Local and widespread hyperalgesia in female runners with patellofemoral pain are influenced by running volume

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dc.contributor.authorPazzinatto, Marcella Ferraz
dc.contributor.authorde Oliveira Silva, Danilo
dc.contributor.authorPradela, Juliana
dc.contributor.authorCoura, Maira Bergamaschi
dc.contributor.authorBarton, Christian
dc.contributor.authorde Azevedo, Fábio Mícolis
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.contributor.institutionLa Trobe University
dc.contributor.institutionQueen Mary University of London
dc.date.accessioned2022-04-28T19:05:20Z
dc.date.available2022-04-28T19:05:20Z
dc.date.issued2017-04-01
dc.description.abstractObjectives To compare pressure pain threshold (PPT) around the knee (local hyperalgesia) and at a site remote to the knee (widespread hyperalgesia) between female runners with and without patellofemoral pain (PFP); and to evaluate the relationship between running volume, self-reported knee function and PPT measures. Design Cross-sectional study. Methods Twenty female runners with PFP and twenty pain-free female runners participated in the study. PPTs were measured using a handheld pressure algometer at four sites in the patellar region: quadriceps tendon, medial patella, lateral patella and patellar tendon; and on the contralateral upper limb. Additionally, all participants were asked to report their average weekly running volume in a typical month and answer the anterior knee pain scale (AKPS) questionnaire. Results For all sites, female runners with PFP presented lower PPT measures in comparison with control group (P < 0.017). There were negative correlations between AKPS and running volume (ρ = −0.88; P < 0.001) and between all PPTs and the running volume in the PFP group with correlation (ρ) values ranging between −0.46 and −0.70 (P < 0.022). There were positive correlations between all PPTs and AKPS with correlation (ρ) value from 0.50 to 0.69 (P < 0.030). Conclusion Lower PPTs locally and remote to the knee in female runners with PFP indicate the presence of local and widespread hyperalgesia. Additionally, this hyperalgesia, which is related to self-reported knee function, appears to be increased by greater running volumes. Development and evaluation of non-mechanical interventions for the management of running-related PFP in females may be needed to address this apparent hyperalgesia.en
dc.description.affiliationPhysical Therapy Department University of São Paulo State School of Science and Technology
dc.description.affiliationSchool of Allied Health College of Science Health and Engineering La Trobe University
dc.description.affiliationCentre for Sports and Exercise Medicine Queen Mary University of London
dc.description.sponsorshipFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.format.extent362-367
dc.identifierhttp://dx.doi.org/10.1016/j.jsams.2016.09.004
dc.identifier.citationJournal of Science and Medicine in Sport, v. 20, n. 4, p. 362-367, 2017.
dc.identifier.doi10.1016/j.jsams.2016.09.004
dc.identifier.issn1878-1861
dc.identifier.issn1440-2440
dc.identifier.scopus2-s2.0-85008255183
dc.identifier.urihttp://hdl.handle.net/11449/220759
dc.language.isoeng
dc.relation.ispartofJournal of Science and Medicine in Sport
dc.sourceScopus
dc.subjectAnterior knee pain
dc.subjectAthlete
dc.subjectHyperalgesia secondary
dc.subjectKnee
dc.subjectPain
dc.subjectPatellofemoral joint
dc.titleLocal and widespread hyperalgesia in female runners with patellofemoral pain are influenced by running volumeen
dc.typeArtigo

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