dc.contributorUniversidade Estadual Paulista (UNESP)
dc.creatorSilva, Danilo de Oliveira
dc.creatorBriani, Ronaldo Valdir
dc.creatorPazzinatto, Marcella Ferraz
dc.creatorFerrari, Deisi
dc.creatorAragão, Fernando Amâncio
dc.creatorAzevedo, Fábio Mícolis de
dc.date2015-12-07T15:34:24Z
dc.date2016-10-25T21:23:21Z
dc.date2015-12-07T15:34:24Z
dc.date2016-10-25T21:23:21Z
dc.date2015
dc.date.accessioned2017-04-06T09:29:46Z
dc.date.available2017-04-06T09:29:46Z
dc.identifierClinical Biomechanics (bristol, Avon), v. 30, n. 9, p. 971-975, 2015.
dc.identifier1879-1271
dc.identifierhttp://hdl.handle.net/11449/131365
dc.identifierhttp://acervodigital.unesp.br/handle/11449/131365
dc.identifier10.1016/j.clinbiomech.2015.06.021
dc.identifier26169602
dc.identifierhttp://dx.doi.org/10.1016/j.clinbiomech.2015.06.021
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/941905
dc.descriptionStair ascent is an activity that exacerbates symptoms of individuals with patellofemoral pain. The discomfort associated with this activity usually results in gait modification such as reduced knee flexion in an attempt to reduce pain. Although such compensatory strategy is a logical approach to decrease pain, it also reduces the normal active shock absorption increasing loading rates and may lead to deleterious and degenerative changes of the knee joint. Thus, the aims of this study were (i) to investigate whether there is reduced knee flexion in adults with PFP compared to healthy controls; and (ii) to analyze loading rates in these subjects, during stair climbing. Twenty-nine individuals with patellofemoral pain and twenty-five control individuals (18-30years) participated in this study. Each subject underwent three-dimensional kinematic and kinetic analyses during stair climbing on two separate days. Between-groups analyses of variance were performed to identify differences in peak knee flexion and loading rates. Intraclass correlation coefficient was performed to verify the reliability of the variables. On both days, the patellofemoral pain group demonstrated significantly reduced peak knee flexion and increased loading rates. In addition, the two variables obtained high to very high reliability. Reduced knee flexion during stair climbing as a strategy to avoid anterior knee pain does not seem to be healthy for lower limb mechanical distributions. Repeated loading at higher loading rates may be damaging to lower limb joints.
dc.languageeng
dc.publisherElsevier B. V.
dc.relationClinical Biomechanics (bristol, Avon)
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectKinetics
dc.subjectReproducibility of results
dc.subjectAnterior knee pain
dc.subjectKinematics
dc.subjectPatellofemoral joint
dc.titleReduced knee flexion is a possible cause of increased loading rates in individuals with patellofemoral pain
dc.typeOtro


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