The Relationship between Patellofemoral Pain Syndrome and Hip Biomechanics: A Systematic Review with Meta-Analysis
Abstract
:1. Introduction
2. Materials and Methods
2.1. Search Strategy and Inclusion Criteria
- Knee joint musculature strength in PFPS
- -
- Studies including subjects with a PFPS diagnosed
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- Studies evaluated the effects of knee muscular strengthening in subjects with PFPS
- Hip joint musculature strength in PFPS
- -
- Studies including subjects with a PFPS diagnosed
- -
- Studies evaluated the effects of hip muscular strengthening in subjects with PFPS
- Hip joint kinematic variation in PFPS
- -
- Studies including subjects with PFPS diagnosed
- -
- Studies examined the effects of hip joint kinematics on subjects with PFPS.
- Knee joint kinematic variation in PFPS
- -
- Studies including subjects with PFPS diagnosed
- -
- Studies examined the effects of knee joint kinematic characteristics on subjects with PFPS.
2.2. Quality Assessment of Selected Studies
2.3. Data Extraction and Analysis
3. Results
3.1. Search Results
3.2. Quality Assessment of Included Studies
3.3. Studies Characteristic
3.4. Kinematic Variation
3.5. Hip Strength and Torque
3.6. Muscle Activation
4. Discussion
5. Conclusions
Author Contributions
Funding
Data Availability Statement
Conflicts of Interest
References
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Study | 1 | 2 | 3 | 5 | 6 | 7 | 10 | 11 | 12 | 15 | 16 | 18 | 20 | 21 | 25 | Total |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Dierks et al. 2008 [14] | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 0 | U | U | 1 | 1 | 1 | 1 | U | 11 |
Lack et al. 2009 [15] | 1 | 1 | 1 | 0 | 1 | 1 | 1 | 0 | U | U | 1 | 1 | 1 | 1 | U | 10 |
Noehren et al. 2012 [16] | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 0 | U | U | 1 | 1 | 1 | 1 | U | 11 |
Willson et al. 2008 [17] | 1 | 1 | 0 | 1 | 1 | 1 | 1 | 0 | U | U | 1 | 1 | U | 1 | U | 9 |
Nakagawa et al. 2012 [18] | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 0 | U | U | 1 | 1 | 1 | 1 | U | 11 |
Barton et al. 2011 [19] | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 0 | U | U | 1 | 1 | 1 | 1 | U | 11 |
Paoloni et al. 2010 [20] | 1 | 1 | 0 | 1 | 1 | 1 | 1 | 0 | U | U | 1 | 1 | 0 | 1 | U | 9 |
Bolgla et al. 2008 [21] | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 0 | U | U | 1 | 1 | 1 | 1 | U | 11 |
Salsich et a. 2001 [22] | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 0 | U | U | 1 | 1 | U | 1 | U | 10 |
Ireland et al. 2003 [23] | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 0 | 1 | U | 1 | 1 | 0 | 1 | U | 11 |
Robinson and Nee 2007 [24] | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 0 | U | U | 1 | 1 | 1 | 1 | U | 11 |
Glaviano and Saliba 2022 [25] | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 0 | U | U | 1 | 1 | 1 | 1 | U | 11 |
Study | Sample Size | Gender (F:M) | Age Range (Mean Age) | Height (m), Weight (kg) | ||||
---|---|---|---|---|---|---|---|---|
PFPS | CON | PFPS | CON | PFPS | CON | PFPS | CON | |
Dierks et al. 2008 [14] | 20 | 20 | 15:5 | 15:5 | NR (24.1 ± 7.4) | NR (22.7 ± 5.6) | 1.71 ± 0.1 m 65.75 ± 12.56 kg | 1.70 ± 0.08 m 63.02 ± 9.15 kg |
Lack et al. 2009 [15] | 21 | 20 | 21:0 | 20:0 | 18-45 (27 ± 6) | 18-45 (26 ± 5) | 1.70 ± 0.06 m 65 ± 10 kg | 1.70 ± 0.05 m 63 ± 7.0 kg |
Noehren et al. 2012 [16] | 16 | 16 | 16:0 | 16:0 | 18–45 (27 ± 6) | 18–45 (25 ± 4) | 1.64 ± 0.05 m 57.4 ± 4.6 kg | 1.65 ± 0.07 m 58.7 ± 6.5 kg |
Willson et al. 2008 [17] | 20 | 20 | 20:0 | 20:0 | NR (23.3 ± 3.1) | NR (23.7 ± 3.6) | 1.66 ± 0.08 m 61.7 ± 10.6 kg | 1.66 ± 0.06 m 61.1 ± 5.4 kg |
Nakagawa et al. 2012 [18] | 20 | 20 | 20:20 | 20:20 | F: NR (22.3 ± 3.1) M: NR (24.2 ± 4.4) | F: NR (21.8 ± 2.6) M: NR (23.5 ± 3.8) | F: 1.66 ± 0.59 m 61.1 ± 7.5 kg M: 1.80 ± 0.51 m 77.0 ± 9.6 kg | F: 1.63 ± 0.73 m 59.4 ± 7.3 kg M: 1.76 ± 0.6 m 74.6 ± 9.1kg |
