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Estimation of Patellofemoral Joint Dysfunction in Obese Post menopausal Women

Year 2024, Volume: 7 Issue: 4, 712 - 720, 25.07.2024
https://doi.org/10.33438/ijdshs.1408322

Abstract

Purpose: The purpose of this research was to estimate Patellofemoral Joint Dysfunction in obese postmenopausal women. Methods: Depending on selection criteria, 100 obese postmenopausal women were selected by simple random sampling method. Written consent was taken and a detailed outcome assessment was done by using a Numerical Pain Rating Scale for pain assessment, Range of motion of hip, knee, ankle joint, Waldron Test, Eccentric Step-down Test, and Quadriceps angle. Statistical analysis was done and results were obtained. Findings: Among the 100 participants, 63% of women experienced pain during their daily activities. The mean pain intensity at rest was 2.25 ± 1.91, and during activity, it increased to 3.28 ± 6.60 (p value < 0.0001). The range of motion in the hip, knee, and ankle joints was reduced compared to that of individuals in the same age group without pain. Specifically, Hip extension-adduction, knee extension, and ankle plantarflexion-inversion-eversion had a p value of <0.0001. For hip flexion-abduction-medial and lateral rotation, knee flexion, and ankle dorsiflexion, the p values were 0.0003, 0.1952, 0.0001, 0.003, 0.0392, and 0.0333. Additionally, 35% of women had quadriceps angles greater than 180 degrees, while the remaining 65% had angles less than 180 degrees. 63% of women exhibited crepitus during activities like stair climbing and walking. 52% of women tested positive on the Waldron Test. 60% of women showed positive findings on the Eccentric Step-down Test. Conclusion: It concluded that there is significant Patellofemoral Joint Dysfunction in obese postmenopausal women.

Ethical Statement

Research has been approved by the Institutional Ethical Committee of Krishna Vishwa Vidyapeeth, KIMSDU dated 19/05/2023 andnumbered 616/2022-2023.

Supporting Institution

Krishna Vishwa Vidyapeeth, Krishna Institute of Medical Sciences Deemed to be University, Karad, Maharashtra, India.

