Runners With Patellofemoral Pain Exhibit Greater Peak Patella Cartilage Stress Compared With Pain-Free Runners

Journal of Applied Biomechanics
Tzu-Chieh LiaoChristopher M Powers

Abstract

The primary purpose of this study is to determine whether recreational runners with patellofemoral pain (PFP) exhibit greater peak patella cartilage stress compared with pain-free runners. A secondary purpose was to determine the kinematic and/or kinetic predictors of peak patella cartilage stress during running. A total of 22 female recreational runners (12 with PFP and 10 pain-free controls) participated in this study. Patella cartilage stress profiles were quantified using subject-specific finite element models simulating the maximum knee flexion angle during the stance phase of running. Input parameters to the finite element model included subject-specific patellofemoral joint geometry, quadriceps muscle forces, and lower-extremity kinematics in the frontal and transverse planes. Tibiofemoral joint kinematics and kinetics were quantified to determine the best predictor of stress using stepwise regression analysis. Compared with the pain-free runners, those with PFP exhibited greater peak hydrostatic pressure (PFP vs control: 21.2 [5.6] MPa vs 16.5 [4.6] MPa) and maximum shear stress (PFP vs control: 11.3 [4.6] MPa vs 8.7 [2.3] MPa). Knee external rotation was the best predictor of peak hydrostatic pressure and peak maximum ...Continue Reading

References

Jul 1, 1975·Clinical Orthopaedics and Related Research·R E Outerbridge, J A Dunlop
Nov 1, 1992·Sports Medicine·W van Mechelen
Jan 1, 1989·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·M P KadabaG V Cochran
Jul 1, 1995·The Journal of Orthopaedic and Sports Physical Therapy·J Winslow, E Yoder
Jun 21, 2001·Clinical Biomechanics·Christopher M. PowersThay Q. Lee
Mar 28, 2002·British Journal of Sports Medicine·J E TauntonB D Zumbo
Sep 10, 2002·Clinical Orthopaedics and Related Research·Rick P CsintalanThay Q Lee
Sep 26, 2002·Gait & Posture·Jacklyn Heino Brechter, Christopher M Powers
Oct 9, 2002·Medicine and Science in Sports and Exercise·Jacklyn Heino Brechter, Christopher M Powers
Dec 13, 2003·The Journal of Orthopaedic and Sports Physical Therapy·Christopher M Powers
Dec 13, 2003·The Journal of Orthopaedic and Sports Physical Therapy·Christopher M PowersFrank G Shellock
Dec 13, 2003·The Journal of Orthopaedic and Sports Physical Therapy·Thay Q LeeRick P Csintalan
Jul 6, 2004·Medicine and Science in Sports and Exercise·Christopher M PowersMichael R Terk
Oct 14, 2004·Clinical Orthopaedics and Related Research·Dennis R CarterDavid J Schurman
Jan 5, 2005·European Journal of Pain : EJP·R RolkeR-D Treede
Mar 1, 2005·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Thor F BesierScott L Delp
Sep 27, 2005·Clinical Biomechanics·P HansenS P Magnusson
Nov 16, 2005·Medicine and Science in Sports and Exercise·Thor F BesierScott L Delp
Aug 3, 2007·The Journal of Bone and Joint Surgery. American Volume·Samuel R WardChristopher M Powers
Oct 18, 2007·The Journal of Orthopaedic and Sports Physical Therapy·Gretchen B Salsich, William H Perman
Jan 19, 2008·Medicine and Science in Sports and Exercise·Xin L Lu, Van C Mow
Jan 10, 2009·The Journal of Orthopaedic and Sports Physical Therapy·Richard B Souza, Christopher M Powers
Feb 20, 2009·The Australian Journal of Physiotherapy·Maarten R Prins, Peter van der Wurff
Mar 4, 2009·The Journal of Bone and Joint Surgery. American Volume·Nicole A WilsonLi-Qun Zhang
Nov 11, 2011·Clinical Biomechanics·Brian NoehrenChristian Lattermann
Aug 27, 2014·The Journal of Orthopaedic and Sports Physical Therapy·Hsiang-Ling Teng, Christopher M Powers
Jan 22, 2015·Medicine and Science in Sports and Exercise·Tzu-Chieh LiaoChristopher M Powers
Apr 23, 2015·Medicine and Science in Sports and Exercise·Thor F BesierGary S Beaupré

❮ Previous
Next ❯

Citations

Feb 7, 2020·Medicine and Science in Sports and Exercise·Jason BonacciBill Vicenzino
Mar 15, 2020·Current Reviews in Musculoskeletal Medicine·Irene S DavisRichard W Willy
May 13, 2020·Current Reviews in Musculoskeletal Medicine·Mitchell G A WheatleyAllison L Clouthier
May 5, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Pedro DinizGino Kerkhoffs
Apr 18, 2021·Scandinavian Journal of Medicine & Science in Sports·Chelsea StarbuckRichard Jones

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.