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Review article

Strength Characteristics of Hip, Ankle and Trunk Muscles in Persons with Patellofemoral Pain – Gender Differences

Denisa Manojlović orcid id ; University of Primorska, Faculty of Health Sciences, Izola, Slovenia
Nejc Šarabon ; University of Primorska, Faculty of Health Sciences, Izola, Slovenia; 2P, Science to practice, Ltd., Laboratory for Motor Control and Motor Behavior, Ljubljana, Slovenia

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page 271-278

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Introduction: Patelofemoral pain (PFP) is one of the most common pain conditions in the knee area. The reduced strength of the surrounding muscle groups can cause local biomechanical changes, which subsequently contribute to the development of PFP. The aim of our review is to compare and evaluate the maximal voluntary isometric contraction (MVIC) of the hip, trunk, and ankle muscles in men and women with PFP.

Methods: A systematic review of the literature was performed and 9 studies were selected for further analysis that fit the preset criteria.

Results: A significantly larger number of studies have studied hip MVIC in women with PFP than in men with the same pathology. Studies in women report reduced abductor, adductor and hip extensor strength, while in the case of two studies that examined lateral flexors of the trunk MVIC, the results were conflicting. Our search did not find any studies that examined the effect of MVIC of ankle or foot muscles on PFP in men or women.

Conclusion: Regarding the MVIC in PFP, the hip area has proven to be the most scientifically examined in both man and women and the results are homogeneous. This systematic review of the currently available literature has identified the partial representation of the MVIC of the trunk area in individuals with PFP. Also, there is a lack of scientific research regarding the MVIC of the ankle and foot area in both women and men with PFP.


patellofemoral pain, strength, maximal voluntary isometric contraction, hip, ankle, trunk

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