Project Number

616/2022-2023

References

  • Alghadir, A. H., Anwer, S., Iqbal, A., & Iqbal, Z. A. (2018). Test-retest reliability, validity, and minimum detectable change of visual analog, numerical rating, and verbal rating scales for measurement of osteoarthritic knee pain. Journal of pain research, 11, 851–856. [Pubmed]
  • Arrebola, L. S., Carvalho, R. T. D., Lima, V. C. D. O., Percivale, K. A. N., Oliveira, V. G. C. D., & Pinfildi, C. E. (2020). Influence of body mass index on patellofemoral pain. Fisioterapia em Movimento, 33, e003309. [CrossRef]
  • Bhore, P., & Shinde, S. (2023). Effect of multi-component exercises program on pain-related gait adaptations among individuals with osteoarthritis of the knee joint. Journal of Education and Health Promotion, 12(1), 138. [PubMed]
  • Bollinger L. M. (2017). Potential contributions of skeletal muscle contractile dysfunction to altered biomechanics in obesity. Gait & posture, 56, 100–107. [PubMed]
  • Brechter, J. H., & Powers, C. M. (2002). Patellofemoral joint stress during stair ascent and descent in persons with and without patellofemoral pain. Gait & posture, 16(2), 115–123. [PubMed]
  • Cook, C., Mabry, L., Reiman, M. P., & Hegedus, E. J. (2012). Best tests/clinical findings for screening and diagnosis of patellofemoral pain syndrome: a systematic review. Physiotherapy, 98(2), 93–100. [PubMed]
  • Crossley, K. M., Bennell, K. L., Cowan, S. M., & Green, S. (2004). Analysis of outcome measures for persons with patellofemoral pain: which are reliable and valid?. Archives of physical medicine and rehabilitation, 85(5), 815–822. [PubMed]
  • Cunha-Henriques, S., Costa-Paiva, L., Pinto-Neto, A. M., Fonsechi-Carvesan, G., Nanni, L., & Morais, S. S. (2011). Postmenopausal women with osteoporosis and musculoskeletal status: a comparative cross-sectional study. Journal of clinical medicine research, 3(4), 168–176. [PubMed]
  • Ekim, A. A., Hamarat, H., & Musmul, A. (2017). Relationship Between Q-Angle and Articular Cartilage in Female Patients With Symptomatic Knee Osteoarthritis: Ultrasonographic and Radiologic Evaluation. Archives of rheumatology, 32(4), 347–352. [PubMed]
  • Ersoz, M., & Ergun, S. (2003). Relationship between knee range of motion and Kellgren-Lawrence radiographic scores in knee osteoarthritis. American journal of physical medicine & rehabilitation, 82(2), 110–115. [PubMed]
  • Ferrari, D., Kuriki, H. U., Silva, C. R., Alves, N., & Mícolis de Azevedo, F. (2014). Diagnostic accuracy of the electromyography parameters associated with anterior knee pain in the diagnosis of patellofemoral pain syndrome. Archives of physical medicine and rehabilitation, 95(8), 1521–1526. [PubMed]
  • Ferreira, A. S., Mentiplay, B. F., Taborda, B., Pazzinatto, M. F., de Azevedo, F. M., & de Oliveira Silva, D. (2023). Overweight and obesity in young adults with patellofemoral pain: Impact on functional capacity and strength. Journal of sport and health science, 12(2), 202–211. [PubMed]
  • Barber Foss, K. D., Hornsby, M., Edwards, N. M., Myer, G. D., & Hewett, T. E. (2012). Is body composition associated with an increased risk of developing anterior knee pain in adolescent female athletes?. The Physician and sportsmedicine, 40(1),13–19. [PubMed]
  • Gao, H. L., Lin, S. Q., Wei, Y., Chen, Y., & Wu, Z. L. (2013). The effect of age and menopausal status on musculoskeletal symptoms in Chinese women aged 35-64 years. Climacteric: the journal of the International Menopause Society, 16(6), 639–645. [PubMed]
  • Grelsamer, R. P., Dubey, A., & Weinstein, C. H. (2005). Men and women have similar Q angles: a clinical and trigonometric evaluation. The Journal of bone and joint surgery. British volume, 87(11), 1498–1501. [PubMed]
  • James, B., & Parker, A. W. (1989). Active and passive mobility of lower limb joints in elderly men and women. American journal of physical medicine & rehabilitation, 68(4), 162–167. [PubMed]
  • Kadav, N., Bhende, R., & Shinde, S. (2023). Proximal to distal posture correction protocol for IT band friction syndrome in female amateur runners. International Journal of Disabilities Sports and Health Sciences, 6(2), 139-149. [CrossRef]
