Sensibilidade e especificidade do teste step down lateral em detectar diferenças em mulheres com DFP e saudáveis

Abstract

Background: Patellofemoral pain (PFP) is described as anterior knee pain, aggravated by negotiating stairs, squats, running and prolonged sitting. Proximal changes such as trunk, pelvic drop, hip adduction and medial rotation may cause pain. Recently, new studies have indicated that distal changes influence PFP. Objective: Analyze trunk, lower limbs, rearfoot and forefoot kinematics during the beginning of the movement, 15º, 30º and 45º of knee flexion and their discriminatory capacity between patients with PFP and healthy on the lateral step down. Methods: Thirty-four healthy sedentary women and thirty-four women with PFP were evaluated in three-dimensional kinematics during Lateral Step Down at the beginning of the movement, 15º, 30º and 45º of knee flexion. Analyzes were performed between the groups and the Receiver Operational Characteristic Curves (ROC) were applied to determine the discriminatory capacity between them. Results: Differences were found between the groups being more evident at 30º and 45º of knee flexion in the PFP group in the trunk and lower limbs. Conclusion: The main kinematic changes occur at 30º and 45º of knee flexion. At 30º of knee flexion, the main variables to discriminate women with PFP from the healthy ones are: pelvic drop, hip adduction, rearfoot eversion in relation to the ground and forefoot pronation in relation to the rearfoot, already at 45º, a main variable is the eversion of the rearfoot in relation to the ground.