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Impaired performance of women with patellofemoral pain during functional tests
Camile Ludovico Zamboti1, Carlos Augusto Marçal Camillo2, Amanda Paula Ricardo Rodrigues da Cunha1
1Laboratory of Human Movement, Department of Physical Therapy, Universidade Estadual de Londrina (UEL), Londrina, PR, Brazil; Education, Research and Extension Laboratory of Sports Physical Therapy, Department of Physical Therapy, Universidade Estadual de Londrina (UEL), Londrina, PR, Brazil.
Objective:
To compare the performance, reliability, and validity of functional tests between women with and without patellofemoral pain.
Methods:
Twenty women with a diagnosis of patellofemoral pain between 18 and 40 years of age and 20 age-matched pain-free controls participated in the study. All participants performed a set of five function tests: sitting-rising test, sit-to-stand in 30 seconds, stair-climb test, stair descent test, and six-minute step test. To investigate reliability, participants were assessed on two different days, seven days apart, by two independent investigators blinded to the results of the other investigator. Validity was evaluated through associations with the results on the Anterior Knee Pain Scale.
Results:
Performance in the tests was worse in women with patellofemoral pain than in the control group for the sit-to-stand in 30 seconds (mean difference [MD] 3.4reps; 95%CI: 0.4, 6.4), stair-climb test (MD: 0.36s; 95%CI: 0.1, 0.63), and six-minute step test (MD: 45reps; 95%CI: 20, 70). No differences were observed for the sitting-rising and stair descent tests. All tests in both groups showed moderate to excellent intra- and inter-rater reliability (intraclass correlation coefficients: 0.61 to 0.91 and 0.72 to 0.96, respectively). Finally, only the results on the sit-to-stand in 30 seconds test correlated with the Anterior Knee Pain Scale (r=0.44, p=0.047) in the patellofemoral pain group.
Conclusion:
Women with patellofemoral pain present lower performance on some functional tests. Functional tests are reliable in patients with patellofemoral pain, although they are not associated with the results on the Anterior Knee Pain Scale self-questionnaire.
