2002, Number 1
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Rev Mex Med Fis Rehab 2002; 14 (1)
Determination of the quadriceps muscle equilibrium in patellofemoral osteoarthrosis
Torres VC, Coronado ZR, Diez GMP, Escobar CRE, Chávez AD, León HSR
Language: Spanish
References: 15
Page: 15-19
PDF size: 77.95 Kb.
ABSTRACT
Background: Patellofemoral pain syndrome is one of the main causes of general consultation and the patellofemoral osteoarthrosis is a degenerative process frequently associated to this painful syndrome.
Method: This process has been associated to an imbalance in the extensor mechanism, specially between the vastus lateralis and vastus medialis. Fifteen patients were checked with patellofemoral osteoarthrosis and 15 healthy subjects, through surface electromyography of the vastus lateralis and vastus medialis in concentric, eccentric and isometric contractions in bilateral way, evaluating the interference pattern and analyzing potency, frequency average and width. These values were compared with the Student’s t test through the SPSS 10 program for Windows.
Results: Significative differences were found between vastus lateralis and vastus medialis, in both groups, with major parameters for vastus lateralis, specially in patients with osteoarthrosis, and few difference in healthy subjects.
Conclusions: Muscular imbalance were determined with higher vastus lateralis activity than vastus medialis actitvity in patients with patellofemoral osteoarthrosis, so that, the electromyography is a faster, practical and without pain procedure.
REFERENCES
Altman R. Classification of disease: osteoarthritis. Seminars in Arthritis and Rheumatism 1991; 20 (6)suppl 2: 40-47.
Taunton E, Wilkinson M. Diagnosis and management of anterior knee pain. Canadian Medical Association Journal 2001; 164(11): 1595-1603.
Kell M, Insall J. Historical perspectives of chondromalacia patellae. Clin Orthop North Am 1992; 223(4): 517-521.
Zarur N, Calderas E, Gómez C, Centeno B. Tratamiento conservador de los síndromes dolorosos patelofemorales. Rev Mex Ortop Traum 2000; 14(3): 281-283.
Tria A, Palumbo R. Alicea J. Conservative care for patellofemoral pain. Clin Orthop North Am 1992; 23(4): 545-554.
Post W, Fulkerson J. Distal realignment of the patello-femoral joint. Clin Orthop North Am 1992; 23(4): 631-642.
Juhn M. Patellofemoral pain syndrome: A review and guidelines for treatment. Am Fam Physician 1999; 60: 2012-2022.
Brattstrom H. Patella alta in non-dislocating knee joints. Acta Orthop Scand 1970; 41: 578.
Hughston J. Subluxation of the patella. J Bone Joint Surg Am 1968; 50: 1003-1026.
Jeffreys T. Recurrent dislocation of the patella due to abnormal attachment of the ilio-tibial tract. J Bone Joint Surg Br 1963; 45: 740-743.
Sakai N, Luo Z, Rand J. The influence of weakness in the vastus medialis oblique muscle on the patellofemoral joint: an in vitro biomechanical study. Clin Biomech 2000; 15(5): 335-339.
Powers C. Patellar kinematics, part I: the influence of vastus muscle activity in subjets with and without patellofemoral pain. Phys Ther 2000; 80(10): 956-964.
Powers C. Patellar kinematics, part II: the influence of depth of the trochlear groove in subjects with and without patellofemoral pain. Phys Ther 2000; 80(2): 965.974.
Lam P, Gyf N. Activation of the quadriceps muscle during semisquatting with different hips and knee positions in patients with anterior knee pain. Am J Phys Med Rehabil 2001; 80(11): 804-808.
Durson N, Dursun E, Kilic Z. Electromyographic biofeedback-controlled exercise versus conservative care for patellofemoral pain syndrome. Arch Phys Med Rehabil 2001; 82: 1692-1695