Prevention of Knee Joint Wear in Patellofemoral Pain Syndrome when using Stairs: A Case Report
PREVENÇÃO DO DESGASTE DA ARTICULAÇÃO DO JOELHO NO SÍNDROME DA DOR PATELOFEMORAL AO UTILIZAR ESCADAS – UM RELATO DE CASO
Pablo Monteiro Pereira, Joana Duarte, João Ferraz, João Santos Baptista, José Torres Costa
Abstract
This case report shows how the changes in the way individuals go up and downstairs acts as a tool in preventing the appearance and worsening of the patellofemoral pain syndrome through a clinical case of chronic pain. The main objective of this case study was to apply a change of habit in the act of going up and downstairs, changing the movement dynamics, to decrease the risk of injury and worsening of the patient's patellofemoral pain syndrome. The methodology applied was represented through the standard CARE methodology. This study stresses the importance of identifying disease risk factors and understanding the work environment, in the context of the individual's health, through a change in moving up and downstairs. Conclusion: It was possible to achieve a rapid decrease in the patient's pain and case resolution.
Keywords
Resumo
Este relato de caso mostra como as alterações na forma como os indivíduos sobem e descem escadas atuam como ferramenta na prevenção do aparecimento e agravamento da síndrome da dor patelofemural através de um caso clínico de dor crônica. O objetivo principal deste estudo de caso foi aplicar uma mudança de hábito no ato de subir e descer escadas, alterando a dinâmica do movimento, para diminuir o risco de lesão e agravamento da síndrome da dor petelofemural do paciente. A metodologia aplicada foi representada por meio da metodologia padrão CARE (Case Reports). Este estudo ressalta a importância de identificar os fatores de risco de doenças e compreender sua aplicação no ambiente de trabalho, observando o contexto da saúde do indivíduo, por meio da mudança de subir e descer escadas. Conclusão: Foi possível obter uma rápida diminuição da dor do paciente e resolução do caso.
Doi da Versão Traduzida: https://doi.org/10.4322/rae.v16e202209.en
Palavras-chave
Referências
Baud, G. (1976). Manual de construção. Hemus ed.
Brechter, J. H., & Powers, C. M. (2002). Patellofemoral joint stress during stair ascent and descent in persons with and without patellofemoral pain. Gait and Posture, 16(2), 115–123. https://doi.org/10.1016/S0966-6362(02)00090-5
Clarsen, B., Krosshaug, T., & Bahr, R. (2010). Overuse Injuries in Professional Road Cyclists. The American Journal of Sports Medicine, 38(12), 2494–2501. https://doi.org/10.1177/0363546510376816
Contreras, B., Vigotsky, A. D., Schoenfeld, B. J. B. J., Beardsley, C., & Cronin, J. (2015). A Comparison of Gluteus Maximus, Biceps Femoris, and Vastus Lateralis Electromyographic Activity in the Back Squat and Barbell Hip Thrust Exercises. Journal of Applied Biomechanics, 31(6), 452–458. https://doi.org/10.1123/jab.2014-0301
Coppack, R. J., Etherington, J., & Wills, A. K. (2011). The effects of exercise for the prevention of overuse anterior knee pain: A randomized controlled trial. American Journal of Sports Medicine, 39(5), 940–948. https://doi.org/10.1177/0363546510393269
Crossley, K. M., Cowan, S. M., Bennell, K. L., & McConnell, J. (2004). Knee flexion during stair ambulation is altered in individuals with patellofemoral pain. Journal of Orthopaedic Research, 22(2), 267–274. https://doi.org/10.1016/j.orthres.2003.08.014
Crossley, K. M., van Middelkoop, M., Barton, C. J., & Culvenor, A. G. (2019). Rethinking patellofemoral pain: Prevention, management and long-term consequences. Best Practice and Research: Clinical Rheumatology, 33(1), 48–65. https://doi.org/10.1016/j.berh.2019.02.004
Escamilla, R. F., Zheng, N., MacLeod, T. D., Edwards, W. B., Hreljac, A., Fleisig, G. S., Wilk, K. E., Moorman, C. T., Imamura, R., & Andrews, J. R. (2008). Patellofemoral Joint Force and Stress Between a Short- and Long-Step Forward Lunge. Journal of Orthopaedic & Sports Physical Therapy, 38(11), 681–690. https://doi.org/10.2519/jospt.2008.2694
Fry, A. C., Smith, J. C., & Schilling, B. K. (2003). Effect of Knee Position on Hip and Knee Torques during the Barbell Squat. In Journal of Strength and Conditioning Research (Vol. 17, Issue 4). https://doi.org/10.1519/1533-4287(2003)017<0629:EOKPOH>2.0.CO;2
Gagnier, J. J., Kienle, G., Altman, D. G., Moher, D., Sox, H., Riley, D., CARE Group, the C., Allaire, A., Altman, D. G., Aronson, J., Carpenter, J., Gagnier, J. J., Hanaway, P., Hayes, C., Jones, D., Kaszkin-Bettag, M., Kidd, M., Kiene, H., Kienle, G., … Tugwell, P. (2013). The CARE guidelines: consensus-based clinical case reporting guideline development. BMJ Case Reports, 2013, bcr2013201554. https://doi.org/10.1136/bcr-2013-201554
Gao, L. N., Zhong, B., & Wang, Y. (2018). Rheumatoid arthritis-like features in Hansen disease: A case report. Medicine, 97(29), e11590. https://doi.org/10.1097/MD.0000000000011590
Hehne, H. J. (1990). Biomechanics of the patellofemoral joint and its clinical relevance. Clinical Orthopaedics and Related Research, 258, 73–85. https://doi.org/10.1097/00003086-199009000-00011
McLaughlin, T. M., Lardner, T. J., & Dillman, C. J. (1978). Kinetics of the parallel squat. Research Quarterly of the American Alliance for Health, Physical Education and Recreation, 49(2), 175–189. https://doi.org/10.1080/10671315.1978.10615522
Organization for Standardization (ISO). (2001). ISO 12894 (2001) Ergonomics of the thermal environment—Medical supervision of individuals exposed to extreme hot or cold environments. International Standard, 1st Edn. International.
