El síndrome de dolor patelofemoral no altera las variables baropodométricas durante el paso en rampas y escaleras

Autores/as

  • Lisiane Piazza Universidade do Estado de Santa Catarina (Udesc) – Florianopólis (SC), Brasil
  • Gilmar Moraes Santos Universidade do Estado de Santa Catarina (Udesc) – Florianopólis (SC), Brasil

DOI:

https://doi.org/10.1590/1809-2950/15779423032016

Resumen

El propósito de este texto es evaluar las variables baropodométricas durante la etapa de apoyo de la marcha en escaleras y rampa de individuos con y sin síndrome de dolor patelofemoral (SDPF). Han participado 55 muyeres, 24 con SDPF (GSDPF) y 31 clínicamente sanas (GC), pareadas en edad, estatura y masa corpórea. Se evaluaron las variables presión máxima, área de contacto y tiempo de contacto en seis regiones plantares (antepié medial, antepié lateral, parte media del pie, retropié medial, retropié central y retropié lateral), mediante el sistema Pedar-X, durante la realización de cuatro actividades funcionales (subir y bajar escaleras y rampa). Fue aleatorio el orden de realización de las actividades. Se evaluó la intensidad del dolor de los individuos antes y después de las actividades a través de la Escala Visual Numérica (EVN). Se evaluaron los datos a través de estadística descriptiva e inferencial (Pruebas T-independiente, Wilcoxon y ANOVA 2x6), con nivel de significación p ≤ 0,05. No se observaron diferencias entre los dos grupos en cuanto a la presión máxima, área de contacto y tiempo de contacto en las seis regiones plantares evaluadas durante las cuatro actividades funcionales. Los individuos tuvieron mucho dolor después de realizar las cuatro actividades funcionales (p=0,01). Así los resultados indican que en las condiciones investigadas no hay un modelo de comportamiento relativo a las variables baropodométricas examinadas que diferencie a los individuos con y sin SDPF durante las actividades de subir y bajar escaleras y rampa.

Descargas

Los datos de descarga aún no están disponibles.

Referencias

Manske RC, Davies GJ. A nonsurgical approach to

examination and treatment of the patellofemoral joint, part 1:

examination of the patellofemoral joint. Crit Rev Phys Rehabil

Med. 2003;15(2):141-66.

Thijs Y, Tiggelen DV, Roosen P, De Clercq D, Vitvrouw E. A

prospective study on gait-related intrinsic risk factors for

patellofemoral pain. Clin J Sport Med. 2007;17(6):437-45.

Alaca R, Yilmaz B, Goktepe AS, Mohur H, Kalyon TA. Efficacy

of isokinetic exercise on functional capacity and pain in

patellofemoral pain syndrome. Am J Phys Med Rehabil.

;81(11):807-13.

Fredericson M, Yoon K. Physical examination and

patellofemoral pain syndrome. Am J Phys Med Rehabil.

;85(3):234-43.

Powers CM, Maffucci R, Hampton S. Rearfoot posture in

subjects with patellofemoral pain. J Orthop Sports Phys Ther.

;22(4):155-60.

Brechter JH, Powers CM. Patellofemoral joint stress during

stair ascent and descent in persons with and without

patellofemoral pain. Gait Posture. 2002;16(2):115-23.

Powers CM, Perry J, Hsu A, Hislop HJ. Are patellofemoral

pain and quadriceps femoris muscle torque associated with

locomotor function? Phys Ther. 1997;77(10):1063-78.

Powers CM, Landel R, Perry J. Timing and intensity of vastus

muscle activity during functional activities in subjects

with and without patellofemoral pain. Phys Ther. 1996;

(9):946-55.

Paoloni M, Mangone M, Fratocchi G, Murgia M, Saraceni

VM, Santilli V. Kinematic and kinetic features of normal

level walking in patellofemoral pain syndrome: more than a

sagittal plane alteration. J Biomech. 2010;43(9):1794-8.

Levinger P, Gilleard W. Tibia and rearfoot motion and ground

reaction forces in subjects with patellofemoral pain syndrome

during walking. Gait Posture. 2007;25(1):2-8.

Reis JG, Costa CG, Cliquet Junior A, Piedade SR. Análise

cinemática do joelho ao subir e descer escada na instabilidade

patelofemoral. Acta Ortop Bras. 2009;17(3):152-4.

Grenholm A, Stensdotter A, Häger-ross C. Kinematic analyses

during stair descent in young women with patellofemoral

pain. Clin Biomech. 2009;24(1):88-94.

Crossley KM, Cowan SM, Bennel KL, McConnell J. Knee

flexion during stair ambulation is altered in individuals with

patellofemoral pain. J Orthop Res. 2004; 22(2):267-74.

