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Lower Extremity Strength and Mechanics during Jumping in Women with Patellofemoral Pain

John D. Willson and Irene S. Davis

Context:

Lower extremity (LE) weakness might be associated with altered mechanics during weight bearing in subjects with patellofemoral pain syndrome (PFPS).

Objective:

To analyze LE strength, mechanics, and the association between these variables among women with and without PFPS during a simulated athletic task.

Design:

Case control.

Setting:

Motion-analysis laboratory.

Subjects:

20 women with PFPS and 20 healthy women.

Main Outcome Measures:

Peak isometric lateral trunk-flexion, hip-abduction, hip external-rotation, knee-flexion, and knee-extension strength, as well as hip- and knee-joint excursions and angular impulses during single-leg jumps.

Results:

PFPS subjects produced less hip-abduction, hip external-rotation, and trunk lateral-flexion force than the control group. The PFPS group also demonstrated greater hip-adduction excursion and hip-abduction impulses. The association between the strength measurements and LE mechanics was low.

Conclusions:

Women with PFPS demonstrate specific weaknesses and altered LE mechanics. Weakness is not, however, highly correlated with observed differences in mechanics.