Kinesiophobia, but not strength is associated with altered movement in women with patellofemoral pain
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1016/j.gaitpost.2018.10.033 http://hdl.handle.net/11449/188318 |
Resumo: | Background: Evidence indicates the presence of both kinesiophobia and knee extension strength deficits in women with patellofemoral pain (PFP). Both impairments may contribute to apparent compensatory gait patterns including reduced cadence and peak knee flexion during stair negotiation. Research question: Is kinesiophobia or knee extension strength associated with movement pattern in women with patellofemoral pain? Methods: Forty women with PFP were assessed with three-dimensional kinematic analyses during stair descent; isokinetic dynamometry of the knee extensors (isometric, concentric and eccentric); and the Tampa scale for kinesiophobia. Pearson coefficients were calculated to determine relationship among variables. Results: Kinesiophobia correlated significantly with cadence (r = −0.62, p < 0.001), and peak knee flexion (r = −0.76, p < 0.001). No significant correlations were found between any knee extensor strength variables and kinematics (cadence or peak knee flexion); or kinesiophobia (p > 0.05). Significance: Findings of this study could suggest addressing strength impairments alone may not adequately address kinesiophobia and movement pattern impairments in women with PFP. However, high-quality randomised controlled trials are needed to test this assumption. Further value may be added if currently evidence-based knee strengthening exercise is combined with education and/or graded exposure to address kinesiophobia, and consideration to gait retraining to address altered movement patterns at the knee. |
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Kinesiophobia, but not strength is associated with altered movement in women with patellofemoral painAnterior knee painFear of movementKinematicsPsychosocialTorqueBackground: Evidence indicates the presence of both kinesiophobia and knee extension strength deficits in women with patellofemoral pain (PFP). Both impairments may contribute to apparent compensatory gait patterns including reduced cadence and peak knee flexion during stair negotiation. Research question: Is kinesiophobia or knee extension strength associated with movement pattern in women with patellofemoral pain? Methods: Forty women with PFP were assessed with three-dimensional kinematic analyses during stair descent; isokinetic dynamometry of the knee extensors (isometric, concentric and eccentric); and the Tampa scale for kinesiophobia. Pearson coefficients were calculated to determine relationship among variables. Results: Kinesiophobia correlated significantly with cadence (r = −0.62, p < 0.001), and peak knee flexion (r = −0.76, p < 0.001). No significant correlations were found between any knee extensor strength variables and kinematics (cadence or peak knee flexion); or kinesiophobia (p > 0.05). Significance: Findings of this study could suggest addressing strength impairments alone may not adequately address kinesiophobia and movement pattern impairments in women with PFP. However, high-quality randomised controlled trials are needed to test this assumption. Further value may be added if currently evidence-based knee strengthening exercise is combined with education and/or graded exposure to address kinesiophobia, and consideration to gait retraining to address altered movement patterns at the knee.Laboratory of Biomechanics and Motor Control (LABCOM) School of Science and Technology Sao Paulo State University (UNESP)La Trobe Sports and Exercise Medicine Research Centre (LASEM) School of Allied Health La Trobe UniversityTranslating Research Knowledge Evidence (TREK) groupLa Trobe University, Kingsbury DriveSão Paulo State University (UNESP) School of Science and Technology Presidente PrudenteLaboratory of Biomechanics and Motor Control (LABCOM) School of Science and Technology Sao Paulo State University (UNESP)São Paulo State University (UNESP) School of Science and Technology Presidente PrudenteUniversidade Estadual Paulista (Unesp)La Trobe UniversityTranslating Research Knowledge Evidence (TREK) groupde Oliveira Silva, Danilo [UNESP]Barton, Christian JohnBriani, Ronaldo Valdir [UNESP]Taborda, Bianca [UNESP]Ferreira, Amanda Schenatto [UNESP]Pazzinatto, Marcella Ferraz [UNESP]Azevedo, Fábio Mícolis de [UNESP]2019-10-06T16:04:16Z2019-10-06T16:04:16Z2019-02-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article1-5http://dx.doi.org/10.1016/j.gaitpost.2018.10.033Gait and Posture, v. 68, p. 1-5.1879-22190966-6362http://hdl.handle.net/11449/18831810.1016/j.gaitpost.2018.10.0332-s2.0-8505614859586325040246170880000-0002-4187-7058Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengGait and Postureinfo:eu-repo/semantics/openAccess2024-06-18T18:18:15Zoai:repositorio.unesp.br:11449/188318Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T20:19:24.887037Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Kinesiophobia, but not strength is associated with altered movement in women with patellofemoral pain |