Papadopoulos, K., Stasinopoulos, D., & Ganchev, D. (2015). A Systematic Review of Reviews in Patellofemoral Pain Syndrome. Exploring the Risk Factors, Diagnostic Tests, Outcome Measurements and Exercise Treatment. The Open Sports Medicine Journal, 9(1), 7–17. https://doi.org/10.2174/1874387001509010007
Patel, A. M. (2007). Lange Instant Access: Orthopedics and Sports Medicine. McGraw-Hill Education. https://doi.org/101036
Pereira, P. M., Amaro, J., Duarte, J., Santos Baptista, J., & Torres Costa, J. (2022). Prevalence of Patellofemoral Pain Syndrome in Selective Garbage Collection Workers—Cross Sectional Study. In Occupational and Environmental Safety and Health III (pp. 337–343). Springer, Cham. https://doi.org/10.1007/978-3-030-89617-1_30
Pereira, P. M., Amaro, J., Ribeiro, B. T., Gomes, A., De Oliveira, P., Duarte, J., Ferraz, J., Baptista, J. S., & Costa, J. T. (2021). Musculoskeletal Disorders’ Classification Proposal for Application in Occupational Medicine. International Journal of Environmental Research and Public Health, 18(15). https://doi.org/10.3390/ijerph18158223
Porto, C. C., & Porto, A. L. (2013). Semiologia médica (7a. ed.). Editora Guanabara Koogan Ltda. https://books.google.pt/books?id=wDQwPwAACAAJ
Powers, C. M., Witvrouw, E., Davis, I. S., & Crossley, K. M. (2017). Evidence-based framework for a pathomechanical model of patellofemoral pain: 2017 patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester, UK: part 3. British Journal of Sports Medicine, 51(24), 1713–1723. https://doi.org/10.1136/bjsports-2017-098717
Rolf, C. (2007). the Sports Injuries Handbook. Diagnosis and Management. In Primary care (Vol. 19, Issue 2). https://doi.org/10.1007/978-1-59745-414-8
Sharifian, S. A., Chinichian, M., HalimiMilani, A., & Mehrdad, R. (2020). Prevalence and risk factors of patellofemoral pain in an automobile manufacturing factory. In Malaysian Journal of Medicine and Health Sciences (Vol. 16, Issue 2).
Smith, B. E., Selfe, J., Thacker, D., Hendrick, P., Bateman, M., Moffatt, F., Rathleff, M. S., Smith, T. O., & Logan, P. (2018). Incidence and prevalence of patellofemoral pain: A systematic review and meta-analysis. PLoS ONE, 13(1), e0190892. https://doi.org/10.1371/journal.pone.0190892
Willy, R. W., Hoglund, L. T., Barton, C. J., Bolgla, L. A., Scalzitti, D. A., Logerstedt, D. S., Lynch, A. D., Snyder-Mackler, L., & McDonough, C. M. (2019). Patellofemoral Pain. Journal of Orthopaedic & Sports Physical Therapy, 49(9), CPG1–CPG95. https://doi.org/10.2519/jospt.2019.0302
Winslow, J., & Yoder, E. (1995). Patellofemoral pain in female ballet dancers: Correlation with iliotibial band tightness and tibial external rotation. Journal of Orthopaedic and Sports Physical Therapy, 22(1), 18–21. https://doi.org/10.2519/jospt.1995.22.1.18
Wyndow, N., Crossley, K. M., Stafford, R., Vicenzino, B., Collins, N. J., & Tucker, K. (2019). Neuromotor control during stair ambulation in individuals with patellofemoral osteoarthritis compared to asymptomatic controls. Gait and Posture, 71(October 2018), 92–97. https://doi.org/10.1016/j.gaitpost.2019.03.029
