Avaliação isocinética, dor e funcionalidade de sujeitos com síndrome da dor patelofemoral

Detalhes bibliográficos
Autor(a) principal: Piazza, Lisiane
Data de Publicação: 2013
Outros Autores: Vidmar, Marlon Francys, Oliveira, Luiz Fernando Bortoluzzi de, Pimentel, Gilnei Lopes, Libardoni, Thiele de Cássia, Santos, Gilmar Moraes
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Fisioterapia e Pesquisa
Texto Completo: https://www.revistas.usp.br/fpusp/article/view/78361
Resumo: The aim of this study was to determine the influence of Patellofemoral Pain Syndrome (PFPS) on peak torque and work in knee flexor and extensor muscles. In addition to evaluate pain and function of subjects with the disfunction. Fifty two females subjects, 23 with diagnosis of PFPS and 29 control subjects, similar for age, height and body mass, participated in this study. The isokinetic evaluation was performed in concentric mode for knee flexors and extensors at speeds of 60 and 180°/s. In addition, was applied to Visual Numerical Scale before and after each velocity of isokinetic testing and Kujala questionnaire. Data were analyzed by descriptive and inferential statistics (U Mann-Whitney, Wilcoxon and t independent tests) with alpha level at α=0.05. The Patellofemoral Pain Syndrome Group (PFPSG) had lower scores (p=0.01) on Kujala questionnaire (75.7±12.3 points) in relation to Control Group (CG) (100±0.0 points), and lower peak torque of knee flexors (0.82±0.24 Nm/kg; 0.51±0.22 Nm/kg) and extensors (1.85±0.48 Nm/kg; 1.13±0.44 Nm/kg) in 60 and 180°/s and lower total work of knee extensors at 180°/s (6.46±2.54 J/kg) and 60°/s (9.42±3.27 J/kg). In addition, there was exacerbation of pain in PFPSG after the isokinetic evaluation at 180°/s (0.9 cm) and 60°/s (2.3 cm). The results showed that individuals with PFPS have lower functional capacity and lower peak torque and work flexors and knee extensors, suggesting that strengthening these muscles must be considered in the rehabilitation of these subjects.
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spelling Avaliação isocinética, dor e funcionalidade de sujeitos com síndrome da dor patelofemoral Evaluación isocinética, dolor y funcionalidad de sujetos con síndrome de dolor patelofemoral Isokinetic evaluation, pain and functionality of subjects with patellofemoral pain syndrome The aim of this study was to determine the influence of Patellofemoral Pain Syndrome (PFPS) on peak torque and work in knee flexor and extensor muscles. In addition to evaluate pain and function of subjects with the disfunction. Fifty two females subjects, 23 with diagnosis of PFPS and 29 control subjects, similar for age, height and body mass, participated in this study. The isokinetic evaluation was performed in concentric mode for knee flexors and extensors at speeds of 60 and 180°/s. In addition, was applied to Visual Numerical Scale before and after each velocity of isokinetic testing and Kujala questionnaire. Data were analyzed by descriptive and inferential statistics (U Mann-Whitney, Wilcoxon and t independent tests) with alpha level at α=0.05. The Patellofemoral Pain Syndrome Group (PFPSG) had lower scores (p=0.01) on Kujala questionnaire (75.7±12.3 points) in relation to Control Group (CG) (100±0.0 points), and lower peak torque of knee flexors (0.82±0.24 Nm/kg; 0.51±0.22 Nm/kg) and extensors (1.85±0.48 Nm/kg; 1.13±0.44 Nm/kg) in 60 and 180°/s and lower total work of knee extensors at 180°/s (6.46±2.54 J/kg) and 60°/s (9.42±3.27 J/kg). In addition, there was exacerbation of pain in PFPSG after the isokinetic evaluation at 180°/s (0.9 cm) and 60°/s (2.3 cm). The results showed that individuals with PFPS have lower functional capacity and lower peak torque and work flexors and knee extensors, suggesting that strengthening these muscles must be considered in the rehabilitation of these subjects. Este estudio tiene como objetivo determinar la influencia del Síndrome de Dolor Patelofemoral (SDPF) sobre el peak de torque y el trabajo de la musculatura flexora