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

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 t...

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Main Authors: Young-soo Weon, Sun-hee Ahn, Jun-hee Kim, Gyeong-tae Gwak, Oh-yun Kwon
Format: Article
Language:English
Published: Korean Research Society of Physical Therapy 2020-11-01
Series:Physical Therapy Korea
Subjects:
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author Young-soo Weon
Sun-hee Ahn
Jun-hee Kim
Gyeong-tae Gwak
Oh-yun Kwon
author_facet Young-soo Weon
Sun-hee Ahn
Jun-hee Kim
Gyeong-tae Gwak
Oh-yun Kwon
author_sort Young-soo Weon
collection DOAJ
description 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.
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spelling doaj.art-cd12367cc87f4ef8ae0a0d9cc75cb6c52024-04-05T02:44:59ZengKorean Research Society of Physical TherapyPhysical Therapy Korea1225-89622287-982X2020-11-0127424124910.12674/ptk.2020.27.4.241Comparison of Knee Muscle Strength and Ankle Dorsiflexion Range of Motion Between Standing Workers With and Without Patellofemoral Pain SyndromeYoung-soo Weon0https://orcid.org/0000-0003-3852-606XSun-hee Ahn1https://orcid.org/0000-0001-7660-8598Jun-hee Kim2https://orcid.org/0000-0002-0498-7207Gyeong-tae Gwak3https://orcid.org/0000-0003-1812-8910Oh-yun Kwon4https://orcid.org/0000-0002-9699-768XDepartment of Physical Therapy, The Graduate School, Yonsei University, Wonju, KoreaDepartment of Physical Therapy, College of Health Science, Yonsei University, Wonju, KoreaDepartment of Physical Therapy, College of Health Science, Yonsei University, Wonju, KoreaDepartment of Physical Therapy, The Graduate School, Yonsei University, Wonju, KoreaDepartment of Physical Therapy, College of Health Science, Yonsei University, Wonju, KoreaBackground: 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.hamstring musclesknee jointpatellofemoral pain syndromequadriceps muscle
spellingShingle Young-soo Weon
Sun-hee Ahn
Jun-hee Kim
Gyeong-tae Gwak
Oh-yun Kwon
Comparison of Knee Muscle Strength and Ankle Dorsiflexion Range of Motion Between Standing Workers With and Without Patellofemoral Pain Syndrome
Physical Therapy Korea
hamstring muscles
knee joint
patellofemoral pain syndrome
quadriceps muscle
title Comparison of Knee Muscle Strength and Ankle Dorsiflexion Range of Motion Between Standing Workers With and Without Patellofemoral Pain Syndrome
title_full Comparison of Knee Muscle Strength and Ankle Dorsiflexion Range of Motion Between Standing Workers With and Without Patellofemoral Pain Syndrome
title_fullStr Comparison of Knee Muscle Strength and Ankle Dorsiflexion Range of Motion Between Standing Workers With and Without Patellofemoral Pain Syndrome
title_full_unstemmed Comparison of Knee Muscle Strength and Ankle Dorsiflexion Range of Motion Between Standing Workers With and Without Patellofemoral Pain Syndrome
title_short Comparison of Knee Muscle Strength and Ankle Dorsiflexion Range of Motion Between Standing Workers With and Without Patellofemoral Pain Syndrome
title_sort comparison of knee muscle strength and ankle dorsiflexion range of motion between standing workers with and without patellofemoral pain syndrome
topic hamstring muscles
knee joint
patellofemoral pain syndrome
quadriceps muscle
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