Hip and knee kinematics are associated with pain and self-reported functional status in males and females with patellofemoral pain

Nakagawa, T.; Serrão, F.; Maciel, C.; Powers, C.

doi:10.1055/s-0033-1334966

Cited by 103Lower Extremity Biomechanics and PathologiesKnee injuries and reconstruction techniquesHip disorders and treatments

Hip and knee kinematics are associated with pain and self-reported functional status in males and females with patellofemoral pain

Nakagawa, T., Serrão, F., Maciel, C., Powers, C.·2013·International Journal of Sports Medicine

DOI 10.1055/s-0033-1334966

Open this paper in CoChat — free account

Abstract

Altered hip and knee kinematics in the frontal and transverse planes may increase patellofemoral joint stress and contribute to the development of patellofemoral pain. The purpose of this cross-sectional study was to evaluate the association among hip and knee kinematics, pain, and self-reported functional status in males and females with patellofemoral pain. 20 males and 20 females with patellofemoral pain participated in this study. 3-dimensional hip and knee kinematics were quantified while performing a step-down task. A visual analogue scale was used to evaluate usual knee pain. The anterior knee pain scale was used to evaluate the knee functional score. For both groups combined, greater usual pain was associated with greater peak hip adduction, hip internal rotation and knee abduction (r=0.54-0.57, P<0.001). Also, modest to low correlations (r=-0.48 to - 0.37, P=0.03-0.08) were found among hip and knee kinematics and functional score. Stepwise regression revealed that peak hip internal rotation and hip adduction were significant predictors of pain, while peak hip adduction was the only predictor of function. Greater hip adduction, hip internal rotation and knee abduction are associated with higher levels of pain and reduced function in males and females with patellofemoral pain.

Integrity signals

Registry

Crossref · 10.1055/s-0033-1334966

Cites

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Posterior pelvic tilt is coupled with lumbar spine flexion.
“Given that posterior pelvic tilt is coupled with lumbar spine flexion,37,38 compressive and shear forces occur at the lumbar spine.14,15,39”
From A Biomechanical Review of the Squat Exercise: Implications for Clinical Practice. (2024) · cites this paper as [38]

