본문 바로가기
KERD
논문KCI 등재

Comparison of Knee Muscle Strength and Ankle Dorsiflexion Range of Motion Between Standing Workers With and Without Patellofemoral Pain Syndrome

권오윤|안선희|Jun-hee Kim|Young-soo Weon|Gyeon-tae Gwak
한국전문물리치료학회 (Korean Research Society of Physical Therapy)|2020.11|한국전문물리치료학회지 (Physical Therapy Korea)|제27권 제4호|pp. 241-249|DOI https://doi.org/10.12674/ptk.2020.27.4.241

1

조회

0

다운로드

2

인용

0

참고문헌

키워드

Knee jointPatellofemoral pain syndromeQuadriceps muscleHamstring muscles
주제분류물리치료학

초록

Background: Prolonged standing during work causes a lower extremity pain and disorders. Patellofemoral pain syndrome (PFPS) is one of the common diagnoses of the knee pain. Although the etiology of PFPS is not completely understood, it is considered to be multifactorial. Objects: The purpose of this study was to investigate difference in strength of knee muscles, quadriceps:hamstring muscles strength ratio (Q:H ratio), asymmetry ratio of knee muscles strength and dorsiflexion range of motion (ROM) between standing workers with and without PFPS. Methods: Twenty-eight standing workers with PFPS and 26 age-, height-, and weightmatched standing workers without PFPS participated in this study. A tension sensor measured knee muscle strength, and motion sensor measured dorsiflexion ROM. The asymmetry ratio of knee muscles was calculated by a specific formula using the knee muscles strength of the dominant side and the sound side. An independent t-test was used to identify significant differences in the strength, ROM, Q:H ratio, and asymmetry ratio between the PFPS and normal groups. Results: The standing worker with PFPS have significantly lower dorsiflexion ROM (p < 0.000) and higher asymmetry ratio of the hamstring muscles strength (p < 0.000) compare to the standing worker without PFPS. No significant differences were seen in the strength of quadriceps muscle and hamstring muscles, Q:H ratio, and asymmetry ratio of quadriceps muscle strength. Conclusion: There was a significant difference in the asymmetry ratio of the isometric hamstring muscle strength. This finding suggests that the asymmetry ratio of isometric hamstring muscle strength may be more important than measuring only the hamstring muscle strength of the PFPS side. Furthermore, the results of this study showed a significant difference in dorsiflexion ROM between the standing industrial workers with and without PFPS. Dorsiflexion ROM and isometric hamstring muscle strength should be considered when evaluating the subjects with PFPS.

Abstract

Background: Prolonged standing during work causes a lower extremity pain and disorders. Patellofemoral pain syndrome (PFPS) is one of the common diagnoses of the knee pain. Although the etiology of PFPS is not completely understood, it is considered to be multifactorial. Objects: The purpose of this study was to investigate difference in strength of knee muscles, quadriceps:hamstring muscles strength ratio (Q:H ratio), asymmetry ratio of knee muscles strength and dorsiflexion range of motion (ROM) between standing workers with and without PFPS. Methods: Twenty-eight standing workers with PFPS and 26 age-, height-, and weightmatched standing workers without PFPS participated in this study. A tension sensor measured knee muscle strength, and motion sensor measured dorsiflexion ROM. The asymmetry ratio of knee muscles was calculated by a specific formula using the knee muscles strength of the dominant side and the sound side. An independent t-test was used to identify significant differences in the strength, ROM, Q:H ratio, and asymmetry ratio between the PFPS and normal groups. Results: The standing worker with PFPS have significantly lower dorsiflexion ROM (p < 0.000) and higher asymmetry ratio of the hamstring muscles strength (p < 0.000) compare to the standing worker without PFPS. No significant differences were seen in the strength of quadriceps muscle and hamstring muscles, Q:H ratio, and asymmetry ratio of quadriceps muscle strength. Conclusion: There was a significant difference in the asymmetry ratio of the isometric hamstring muscle strength. This finding suggests that the asymmetry ratio of isometric hamstring muscle strength may be more important than measuring only the hamstring muscle strength of the PFPS side. Furthermore, the results of this study showed a significant difference in dorsiflexion ROM between the standing industrial workers with and without PFPS. Dorsiflexion ROM and isometric hamstring muscle strength should be considered when evaluating the subjects with PFPS.