  • Karmakar, N., Majumdar, S., Dasgupta, A., & Das, S. (2017). Quality of life among menopausal women: A community-based study in a rural area of West Bengal. Journal of mid-life health, 8(1), 21. [CrossRef]
  • Khadilkar S. S. (2019). Musculoskeletal Disorders and Menopause. Journal of obstetrics and gynaecology of India, 69(2), 99–103. [PubMed]
  • Lichtenstein, M. J., Dhanda, R., Cornell, J. E., Escalante, A., & Hazuda, H. P. (2000). Modeling impairment: using the disablement process as a framework to evaluate determinants of hip and knee flexion. Aging (Milan, Italy), 12(3), 208–220. [PubMed]
  • Lou, C., Xiang, G., Weng, Q., Chen, Z., Chen, D., Wang, Q., Zhang, D., Zhou, B., He, D., & Chen, H. (2016). Menopause is associated with articular cartilage degeneration: a clinical study of knee joint in 860 women. Menopause (New York, N.Y.), 23(11), 1239–1246. [PubMed]
  • Loudon, J. K., Wiesner, D., Goist-Foley, H. L., Asjes, C., & Loudon, K. L. (2002). Intrarater Reliability of Functional Performance Tests for Subjects With Patellofemoral Pain Syndrome. Journal of athletic training, 37(3), 256–261. [PubMed]
  • Manske, R. C., & Davies, G. J. (2016). Examination Of The Patellofemoral Joınt. International journal of sports physical therapy, 11(6), 831–853. [PubMed]
  • McKenzie, K., Galea, V., Wessel, J., & Pierrynowski, M. (2010). Lower extremity kinematics of females with patellofemoral pain syndrome while stair stepping. The Journal of orthopaedic and sports physical therapy, 40(10), 625–632. [PubMed]
  • Näslund, J., Näslund, U. B., Odenbring, S., & Lundeberg, T. (2006). Comparison of symptoms and clinical findings in subgroups of individuals with patellofemoral pain. Physiotherapy theory and practice, 22(3), 105–118. [PubMed]
  • Nijs, J., Van Geel, C., Van der auwera, C., & Van de Velde, B. (2006). Diagnostic value of five clinical tests in patellofemoral pain syndrome. Manual therapy, 11(1), 69–77. [PubMed]
  • Nunes, G. S., Stapait, E. L., Kirsten, M. H., de Noronha, M., & Santos, G. M. (2013). Clinical test for diagnosis of patellofemoral pain syndrome: Systematic review with meta-analysis. Physical therapy in sport: official journal of the Association of Chartered Physiotherapists in Sports Medicine, 14(1), 54–59. [PubMed]
  • Park, S. K., & Stefanyshyn, D. J. (2011). Greater Q angle may not be a risk factor of patellofemoral pain syndrome. Clinical biomechanics (Bristol, Avon), 26(4), 392–396. [PubMed]
  • Petersen, W., Ellermann, A., Gösele-Koppenburg, A., Best, R., Rembitzki, I. V., Brüggemann, G. P., & Liebau, C. (2014). Patellofemoral pain syndrome. Knee surgery, sports traumatology, arthroscopy: official journal of the ESSKA, 22(10), 2264–2274. [PubMed]
  • Piva, S. R., Fitzgerald, K., Irrgang, J. J., Jones, S., Hando, B. R., Browder, D. A., & Childs, J. D. (2006). Reliability of measures of impairments associated with patellofemoral pain syndrome. BMC musculoskeletal disorders, 7, 33. [PubMed]
  • Powers C. M. (2003). The influence of altered lower-extremity kinematics on patellofemoral joint dysfunction: a theoretical perspective. The Journal of orthopaedic and sports physical therapy, 33(11), 639–646. [PubMed]
  • Rajan P. (2017). Physiotherapy in Indian communities: a brief review. Health promotion perspectives, 7(3), 111–116. [PubMed]
  • Sawant Janhavi, M., & Shinde, S. (2021). Effect of lower limb proximal to distal muscle imbalance correction on functional pes planus deformity in young adults”. Journal of medical pharmaceutical and allied sciences, 10(4), 3469-3473. [PubMed]
  • Shelton, G. L., & Thigpen, L. K. (1991). Rehabilitation of patellofemoral dysfunction: a review of literature. The Journal of orthopaedic and sports physical therapy, 14(6), 243–249. [PubMed]
  • Smith, B. E., Selfe, J., Thacker, D., Hendrick, P., Bateman, M., Moffatt, F., Rathleff, M. S., Smith, T. O., & Logan, P. (2018). Incidence and prevalence of patellofemoral pain: A systematic review and meta-analysis. PloS one, 13(1), e0190892. [PubMed]
  • Weiss, L., DeForest, B., Haility of goniometry-based Q-angle. PM & R: the journal of injury, function, and rehabilitation, 5(9), 763–768. [PubMed]
Year 2024, Volume: 7 Issue: 4, 712 - 720, 25.07.2024
https://doi.org/10.33438/ijdshs.1408322