title |
Kinesiophobia, but not strength is associated with altered movement in women with patellofemoral pain |
spellingShingle |
Kinesiophobia, but not strength is associated with altered movement in women with patellofemoral pain de Oliveira Silva, Danilo [UNESP] Anterior knee pain Fear of movement Kinematics Psychosocial Torque |
title_short |
Kinesiophobia, but not strength is associated with altered movement in women with patellofemoral pain |
title_full |
Kinesiophobia, but not strength is associated with altered movement in women with patellofemoral pain |
title_fullStr |
Kinesiophobia, but not strength is associated with altered movement in women with patellofemoral pain |
title_full_unstemmed |
Kinesiophobia, but not strength is associated with altered movement in women with patellofemoral pain |
title_sort |
Kinesiophobia, but not strength is associated with altered movement in women with patellofemoral pain |
author |
de Oliveira Silva, Danilo [UNESP] |
author_facet |
de Oliveira Silva, Danilo [UNESP] Barton, Christian John Briani, Ronaldo Valdir [UNESP] Taborda, Bianca [UNESP] Ferreira, Amanda Schenatto [UNESP] Pazzinatto, Marcella Ferraz [UNESP] Azevedo, Fábio Mícolis de [UNESP] |
author_role |
author |
author2 |
Barton, Christian John Briani, Ronaldo Valdir [UNESP] Taborda, Bianca [UNESP] Ferreira, Amanda Schenatto [UNESP] Pazzinatto, Marcella Ferraz [UNESP] Azevedo, Fábio Mícolis de [UNESP] |
author2_role |
author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) La Trobe University Translating Research Knowledge Evidence (TREK) group |
dc.contributor.author.fl_str_mv |
de Oliveira Silva, Danilo [UNESP] Barton, Christian John Briani, Ronaldo Valdir [UNESP] Taborda, Bianca [UNESP] Ferreira, Amanda Schenatto [UNESP] Pazzinatto, Marcella Ferraz [UNESP] Azevedo, Fábio Mícolis de [UNESP] |
dc.subject.por.fl_str_mv |
Anterior knee pain Fear of movement Kinematics Psychosocial Torque |
topic |
Anterior knee pain Fear of movement Kinematics Psychosocial Torque |
description |
Background: Evidence indicates the presence of both kinesiophobia and knee extension strength deficits in women with patellofemoral pain (PFP). Both impairments may contribute to apparent compensatory gait patterns including reduced cadence and peak knee flexion during stair negotiation. Research question: Is kinesiophobia or knee extension strength associated with movement pattern in women with patellofemoral pain? Methods: Forty women with PFP were assessed with three-dimensional kinematic analyses during stair descent; isokinetic dynamometry of the knee extensors (isometric, concentric and eccentric); and the Tampa scale for kinesiophobia. Pearson coefficients were calculated to determine relationship among variables. Results: Kinesiophobia correlated significantly with cadence (r = −0.62, p < 0.001), and peak knee flexion (r = −0.76, p < 0.001). No significant correlations were found between any knee extensor strength variables and kinematics (cadence or peak knee flexion); or kinesiophobia (p > 0.05). Significance: Findings of this study could suggest addressing strength impairments alone may not adequately address kinesiophobia and movement pattern impairments in women with PFP. However, high-quality randomised controlled trials are needed to test this assumption. Further value may be added if currently evidence-based knee strengthening exercise is combined with education and/or graded exposure to address kinesiophobia, and consideration to gait retraining to address altered movement patterns at the knee. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-10-06T16:04:16Z 2019-10-06T16:04:16Z 2019-02-01 |
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/10.1016/j.gaitpost.2018.10.033 Gait and Posture, v. 68, p. 1-5. 1879-2219 0966-6362 http://hdl.handle.net/11449/188318 10.1016/j.gaitpost.2018.10.033 2-s2.0-85056148595 8632504024617088 0000-0002-4187-7058 |
url |
http://dx.doi.org/10.1016/j.gaitpost.2018.10.033 http://hdl.handle.net/11449/188318 |
identifier_str_mv |
Gait and Posture, v. 68, p. 1-5. 1879-2219 0966-6362 10.1016/j.gaitpost.2018.10.033 2-s2.0-85056148595 8632504024617088 0000-0002-4187-7058 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Gait and Posture |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
1-5 |
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 |
|
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1808129188424581120 |