참고문헌 (50)

  1. Halim I, "A review on health effects associated with prolonged standing in the industrial workplaces", Int J Res Rev Appl Sci, 8(1), pp.14~21 (2011)
  2. Reid CR, "Occupational postural activity and lower extremity discomfort : a review", Int J Ind Ergon, 40(3), pp.247~256 (2010)
  3. Jaffar N, "A literature review of ergonomics risk factors in construction industry", Proced Eng, 20, pp.89~97 (2011)
  4. Daneshmandi H, "Lower extremity malalignment and its linear relation with Q angle in female athletes", Proced-Soc Behav Sci, 15, pp.3349~3354 (2011)
  5. Shultz SJ, "The relationship between lower extremity alignment characteristics and anterior knee joint laxity", Sports Health, 1(1), pp.54~60 (2009)
  6. Krijnen RM, "Venous insufficiency in male workers with a standing profession. Part 1:epidemiology", Dermatology, 194(2), pp.111~120 (1997)
  7. Tüchsen F, "Prolonged standing at work and hospitalisation due to varicose veins : a 12 year prospective study of the Danish population", Occup Environ Med, 62(12), pp.847~850 (2005)
  8. Esculier JF, "Psychometric evidence of selfreported questionnaires for patellofemoral pain syndrome : a systematic review", Disabil Rehabil, 35(26), pp.2181~2190 (2013)
  9. D'hondt NE, "Orthotic devices for treating patellofemoral pain syndrome", Cochrane Database Syst Rev, (2), pp.CD002267~ (2002)
  10. Dye SF, "The pathophysiology of patellofemoral pain : a tissue homeostasis perspective", Clin Orthop Relat Res, (436), pp.100~110 (2005)
  11. Lankhorst NE, "Risk factors for patellofemoral pain syndrome : a systematic review", J Orthop Sports Phys Ther, 42(2), pp.81~94 (2012)
  12. Csintalan RP, "Gender differences in patellofemoral joint biomechanics", Clin Orthop Relat Res, (402), pp.260~269 (2002)
  13. Goodfellow J, "Patello-femoral joint mechanics and pathology. 2. Chondromalacia patellae", J Bone Joint Surg Br, 58(3), pp.291~299 (1976)
  14. Lee TQ, "The effects of tibial rotation on the patellofemoral joint : assessment of the changes in in situ strain in the peripatellar retinaculum and the patellofemoral contact pressures and areas", J Rehabil Res Dev, 38(5), pp.463~469 (2001)
  15. Kumar D, "Knee joint loading during gait in healthy controls and individuals with knee osteoarthritis", Osteoarthritis Cartilage, 21(2), pp.298~305 (2013)
  16. Pandy MG, "Muscle and joint function in human locomotion", Annu Rev Biomed Eng, 12, pp.401~433 (2010)
  17. Kaya D, "Women with patellofemoral pain syndrome have quadriceps femoris volume and strength deficiency", Knee Surg Sports Traumatol Arthrosc, 19(2), pp.242~247 (2011)
  18. Dvir Z, "Quadriceps function and patellofemoral pain syndrome. Part I: pain provocation during concentric and eccentric isokinetic activity", Isokinet Exerc Sci, 1(1), pp.26~30 (1991)
  19. Werner S, "An evaluation of knee extensor and knee flexor torques and EMGs in patients with patellofemoral pain syndrome in comparison with matched controls", Knee Surg Sports Traumatol Arthrosc, 3(2), pp.89~94 (1995)
  20. Brown CA, "Prevalence of abnormal patellofemoral congruence in elite American football players and association with quadriceps isokinetic testing", J Knee Surg, 27(1), pp.47~52 (2014)
  21. Benetti MC, "Management of common musculoskeletal disorders", J Nurse-Midwifery, 41(2), pp.173~187 (1996)
  22. Leardini A, "Mobility of the subtalar joint in the intact ankle complex", J Biomech, 34(6), pp.805~809 (2001)
  23. Piva SR, "Strength around the hip and flexibility of soft tissues in individuals with and without patellofemoral pain syndrome", J Orthop Sports Phys Ther, 35(12), pp.793~801 (2005)
  24. Farrar JT, "Clinical importance of changes in chronic pain intensity measured on an 11-point numerical pain rating scale", Pain, 94(2), pp.149~158 (2001)
  25. Reider B, "The orthopaedic physical examination" (2005), Elsevier Saunders
  26. Hyde TE, "Conservative management of sports injuries" (2007), Jones and Bartlett
  27. Mizner RL, "Comparison of 2-dimensional measurement techniques for predicting knee angle and moment during a drop vertical jump", Clin J Sport Med, 22(3), pp.221~227 (2012)