Sorted by citations

Physical activity levels in individuals with and without patellofemoral pain.
Glaviano, N. R., Baellow, A. L., & Saliba, S. (2017) · Physical Therapy in Sport · doi:10.1016/j.ptsp.2017.07.002 · Cited by 97 · see citing works
Patellofemoral Pain
Rothermich, M. A., Glaviano, N. R., Li, J., et al. (2015) · Clinics in Sports Medicine · doi:10.1016/j.csm.2014.12.011 · Cited by 105 · see citing works
Two‐dimensional knee valgus displacement as a predictor of patellofemoral pain in adolescent females
Holden, S., Boreham, C. A., Doherty, C., et al. (2015) · Scandinavian Journal of Medicine and Science in Sports · doi:10.1111/sms.12633 · Cited by 86 · see citing works
“Particularly, symptomatic PFP patients exhibit increased frontal plane knee joint motion and loads during dynamic activities such as squatting, running, jumping, and stepping (Levinger et al., 2007; Willson & Davis, 2008; Nakagawa et al., 2012, 2013, 2015).”
Background
Differences in Lower Extremity and Trunk Kinematics between Single Leg Squat and Step Down Tasks
Lewis, C. L., Foch, E., Luko, M. M., Loverro, K. L., & Khuu, A. (2015) · PLoS ONE · doi:10.1371/journal.pone.0126258 · Cited by 83 · see citing works
“During the step down task, participants with PFP have increased ipsilateral trunk lean, contralateral pelvic drop, hip adduction, and knee abduction compared to controls [25].”
BackgroundInfluential
A Biomechanical Review of the Squat Exercise: Implications for Clinical Practice.
Straub, R. K., & Powers, C. M. (2024) · International journal of sports physical therapy · doi:10.26603/001c.94600 · Cited by 70 · see citing works
Self-citation
Relationship of hip and ankle range of motion, trunk muscle endurance with knee valgus and dynamic balance in males
Nakagawa, T. H., & Petersen, R. D. S. (2018) · Physical Therapy in Sport · doi:10.1016/j.ptsp.2018.10.006 · Cited by 64 · see citing works
Self-citation
Gender differences in knee abduction during weight-bearing activities: A systematic review and meta-analysis
Cronström, A., Creaby, M. W., Nae, J. Ä., & Ageberg, E. (2016) · Gait & Posture · doi:10.1016/j.gaitpost.2016.07.107 · Cited by 59 · see citing works
“Nakagawa [52] 20 women, 20 men Women: 22.4 Men: 23.6 Women: 22.4 Men: 23.7 Step-down task 3-”
Influential
Holistic approach to understanding anterior knee pain. Clinical implications
Sanchis‐Alfonso, V. (2014) · Knee Surgery Sports Traumatology Arthroscopy · doi:10.1007/s00167-014-3011-8 · Cited by 56 · see citing works
“The current literature supports a link between abnormal hip function and anterior knee pain [10, 35, 60].”
Background
Total knee arthroplasty with unexplained pain: new insights from kinematics
Planckaert, C., Larose, G., Ranger, P., et al. (2018) · Archives of Orthopaedic and Trauma Surgery · doi:10.1007/s00402-018-2873-5 · Cited by 46 · see citing works
Higher pain level and lower functional capacity are associated with the number of altered kinematics in women with patellofemoral pain
Ferrari, D., Briani, R. V., Silva, D. D. O., Pazzinatto, M. F., Ferreira, A. S., Alves, N., & de Azevedo, F. M. (2017) · Gait & Posture · doi:10.1016/j.gaitpost.2017.07.034 · Cited by 45 · see citing works
“Nakagawa et al.[24] found that greater hip adduction, hip internal rotation, and knee abduction were associated with higher levels of pain and reduced function in males and females with PFP.”
Background
Lower Extremity Biomechanics During a Drop-Vertical Jump and Muscle Strength in Women With Patellofemoral Pain
Baellow, A. L., Glaviano, N. R., Hertel, J. N., & SALIBA, S. A. (2020) · Journal of Athletic Training · doi:10.4085/1062-6050-476-18 · Cited by 42 · see citing works
Evaluating Eccentric Hip Torque and Trunk Endurance as Mediators of Changes in Lower Limb and Trunk Kinematics in Response to Functional Stabilization Training in Women With Patellofemoral Pain
Baldon, R. D. M., Piva, S. R., Silva, R. S., & Serrão, F. V. (2015) · The American Journal of Sports Medicine · doi:10.1177/0363546515574690 · Cited by 39 · see citing works
“Studies have shown that patients with PFP have poor trunk and hip movement control, and these alterations to kinematics have been associated with increased patellofemoral joint stress and pain.(19,29,30,32) Specifically, in the frontal plane, patients with PFP exhibit increased hip adduction, contralateral pelvis depr…”
BackgroundSelf-citation
Does anterior knee pain severity and function relate to the frontal plane projection angle and trunk and hip strength in women with patellofemoral pain?
Almeida, G. P. L., Carvalho‐e‐Silva, A. P., França, F. J. R., Magalhães, M. O., Burke, T. N., & Marques, A. P. (2015) · Journal of Bodywork and Movement Therapies · doi:10.1016/j.jbmt.2015.01.004 · Cited by 39 · see citing works
“Greater hip adduction and medial rotation and knee abduction are associated with higher levels of pain and reduced function of the knee in men and women with PFPS (Nakagawa et al., 2013).”
Background
How to Deal With Anterior Knee Pain in the Active Young Patient
Sanchis‐Alfonso, V., & Dye, S. F. (2016) · Sports Health A Multidisciplinary Approach · doi:10.1177/1941738116681269 · Cited by 39 · see citing works
“An external rotational deformity of the femur greater than 10° provokes an abnormal loading of the patellofemoral joint, potentially leading to AKP.36 However, although lower extremity rotational deformities increase the risk of AKP and represent a predisposing factor, they are not sufficient to cause AKP on their own…”
BackgroundInfluential
Sex-dependent differences in single-leg squat kinematics and their relationship to squat depth in physically active individuals
Zawadka, M., Smółka, J., Skublewska‐Paszkowska, M., Łukasik, E., Byś, A., Zieliński, G., & Gawda, P. (2020) · Scientific Reports · doi:10.1038/s41598-020-76674-2 · Cited by 37 · see citing works
Analysis of the kinetic chain in asymptomatic individuals with and without scapular dyskinesis
