Patellar Tendon Reflex and Vastus Medialis Hoffmann Reflex Are Down Regulated and Correlated in Women With Patellofemoral Pain
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1016/j.apmr.2018.06.024 http://hdl.handle.net/11449/171455 |
Resumo: | Objectives: The aims of this study were threefold: (1) to compare the amplitude of patellar tendon reflex (T-reflex) between women with patellofemoral pain (PFP) and pain-free controls; (2) to compare the amplitude of vastus medialis Hoffmann reflex (VM H-reflex) between women with PFP and pain-free controls; (3) to investigate the association between the amplitude of patellar T-reflex and VM H-reflex in women with PFP and pain-free controls. Design: Cross-sectional observational study. Setting: Laboratory of biomechanics and motor control. Participants: Thirty women with PFP and 30 pain-free women aged 18 to 35 years (N=60). Main Outcome Measures: Peak-to-peak amplitudes of maximal VM H-reflex (elicited via electrical stimulation on the femoral nerve) and patellar T-reflex (elicited via mechanical percussion on the patellar tendon) were estimated. Results: Women with PFP had significant lower amplitude of patellar T-reflex (mean difference=0.086; 95% confidence interval=0.020 to 0.151; P=.010; moderate effect) and VM H-reflex (mean difference=0.150; 95% confidence interval =0.073 to 0.227; P<.001; large effect) compared to pain-free controls. The VM H-reflex was strongly correlated with patellar T-reflex in both PFP group (r=0.66; P<.001) and control group (r=0.72; P<.001). Conclusions: As the T-reflex is easier to perform than H-reflex assessments in a clinical setting, it represents a feasible option to assess the impaired excitability of the stretch reflex pathway associated with PFP. |
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Patellar Tendon Reflex and Vastus Medialis Hoffmann Reflex Are Down Regulated and Correlated in Women With Patellofemoral PainInhibitionKneeMotor neuronsRehabilitationStretch reflexObjectives: The aims of this study were threefold: (1) to compare the amplitude of patellar tendon reflex (T-reflex) between women with patellofemoral pain (PFP) and pain-free controls; (2) to compare the amplitude of vastus medialis Hoffmann reflex (VM H-reflex) between women with PFP and pain-free controls; (3) to investigate the association between the amplitude of patellar T-reflex and VM H-reflex in women with PFP and pain-free controls. Design: Cross-sectional observational study. Setting: Laboratory of biomechanics and motor control. Participants: Thirty women with PFP and 30 pain-free women aged 18 to 35 years (N=60). Main Outcome Measures: Peak-to-peak amplitudes of maximal VM H-reflex (elicited via electrical stimulation on the femoral nerve) and patellar T-reflex (elicited via mechanical percussion on the patellar tendon) were estimated. Results: Women with PFP had significant lower amplitude of patellar T-reflex (mean difference=0.086; 95% confidence interval=0.020 to 0.151; P=.010; moderate effect) and VM H-reflex (mean difference=0.150; 95% confidence interval =0.073 to 0.227; P<.001; large effect) compared to pain-free controls. The VM H-reflex was strongly correlated with patellar T-reflex in both PFP group (r=0.66; P<.001) and control group (r=0.72; P<.001). Conclusions: As the T-reflex is easier to perform than H-reflex assessments in a clinical setting, it represents a feasible option to assess the impaired excitability of the stretch reflex pathway associated with PFP.Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Physical Therapy Department School of Science and Technology University of São Paulo State (UNESP)La Trobe Sports and Exercise Medicine Research Centre (LASEM) School of Allied Health La Trobe UniversityFaculty of Health Sciences Discipline of Physiotherapy University of SydneySchool of Arts Sciences and Humanities University of Sao PauloPhysical Therapy Department School of Science and Technology University of São Paulo State (UNESP)FAPESP: 2016/50320-0Universidade Estadual Paulista (Unesp)La Trobe UniversityUniversity of SydneyUniversidade de São Paulo (USP)Pazzinatto, Marcella Ferraz [UNESP]de Oliveira Silva, Danilo [UNESP]Ferreira, Amanda Schenatto [UNESP]Waiteman, Marina Cabral [UNESP]Pappas, EvangelosMagalhães, Fernando Henriquede Azevedo, Fábio Mícolis [UNESP]2018-12-11T16:55:24Z2018-12-11T16:55:24Z2018-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://dx.doi.org/10.1016/j.apmr.2018.06.024Archives of Physical Medicine and Rehabilitation.1532-821X0003-9993http://hdl.handle.net/11449/17145510.1016/j.apmr.2018.06.0242-s2.0-850533103902-s2.0-85053310390.pdfScopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengArchives of Physical Medicine and Rehabilitation1,501info:eu-repo/semantics/openAccess2023-11-09T06:15:14Zoai:repositorio.unesp.br:11449/171455Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462023-11-09T06:15:14Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Patellar Tendon Reflex and Vastus Medialis Hoffmann Reflex Are Down Regulated and Correlated in Women With Patellofemoral Pain |