  28. Kim HA, "Comparison of shoulder strength in males with and without myofascial trigger points in the upper trapezius", Clin Biomech(Bristol, Avon), 49, pp.134~138 (2017)
  29. Moraes GF, "Scapular muscle recruitment patterns and isokinetic strength ratios of the shoulder rotator muscles in individuals with and without impingement syndrome", J Shoulder Elbow Surg, 17(1Suppl), pp.48S~53S (2008)
  30. Warner JJ, "Patterns of flexibility, laxity, and strength in normal shoulders and shoulders with instability and impingement", Am J Sports Med, 18(4), pp.366~375 (1990)
  31. Hurd WJ, "The effects of anthropometric scaling parameters on normalized muscle strength in uninjured baseball pitchers", J Sport Rehabil, 20(3), pp.311~320 (2011)
  32. Rabin A, "Measures of range of motion and strength among healthy women with differing quality of lower extremity movement during the lateral step-down test", J Orthop Sports Phys Ther, 40(12), pp.792~800 (2010)
  33. Arndt A, "Ankle and subtalar kinematics measured with intracortical pins during the stance phase of walking", Foot Ankle Int, 25(5), pp.357~364 (2004)
  34. Stergiou N, "Asynchrony between subtalar and knee joint function during running", Med Sci Sports Exerc, 31(11), pp.1645~1655 (1999)
  35. Mølgaard C, "Patellofemoral pain syndrome and its association with hip, ankle, and foot function in 16- to 18-year-old high school students: a single-blind casecontrol study", J Am Podiatr Med Assoc, 101(3), pp.215~222 (2011)
  36. Powers CM, "Are patellofemoral pain and quadriceps femoris muscle torque associated with locomotor function", Phys Ther, 77(10), pp.1063~1075 (1997)
  37. Callaghan MJ, "Quadriceps atrophy : to what extent does it exist in patellofemoral pain syndrome", Br J Sports Med, 38(3), pp.295~299 (2004)
  38. Duvigneaud N, "Isokinetic assessment of patellofemoral pain syndrome : a prospective study in female recruits", Isokinet Exerc Sci, 16(4), pp.213~219 (2008)
  39. Boling MC, "A prospective investigation of biomechanical risk factors for patellofemoral pain syndrome : the Joint Undertaking to Monitor and Prevent ACL Injury(JUMP-ACL)cohort", Am J Sports Med, 37(11), pp.2108~2116 (2009)
  40. Willson JD, "Lower extremity strength and mechanics during jumping in women with patellofemoral pain", J Sport Rehabil, 18(1), pp.76~90 (2009)
  41. Rathleff CR, "Hip and knee strength is not affected in 12-16 year old adolescents with patellofemoral pain--a cross-sectional population-based study", PLoS One, 8(11), pp.e79153~ (2013)
  42. Besier TF, "Knee muscle forces during walking and running in patellofemoral pain patients and pain-free controls", J Biomech, 42(7), pp.898~905 (2009)
  43. Aagaard P, "Isokinetic hamstring", quadriceps strength ratio: influence from joint angular velocity, gravity correction and contraction mode, 1995, pp.154(4), 421~427
  44. Li RC, "Isokinetic strength of the quadriceps and hamstrings and functional ability of anterior cruciate deficient knees in recreational athletes", Br J Sports Med, 30(2), pp.161~164 (1996)
  45. Aagaard P, "Isokinetic muscle strength and capacity for muscular knee joint stabilization in elite sailors", Int J Sports Med, 18(7), pp.521~525 (1997)
  46. Lund-Hanssen H, "Isokinetic muscle performance in healthy female handball players and players with a unilateral anterior cruciate ligament reconstruction", Scand J Med Sci Sports, 6(3), pp.172~175 (1996)
  47. Aagaard P, "A new concept for isokinetic hamstring : quadriceps muscle strength ratio", Am J Sports Med, 26(2), pp.231~237 (1998)
  48. Jenkins ND, "Functional hamstrings : quadriceps ratios in elite women's soccer players", J Sports Sci, 31(6), pp.612~617 (2013)
  49. Werner S, "Anterior knee pain : an update of physical therapy", Knee Surg Sports Traumatol Arthrosc, 22(10), pp.2286~2294 (2014)
  50. Westing SH, "Eccentric and concentric torque-velocity characteristics of the quadriceps femoris in man", Eur J Appl Physiol Occup Physiol, 58(1-2), pp.100~104 (1988)