Pires, E. D., & Camargo, P. R. (2018) · Clinical Biomechanics · doi:10.1016/j.clinbiomech.2018.02.017 · Cited by 35 · see citing works
Observational Ratings of Frontal Plane Knee Position Are Related to the Frontal Plane Projection Angle but Not the Knee Abduction Angle During a Step-down Task
Jones, D., Tillman, S. M., Tofte, K. B., Mizner, R. L., Greenberg, S., Moser, M. W., & Chmielewski, T. L. (2014) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2014.4960 · Cited by 32 · see citing works
Association of altered frontal plane kinematics and physical activity levels in females with patellofemoral pain.
Glaviano, N. R., & Saliba, S. (2018) · Gait & Posture · doi:10.1016/j.gaitpost.2018.07.164 · Cited by 27 · see citing works
Hip muscle strength and endurance in females with patellofemoral pain: a systematic review with meta-analysis.
CANT, J. V., Pineux, C., Pitance, L., et al. (2014) · PubMed · Cited by 31 · see citing works
The immediate effect of lumbopelvic manipulation on EMG of vasti and gluteus medius in athletes with patellofemoral pain syndrome: A randomized controlled trial
Motealleh, A., Gheysari, E., Shokri, E., et al. (2016) · Manual Therapy · doi:10.1016/j.math.2016.02.002 · Cited by 28 · see citing works
Six Treatments Have Positive Effects at 3 Months for People With Patellofemoral Pain: A Systematic Review With Meta-analysis
Neal, B. S., Bartholomew, C., Barton, C. J., Morrissey, D., & Lack, S. D. (2022) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2022.11359 · Cited by 28 · see citing works
Immediate Effect of Patterned Electrical Neuromuscular Stimulation on Pain and Muscle Activation in Individuals With Patellofemoral Pain
Glaviano, N. R., & SALIBA, S. A. (2016) · Journal of Athletic Training · doi:10.4085/1062-6050-51.4.06 · Cited by 27 · see citing works
Comparison of frequency and time domain electromyography parameters in women with patellofemoral pain
Briani, R. V., Silva, D. D. O., Pazzinatto, M. F., de Albuquerque, C. E., Ferrari, D., Aragão, F. A., & de Azevedo, F. M. (2015) · Clinical Biomechanics · doi:10.1016/j.clinbiomech.2014.12.014 · Cited by 26 · see citing works
“Three kinematic variables were entered in a multiple regression model during step down to predict the pain variance of PFP subjects and 63% of explanation was found (Nakagawa et al., 2013).”
BackgroundMethodInfluential
Improvements in kinematics, muscle activity and pain during functional tasks in females with patellofemoral pain following a single patterned electrical stimulation treatment
Glaviano, N. R., Huntsman, S., Dembeck, A., Hart, J. M., & SALIBA, S. A. (2015) · Clinical Biomechanics · doi:10.1016/j.clinbiomech.2015.12.007 · Cited by 25 · see citing works
How does acute pain influence biomechanics and quadriceps function in individuals with patellofemoral pain?
Greuel, H., Herrington, L. C., Liu, A., et al. (2019) · The Knee · doi:10.1016/j.knee.2018.12.008 · Cited by 25 · see citing works
Relationship Between Lower-Extremity Strength and Subjective Function in Individuals With Patellofemoral Pain
Glaviano, N. R., & SALIBA, S. A. (2017) · Journal of Sport Rehabilitation · doi:10.1123/jsr.2016-0177 · Cited by 22 · see citing works
Quantitative and qualitative assessment of frontal plane knee motion in males and females: A reliability and validity study
Simon, M., Parizek, C., Earl-Boehm, J. E., & Bazett-Jones, D. M. (2018) · The Knee · doi:10.1016/j.knee.2018.09.008 · Cited by 20 · see citing works
Intrinsic foot muscle size and quality in a single leg weight bearing position across foot posture types in individuals with Patellofemoral Pain compared to healthy
Baellow, A. L., Jaffri, A., Hertel, J. N., et al. (2022) · Physical Therapy in Sport · doi:10.1016/j.ptsp.2022.01.002 · Cited by 19 · see citing works
Patellar tendon reflex and vastus medialis hoffmann reflex are down regulated and correlated in women with patellofemoral pain
Pazzinatto, M. F., de Oliveira Silva, D., Ferreira, A. S., Waiteman, M. C., Pappas, E., Magalhães, F. H., & Azevedo, F. M. D. (2019) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2018.06.024 · Cited by 18 · see citing works
Patellofemoral Pain Syndrome: An Update
Hryvniak, D. J., Magrum, E. M., & Wilder, R. (2014) · Current Physical Medicine and Rehabilitation Reports · doi:10.1007/s40141-014-0044-3 · Cited by 16 · see citing works
“A recent study, investigating altered hip kinematics in PFPS patients found that peak hip internal rotation and hip adduction were significant predictors of pain, and peak hip adduction was a predictor of function [66].”
Background
The effect of targeted treatment on people with patellofemoral pain: a pragmatic, randomised controlled feasibility study
Drew, B. T., Conaghan, P. G., Smith, T. O., Selfe, J., & Redmond, A. C. (2017) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-017-1698-7 · Cited by 17 · see citing works
“This is a significant predictor of pain in PFP [23], thought to be linked to increasing patellofemoral joint contact stress [24].”
Background
Are Changes in Dynamic Knee Movement Control Related to Changes in Pain or Function in People With Knee Disorders? A Systematic Review and Meta-analysis
Nunes, G. S., de Moraes, W. S. L. A., Sampaio, V. D. S., Seda, N. R., Mouta, G. D. S., Dangui, A. J. M., Petersen, R. D. S., & Nakagawa, T. H. (2023) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2023.11628 · Cited by 19 · see citing works
Self-citation
Study protocol: a mixed methods feasibility study for a loaded self-managed exercise programme for patellofemoral pain
Smith, B. E., Hendrick, P. A., Bateman, M., Moffatt, F., Rathleff, M. S., Selfe, J., Smith, T. O., & Logan, P. (2017) · Pilot and Feasibility Studies · doi:10.1186/s40814-017-0167-2 · Cited by 16 · see citing works
Gender differences in coordination variability between shank and rearfoot during running
Takabayashi, T., Edama, M., Inai, T., & Kubo, M. (2019) · Human Movement Science · doi:10.1016/j.humov.2019.03.017 · Cited by 16 · see citing works