Abstract

Project Number

616/2022-2023

References

  • Alghadir, A. H., Anwer, S., Iqbal, A., & Iqbal, Z. A. (2018). Test-retest reliability, validity, and minimum detectable change of visual analog, numerical rating, and verbal rating scales for measurement of osteoarthritic knee pain. Journal of pain research, 11, 851–856. [Pubmed]
  • Arrebola, L. S., Carvalho, R. T. D., Lima, V. C. D. O., Percivale, K. A. N., Oliveira, V. G. C. D., & Pinfildi, C. E. (2020). Influence of body mass index on patellofemoral pain. Fisioterapia em Movimento, 33, e003309. [CrossRef]
  • Bhore, P., & Shinde, S. (2023). Effect of multi-component exercises program on pain-related gait adaptations among individuals with osteoarthritis of the knee joint. Journal of Education and Health Promotion, 12(1), 138. [PubMed]
  • Bollinger L. M. (2017). Potential contributions of skeletal muscle contractile dysfunction to altered biomechanics in obesity. Gait & posture, 56, 100–107. [PubMed]
  • Brechter, J. H., & Powers, C. M. (2002). Patellofemoral joint stress during stair ascent and descent in persons with and without patellofemoral pain. Gait & posture, 16(2), 115–123. [PubMed]
  • Cook, C., Mabry, L., Reiman, M. P., & Hegedus, E. J. (2012). Best tests/clinical findings for screening and diagnosis of patellofemoral pain syndrome: a systematic review. Physiotherapy, 98(2), 93–100. [PubMed]
  • Crossley, K. M., Bennell, K. L., Cowan, S. M., & Green, S. (2004). Analysis of outcome measures for persons with patellofemoral pain: which are reliable and valid?. Archives of physical medicine and rehabilitation, 85(5), 815–822. [PubMed]
  • Cunha-Henriques, S., Costa-Paiva, L., Pinto-Neto, A. M., Fonsechi-Carvesan, G., Nanni, L., & Morais, S. S. (2011). Postmenopausal women with osteoporosis and musculoskeletal status: a comparative cross-sectional study. Journal of clinical medicine research, 3(4), 168–176. [PubMed]
  • Ekim, A. A., Hamarat, H., & Musmul, A. (2017). Relationship Between Q-Angle and Articular Cartilage in Female Patients With Symptomatic Knee Osteoarthritis: Ultrasonographic and Radiologic Evaluation. Archives of rheumatology, 32(4), 347–352. [PubMed]
  • Ersoz, M., & Ergun, S. (2003). Relationship between knee range of motion and Kellgren-Lawrence radiographic scores in knee osteoarthritis. American journal of physical medicine & rehabilitation, 82(2), 110–115. [PubMed]
  • Ferrari, D., Kuriki, H. U., Silva, C. R., Alves, N., & Mícolis de Azevedo, F. (2014). Diagnostic accuracy of the electromyography parameters associated with anterior knee pain in the diagnosis of patellofemoral pain syndrome. Archives of physical medicine and rehabilitation, 95(8), 1521–1526. [PubMed]
  • Ferreira, A. S., Mentiplay, B. F., Taborda, B., Pazzinatto, M. F., de Azevedo, F. M., & de Oliveira Silva, D. (2023). Overweight and obesity in young adults with patellofemoral pain: Impact on functional capacity and strength. Journal of sport and health science, 12(2), 202–211. [PubMed]
  • Barber Foss, K. D., Hornsby, M., Edwards, N. M., Myer, G. D., & Hewett, T. E. (2012). Is body composition associated with an increased risk of developing anterior knee pain in adolescent female athletes?. The Physician and sportsmedicine, 40(1),13–19. [PubMed]
  • Gao, H. L., Lin, S. Q., Wei, Y., Chen, Y., & Wu, Z. L. (2013). The effect of age and menopausal status on musculoskeletal symptoms in Chinese women aged 35-64 years. Climacteric: the journal of the International Menopause Society, 16(6), 639–645. [PubMed]
  • Grelsamer, R. P., Dubey, A., & Weinstein, C. H. (2005). Men and women have similar Q angles: a clinical and trigonometric evaluation. The Journal of bone and joint surgery. British volume, 87(11), 1498–1501. [PubMed]
  • James, B., & Parker, A. W. (1989). Active and passive mobility of lower limb joints in elderly men and women. American journal of physical medicine & rehabilitation, 68(4), 162–167. [PubMed]
  • Kadav, N., Bhende, R., & Shinde, S. (2023). Proximal to distal posture correction protocol for IT band friction syndrome in female amateur runners. International Journal of Disabilities Sports and Health Sciences, 6(2), 139-149. [CrossRef]