관련 논문AI추천

Characteristics of Leg and Ankle in Taxi Drivers강선영, 전혜선, 정성대한국전문물리치료학회 · 한국전문물리치료학회지2014 · 제21권 제1호Hip Muscle Strength and Ratio Differences in Delivery Workers With and Without Iliotibial Band Syndrome권오윤, Eun-su Lee, Hwa-ik Yoo, Il-kyu Ahn, Ui-jae Hwang한국전문물리치료학회 · 한국전문물리치료학회지2023 · 제30권 제1호통제된 한다리 스쿼트 동작시 슬개대퇴동통증후군 환자의 중간볼기근과 넙다리네갈래근에서 나타나는 근활성도와 근력 및 무릎 외반각도의 남녀 비교김기송, 윤태림한국전문물리치료학회 · 한국전문물리치료학회지2016 · 제23권 제1호슬개대퇴 통증 증후군이 있는 씨름선수의 런지 시 발목위치에 따른 대퇴사두근의 근활성도 비교박사라, 이만균, 최순미한국운동생리학회 · 운동과학2010 · 제19권 제3호The Influence of Pronated Foot Posture on Knee Isokinetic Strength, Static and Dynamic Postural Stability in Healthy Young Individuals박수경, 박시은, Hee-su Kim, Jihea Park, Seunghee Shim, Woochan Chun한국전문물리치료학회 · 한국전문물리치료학회지2021 · 제28권 제3호The Effect of Patellar Inferior Gliding on Knee Flexion Range of Motion in Individuals With Rectus Femoris Tightness권오윤, 김문환, 김준희, 전인철, 황의재한국전문물리치료학회 · 한국전문물리치료학회지2016 · 제23권 제4호

이 간행물의 다른 논문 (9건)

Effects of Hallux Valgus Orthoses on Ground Reaction Force Using 3D Motion Analysis in Individuals With Hallux Valgus Deformity김용욱pp. 227-232Exploring Concurrent Validity and Item Level Analysis for Two Korean Versions of Health-Related Quality of Life Instrument: EQ-5D vs. WHOQOL-BREFchoi bongsampp. 233-240Comparative Analysis of the Electromyography Activity of Core Muscles During Balance Pad- and Sling-assisted ExercisesYaoyao Liu, Su-Jung Kim, Won-gyu Yoopp. 250-256Relationship Between Strength of Hip Muscles and Performance of Close Kinetic Chain Dynamic Lower Extremity Stability Test황의재, Hyeon-ju Lee, 정성훈, 안선희, 권오윤pp. 257-263The Effects of Head Support on Muscle Activity and Pain in a Forward-leaning PostureKang-hee Kim, 윤태림, Yoon-hee Kopp. 264-271
원문 보기