Gait study of patients with patellofemoral pain syndrome

Patellofemoral pain syndrome is a frequent knee impairment in young adults. This study investigated the kinematic and kinetic gait patterns of individuals suffering from patellofemoral pain syndrome (PFPS). It was hypothesized that PFPS subjects modify their gait pattern in order to reduce loading on the painful patellofemoral joint. To verify this, the gait pattern of five subjects with right chronic PFPS was compared with that of five healthy subjects. Spatiotemporal, kinematic and kinetic data were collected from five gait cycles. The joint moments at the hip, knee and ankle joints were calculated using an inverse dynamic approach and the values were normalized to body weight (N . m/kg). Individual joint moments were expressed as a percentage of the support moment in order to quantify possible compensatory strategies. The kinematic analysis revealed a significant reduction of the knee flexion angle (ANOVAs, P < 0.01) occurring at 10%, 20% and 70% of the gait cycle. There were no significant differences between the two groups of subjects (ANOVAs, P > 0.05) as far as the individual joint moments and their contribution to the support moment were concerned. However, modifications were observed in the knee and hip moments between 10% and 20% of the gait cycle. These modifications may suggest that PFPS subjects alter their gait pattern in order to reduce loading of the patellofemoral joint to avoid pain.