In vivo measurements of patellar tracking and finite helical axis using a static magnetic resonance based methodology
Yao, J., Yang, B., Niu, W., et al. (2014) · Medical Engineering & Physics · doi:10.1016/j.medengphy.2014.08.014 · Cited by 15 · see citing works
“PFPS is correlated with the abnormal patellofemoral (PF) alignent and tracking (malalignment and maltracking) [5].”
BackgroundInfluential
Tibial sagittal and rotational alignment reduce patellofemoral stresses in posterior stabilized total knee arthroplasty
Mizu‐uchi, H., Ma, Y., Ishibashi, S., et al. (2022) · Scientific Reports · doi:10.1038/s41598-022-15759-6 · Cited by 15 · see citing works
Altered Hip Mechanics and Patellofemoral Pain. A Review of Literature
Gholamhassan, M., Kajbafvala, M., Rahimi, A., et al. (2016) · Ortopedia Traumatologia Rehabilitacja · doi:10.5604/15093492.1212855 · Cited by 15 · see citing works
Adding neuromuscular training to a strengthening program did not produce additional improvement in clinical or kinematic outcomes in women with patellofemoral pain: A blinded randomised controlled trial
Silva, N. C., Silva, M. D. C., Tamburús, N. Y., Guimarães, M. G., Nascimento, M. B. D. O., & Felício, L. R. (2023) · Musculoskeletal Science and Practice · doi:10.1016/j.msksp.2023.102720 · Cited by 13 · see citing works
Are hip and knee kinematics and training load characteristics relate to pain intensity and physical function level in runners with Patellofemoral Pain?
Luz, B. C., dos Santos, A. F., & Serrão, F. V. (2020) · Gait & Posture · doi:10.1016/j.gaitpost.2020.11.027 · Cited by 13 · see citing works
Self-citation
A Novel Association between Femoroacetabular Impingement and Anterior Knee Pain
Sanchis‐Alfonso, V., Tey, M., & Monllau, J. C. (2015) · Pain Research and Treatment · doi:10.1155/2015/937431 · Cited by 11 · see citing works
Effects of neuromuscular training and strengthening of trunk and lower limbs muscles in women with Patellofemoral Pain: A protocol of randomized controlled clinical trial, blinded
Silva, N. C., Silva, M. D. C., Guimarães, M. G., Nascimento, M. B. D. O., & Felício, L. R. (2019) · Trials · doi:10.1186/s13063-019-3650-7 · Cited by 11 · see citing works
Strength Training Rehabilitation Incorporating Power Exercises (STRIPE) for individuals with patellofemoral pain: a randomised controlled trial protocol
Glaviano, N. R., Mangum, L. C., Bazett-Jones, D. M., DiStefano, L. J., Toland, M. D., & Boling, M. C. (2023) · BMJ Open Sport & Exercise Medicine · doi:10.1136/bmjsem-2022-001482 · Cited by 10 · see citing works
Influence of the Powers™ strap on pain and lower limb biomechanics in individuals with patellofemoral pain
Greuel, H., Herrington, L. C., Liu, A., et al. (2019) · The Knee · doi:10.1016/j.knee.2019.03.005 · Cited by 9 · see citing works
Novice Versus Expert Intertester Reliability of Two-Dimensional Squatting Kinematics in Females With and Without Patellofemoral Pain
Doozan, M., Bazett-Jones, D. M., & Glaviano, N. R. (2021) · International Journal of Athletic Therapy & Training · doi:10.1123/ijatt.2019-0090 · Cited by 9 · see citing works
Gluteal Central Activation in Females With Patellofemoral Pain: A Preliminary Study
Glaviano, N. R., & Norte, G. E. (2021) · Journal of Sport Rehabilitation · doi:10.1123/jsr.2021-0093 · Cited by 9 · see citing works
Relation of Step Length to Magnetic Resonance Imaging–Detected Structural Damage in the Patellofemoral Joint: The Multicenter Osteoarthritis Study
Stefanik, J. J., Gross, K. D., Guermazi, A., Felson, D. T., Roemer, F. W., Niu, J., Lynch, J. A., Segal, N. A., Lewis, C. E., & Lewis, C. L. (2015) · Arthritis Care & Research · doi:10.1002/acr.22738 · Cited by 9 · see citing works
Combined Hip Abductor and External Rotator Strengthening and Hip Internal Rotator Stretching Improves Pain and Function in Patients With Patellofemoral Pain Syndrome: A Randomized Controlled Trial With Crossover Design
Jellad, A., Kalai, A., Guedria, M., et al. (2021) · Orthopaedic Journal of Sports Medicine · doi:10.1177/2325967121989729 · Cited by 8 · see citing works
The association and reliability of the frontal plane projection angle during the lateral step down test on knee function in patients with patellofemoral pain
Mansfield, C. J., Rethman, K., Stephens, J. A., Stasi, S. D., VanEtten, L., & Briggs, M. S. (2022) · The Knee · doi:10.1016/j.knee.2022.04.010 · Cited by 8 · see citing works
The influence of task type and movement speed on lower limb kinematics during single-leg tasks
Rabello, R., Bertozzi, F., Brunetti, C., Zandonato, L. S., Bonotti, A., Rodrigues, R., & Sforza, C. (2022) · Gait & Posture · doi:10.1016/j.gaitpost.2022.05.020 · Cited by 8 · see citing works
Persons with patellofemoral pain exhibit altered hip abductor muscle recruitment while performing hip abductor exercises
Selkowitz, D. M., Beneck, G. J., & Powers, C. M. (2022) · Physiotherapy Theory and Practice · doi:10.1080/09593985.2022.2101167 · Cited by 9 · see citing works
“…adduction and internal rotation) during weight-bearing activities are thought to be contributory to PFP (Boling et al., 2010; Crossley et al., 2016; Meira and Brumitt, 2011; Nakagawa, Serrao, Maciel, and Powers, 2013; Neal et al., 2016; Powers, 2010; Powers, Witvrouw, Davis, and Crossley, 2017).”
BackgroundSelf-citation
Trunk and lower-extremity kinematics differ based on step-down tap variation: An assessment of methodology for a return-to-play protocol using motion analysis
Ulman, S. M., Erdman, A. L., Loewen, A., et al. (2022) · Gait & Posture · doi:10.1016/j.gaitpost.2022.09.079 · Cited by 8 · see citing works
Patellofemoral pain over time: Protocol for a prospective, longitudinal study investigating physical and non-physical features
Botta, A. F. B., Waiteman, M. C., Ducatti, M. H. M., Garcia, C. L. G., Farinelli, L. A. L. B., Bazett-Jones, D. M., Briani, R. V., & de Azevedo, F. M. (2023) · Frontiers in Sports and Active Living · doi:10.3389/fspor.2022.1081943 · Cited by 8 · see citing works
