Are Physical Function and Fear of Movement Risk Factors for Patellofemoral Pain? A 2-Year Prospective Study
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1123/jsr.2021-0392 http://hdl.handle.net/11449/246568 |
Resumo: | To determine (1) whether physical function and fear of movement are prospectively associated with the risk of females developing patellofemoral pain (PFP) and (2) whether they change following development of PFP. Design: Prospective observational study. Methods: A total of 114 asymptomatic females (18-22 y old) completed assessment of physical function (forward step-down test and single-leg hop for distance) and fear of movement using the Tampa Scale for Kinesiophobia at baseline and 2-year follow-up. Presence of symptoms of PFP was monitored bimonthly. Results: Ninety participants (retention rate = 79%) completed the 2-year follow-up assessment, with 27 (24% of the cohort) developing PFP. Physical function, including forward step-down test (P = .659) and single-leg hop for distance (P = .825), and fear of movement (P = .479) were not associated with the risk of developing PFP. Females who developed PFP presented with reduced forward step-down repetitions (mean difference = 2.8; 95% confidence interval, 0.2 to 5.3) and single-leg hop for distance (10.2; 95% confidence interval, 2.7 to 17.7 cm) at 2-year follow-up. There was no statistically significant difference between those who did and did not develop PFP for fear of movement (-3.4; 95% confidence interval, -7.0 to 0.2). Conclusions: Physical function and fear of movement were not associated with the risk of developing PFP in young females. However, the change over time in the step-down and single-leg hop for distance tests may suggest that, even in the early stages of PFP, young females present impaired physical function compared with females who did not develop symptoms. Fear of movement may develop due to persistent PFP, and does not appear to be a risk factor or key feature in females with PFP of short symptoms duration. |
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Are Physical Function and Fear of Movement Risk Factors for Patellofemoral Pain? A 2-Year Prospective Studyanterior knee painavoidance behaviorkinesiophobiamusculoskeletal painpatellofemoral pain syndromeTo determine (1) whether physical function and fear of movement are prospectively associated with the risk of females developing patellofemoral pain (PFP) and (2) whether they change following development of PFP. Design: Prospective observational study. Methods: A total of 114 asymptomatic females (18-22 y old) completed assessment of physical function (forward step-down test and single-leg hop for distance) and fear of movement using the Tampa Scale for Kinesiophobia at baseline and 2-year follow-up. Presence of symptoms of PFP was monitored bimonthly. Results: Ninety participants (retention rate = 79%) completed the 2-year follow-up assessment, with 27 (24% of the cohort) developing PFP. Physical function, including forward step-down test (P = .659) and single-leg hop for distance (P = .825), and fear of movement (P = .479) were not associated with the risk of developing PFP. Females who developed PFP presented with reduced forward step-down repetitions (mean difference = 2.8; 95% confidence interval, 0.2 to 5.3) and single-leg hop for distance (10.2; 95% confidence interval, 2.7 to 17.7 cm) at 2-year follow-up. There was no statistically significant difference between those who did and did not develop PFP for fear of movement (-3.4; 95% confidence interval, -7.0 to 0.2). Conclusions: Physical function and fear of movement were not associated with the risk of developing PFP in young females. However, the change over time in the step-down and single-leg hop for distance tests may suggest that, even in the early stages of PFP, young females present impaired physical function compared with females who did not develop symptoms. Fear of movement may develop due to persistent PFP, and does not appear to be a risk factor or key feature in females with PFP of short symptoms duration.La Trobe Sports and Exercise Medicine Research Centre School of Allied Health Human Services and Sport La Trobe UniversitySchool of Physical Therapy and Rehabilitation Sciences University of MontanaUniAmérica Descomplica Centro UniversitárioLaboratory of Biomechanics and Motor Control School of Science and Technology São Paulo State University (UNESP)Laboratory of Biomechanics and Motor Control School of Science and Technology São Paulo State University (UNESP)La Trobe UniversityUniversity of MontanaUniAmérica Descomplica Centro UniversitárioUniversidade Estadual Paulista (UNESP)Pazzinatto, Marcella F.Barton, Christian J.Willy, Richard W.Ferreira, Amanda S.Azevedo, Fábio M. [UNESP]De Oliveira Silva, Danilo2023-07-29T12:44:29Z2023-07-29T12:44:29Z2023-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article24-30http://dx.doi.org/10.1123/jsr.2021-0392Journal of Sport Rehabilitation, v. 32, n. 1, p. 24-30, 2023.1543-30721056-6716http://hdl.handle.net/11449/24656810.1123/jsr.2021-03922-s2.0-85145242425Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengJournal of Sport Rehabilitationinfo:eu-repo/semantics/openAccess2023-07-29T12:44:29Zoai:repositorio.unesp.br:11449/246568Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462023-07-29T12:44:29Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Are Physical Function and Fear of Movement Risk Factors for Patellofemoral Pain? A 2-Year Prospective Study |
