Factors related to excessive patellofemoral loading in rearfoot running

Running is recognized as one of the most popular exercise methods. Furthermore, running related injuries have been under the scope for the last few decades. Synchronous function between the segments of the lower limbs is necessary for efficient locomotion. Patellofemoral pain syndrome is a common...

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Main Author: Okkonen, Ida
Other Authors: Liikuntatieteellinen tiedekunta, Faculty of Sport and Health Sciences, Liikuntabiologian laitos, Department of Biology of Physical Activity, University of Jyväskylä, Jyväskylän yliopisto
Format: Master's thesis
Language:eng
Published: 2015
Subjects:
Online Access: https://jyx.jyu.fi/handle/123456789/45624
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author Okkonen, Ida
author2 Liikuntatieteellinen tiedekunta Faculty of Sport and Health Sciences Liikuntabiologian laitos Department of Biology of Physical Activity University of Jyväskylä Jyväskylän yliopisto
author_facet Okkonen, Ida Liikuntatieteellinen tiedekunta Faculty of Sport and Health Sciences Liikuntabiologian laitos Department of Biology of Physical Activity University of Jyväskylä Jyväskylän yliopisto Okkonen, Ida Liikuntatieteellinen tiedekunta Faculty of Sport and Health Sciences Liikuntabiologian laitos Department of Biology of Physical Activity University of Jyväskylä Jyväskylän yliopisto
author_sort Okkonen, Ida
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description Running is recognized as one of the most popular exercise methods. Furthermore, running related injuries have been under the scope for the last few decades. Synchronous function between the segments of the lower limbs is necessary for efficient locomotion. Patellofemoral pain syndrome is a common exercise related syndrome and multifactorial in nature. The purpose of this study was to measure contact forces and frontal plane moments to detect the factors that are associated with atypically high patellofemoral joint loading in rearfoot striking (RFS) running pattern, and moreover, which could possibly contribute to development of the patellofemoral pain syndrome. 39 team sport female athletes with rearfoot striking pattern (confirmed with motion analysis by calculating the footstrike angle) were accepted to perform a shod running along a 15-m track at 4.0 m/𝑠 2 . An eight-camera system (Vicon T40, Vicon) recorded the marker positions and GRF data synchronously at 300 Hz and 1500 Hz, respectively. The results showed that patellofemoral contact force (PFCF) correlated significantly with hip extension and flexion moments as well as with knee extension moment (r= -0.576, -0.548, 0.967 respectively, p<0.05). Also spatiotemporal comparison showed that PFCF correlated negatively with the distance between the center of mass (COM) and heel contact (COM – heel distance, r= -0.350, p<0.05). Knee abduction moment correlated negatively with step frequency and positively with COM– heel distance (r= -0.329 and 0.355 respectively, p<0.05). In addition, knee abduction moment and maximum knee power had a significant positive correlation (r= 0.466, p<0.05). PFCF also correlated positively with knee flexion angle (r= 0.341), and a significant correlation existed between PFCF and maximum knee power (r= 0.467, p<0.05). It can be suggested that rearfoot striking pattern might contribute to development of the patellofemoral pain syndrome. It was shown that this running style stresses the patellofemoral joint and especially the medial side of the knee due to increased hip and knee extension moments, increased knee flexion angle and increased knee abduction moment. As the quadriceps’ moment arm increased, the quadriceps was required to be more active to compensate the lack of activation of the hip musculature.
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Furthermore,\r\nrunning related injuries have been under the scope for the last few decades.\r\nSynchronous function between the segments of the lower limbs is necessary for\r\nefficient locomotion. Patellofemoral pain syndrome is a common exercise related\r\nsyndrome and multifactorial in nature. The purpose of this study was to measure contact\r\nforces and frontal plane moments to detect the factors that are associated with atypically\r\nhigh patellofemoral joint loading in rearfoot striking (RFS) running pattern, and\r\nmoreover, which could possibly contribute to development of the patellofemoral pain\r\nsyndrome. 39 team sport female athletes with rearfoot striking pattern (confirmed with\r\nmotion analysis by calculating the footstrike angle) were accepted to perform a shod\r\nrunning along a 15-m track at 4.0 m/\ud835\udc60\r\n2\r\n. An eight-camera system (Vicon T40, Vicon)\r\nrecorded the marker positions and GRF data synchronously at 300 Hz and 1500 Hz,\r\nrespectively. The results showed that patellofemoral contact force (PFCF) correlated\r\nsignificantly with hip extension and flexion moments as well as with knee extension\r\nmoment (r= -0.576, -0.548, 0.967 respectively, p<0.05). Also spatiotemporal\r\ncomparison showed that PFCF correlated negatively with the distance between the\r\ncenter of mass (COM) and heel contact (COM \u2013 heel distance, r= -0.350, p<0.05). Knee\r\nabduction moment correlated negatively with step frequency and positively with COM\u2013\r\nheel distance (r= -0.329 and 0.355 respectively, p<0.05). In addition, knee abduction\r\nmoment and maximum knee power had a significant positive correlation (r= 0.466,\r\np<0.05). PFCF also correlated positively with knee flexion angle (r= 0.341), and a\r\nsignificant correlation existed between PFCF and maximum knee power (r= 0.467,\r\np<0.05). It can be suggested that rearfoot striking pattern might contribute to\r\ndevelopment of the patellofemoral pain syndrome. 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spellingShingle Okkonen, Ida Factors related to excessive patellofemoral loading in rearfoot running Patellofemoral pain syndrome rearfoot striking pattern (RFS) forefoot striking pattern (FFS) patellofemoral contact force knee abduction moment knee flexion angle Biomekaniikka Biomechanics 5012 juoksu polvet biomekaniikka kipu
title Factors related to excessive patellofemoral loading in rearfoot running
title_full Factors related to excessive patellofemoral loading in rearfoot running
title_fullStr Factors related to excessive patellofemoral loading in rearfoot running Factors related to excessive patellofemoral loading in rearfoot running
title_full_unstemmed Factors related to excessive patellofemoral loading in rearfoot running Factors related to excessive patellofemoral loading in rearfoot running
title_short Factors related to excessive patellofemoral loading in rearfoot running
title_sort factors related to excessive patellofemoral loading in rearfoot running
title_txtP Factors related to excessive patellofemoral loading in rearfoot running
topic Patellofemoral pain syndrome rearfoot striking pattern (RFS) forefoot striking pattern (FFS) patellofemoral contact force knee abduction moment knee flexion angle Biomekaniikka Biomechanics 5012 juoksu polvet biomekaniikka kipu
topic_facet 5012 Biomechanics Biomekaniikka Patellofemoral pain syndrome biomekaniikka forefoot striking pattern (FFS) juoksu kipu knee abduction moment knee flexion angle patellofemoral contact force polvet rearfoot striking pattern (RFS)
url https://jyx.jyu.fi/handle/123456789/45624 http://www.urn.fi/URN:NBN:fi:jyu-201504141573
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