  • Karmakar, N., Majumdar, S., Dasgupta, A., & Das, S. (2017). Quality of life among menopausal women: A community-based study in a rural area of West Bengal. Journal of mid-life health, 8(1), 21. [CrossRef]
  • Khadilkar S. S. (2019). Musculoskeletal Disorders and Menopause. Journal of obstetrics and gynaecology of India, 69(2), 99–103. [PubMed]
  • Lichtenstein, M. J., Dhanda, R., Cornell, J. E., Escalante, A., & Hazuda, H. P. (2000). Modeling impairment: using the disablement process as a framework to evaluate determinants of hip and knee flexion. Aging (Milan, Italy), 12(3), 208–220. [PubMed]
  • Lou, C., Xiang, G., Weng, Q., Chen, Z., Chen, D., Wang, Q., Zhang, D., Zhou, B., He, D., & Chen, H. (2016). Menopause is associated with articular cartilage degeneration: a clinical study of knee joint in 860 women. Menopause (New York, N.Y.), 23(11), 1239–1246. [PubMed]
  • Loudon, J. K., Wiesner, D., Goist-Foley, H. L., Asjes, C., & Loudon, K. L. (2002). Intrarater Reliability of Functional Performance Tests for Subjects With Patellofemoral Pain Syndrome. Journal of athletic training, 37(3), 256–261. [PubMed]
  • Manske, R. C., & Davies, G. J. (2016). Examination Of The Patellofemoral Joınt. International journal of sports physical therapy, 11(6), 831–853. [PubMed]
  • McKenzie, K., Galea, V., Wessel, J., & Pierrynowski, M. (2010). Lower extremity kinematics of females with patellofemoral pain syndrome while stair stepping. The Journal of orthopaedic and sports physical therapy, 40(10), 625–632. [PubMed]
  • Näslund, J., Näslund, U. B., Odenbring, S., & Lundeberg, T. (2006). Comparison of symptoms and clinical findings in subgroups of individuals with patellofemoral pain. Physiotherapy theory and practice, 22(3), 105–118. [PubMed]
  • Nijs, J., Van Geel, C., Van der auwera, C., & Van de Velde, B. (2006). Diagnostic value of five clinical tests in patellofemoral pain syndrome. Manual therapy, 11(1), 69–77. [PubMed]
  • Nunes, G. S., Stapait, E. L., Kirsten, M. H., de Noronha, M., & Santos, G. M. (2013). Clinical test for diagnosis of patellofemoral pain syndrome: Systematic review with meta-analysis. Physical therapy in sport: official journal of the Association of Chartered Physiotherapists in Sports Medicine, 14(1), 54–59. [PubMed]
  • Park, S. K., & Stefanyshyn, D. J. (2011). Greater Q angle may not be a risk factor of patellofemoral pain syndrome. Clinical biomechanics (Bristol, Avon), 26(4), 392–396. [PubMed]
  • Petersen, W., Ellermann, A., Gösele-Koppenburg, A., Best, R., Rembitzki, I. V., Brüggemann, G. P., & Liebau, C. (2014). Patellofemoral pain syndrome. Knee surgery, sports traumatology, arthroscopy: official journal of the ESSKA, 22(10), 2264–2274. [PubMed]
  • Piva, S. R., Fitzgerald, K., Irrgang, J. J., Jones, S., Hando, B. R., Browder, D. A., & Childs, J. D. (2006). Reliability of measures of impairments associated with patellofemoral pain syndrome. BMC musculoskeletal disorders, 7, 33. [PubMed]
  • Powers C. M. (2003). The influence of altered lower-extremity kinematics on patellofemoral joint dysfunction: a theoretical perspective. The Journal of orthopaedic and sports physical therapy, 33(11), 639–646. [PubMed]
  • Rajan P. (2017). Physiotherapy in Indian communities: a brief review. Health promotion perspectives, 7(3), 111–116. [PubMed]
  • Sawant Janhavi, M., & Shinde, S. (2021). Effect of lower limb proximal to distal muscle imbalance correction on functional pes planus deformity in young adults”. Journal of medical pharmaceutical and allied sciences, 10(4), 3469-3473. [PubMed]
  • Shelton, G. L., & Thigpen, L. K. (1991). Rehabilitation of patellofemoral dysfunction: a review of literature. The Journal of orthopaedic and sports physical therapy, 14(6), 243–249. [PubMed]
  • Smith, B. E., Selfe, J., Thacker, D., Hendrick, P., Bateman, M., Moffatt, F., Rathleff, M. S., Smith, T. O., & Logan, P. (2018). Incidence and prevalence of patellofemoral pain: A systematic review and meta-analysis. PloS one, 13(1), e0190892. [PubMed]
  • Weiss, L., DeForest, B., Haility of goniometry-based Q-angle. PM & R: the journal of injury, function, and rehabilitation, 5(9), 763–768. [PubMed]
There are 36 citations in total.

