Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine · 2025
Running biomechanics in people with femoroacetabular impingement syndrome: A cross-sectional analysis of sex differences and relationships with patient reported outcome measures.
СтатьяНазвание и аннотация: Перевод в очереди
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da Costa Guilherme V, Mentiplay Benjamin F, King Matthew G, Kemp Joanne L, Crossley Kay M, Coburn Sally L, Jones Denise M, de Oliveira Silva Danilo, Pazzinatto Marcella F, Johnston Richard T R, Scholes Mark J
Аннотация
OBJECTIVES: (i) Investigate if lower-limb running biomechanics differ between women and men with femoroacetabular impingement syndrome, and (ii) explore whether sex-specific relationships between lower-limb running biomechanics and symptom severity and sport-related concerns exist.
DESIGN: Cross-sectional.
SETTING: Gait laboratory.
PARTICIPANTS: Twenty women and 22 men enrolled in a clinical trial of physiotherapist-led treatments for femoroacetabular impingement syndrome.
MAIN OUTCOME MEASURES: Kinematics and kinetics of hip, knee, and ankle joints during the stance phase (calculated from three-dimensional biomechanics data) were compared using statistical parametric mapping. The International Hip Outcome Tool-33 and Copenhagen Hip and Groin Outcomes Score quantified hip-related symptom severity and sport-related concerns.
RESULTS: Women had larger hip adduction angles (34%-44% of stance,p = 0.045) than men. For kinetics, women displayed larger external hip extension moments (77%-100%,p = 0.001), smaller knee extension moments (80%-100%,p = 0.007), and smaller ankle dorsiflexion moments (26%-67%,p < 0.001) than men. Worse sport-related concern was associated with a larger peak hip extension angle (0.18, 95%CI 0.05,0.31) and smaller hip flexion moment impulse (0.14∗10-2, 95% CI 0.02∗10-2,0.25∗10-2) in women, and smaller hip external rotation moment impulse in men (0.06∗10-2, 95% CI 0.01∗10-2,0.11∗10-2).
CONCLUSIONS: Women and men with FAI syndrome display differences in lower-limb running biomechanics and relationships between symptom severity and running biomechanics are sex-dependent, warranting consideration in future analyses.
DESIGN: Cross-sectional.
SETTING: Gait laboratory.
PARTICIPANTS: Twenty women and 22 men enrolled in a clinical trial of physiotherapist-led treatments for femoroacetabular impingement syndrome.
MAIN OUTCOME MEASURES: Kinematics and kinetics of hip, knee, and ankle joints during the stance phase (calculated from three-dimensional biomechanics data) were compared using statistical parametric mapping. The International Hip Outcome Tool-33 and Copenhagen Hip and Groin Outcomes Score quantified hip-related symptom severity and sport-related concerns.
RESULTS: Women had larger hip adduction angles (34%-44% of stance,p = 0.045) than men. For kinetics, women displayed larger external hip extension moments (77%-100%,p = 0.001), smaller knee extension moments (80%-100%,p = 0.007), and smaller ankle dorsiflexion moments (26%-67%,p < 0.001) than men. Worse sport-related concern was associated with a larger peak hip extension angle (0.18, 95%CI 0.05,0.31) and smaller hip flexion moment impulse (0.14∗10-2, 95% CI 0.02∗10-2,0.25∗10-2) in women, and smaller hip external rotation moment impulse in men (0.06∗10-2, 95% CI 0.01∗10-2,0.11∗10-2).
CONCLUSIONS: Women and men with FAI syndrome display differences in lower-limb running biomechanics and relationships between symptom severity and running biomechanics are sex-dependent, warranting consideration in future analyses.