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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Published inInternational journal of environmental research and public health Vol. 19; no. 17; p. 10491
Main Authors Habersack, Andreas, Kraus, Tanja, Kruse, Annika, Regvar, Katharina, Maier, Michael, Svehlik, Martin
Format Journal Article
LanguageEnglish
Published Switzerland MDPI AG 23.08.2022
MDPI
Subjects
Ankle Joint
Biomechanical Phenomena - physiology
Cross-sectional studies
Gait
Gait - physiology
Humans
Kinematics
Knee Joint
Systematic Review
Walking - physiology
Walking Speed - physiology
patellofemoral instability
3D gait analysis
gait alterations
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Summary: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.
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ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph191710491