title |
Are Physical Function and Fear of Movement Risk Factors for Patellofemoral Pain? A 2-Year Prospective Study |
spellingShingle |
Are Physical Function and Fear of Movement Risk Factors for Patellofemoral Pain? A 2-Year Prospective Study Pazzinatto, Marcella F. anterior knee pain avoidance behavior kinesiophobia musculoskeletal pain patellofemoral pain syndrome |
title_short |
Are Physical Function and Fear of Movement Risk Factors for Patellofemoral Pain? A 2-Year Prospective Study |
title_full |
Are Physical Function and Fear of Movement Risk Factors for Patellofemoral Pain? A 2-Year Prospective Study |
title_fullStr |
Are Physical Function and Fear of Movement Risk Factors for Patellofemoral Pain? A 2-Year Prospective Study |
title_full_unstemmed |
Are Physical Function and Fear of Movement Risk Factors for Patellofemoral Pain? A 2-Year Prospective Study |
title_sort |
Are Physical Function and Fear of Movement Risk Factors for Patellofemoral Pain? A 2-Year Prospective Study |
author |
Pazzinatto, Marcella F. |
author_facet |
Pazzinatto, Marcella F. Barton, Christian J. Willy, Richard W. Ferreira, Amanda S. Azevedo, Fábio M. [UNESP] De Oliveira Silva, Danilo |
author_role |
author |
author2 |
Barton, Christian J. Willy, Richard W. Ferreira, Amanda S. Azevedo, Fábio M. [UNESP] De Oliveira Silva, Danilo |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
La Trobe University University of Montana UniAmérica Descomplica Centro Universitário Universidade Estadual Paulista (UNESP) |
dc.contributor.author.fl_str_mv |
Pazzinatto, Marcella F. Barton, Christian J. Willy, Richard W. Ferreira, Amanda S. Azevedo, Fábio M. [UNESP] De Oliveira Silva, Danilo |
dc.subject.por.fl_str_mv |
anterior knee pain avoidance behavior kinesiophobia musculoskeletal pain patellofemoral pain syndrome |
topic |
anterior knee pain avoidance behavior kinesiophobia musculoskeletal pain patellofemoral pain syndrome |
description |
To determine (1) whether physical function and fear of movement are prospectively associated with the risk of females developing patellofemoral pain (PFP) and (2) whether they change following development of PFP. Design: Prospective observational study. Methods: A total of 114 asymptomatic females (18-22 y old) completed assessment of physical function (forward step-down test and single-leg hop for distance) and fear of movement using the Tampa Scale for Kinesiophobia at baseline and 2-year follow-up. Presence of symptoms of PFP was monitored bimonthly. Results: Ninety participants (retention rate = 79%) completed the 2-year follow-up assessment, with 27 (24% of the cohort) developing PFP. Physical function, including forward step-down test (P = .659) and single-leg hop for distance (P = .825), and fear of movement (P = .479) were not associated with the risk of developing PFP. Females who developed PFP presented with reduced forward step-down repetitions (mean difference = 2.8; 95% confidence interval, 0.2 to 5.3) and single-leg hop for distance (10.2; 95% confidence interval, 2.7 to 17.7 cm) at 2-year follow-up. There was no statistically significant difference between those who did and did not develop PFP for fear of movement (-3.4; 95% confidence interval, -7.0 to 0.2). Conclusions: Physical function and fear of movement were not associated with the risk of developing PFP in young females. However, the change over time in the step-down and single-leg hop for distance tests may suggest that, even in the early stages of PFP, young females present impaired physical function compared with females who did not develop symptoms. Fear of movement may develop due to persistent PFP, and does not appear to be a risk factor or key feature in females with PFP of short symptoms duration. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-07-29T12:44:29Z 2023-07-29T12:44:29Z 2023-01-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1123/jsr.2021-0392 Journal of Sport Rehabilitation, v. 32, n. 1, p. 24-30, 2023. 1543-3072 1056-6716 http://hdl.handle.net/11449/246568 10.1123/jsr.2021-0392 2-s2.0-85145242425 |
url |
http://dx.doi.org/10.1123/jsr.2021-0392 http://hdl.handle.net/11449/246568 |
identifier_str_mv |
Journal of Sport Rehabilitation, v. 32, n. 1, p. 24-30, 2023. 1543-3072 1056-6716 10.1123/jsr.2021-0392 2-s2.0-85145242425 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Journal of Sport Rehabilitation |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
24-30 |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1799964646131630080 |