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Is hip muscle weakness a predisposing factor for patellofemoral pain in female novice runners?: a prospective study

Youri Thijs UGent, Els Pattyn UGent, Damien Van Tiggelen UGent, Lies Rombaut UGent and Erik Witvrouw UGent (2011) AMERICAN JOURNAL OF SPORTS MEDICINE. 39(9). p.1877-1882
abstract
Background: Hip muscle weakness has been proposed to contribute to patellofemoral malalignment and the development of the patellofemoral dysfunction syndrome (PFDS). However, from the retrospective studies that have addressed this issue, it is still unclear if hip muscle weakness is a cause or a consequence of PFDS. Purpose: This study was undertaken to investigate if hip muscle weakness is a predisposing factor for the development of PFDS. Study Design: Cohort study (prognosis); Level of evidence, 2. Methods: Before the start of a 10-week "start to run" program, the isometric strength of the hip flexor, extensor, abductor, adductor, and external and internal rotator muscles was measured in 77 healthy female novice runners. During the 10-week training period, patellofemoral pain was diagnosed and registered by an orthopaedic surgeon. Results: Statistical analysis revealed that there was no significant difference in strength of any of the assessed hip muscle groups between the runners who did and did not develop PFDS. Logistic regression analysis did not identify a deviation in strength of any of the assessed hip muscle groups as a risk factor for PFDS. Conclusion: The findings of this study suggest that isometric hip muscle strength might not be a predisposing factor for the development of PFDS.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
patellofemoral pain, hip muscle strength, risk factor, running, ANTERIOR KNEE PAIN, LOWER-EXTREMITY KINEMATICS, INTRINSIC RISK-FACTORS, GENDER-DIFFERENCES, DISTANCE RUNNERS, RUNNING INJURIES, STRENGTH, RELIABILITY, INDIVIDUALS
journal title
AMERICAN JOURNAL OF SPORTS MEDICINE
Am. J. Sports Med.
volume
39
issue
9
pages
1877 - 1882
Web of Science type
Article
Web of Science id
000294486000007
JCR category
ORTHOPEDICS
JCR impact factor
3.792 (2011)
JCR rank
2/63 (2011)
JCR quartile
1 (2011)
ISSN
0363-5465
DOI
10.1177/0363546511407617
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
2021632
handle
http://hdl.handle.net/1854/LU-2021632
date created
2012-02-07 09:37:39
date last changed
2012-02-08 11:44:31
@article{2021632,
  abstract     = {Background: Hip muscle weakness has been proposed to contribute to patellofemoral malalignment and the development of the patellofemoral dysfunction syndrome (PFDS). However, from the retrospective studies that have addressed this issue, it is still unclear if hip muscle weakness is a cause or a consequence of PFDS. 
Purpose: This study was undertaken to investigate if hip muscle weakness is a predisposing factor for the development of PFDS. 
Study Design: Cohort study (prognosis); Level of evidence, 2. 
Methods: Before the start of a 10-week {\textacutedbl}start to run{\textacutedbl} program, the isometric strength of the hip flexor, extensor, abductor, adductor, and external and internal rotator muscles was measured in 77 healthy female novice runners. During the 10-week training period, patellofemoral pain was diagnosed and registered by an orthopaedic surgeon. 
Results: Statistical analysis revealed that there was no significant difference in strength of any of the assessed hip muscle groups between the runners who did and did not develop PFDS. Logistic regression analysis did not identify a deviation in strength of any of the assessed hip muscle groups as a risk factor for PFDS. 
Conclusion: The findings of this study suggest that isometric hip muscle strength might not be a predisposing factor for the development of PFDS.},
  author       = {Thijs, Youri and Pattyn, Els and Van Tiggelen, Damien and Rombaut, Lies and Witvrouw, Erik},
  issn         = {0363-5465},
  journal      = {AMERICAN JOURNAL OF SPORTS MEDICINE},
  keyword      = {patellofemoral pain,hip muscle strength,risk factor,running,ANTERIOR KNEE PAIN,LOWER-EXTREMITY KINEMATICS,INTRINSIC RISK-FACTORS,GENDER-DIFFERENCES,DISTANCE RUNNERS,RUNNING INJURIES,STRENGTH,RELIABILITY,INDIVIDUALS},
  language     = {eng},
  number       = {9},
  pages        = {1877--1882},
  title        = {Is hip muscle weakness a predisposing factor for patellofemoral pain in female novice runners?: a prospective study},
  url          = {http://dx.doi.org/10.1177/0363546511407617},
  volume       = {39},
  year         = {2011},
}

Chicago
Thijs, Youri, Els Pattyn, Damien Van Tiggelen, Lies Rombaut, and Erik Witvrouw. 2011. “Is Hip Muscle Weakness a Predisposing Factor for Patellofemoral Pain in Female Novice Runners?: a Prospective Study.” American Journal of Sports Medicine 39 (9): 1877–1882.
APA
Thijs, Y., Pattyn, E., Van Tiggelen, D., Rombaut, L., & Witvrouw, E. (2011). Is hip muscle weakness a predisposing factor for patellofemoral pain in female novice runners?: a prospective study. AMERICAN JOURNAL OF SPORTS MEDICINE, 39(9), 1877–1882.
Vancouver
1.
Thijs Y, Pattyn E, Van Tiggelen D, Rombaut L, Witvrouw E. Is hip muscle weakness a predisposing factor for patellofemoral pain in female novice runners?: a prospective study. AMERICAN JOURNAL OF SPORTS MEDICINE. 2011;39(9):1877–82.
MLA
Thijs, Youri, Els Pattyn, Damien Van Tiggelen, et al. “Is Hip Muscle Weakness a Predisposing Factor for Patellofemoral Pain in Female Novice Runners?: a Prospective Study.” AMERICAN JOURNAL OF SPORTS MEDICINE 39.9 (2011): 1877–1882. Print.