Acute Effects of Hip Mobilization With Movement Technique on Pain and Biomechanics in Females With Patellofemoral Pain: A Randomized, Placebo-Controlled Trial
Nunes, G. S., Wolf, D. F., dos Santos, D. A., Noronha, M. A. D., & Serrão, F. V. (2019) · Journal of Sport Rehabilitation · doi:10.1123/jsr.2018-0497 · Cited by 8 · see citing works
Self-citation
Cam Femoroacetabular Impingement as a Possible Explanation of Recalcitrant Anterior Knee Pain
Sanchis‐Alfonso, V., Tey, M., & Monllau, J. C. (2016) · Case Reports in Orthopedics · doi:10.1155/2016/2064894 · Cited by 7 · see citing works
Effects of an online program including mindfulness, exercise therapy and patient education compared to online exercise therapy and patient education for people with Patellofemoral Pain: protocol for a randomized clinical trial
Priore, L. B. D., Perez, V. O., Briani, R. V., Farinelli, L. A. L. B., da Silva, J. D. C. P., Martins, O. M. G., Lopes, F. A., Amorim, A. B., Pappas, E., & de Azevedo, F. M. (2023) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-023-06491-x · Cited by 7 · see citing works
“People with PFP typically report reduced levels of physical activity [3], functional capacity [4, 5], and quality of life [6].”
Background
Does the Powers™ strap influence the lower limb biomechanics during running?
Greuel, H., Herrington, L. C., Liu, A., et al. (2017) · Gait & Posture · doi:10.1016/j.gaitpost.2017.06.001 · Cited by 7 · see citing works
Hip rate of torque development, but not strength, is associated with single-leg squat kinematics in individuals with patellofemoral pain
Jordan, C. M., Kim, S., & Glaviano, N. R. (2024) · Physiotherapy Theory and Practice · doi:10.1080/09593985.2024.2360578 · Cited by 6 · see citing works
“…dysfunction (Ferreira et al., 2021; Nunes et al., 2019; Nunes, Barton, and Serrão, 2018) along with greater kinematic angles during functional tasks when compared to pain-free cohorts (Almeida et al., 2016; Nakagawa, Moriya, Maciel, and Serrão, 2012; Nakagawa, Serrão, Maciel, and Powers, 2013).”
Males with patellofemoral pain have altered movements during step‐down and single‐leg squatting tasks compared to asymptomatic males: A cross‐sectional study
Hoglund, L. T., Hulcher, T. A., & Amabile, A. H. (2024) · Health Science Reports · doi:10.1002/hsr2.2193 · Cited by 6 · see citing works
“49 However, one prior study reported no effect of acute pain on movement patterns in patients with PFP. 50 We did not limit our PFP group participants to unilateral or bilateral symptoms, possibly obscuring kinematic findings that may have been present in those with unilateral or bilateral symptoms.”
Background
Moderate reliability of the lateral step down test amongst experienced and novice physical therapists
Mansfield, C. J., Spech, C., Rethman, K., Clagg, S., Ingle, A., Largent, A., Vatti, T., Morrow, M., VanEtten, L., & Briggs, M. S. (2021) · Physiotherapy Theory and Practice · doi:10.1080/09593985.2021.1923097 · Cited by 6 · see citing works
“All participants reported PFP around the patella during ascending/descending stairs, squatting, and/or running (Nakagawa, Maciel, and Serrão, 2015; Nakagawa, Serrão, Maciel, and Powers, 2013).”
BackgroundMethod
Performance on the Single-Legged Step Down and Running Mechanics
Schreiber, C., & Becker, J. (2020) · Journal of Athletic Training · doi:10.4085/1062-6050-533-19 · Cited by 6 · see citing works
“Step height has been shown to influence lower extremity kinematics during the SLSD,(26) and as a result, researchers who evaluated performance on the SLSD have used either steps with fixed heights(5,14,26) or heights adjusted based on a percentage of participant height.(4,9,21) Last, investigators(14,15,25) in some SL…”
BackgroundMethod
Impairments in peroneal muscle size and activation in individuals with patellofemoral pain in weight‐bearing position
Jaffri, A., Schwarting, A., & Baellow, A. L. (2024) · Journal of Foot and Ankle Research · doi:10.1002/jfa2.12014 · Cited by 5 · see citing works
“PFP participants had additional inclusion criteria based on previous literature [12].”
BackgroundInfluential
Patellofemoral Joint Loading During Single-Leg Hopping Exercises
Ristow, A., Besch, M., Rutherford, D. N., & Kernozek, T. W. (2019) · Journal of Sport Rehabilitation · doi:10.1123/jsr.2019-0135 · Cited by 5 · see citing works
Anterior Knee Pain Scale (AKPS): structural and criterion validity in Brazilian population with patellofemoral pain
Silva, F. B. D., Dibai‐Filho, A. V., Barros, D. C. C., et al. (2024) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-024-07164-z · Cited by 4 · see citing works
“The evaluation of condition-specific patient-reported outcomes is highly recommended by experts [21], with the AKPS being one of the most commonly used instruments and correlating with many physical and non-physical factors [22, 23].”
Background
The test retest reliability of gait outcomes in subjects with anterior knee pain
Leibbrandt, D. C., & Louw, Q. A. (2017) · Journal of Bodywork and Movement Therapies · doi:10.1016/j.jbmt.2017.05.011 · Cited by 4 · see citing works
“Reliable measurement of kinematics is also critical for data analysis because it ensures that changes in a specific measurement represent a true change in performance (Nakagawa et al., 2013).”
Background
Impact of telehealth-based therapeutic exercise on pain, functional performance and dynamic knee valgus in young adult females with patellofemoral pain: a randomised controlled trial
Nilmart, P., Vongsirinavarat, M., Khawsuwan, P., Chumthong, K., Tadein, R., & Komalasari, D. R. (2024) · BMJ Open Sport & Exercise Medicine · doi:10.1136/bmjsem-2024-001939 · Cited by 5 · see citing works
Do people with musculoskeletal pain differ from healthy cohorts in terms of global measures of strength? A systematic review and meta-analysis