Details

Primary Language English
Subjects Preventative Health Care, Injury Prevention
Journal Section Original Article
Authors

Akshaya Joshi 0009-0007-2632-079X

Sandeep Shinde 0000-0002-6466-3888

Pooja Jain 0000-0002-1414-1520

Project Number 616/2022-2023
Early Pub Date July 17, 2024
Publication Date July 25, 2024
Submission Date December 22, 2023
Acceptance Date June 24, 2024
Published in Issue Year 2024 Volume: 7 Issue: 4

Cite

APA Joshi, A., Shinde, S., & Jain, P. (2024). Estimation of Patellofemoral Joint Dysfunction in Obese Post menopausal Women. International Journal of Disabilities Sports and Health Sciences, 7(4), 712-720. https://doi.org/10.33438/ijdshs.1408322
AMA Joshi A, Shinde S, Jain P. Estimation of Patellofemoral Joint Dysfunction in Obese Post menopausal Women. International Journal of Disabilities Sports &Health Sciences. July 2024;7(4):712-720. doi:10.33438/ijdshs.1408322
Chicago Joshi, Akshaya, Sandeep Shinde, and Pooja Jain. “Estimation of Patellofemoral Joint Dysfunction in Obese Post Menopausal Women”. International Journal of Disabilities Sports and Health Sciences 7, no. 4 (July 2024): 712-20. https://doi.org/10.33438/ijdshs.1408322.
EndNote Joshi A, Shinde S, Jain P (July 1, 2024) Estimation of Patellofemoral Joint Dysfunction in Obese Post menopausal Women. International Journal of Disabilities Sports and Health Sciences 7 4 712–720.
IEEE A. Joshi, S. Shinde, and P. Jain, “Estimation of Patellofemoral Joint Dysfunction in Obese Post menopausal Women”, International Journal of Disabilities Sports &Health Sciences, vol. 7, no. 4, pp. 712–720, 2024, doi: 10.33438/ijdshs.1408322.
ISNAD Joshi, Akshaya et al. “Estimation of Patellofemoral Joint Dysfunction in Obese Post Menopausal Women”. International Journal of Disabilities Sports and Health Sciences 7/4 (July 2024), 712-720. https://doi.org/10.33438/ijdshs.1408322.
JAMA Joshi A, Shinde S, Jain P. Estimation of Patellofemoral Joint Dysfunction in Obese Post menopausal Women. International Journal of Disabilities Sports &Health Sciences. 2024;7:712–720.
MLA Joshi, Akshaya et al. “Estimation of Patellofemoral Joint Dysfunction in Obese Post Menopausal Women”. International Journal of Disabilities Sports and Health Sciences, vol. 7, no. 4, 2024, pp. 712-20, doi:10.33438/ijdshs.1408322.
Vancouver Joshi A, Shinde S, Jain P. Estimation of Patellofemoral Joint Dysfunction in Obese Post menopausal Women. International Journal of Disabilities Sports &Health Sciences. 2024;7(4):712-20.


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