extremity Kinematics of Females With Patellofemoral Pain Syndrome While Stair Stepping.
    McKenzie K, Galea V, Wessel J, Pierrynowski M.
    J Orthop Sports Phys Ther. 2010 Sep 1. [Epub ahead of print]
     
  23. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Electromyographic preactivation pattern of the gluteus medius during weight-bearing functional tasks in women with and without anterior knee pain.
    Nakagawa TH, Muniz TB, Baldon RM, Maciel CD, Amorim CF, Serrão FV.
    Rev Bras Fisioter. 2011 Mar 4. pii: S1413-35552011005000003. [Epub ahead of print]
     
  24. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Is Hip Muscle Weakness a Predisposing Factor for Patellofemoral Pain in Female Novice Runners? A Prospective Study
    Am J Sports Med June 1, 2011 ; published online before print June 1, 2011, doi:10.1177/0363546511407617
     
  25. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Press Release:
    Stronger hips improved running mechanics, lessened knee pain
     
  26. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Hip Strengthening Prior to Functional Exercises Reduces Pain Sooner Than Quadriceps Strengthening in Females With Patellofemoral Pain Syndrome: A Randomized Clinical Trial
    Kimberly L. Dolak, Carrie Silkman, Jennifer Medina McKeon, Robert G. Hosey, Christian Lattermann, Timothy L. Uhl
    J Orthop Sports Phys Ther 2011;41(8):560-570
     
  27. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Proximal and distal kinematics in female runners with patellofemoral pain.
    Noehren B, Pohl MB, Sanchez Z, Cunningham T, Lattermann C.
    Clin Biomech (Bristol, Avon). 2011 Nov 7
     
  28. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Lumbopelvic Joint Manipulation and Quadriceps Activation of People With Patellofemoral Pain Syndrome
    Grindstaff, Terry L; Hertel, Jay; Beazell, James R.; Magrum, Eric M.; Kerrigan, D. Casey; Fan, Xitao; Ingersoll, Christopher D.
    Journal of Athletic Training, Volume 47, Number 1, January-February 2012 , pp. 24-31(8)
     
  29. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    The influence of heel height on patellofemoral joint kinetics during walking.
    Ho KY, Blanchette MG, Powers CM.
    Gait Posture. 2012 Apr 18.
     
  30. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Joint Range of Motion and Patellofemoral Pain in Dancers.
    Steinberg N, Siev-Ner I, Peleg S, Dar G, Masharawi Y, Zeev A, Hershkovitz I.
    Int J Sports Med. 2012 May 4.
     
  31. NewsBot

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    Articles:
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  32. NewsBot

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    Gluteal muscle activity and patellofemoral pain syndrome: a systematic review
    Christian J Barton, Simon Lack, Peter Malliaras, Dylan Morrissey
    Br J Sports Med doi:10.1136/bjsports-2012-090953

     
    Last edited: Jun 30, 2013
  33. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Foot and Hip Contributions to High Frontal Plane Knee Projection Angle in Athletes: A Classification and Regression Tree Approach.
    Bittencourt NF, Ocarino JM, Mendonça LD, Hewett TE, Fonseca ST.
    J Orthop Sports Phys Ther. 2012 Sep 18. [Epub ahead of print]
     
  34. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Comparison of Hip Strength and Core Endurance in Males with and without Patellofemoral Pain Syndrome
    Bolgla, Lori; Bounds, Matthew; Greavu, Samuel; Rowe, Steven; Earl-Boehm, Jennifer; Emery, Carolyn; Hamstra-Wright, Karrie; Ferber, Reed
    Combined Societies Mtg; American Physical Therapy Association; San Diego January 21-24. 2013
     
  35. NewsBot

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    Articles:
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    The prevalence of myofascial trigger points in the hip in patellofemoral pain patients
    Sean Roach, Eric Sorenson, Barbara Headley, Jun G. San Juan
    Archives of Physical Medicine and Rehabilitation (Available online 2 November 2012)
     
  36. NewsBot

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    Articles:
    1
    Isometric Strength Ratios of the Hip Musculature in Females With Patellofemoral Pain: A Comparison to Painfree Controls
    Magalhães, Eduardo (PT, MSc); Silva, Ana Paula M.C.C. (PT, MSc Student); Sacramento, Sylvio N. (MD); Martin, RobRoy L. (PT, PhD); Fukuda, Thiago Y. (PT, PhD)
    Journal of Strength & Conditioning Research: 30 November 2012
     
  37. NewsBot

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    Articles:
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    Prospective Evidence for a Hip Etiology in Patellofemoral Pain.
    Noehren B, Hamill J, Davis I.
    Med Sci Sports Exerc. 2012 Dec 27.
     
  38. NewsBot

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    Articles:
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    Comparison of hip abductor, extensor and external rotator strength in Women with and without patellofemoral pain syndrome
    Moradi Z, Akbari M, Nakhostin Ansari N, Emrani A
    Modern Rehabilitation 2012;6(3) : 7-7
     
  39. NewsBot

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    Articles:
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    Immediate Effects of Lumbopelvic Manipulation and Lateral Gluteal Kinesio Taping on Unilateral Patellofemoral Pain Syndrome
    Joseph Miller, Richard Westrick, Angela Diebal, Christopher Marks, J. Parry Gerber
    Sports Health: A Multidisciplinary Approach January 24, 2013
     
  40. NewsBot

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    Articles:
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    Gluteal muscle activity and patellofemoral pain syndrome: a systematic review
    Christian J Barton, Simon Lack, Peter Malliaras, Dylan Morrissey
    Br J Sports Med 2013;47:207-214
     
    Last edited: Jul 12, 2013
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