Verdini, E., Maestroni, L., Clark, M., Turner, A. N., & Huber, J. (2022) · Clinical Rehabilitation · doi:10.1177/02692155221128724 · Cited by 3 · see citing works
“26–30 The available evidence suggests that pain reduces strength capabilities in participants with persistent pain conditions.(26,28,76,77) Only one study included in this systematic review reported whether participants (namely 6 participants out of 18) could not perform the 1 repetition maximum strength test due to p…”
Background
Comparison of electromyographic activity of the gluteal muscles and tensor fascia lata in persons with patellofemoral pain: evaluation of selected, hip-targeted exercises using indwelling fine-wire electrodes
Selkowitz, D. M., Beneck, G. J., & Powers, C. M. (2023) · Physiotherapy Theory and Practice · doi:10.1080/09593985.2023.2215389 · Cited by 4 · see citing works
Self-citation
Comparison of intrinsic foot muscle function in patients with different lower extremity conditions
Jaffri, A., Park, J., Hart, J., et al. (2025) · PLoS ONE · doi:10.1371/journal.pone.0325028 · Cited by 2 · see citing works
“PFP participants had similar inclusion criteria as is described previously in literature [25].”
A data mining approach for determining biomechanical adaptations in runners who experienced and recovered from patellofemoral pain syndrome
Brancati, R. J., Hamill, J., Jewell, C., et al. (2023) · Journal of Sports Sciences · doi:10.1080/02640414.2024.2308419 · Cited by 2 · see citing works
“…and monitor changes in gait associated with development of PFP, a limitation of prior work is that discrete variables of the gait cycle such as peaks or mean values were selected a priori (Barton et al., 2012; Dierks et al., 2011; Esculier et al., 2015; Nakagawa et al., 2013; Noehren et al., 2012).”
The influence of balance support base manipulation on the kinematics of lower limbs during single-legged squats in people with patellofemoral pain
Valle, I. C. M., Solner, M. W., Pozzobon, D., et al. (2024) · Journal of Bodywork and Movement Therapies · doi:10.1016/j.jbmt.2024.07.060 · Cited by 2 · see citing works
Does forward step-down task frontal kinematics differ in women with and without patellofemoral pain? A cross-sectional study
Pompeo, K. D., da Rocha, E. S., Morales, A. B., Klein, K. D., & Vaz, M. A. (2021) · Sport Sciences for Health · doi:10.1007/s11332-021-00869-x · Cited by 2 · see citing works
“In addition, greater hip adduction and knee abduction during step-down tasks were negatively correlated with AKPS score and positively correlated with pain in women with PFP [45].”
Background
A Tale of Two Treatments for Patellofemoral Pain
Davis, I. S., Powers, C. M., Tenforde, A. S., & Singh, J. R. (2017) · PM&R · doi:10.1016/j.pmrj.2017.10.012 · Cited by 2 · see citing works
“012 this runner did not present with any malalignments that needed to be addressed [3].”
BackgroundSelf-citation
A Review Study on Various Conservative Management Strategies for Patellofemoral Pain Syndrome: What Is the Best Intervention?
Mazloum, V., & Sahebozamani, M. (2016) · DOAJ (DOAJ: Directory of Open Access Journals) · Cited by 1 · see citing works
Relationship between Static Lower Limb Alignment and Patellofemoral Pain Syndrome
ABBAS, M. S. N. A. F. G. S. T., & HASSAN, P. D. A. H. E.-A. K. A. (2018) · The Medical Journal of Cairo University/The Medical Journal of Cairo University · doi:10.21608/mjcu.2018.56129 · Cited by 1 · see citing works
Evaluation of Hip Frontal Plane Flexibility and Strength in Male Sprinter Runners With Unilateral Patellofemoral Arthropathy: A Case-Control Study
Masoudi, P., Sohani, S. M., & Amiri, A. (2021) · Function and Disability Journal · doi:10.32598/fdj.3.27 · Cited by 1 · see citing works
“Particularly, symptomatic PFA patients exhibit increased frontal plane knee joint motion and knee joint loading during dynamic activities, such as running [7-9].”
Background
Influence of self-perceived disability on squatting kinematics in individuals with patellofemoral pain
Antunez, J., Malone, Z. C., & Glaviano, N. R. (2023) · Clinical Biomechanics · doi:10.1016/j.clinbiomech.2023.106089 · Cited by 1 · see citing works
Are body posture and self-reported musculoskeletal symptoms different between employees in the healthcare and administrative sectors?
Silva, B., Maduro, P., da Silva, T. F. A., et al. (2019) · Work · doi:10.3233/wor-192980 · Cited by 1 · see citing works
“This can be justiﬁed by the results of the study by Fer-rari et al. [25], which showed that changes in knee kinematics favor the onset of pain, mainly caused by patellofemoral dysfunction [26, 27].”
The Correlation between Intersegmental Coordination Variability and Frontal Plane Hip Kinematics during Running in Persons with Patellofemoral Pain
Haghighat, F., Rezaie, M., Ebrahimi, S., et al. (2023) · Journal of Biomedical Physics and Engineering · doi:10.31661/jbpe.v0i0.2101-1262 · Cited by 1 · see citing works
“Hence, the current study results are also consistent with those of previous studies that associated high - er degrees of hip adduction [12] or lower hip abductor strength [38] with decreased func - tional status and greater levels of pain in per - sons with PFP. Current results also confirm the…”
BackgroundResult
Immediate effects of hip strap and foot orthoses on self-reported measures and lower limb kinematics during functional tasks in individuals with patellofemoral osteoarthritis: protocol for a randomised crossover clinical trial
Souto, L. R., Serrão, P. R. M. D. S., Pisani, G. K., et al. (2022) · Trials · doi:10.1186/s13063-022-06676-0 · Cited by 1 · see citing works
Self-citation
Influência da síndrome da dor patelofemoral nos movimentos e coordenação do joelho, tornozelo e pé no descer escada e efeitos imediatos de uma intervenção
Aliberti, S. (2015) · doi:10.11606/t.39.2015.tde-17092015-135052
Comparison of the effects of knee and hip and single knee muscles strengthening/ stretching exercises on pain intensity and function in athletes with patellofemoral pain syndrome