Nadeau S, Gravel D, Hébert LJ, Arsenault AB, Lepage Y. Gait

study of patients with patellofemoral pain syndrome. Gait

Posture. 1997;5(1):21-7.

Reis AC, Correa JCF, Bley AS, Rabelo NDA, Fukuda TY,

Lucareli PRG. Kinematic and kinetic analysis of the singleleg triple hop test in women with and without patellofemoral

pain. J Orthop Phys Ther. 2015;45(10):799-807.

Salsich GB, Graci V, Maxam DE. The effects of movementpattern modification on lower extremity kinematics and pain

in women with patellofemoral pain. J Orthop Sports Phys

Ther. 2012;42(12):1017-24.

Piazza et al. Características baropodométricas na dor patelofemoral

Aliberti S, Costa MSX, Passaro AC, Arnone AC, Hirata R,

Sacco ICN. Influence of patellofemoral pain syndrome on

plantar pressure in the foot rollover process during gait. Clin

Sci. 2011;66(3):367-72.

Aliberti S, Costa MSX, Passano AC, Arnone AC, Sacco IC.

Medial contact and smaller plantar loads characterize

individuals with Patellofemoral Pain Syndrome during stair

descent. Phy Ther Sport. 2010;11(1):30-4.

Thijs Y, De Clercq D, Roosen P, Vitvrouw E. Gait related

intrinsic risk factors for patellofemoral pain in novice

recreacional runners. Br J Sports Med. 2008;42(6):466-71.

Powers, CM. Patellar kinematics, Part I: the influence of vastus

muscle activity in subjects with and without patellofemoral

pain. Phys Ther. 2000;80(10):956-64.

Tumia N, Maffulli N. Patellofemoral pain in female athletes.

Sports Med Arthrosc. 2002;10(1):69-75.

Cowan SM, Bennell KL, Hodges PW. Therapeutic patellar

taping changes the timing of vasti muscle activation in

people with patellofemoral pain syndrome. Clin J Sports

Med. 2002;12(9):339-47.

Loudon JK, Wiesner D, Goist-Foley HL, Asjes C, Loudon

KL. Intrarater reliability of functional performance tests for

subjects with patellofemoral pain syndrome. J Athl Train.

;37(3):256-61.

Cabral CMN, Melim AMO, Sacco ICN, Marques AP. Fisioterapia

em pacientes com Síndrome Fêmoro-Patelar: Comparação

de exercícios em cadeia cinética aberta e fechada. Acta

Ortop Bras. 2008;16(3):180-5.

Laprade J, Culham E, Brouwer B. Comparison of five isometric

exercises in the recruitment of the vastus medialis oblique in

persons with and without Patellofemoral Pain Syndrome. J

Orthop Sports Phys Ther. 1998;27(3):197-204.

Boyd LA, Bontrager EL, Mulroy SJ, Perry J. The reliability

and validity of the Novel Pedar System of in-shoe pressure

measurement during free ambulation. Gait Posture

(abstracts). 1997;5(2):165.

Lara-Muñoz C, De Leon SP, Feinstein AR, Puente A, Wells

CK. Comparison of the three rating scales for measuring

subjective phenomena in clinical research I. Use of

experimentally controlled auditory stimuli. Arch Med Res.

;35(1):43-8.

Nova AM, Rodríguez RS, García JCC. Patrón de presiones

plantares en el pie normal: análisis mediante sistema

Biofoot de plantillas instrumentadas. Rev Esp Cir Ortop

Traumatol. 2008;52(2):94-8.

Putti AB, Arnold GP, Abboud RJ. Foot pressure differences in

men and women. Foot Ankle Surg. 2010;16(1):21-4.

Putti AB, Arnold GP, Cochrane L, Abboud RJ. The Pedar inshoe system: repeatability and normal pressure values. Gait

Posture. 2007;25(3):401-5.

Swanson KJ. A clinical and biomechanical profile of female

athletes with and without Patellofemoral Pain. [Dissertação].

Minessota: Faculty of the Graduate School, University of

Minnesota; 2009.

Salsich GB, Brechter JH, Powers CM. Lower extremity

kinetics during stair ambulation in patients with and without

patellofemoral pain. Clin Biomech. 2001;16(10):906-12.

Fulkerson JP. Patologia da articulação patelofemoral. 3ª ed.

Rio de Janeiro: Revinter; 2000.

Chen Y, Scher I, Powers CM. Quantification of patellofemoral

joint reaction forces during functional activities using a

subject-specific three-dimensional model. J Appl Biomech.

;26(4):415-23.

Publicado

2016-09-09

Número

Sección

Pesquisa Original

Cómo citar

El síndrome de dolor patelofemoral no altera las variables baropodométricas durante el paso en rampas y escaleras . (2016). Fisioterapia E Pesquisa, 23(3), 284-293. https://doi.org/10.1590/1809-2950/15779423032016