y extensora de la rodilla, además de evaluar el dolor y la funcionalidad de sujetos con esta disfunción. Participaron 52 sujetos de género femenino, 23 con SDPF (GSDPF) y 29 clínicamente saludables (GC) similares en edad, estatura y masa corporal. La evaluación isocinética fue realizada en el modo concéntrico para los flexores y extensores de rodilla en las velocidades de 60 y 180°/s. También fue aplicada la Escala Visual Numérica antes y después de cada velocidad del test isocinético y el Cuestionario de Kujala. Los datos fueron analizados por estadística descriptiva e inferencial (Tests U de Mann-Whitney, Wilcoxon y T independiente) con un nivel de significancia de α=0,05. El GSDPF presentó menor puntuación (p=0,01) en el Cuestionario de Kujala (75,7±12,3 puntos) en relación al GC (100±0,0 puntos), además presentó un menor peak de torque, tanto en 180°/s y 60°/s. Los resultados evidencian que sujetos con SDPF poseen menor capacidad funcional y peak de torque de trabajo de los flexores y extensores de rodilla, sugiriendo que el fortalecimiento de esta musculatura debe ser considerada en la rehabilitación de estos sujetos. Este estudo visou determinar a influência da Síndrome da Dor Patelofemoral (SDPF) sobre o pico de torque e trabalho da musculatura flexora e extensora do joelho, além de avaliar a dor e funcionalidade de sujeitos com a disfunção. Participaram 52 sujeitos do gênero feminino, 23 com SDPF e 29 clinicamente saudáveis similares em idade, estatura e massa corporal. A avaliação isocinética foi realizada no modo concêntrico para os flexores e extensores do joelho nas velocidades de 60 e 180°/s. Também foi aplicada a Escala Visual Numérica antes e após cada velocidade do teste isocinético e o questionário de Kujala. Os dados foram analisados pela estatística descritiva e inferencial (testes U de Mann-Whitney, Wilcoxon e t independente) com nível de significância de α=0,05. O Grupo com Síndrome da Dor Patelofemoral (GSDPF) apresentou menor pontuação (p=0,01) no questionário de Kujala (75,7±12,3 pontos) em relação ao Grupo Controle (GC) (100±0,0 pontos), além de menor pico de torque, tanto em 60 como 180°/s, dos flexores (0,82±0,24 Nm/kg; 0,51±0,22 Nm/kg) e extensores (1,85±0,48 Nm/kg; 1,13±0,44 Nm/kg) do joelho, bem como menor trabalho total dos extensores do joelho a 180°/s (6,46±2,54 J/kg) e 60°/s (9,42±3,27 J/kg). Além disso, foi observado aumento da dor do GSDPF após a avaliação isocinética a 180°/s (0,9 cm) e 60°/s (2,3 cm). Os resultados evidenciaram que sujeitos com SDPF possuem menor capacidade funcional e menor pico de torque e trabalho dos flexores e extensores do joelho, sugerindo que o fortalecimento desta musculatura deve ser considerado na reabilitação destes sujeitos. Universidade de São Paulo. Faculdade de Medicina2013-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/fpusp/article/view/7836110.1590/S1809-29502013000200006Fisioterapia e Pesquisa; Vol. 20 No. 2 (2013); 130-135Fisioterapia e Pesquisa; Vol. 20 Núm. 2 (2013); 130-135Fisioterapia e Pesquisa; v. 20 n. 2 (2013); 130-1352316-91171809-2950reponame:Fisioterapia e Pesquisainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/fpusp/article/view/78361/82388https://www.revistas.usp.br/fpusp/article/view/78361/82389Copyright (c) 2017 Fisioterapia e Pesquisainfo:eu-repo/semantics/openAccessPiazza, LisianeVidmar, Marlon FrancysOliveira, Luiz Fernando Bortoluzzi dePimentel, Gilnei LopesLibardoni, Thiele de CássiaSantos, Gilmar Moraes2014-04-02T17:41:52Zoai:revistas.usp.br:article/78361Revistahttp://www.revistas.usp.br/fpuspPUBhttps://www.revistas.usp.br/fpusp/oai||revfisio@usp.br2316-91171809-2950opendoar:2014-04-02T17:41:52Fisioterapia e Pesquisa - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Avaliação isocinética, dor e funcionalidade de sujeitos com síndrome da dor patelofemoral
Evaluación isocinética, dolor y funcionalidad de sujetos con síndrome de dolor patelofemoral
Isokinetic evaluation, pain and functionality of subjects with patellofemoral pain syndrome