Mazloum, V., & Sobhani, V. (2016) · DOAJ (DOAJ: Directory of Open Access Journals)
O 092 - Does the Powers™ strap modify lower limb biomechanics during running in individuals with patellofemoral pain?
Greuel, H., Herrington, L. C., Ai, L. I. U., et al. (2018) · Gait & Posture · doi:10.1016/j.gaitpost.2018.06.125
Understanding the biomechanical risk factors ofpatellofemoral pain (PFP) in military individuals
Alrayani, H. (2018)
Capacidade discriminatória e fator de risco de parâmetros eletromiográficos na dor femoropatelar
Ferrari, D. (2018) · doi:10.11606/t.82.2018.tde-20082018-154905
Fortalecimiento muscular de cadera y rodilla en el síndrome doloroso patelofemoral: Revisión sistemática y metaanálisis
Carrasco, D. G. R., & Nieto, V. H. S. (2022) · Revista Vive · doi:10.33996/revistavive.v5i14.153
Síndrome da dor femoropatelar e tratamento conservador: uma revisão integrativa
Alecrim, J. V. D. C. (2020) · Revista Saúde & Diversidade · doi:10.18227/hd.v4i1.7521
Distal Approaches in Patellofemoral Pain: A Systematic Review, Part I
Yalfani, A., Ahadi, F., & Ahmadi, M. (2023) · Physical Treatments - Specific Physical Therapy · doi:10.32598/ptj.13.1.442.4
Correlation between frontal plane projection angle and pain, dynamic balance and function in patients with patellofemoral pain syndrome
nasser, S. I., Ibrahim, M. M., & Abdelsalam, M. S. (2024) · Egyptian Journal of Physical Therapy · doi:10.21608/ejpt.2023.208813.1136
“In both males and females with patellofemoral pain, greater hip adduction, hip internal rotation, and knee abduction were linked to higher degrees of discomfort and decreased function (19).”
BackgroundMethod
The effect of femoral strapping on hip internal rotation and pain response in females with patellofemoral pain
Selkowitz, D. M., Souza, R. B., & Powers, C. M. (2024) · Gait & Posture · doi:10.1016/j.gaitpost.2024.10.007
Self-citation
Kan ett avvikande rörelsemönster i nedre extremitet förutsäga knäskador hos ungdomslandslagspelare i basket
Skarle, E. (2014)
Additional file 1 of Immediate effects of hip strap and foot orthoses on self-reported measures and lower limb kinematics during functional tasks in individuals with patellofemoral osteoarthritis: protocol for a randomised crossover clinical trial
Souto, L. R., Serrão, P. R. M. D. S., Pisani, G. K., et al. (2022) · Figshare · doi:10.6084/m9.figshare.20962347
Self-citation
Additional file 1 of Effects of an online program including mindfulness, exercise therapy and patient education compared to online exercise therapy and patient education for people with Patellofemoral Pain: protocol for a randomized clinical trial
Priore, L. B. D., Perez, V. O., Briani, R. V., Farinelli, L. A. L. B., da Silva, J. D. C. P., Martins, O. M. G., Lopes, F. A., Amorim, A. B., Pappas, E., & de Azevedo, F. M. (2023) · Figshare · doi:10.6084/m9.figshare.22807520
Additional file 1 of Anterior Knee Pain Scale (AKPS): structural and criterion validity in Brazilian population with patellofemoral pain
da Silva-Júnior, F. B., Dibai-Filho, A. V., Barros, D. C. C., et al. (2024) · Figshare · doi:10.6084/m9.figshare.24965917
Additional file 5 of Effects of an online program including mindfulness, exercise therapy and patient education compared to online exercise therapy and patient education for people with Patellofemoral Pain: protocol for a randomized clinical trial
Priore, L. B. D., Perez, V. O., Briani, R. V., Farinelli, L. A. L. B., da Silva, J. D. C. P., Martins, O. M. G., Lopes, F. A., Amorim, A. B., Pappas, E., & de Azevedo, F. M. (2023) · Figshare · doi:10.6084/m9.figshare.22807532
Additional file 4 of Effects of an online program including mindfulness, exercise therapy and patient education compared to online exercise therapy and patient education for people with Patellofemoral Pain: protocol for a randomized clinical trial
Priore, L. B. D., Perez, V. O., Briani, R. V., Farinelli, L. A. L. B., da Silva, J. D. C. P., Martins, O. M. G., Lopes, F. A., Amorim, A. B., Pappas, E., & de Azevedo, F. M. (2023) · Figshare · doi:10.6084/m9.figshare.22807529
Additional file 3 of Effects of an online program including mindfulness, exercise therapy and patient education compared to online exercise therapy and patient education for people with Patellofemoral Pain: protocol for a randomized clinical trial
Priore, L. B. D., Perez, V. O., Briani, R. V., Farinelli, L. A. L. B., da Silva, J. D. C. P., Martins, O. M. G., Lopes, F. A., Amorim, A. B., Pappas, E., & de Azevedo, F. M. (2023) · Figshare · doi:10.6084/m9.figshare.22807526
Additional file 2 of Effects of an online program including mindfulness, exercise therapy and patient education compared to online exercise therapy and patient education for people with Patellofemoral Pain: protocol for a randomized clinical trial
Priore, L. B. D., Perez, V. O., Briani, R. V., Farinelli, L. A. L. B., da Silva, J. D. C. P., Martins, O. M. G., Lopes, F. A., Amorim, A. B., Pappas, E., & de Azevedo, F. M. (2023) · Figshare · doi:10.6084/m9.figshare.22807523
Exploring the association between the knee injury and osteoarthritis outcome score-patellofemoral subscale and lower extremity kinematics and strength in individuals with patellofemoral pain
Gbotosho, O., Kim, S., Mangum, L. C., et al. (2025) · Journal of Bodywork and Movement Therapies · doi:10.1016/j.jbmt.2025.12.014
Sleep Behaviors Do Not Differ Between Individuals With and Without Patellofemoral Pain
Gilgallon, T. J., Kim, S., da Silva, J. D. C. P., Botta, A. F. B., Briani, R. V., & Glaviano, N. R. (2026) · International Journal of Athletic Therapy & Training · doi:10.1123/ijatt.2025-0066
Effects of telerehabilitation on pain and physical function in patients with patellofemoral pain syndrome: Systematic review and meta-analysis
Yu, Z., Zhao, W., Jia, L., Ni, H., Guo, Q., Wang, J., & Hu, H. (2026) · Experimental Gerontology · doi:10.1016/j.exger.2026.113113

