Title | Coupling angle variability in healthy and patellofemoral pain runners. |
Publication Type | Journal Article |
Year of Publication | 2014 |
Authors | Cunningham TJ, Mullineaux DR, Noehren B, Shapiro R, Uhl TL |
Journal | Clin Biomech (Bristol, Avon) |
Volume | 29 |
Issue | 3 |
Pagination | 317-22 |
Date Published | 2014 Mar |
ISSN | 1879-1271 |
Keywords | Biomechanical Phenomena, Case-Control Studies, Female, Fiducial Markers, Humans, Knee Joint, Middle Aged, Pain Measurement, Patellofemoral Pain Syndrome, Running |
Abstract | BACKGROUND: Patellofemoral pain is hypothesized to result in less joint coordination variability. The ability to relate coordination variability to patellofemoral pain pathology could have many clinical uses; however, evidence to support its clinical application is lacking. The aim was to determine if vector coding's coupling angle variability, as a measure of joint coordination variability, was less for runners with patellofemoral pain than healthy controls as is commonly postulated. METHODS: Nineteen female recreational runners with patellofemoral pain and eleven healthy controls performed a treadmill acclimation protocol then ran at a self-selected pace for 15min. 3-D kinematics, force plate kinetics, knee pain and rating of perceived exertion were recorded each minute. Data were selected for the: pain group at the highest pain reached (pain≥3/10) in a non-exerted state (exertion<14/20), and; non-exerted healthy group from the eleventh minute. Coupling angle variability was calculated over several portions of the stride for six knee-ankle combinations during five non-consecutive strides. FINDINGS: 46 of 48 coupling angle variability measures were greater for the pain group, with 7 significantly greater (P<.05). INTERPRETATION: These findings oppose the theory that less coupling angle variability is indicative of a pathological coordinate state during running. Greater coupling angle variability may be characteristic of patellofemoral pain in female treadmill running when a larger threshold of pain is reached than previously observed. A predictable and directional response of coupling angle variability measures in relation to knee pathology is not yet clear and requires further investigation prior to considerations for clinical utility. |
DOI | 10.1016/j.clinbiomech.2013.12.008 |
Alternate Journal | Clin Biomech (Bristol, Avon) |
PubMed ID | 24411592 |