title Avaliação isocinética, dor e funcionalidade de sujeitos com síndrome da dor patelofemoral
spellingShingle Avaliação isocinética, dor e funcionalidade de sujeitos com síndrome da dor patelofemoral
Piazza, Lisiane
title_short Avaliação isocinética, dor e funcionalidade de sujeitos com síndrome da dor patelofemoral
title_full Avaliação isocinética, dor e funcionalidade de sujeitos com síndrome da dor patelofemoral
title_fullStr Avaliação isocinética, dor e funcionalidade de sujeitos com síndrome da dor patelofemoral
title_full_unstemmed Avaliação isocinética, dor e funcionalidade de sujeitos com síndrome da dor patelofemoral
title_sort Avaliação isocinética, dor e funcionalidade de sujeitos com síndrome da dor patelofemoral
author Piazza, Lisiane
author_facet Piazza, Lisiane
Vidmar, Marlon Francys
Oliveira, Luiz Fernando Bortoluzzi de
Pimentel, Gilnei Lopes
Libardoni, Thiele de Cássia
Santos, Gilmar Moraes
author_role author
author2 Vidmar, Marlon Francys
Oliveira, Luiz Fernando Bortoluzzi de
Pimentel, Gilnei Lopes
Libardoni, Thiele de Cássia
Santos, Gilmar Moraes
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Piazza, Lisiane
Vidmar, Marlon Francys
Oliveira, Luiz Fernando Bortoluzzi de
Pimentel, Gilnei Lopes
Libardoni, Thiele de Cássia
Santos, Gilmar Moraes
description The aim of this study was to determine the influence of Patellofemoral Pain Syndrome (PFPS) on peak torque and work in knee flexor and extensor muscles. In addition to evaluate pain and function of subjects with the disfunction. Fifty two females subjects, 23 with diagnosis of PFPS and 29 control subjects, similar for age, height and body mass, participated in this study. The isokinetic evaluation was performed in concentric mode for knee flexors and extensors at speeds of 60 and 180°/s. In addition, was applied to Visual Numerical Scale before and after each velocity of isokinetic testing and Kujala questionnaire. Data were analyzed by descriptive and inferential statistics (U Mann-Whitney, Wilcoxon and t independent tests) with alpha level at α=0.05. The Patellofemoral Pain Syndrome Group (PFPSG) had lower scores (p=0.01) on Kujala questionnaire (75.7±12.3 points) in relation to Control Group (CG) (100±0.0 points), and lower peak torque of knee flexors (0.82±0.24 Nm/kg; 0.51±0.22 Nm/kg) and extensors (1.85±0.48 Nm/kg; 1.13±0.44 Nm/kg) in 60 and 180°/s and lower total work of knee extensors at 180°/s (6.46±2.54 J/kg) and 60°/s (9.42±3.27 J/kg). In addition, there was exacerbation of pain in PFPSG after the isokinetic evaluation at 180°/s (0.9 cm) and 60°/s (2.3 cm). The results showed that individuals with PFPS have lower functional capacity and lower peak torque and work flexors and knee extensors, suggesting that strengthening these muscles must be considered in the rehabilitation of these subjects.
publishDate 2013
dc.date.none.fl_str_mv 2013-06-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/fpusp/article/view/78361
10.1590/S1809-29502013000200006
url https://www.revistas.usp.br/fpusp/article/view/78361
identifier_str_mv 10.1590/S1809-29502013000200006
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/fpusp/article/view/78361/82388
https://www.revistas.usp.br/fpusp/article/view/78361/82389
dc.rights.driver.fl_str_mv Copyright (c) 2017 Fisioterapia e Pesquisa
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2017 Fisioterapia e Pesquisa
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Medicina
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Medicina
dc.source.none.fl_str_mv Fisioterapia e Pesquisa; Vol. 20 No. 2 (2013); 130-135
Fisioterapia e Pesquisa; Vol. 20 Núm. 2 (2013); 130-135
Fisioterapia e Pesquisa; v. 20 n. 2 (2013); 130-135
2316-9117
1809-2950
reponame:Fisioterapia e Pesquisa
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Fisioterapia e Pesquisa
collection Fisioterapia e Pesquisa
repository.name.fl_str_mv Fisioterapia e Pesquisa - Universidade de São Paulo (USP)
repository.mail.fl_str_mv ||revfisio@usp.br
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