Authors: Nakagawa, T., Serrão, F., Maciel, C., & Powers, C.
Affiliations: Universidade Federal de São Carlos (BR)
Universidade de São Paulo (BR)
University of Southern California (US)
ORCID: Nakagawa, T.
Serrão, F.
Maciel, C.
Powers, C.
Venue: International Journal of Sports Medicine
Publisher: Georg Thieme Verlag KG
Published: 2013-06-14
Volume: 34
Issue: 11
Pages: 997-1002
ISSN: 0172-4622 (ISSN-L)
1439-3964
DOI: 10.1055/s-0033-1334966
OpenAlex: W2088834047
Cited by: 103
References: 0
Citations by year: 2026: 4 · 2025: 2 · 2024: 10 · 2023: 15 · 2022: 11 · 2021: 6 · 2020: 5 · 2019: 7 · 2018: 11 · 2017: 8 · 2016: 8 · 2015: 10 · 2014: 6
FWCI: 4.40
Type: journal article
Language: en
Open access: closed
Locations: International Journal of Sports Medicine (publishedVersion)
PubMed (publishedVersion)
Funders: Fundação de Amparo à Pesquisa do Estado de São Paulo
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
Topics: Physical Sciences › Engineering › Biomedical Engineering › Lower Extremity Biomechanics and Pathologies
Health Sciences › Medicine › Surgery › Knee injuries and reconstruction techniques
Health Sciences › Medicine › Surgery › Hip disorders and treatments
Keywords: patellofemoral pain, hip kinematics, knee kinematics, hip adduction, hip internal rotation, knee abduction, knee pain, knee function, sex differences, anterior knee pain
MeSH terms: Adolescent, Adult, Biomechanical Phenomena, Cross-Sectional Studies, Female, Hip Joint, Humans, Knee Joint, Male, Pain Measurement, Regression Analysis, Imaging, Three-Dimensional, Patellofemoral Pain Syndrome, Young Adult, Patellofemoral Joint, Self Report

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

Hip and knee kinematics are associated with pain and self-reported functional status in males and females with patellofemoral pain

Abstract

Integrity signals

Claims the paper makes

Claims other papers make about this one

Cited by

Related

Record

About these checks