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Updated: Sep 20, 2025

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Evaluating Postural Control and Lower-extremity Muscle Activation in Individuals with Chronic Ankle Instability
Published on: September 18, 2020
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People with patellofemoral pain have task-dependent postural control alterations
Guilherme S Nunes1, Isabela Cortiana Machado Valle1, Daniela Rigo1
1Department of Physiotherapy and Rehabilitation, Federal University of Santa Maria, Santa Maria, RS, Brazil.
Summary
Individuals with patellofemoral pain (PFP) show impaired postural control during dynamic single-leg tasks like squats and landings. Static balance and Star Excursion Balance Test (SEBT) performance were not significantly different between groups.
Area of Science:
- Biomechanics
- Motor Control
- Sports Medicine
Background:
- Patellofemoral pain (PFP) is a common musculoskeletal condition affecting knee joint function.
- Altered postural control may contribute to the development and persistence of PFP.
Purpose of the Study:
- To compare postural control between individuals with and without PFP.
- To assess postural control during static and dynamic single-leg tasks, including the Star Excursion Balance Test (SEBT).
Main Methods:
- A cross-sectional laboratory study was conducted with 44 participants (22 with PFP, 22 controls).
- Postural control was assessed using reach distances in the SEBT and center of pressure (CoP) analysis during single-legged stance, squat, and landing tasks.
Main Results:
- Participants with PFP exhibited larger CoP ellipse areas during single-legged squats and landings compared to controls.
- PFP group showed altered anteroposterior CoP behavior (displacement, trajectory length, velocity) during single-legged squats.
- No significant differences in SEBT reach distances or CoP variables during single-legged stance were found between groups.
Conclusions:
- Individuals with PFP demonstrate impaired postural control during dynamic tasks, specifically single-legged squats and landings.
- Postural control appears intact during static single-leg stance and SEBT in individuals with PFP.

