The relationship between rearfoot, tibial and hip kinematics in individuals with patellofemoral pain syndrome

Barton, Christian J., Levinger, Pazit, Crossley, Kay M., Webster, Kate E. and Menz, Hylton B. (2012) The relationship between rearfoot, tibial and hip kinematics in individuals with patellofemoral pain syndrome. Clinical Biomechanics, 27 7: 702-705. doi:10.1016/j.clinbiomech.2012.02.007


Author Barton, Christian J.
Levinger, Pazit
Crossley, Kay M.
Webster, Kate E.
Menz, Hylton B.
Title The relationship between rearfoot, tibial and hip kinematics in individuals with patellofemoral pain syndrome
Journal name Clinical Biomechanics   Check publisher's open access policy
ISSN 0268-0033
1879-1271
Publication date 2012-08
Sub-type Article (original research)
DOI 10.1016/j.clinbiomech.2012.02.007
Volume 27
Issue 7
Start page 702
End page 705
Total pages 4
Place of publication Oxford, United Kingdom
Publisher Pergamon
Collection year 2013
Language eng
Formatted abstract
Background
Excessive rearfoot eversion is thought to be a risk factor for patellofemoral pain syndrome development, based on theoretical rationale linking it to greater tibial internal rotation and hip adduction. This study aimed to establish the relationship of rearfoot eversion with tibial internal rotation and hip adduction during walking in individuals with and without patellofemoral pain syndrome.

Methods

Twenty-six individuals with patellofemoral pain syndrome and 20 controls (18–35 years) participated. Each underwent instrumented three-dimensional motion analysis during over-ground walking. Pearson's correlation coefficients (r) were calculated to establish the relationship of rearfoot eversion with tibial internal rotation and hip adduction (peak and range of motion).

Findings

Greater peak rearfoot eversion was associated with greater peak tibial internal rotation in the patellofemoral pain syndrome group (r = 0.394, P = 0.046). Greater rearfoot eversion range of motion was associated with greater hip adduction range of motion in the patellofemoral pain syndrome (r = 0.573, P = 0.002) and control (r = 0.460, P = 0.041) groups; and greater peak hip adduction in the control group (r = 0.477, P = 0.033).

Interpretation

Associations between greater rearfoot eversion and greater hip adduction indicate that interventions targeted at the foot or hip in individuals with patellofemoral pain syndrome may have similar overall effects on lower limb motion and clinical outcomes. The relationship between rearfoot eversion and tibial internal rotation identified in the patellofemoral pain syndrome group may be related to aetiology. However, additional prospective research is needed to confirm this.
Keyword Patellofemoral pain syndrome
Gait
Pronation
Rearfoot eversion
Kinematics
Tibial internal rotation
Hip adduction
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2013 Collection
School of Health and Rehabilitation Sciences Publications
 
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