Gait Pathology in Subjects with Patellofemoral Instability: A Systematic Review

Identifying potential gait deviations in patellofemoral instability (PI) can help with the development of effective rehabilitation strategies. The purpose of this systematic review was to examine whether there are specific gait alterations in subjects with PI. The present review followed the PRISMA...

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Veröffentlicht in:International journal of environmental research and public health 2022-08, Vol.19 (17), p.10491
Hauptverfasser: Habersack, Andreas, Kraus, Tanja, Kruse, Annika, Regvar, Katharina, Maier, Michael, Svehlik, Martin
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container_issue 17
container_start_page 10491
container_title International journal of environmental research and public health
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creator Habersack, Andreas
Kraus, Tanja
Kruse, Annika
Regvar, Katharina
Maier, Michael
Svehlik, Martin
description Identifying potential gait deviations in patellofemoral instability (PI) can help with the development of effective rehabilitation strategies. The purpose of this systematic review was to examine whether there are specific gait alterations in subjects with PI. The present review followed the PRISMA guidelines and was initially registered at PROSPERO (CRD42021236765). The literature search was carried out in the databases of PubMed, the Cochrane library, Web of Science, ClinicalTrials.gov, and Medline. The search strategy resulted in the identification of seven relevant publications. Subjects with PI show decreased walking speed, stride length, and cadence. Some studies reported changes not only in knee kinematics and kinetics but also in hip and ankle kinematics and kinetics. There is evidence that most subjects with PI walk with a quadriceps avoidance gait and show increased genu valgum posture, but there is still great variability in the coping responses within individuals with PI. The discrepancy among the study results might underpin the fact that PI is a multifactorial problem, and subjects cope with the different underlying morphological as well as functional deficits using a variety of gait strategies, which makes the interpretation and understanding of the gait of subjects with PI a clinically challenging task.
doi_str_mv 10.3390/ijerph191710491
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subjects Ankle
Ankle Joint
Biomechanical Phenomena - physiology
Cross-sectional studies
Gait
Gait - physiology
Humans
Kinematics
Kinetics
Knee Joint
Quadriceps muscle
Rehabilitation
Reviews
Search methods
Systematic Review
Walking - physiology
Walking Speed - physiology
title Gait Pathology in Subjects with Patellofemoral Instability: A Systematic Review
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