Knee proprioceptive function and physical performance of patients with patellofemoral pain: a matched case-control study

Vanessa Knust Coelho, Bruno Senos Queiroz Gomes, Thiago Jambo Alves Lopes, Leticia Amaral Corrêa, Gustavo Felicio Telles, Leandro Alberto Calazans Nogueira*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Patients with patellofemoral pain (PFP) present pain, functional limitation, and alteration in knee proprioception.

Purpose: To compare the knee joint position sense and lower extremity functionality between patients with PFP and controls. Secondarily, investigate the relationship between proprioceptive acuity and physical performance.

Methods: This is a matched case-control study including 48 patients with PFP and 48 healthy individuals matched by age, sex, weight, height, and limb dominance. The proprioceptive evaluation was performed using the joint position sense test (absolute error and relative error) and functionality was assessed using the Single-Leg Triple-Hop test and the Y-Balance Test. The groups were compared using the independent student's T-test. Proprioceptive acuity and physical performance correlations were determined by Pearson correlation coefficient.

Results: Participants were on average 31 years old and 62.5% were men. There was no statistically difference for absolute and relative angular error between groups. Patients presented lower relative reached distance on the anterior direction of the Y-Balance Test than controls [patients=58.6 (6.6) % versus controls=61.7 (5.9) %, p=.020]. No differences between groups were found for other functional measures. Significant correlation was found between absolute angular error and anterior component at 60° (r=0.225, p=.028) and relative angular error at 60° with the posterolateral component of the Y- Balance Test (r=0.231, p=.024).

Conclusion: Proprioceptive acuity of patients with PFP was not reduced. The anterior direction of the Y-Balance Test was impaired compared to matched controls. Proprioceptive sense is related to dynamic balance but not to jump ability.

Original languageEnglish
Pages (from-to)49-57
Number of pages9
JournalKnee
Volume33
Early online date17 Sep 2021
DOIs
Publication statusPublished - Dec 2021
Externally publishedYes

Keywords

  • Motion perception
  • Isokinetic dynamometer
  • Postural balance

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