Changes in proximal movement influences knee pain
Increased rotations of the hip and thoracic influence the development of tibial pain........ The need for movement assessment
The role of proximal dynamic joint stability in the development of exertional medial tibial pain: a prospective study.
Verrelst R, De Clercq D, Vanrenterghem J, Willems T, Palmans T, Witvrouw E.
To prospectively determine risk factors contributing to the development of exertional medial tibial pain (EMTP).
Data were prospectively collected on healthy female students in physical education, who were freshmen in 2010-2011 and 2011-2012. Eighty-six female students aged 19.38±0.85 years, were tested at the beginning of their first academic year. Kinematic parameters in the frontal and transverse plane were measured during a single-leg drop jump (SLDJ). For further analysis, the SLDJ task was divided in two phases: touchdown until maximal knee flexion (MKF) and then MKF until take-off, representing landing and push-off phase, respectively. The injury follow-up of the students was assessed using a weekly online questionnaire and a 3-monthly retrospective control questionnaire. EMTP was diagnosed by an experienced medical doctor. Cox regression analysis was used to identify the potential risk factors for the development of EMTP.
During injury follow-up (1-2 years), 22 participants were diagnosed with EMTP. The results of this study identified that increased range of motion (ROM) in the transverse plane of hip and thorax during landing (p=0.010 and 0.026, respectively) and during push off (p=0.019 and 0.045, respectively) are predictive parameters for the development of EMTP in women.
Increased ROM values of hip and thorax in the transverse plane, which can be interpreted as impaired ability to maintain dynamic joint stability resulting in increased accessory movements, are significant contributors to the development of EMTP in women
- What does GDPR mean to you, the individual?
- The story of TPM
- TPM Testimonial - Kate Stobart @ RehabLab Physiotherapy
- Take home clinical messages from The 2018 Movement Conference
- Southampton FC hosts The 2018 Movement Conference
- Flexibility Masterclass with Mark Comerford
- Injury Prevention
- Kinetic Control
- Kinetic Control Education
- Kinetic Control Movement Therapists
- Mark Comerford
- Movement Analysis
- Movement Control
- Movement Control Impairments
- Movement Efficiency
- Movement Health
- Movement Matters
- Review 2012
- Review 2013
- Review 2014
- Review 2015
- Sarah Mottram
- Success Stories
- TPM Active
- TPM Elite
- TPM Network
- TPM Pro
- The 2018 Movement Conference
- The Foundation Matrix
- Who Uses TPM
- injury prevention