title |
Patellar Tendon Reflex and Vastus Medialis Hoffmann Reflex Are Down Regulated and Correlated in Women With Patellofemoral Pain |
spellingShingle |
Patellar Tendon Reflex and Vastus Medialis Hoffmann Reflex Are Down Regulated and Correlated in Women With Patellofemoral Pain Pazzinatto, Marcella Ferraz [UNESP] Inhibition Knee Motor neurons Rehabilitation Stretch reflex |
title_short |
Patellar Tendon Reflex and Vastus Medialis Hoffmann Reflex Are Down Regulated and Correlated in Women With Patellofemoral Pain |
title_full |
Patellar Tendon Reflex and Vastus Medialis Hoffmann Reflex Are Down Regulated and Correlated in Women With Patellofemoral Pain |
title_fullStr |
Patellar Tendon Reflex and Vastus Medialis Hoffmann Reflex Are Down Regulated and Correlated in Women With Patellofemoral Pain |
title_full_unstemmed |
Patellar Tendon Reflex and Vastus Medialis Hoffmann Reflex Are Down Regulated and Correlated in Women With Patellofemoral Pain |
title_sort |
Patellar Tendon Reflex and Vastus Medialis Hoffmann Reflex Are Down Regulated and Correlated in Women With Patellofemoral Pain |
author |
Pazzinatto, Marcella Ferraz [UNESP] |
author_facet |
Pazzinatto, Marcella Ferraz [UNESP] de Oliveira Silva, Danilo [UNESP] Ferreira, Amanda Schenatto [UNESP] Waiteman, Marina Cabral [UNESP] Pappas, Evangelos Magalhães, Fernando Henrique de Azevedo, Fábio Mícolis [UNESP] |
author_role |
author |
author2 |
de Oliveira Silva, Danilo [UNESP] Ferreira, Amanda Schenatto [UNESP] Waiteman, Marina Cabral [UNESP] Pappas, Evangelos Magalhães, Fernando Henrique de Azevedo, Fábio Mícolis [UNESP] |
author2_role |
author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) La Trobe University University of Sydney Universidade de São Paulo (USP) |
dc.contributor.author.fl_str_mv |
Pazzinatto, Marcella Ferraz [UNESP] de Oliveira Silva, Danilo [UNESP] Ferreira, Amanda Schenatto [UNESP] Waiteman, Marina Cabral [UNESP] Pappas, Evangelos Magalhães, Fernando Henrique de Azevedo, Fábio Mícolis [UNESP] |
dc.subject.por.fl_str_mv |
Inhibition Knee Motor neurons Rehabilitation Stretch reflex |
topic |
Inhibition Knee Motor neurons Rehabilitation Stretch reflex |
description |
Objectives: The aims of this study were threefold: (1) to compare the amplitude of patellar tendon reflex (T-reflex) between women with patellofemoral pain (PFP) and pain-free controls; (2) to compare the amplitude of vastus medialis Hoffmann reflex (VM H-reflex) between women with PFP and pain-free controls; (3) to investigate the association between the amplitude of patellar T-reflex and VM H-reflex in women with PFP and pain-free controls. Design: Cross-sectional observational study. Setting: Laboratory of biomechanics and motor control. Participants: Thirty women with PFP and 30 pain-free women aged 18 to 35 years (N=60). Main Outcome Measures: Peak-to-peak amplitudes of maximal VM H-reflex (elicited via electrical stimulation on the femoral nerve) and patellar T-reflex (elicited via mechanical percussion on the patellar tendon) were estimated. Results: Women with PFP had significant lower amplitude of patellar T-reflex (mean difference=0.086; 95% confidence interval=0.020 to 0.151; P=.010; moderate effect) and VM H-reflex (mean difference=0.150; 95% confidence interval =0.073 to 0.227; P<.001; large effect) compared to pain-free controls. The VM H-reflex was strongly correlated with patellar T-reflex in both PFP group (r=0.66; P<.001) and control group (r=0.72; P<.001). Conclusions: As the T-reflex is easier to perform than H-reflex assessments in a clinical setting, it represents a feasible option to assess the impaired excitability of the stretch reflex pathway associated with PFP. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-12-11T16:55:24Z 2018-12-11T16:55:24Z 2018-01-01 |
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/10.1016/j.apmr.2018.06.024 Archives of Physical Medicine and Rehabilitation. 1532-821X 0003-9993 http://hdl.handle.net/11449/171455 10.1016/j.apmr.2018.06.024 2-s2.0-85053310390 2-s2.0-85053310390.pdf |
url |
http://dx.doi.org/10.1016/j.apmr.2018.06.024 http://hdl.handle.net/11449/171455 |
identifier_str_mv |
Archives of Physical Medicine and Rehabilitation. 1532-821X 0003-9993 10.1016/j.apmr.2018.06.024 2-s2.0-85053310390 2-s2.0-85053310390.pdf |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Archives of Physical Medicine and Rehabilitation 1,501 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
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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1803046403354656768 |