Barton et al. 2011 [19] | 26 | 20 | 21:5 | 16:4 | 18–35 (25.1 ± 4.6) | 18–35 (23.4 ± 2.3) | 1.6 ± 8.4 m 66.7 ± 12.8 kg | 1.7 ± 8.4 m 66.0 ± 15.4 kg |
Paoloni et al. 2010 [20] | 9 | 9 | 7:2 | 7:2 | 19–45 (28.1 ± 8.1) | 21–38 (18.3 ± 5.9) | 1.71 ± 0.09 m 64.4 ± 9.5 kg | 1.70 ± 0.09 m 64.2 ± 10.8 kg |
Bolgla et al. 2008 [21] | 18 | 18 | 18:0 | 18:0 | NR (24.5 ± 3.2) | NR (23.9 ± 2.8) | 1.7 ± 0.1m 63.1 ± 9.1kg | 1.7 ± 0.1m 62.1 ± 8.5 kg |
Salsich et a. 2001 [22] | 10 | 10 | 5:5 | 5:5 | 22–55 (36.5 ± 11.1) | 21–42 (31.9 ± 7.3) | 1.73 ± 10.3 m 70.9 ± 13.3 kg | 1.70 ± 11.3 m 14.5 ± 67.7 kg |
Ireland et al. 2003 [23] | 15 | 15 | 15:0 | 15:0 | 12–21 (15.7 ± 2.7) | 12–21 (15.7 ± 2.7) | 63.1 ± 16.5 kg | 56.6 ± 12.5 kg |
Robinson and Nee 2007 [24] | 10 | 10 | 10:0 | 10:0 | 12–34 (21.0) | 16–35 (26.6) | 63.5 kg | 66.5 kg |
Glaviano and Saliba 2022 [25] | 20 | 20 | 20:0 | 20:0 | NR (21.3 ± 2.7) | NR (20.7 ± 2.1) | 1.68 ± 6.4 m 20.7 ± 21.0 kg | 1.67 ± 6.5 m 64.2 ± 9.5 kg |
Study | Functional Activity | Pain Duration | Muscle Strength | Muscles | EMG Variable | Kinematics (Peak) |
---|---|---|---|---|---|---|
Dierks et al. 2008 [14] | Running; IST | More than 2 months | Hip abductor: Hip external rotator | |||
Lack et al. 2009 [15] | Running Stair descent DLDJ | GMed GMax | The average magnitude of activity (%MVC - average over stance period) | Peak hip rotation Peak hip adduction Peak hip torque | ||
Noehren et al. 2012 [16] | Walking | More than 6 weeks | Knee flexion; abduction; internal rotation Hip adduction; internal rotation | |||
Willson et al. 2008 [17] | Stair descent Stair ascent | NR | Knee flexion Hip flexion | |||
Nakagawa et al. 2012 [18] | SL squat | 14.4 ± 12.8 months | GMed VM VL | Maximal voluntary isometric contraction (MVIC) | Peak hip adduction Hip internal rotation Knee abduction | |
Barton et al. 2011 [19] | walking | More than 6 weeks | Hip, knee, rearfoot, and forefoot movement in three planes | |||
Paoloni et al. 2010 [20] | Single leg squat Single leg jump Running | NR | Knee internal rotation Hip internal rotation Hip adduction | |||
Bolgla et al. 2008 [21] | IST Stair descent | 14.4 ± 12.8 months | Hip abductor: Hip external rotator | - | - | Hip internal rotation Hip adduction Knee varus |
Salsich et a. 2001 [22] | IST running | More than 2 months | Hip abductor: Hip external rotator | Knee adduction Hip internal rotation Hip adduction | ||
Ireland et al. 2003 [23] | IST | More than 3 three months | Hip abduction Hip external rotation | |||
Robinson and Nee 2007 [24] | Running | More than 2 months | Hip adduction Hip internal rotation | |||
Glaviano and Saliba 2022 [25] | SL squat Step up; Step down Lateral step-down Lunge | More than 3 months | GMed GMax VMO VL | - |
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Xie, P.; István, B.; Liang, M. The Relationship between Patellofemoral Pain Syndrome and Hip Biomechanics: A Systematic Review with Meta-Analysis. Healthcare 2023, 11, 99. https://doi.org/10.3390/healthcare11010099
Xie P, István B, Liang M. The Relationship between Patellofemoral Pain Syndrome and Hip Biomechanics: A Systematic Review with Meta-Analysis. Healthcare. 2023; 11(1):99. https://doi.org/10.3390/healthcare11010099
Chicago/Turabian StyleXie, Pingping, Bíró István, and Minjun Liang. 2023. "The Relationship between Patellofemoral Pain Syndrome and Hip Biomechanics: A Systematic Review with Meta-Analysis" Healthcare 11, no. 1: 99. https://doi.org/10.3390/healthcare11010099
APA StyleXie, P., István, B., & Liang, M. (2023). The Relationship between Patellofemoral Pain Syndrome and Hip Biomechanics: A Systematic Review with Meta-Analysis. Healthcare, 11(1), 99. https://doi.org/10.3390/healthcare11010099