Patellofemoral Pain Syndrome in Children and Adolescents: A Cross-sectional Study

Overview

Journal PLoS One

Specialties General Medicine
Science

Date 2024 Apr 16

PMID 38625853

Authors

Geronimo Jose Bouzas Sanchis

Joubert Vitor de Souto Barbosa

Rafael Limeira Cavalcanti

Josiane Pereira Bezerra

Maristela Linhares Dos Santos

Thais Sousa Rodrigues Guedes

Sanderson Jose Costa de Assis

Rebeca de Castro Santana

Johnnatas Mikael Lopes

Angelo Giuseppe Roncalli da Costa Oliveira

Marcello Barbosa Otoni Goncalves Guedes

Affiliations

Soon will be listed here.

Abstract

Objectives: To assess the prevalence and associated factors of Patellofemoral Pain Syndrome (PFPS) in children and adolescents.

Method: A population-based cross-sectional study was conducted with children and adolescents aged 10 to 18 years, who presented a history of peripatellar and/or retropatellar pain, attending elementary or high school in urban public schools in Natal, Brazil. The sample size was calculated based on a minimum outcome prevalence of 22%.

Results: A prevalence of 24.7% of PFPS was found. There was a positive association of PFPS with active students (p < 0.01; PR: 2.5; CI: 1.4-4.5), low functional capacity (p < 0.01; PR: 8.0; CI: 5.0-12.8), and those classified as pubertal (p < 0.03; PR: 1.8; CI: 1.0-3.2).

Conclusion: There was a considerable prevalence of PFPS in children and adolescents, as well as an association between the level of sexual maturation and adjustable determinants, such as the level of physical activity and low functional capacity in this group.

References

Tenforde A, Sayres L, McCurdy M, Collado H, Sainani K, Fredericson M . Overuse injuries in high school runners: lifetime prevalence and prevention strategies. PM R. 2011; 3(2):125-31. DOI: 10.1016/j.pmrj.2010.09.009. View

Molgaard C, Rathleff M, Simonsen O . Patellofemoral pain syndrome and its association with hip, ankle, and foot function in 16- to 18-year-old high school students: a single-blind case-control study. J Am Podiatr Med Assoc. 2011; 101(3):215-22. DOI: 10.7547/1010215. View

Scattone Silva R, Serrao F . Sex differences in trunk, pelvis, hip and knee kinematics and eccentric hip torque in adolescents. Clin Biomech (Bristol). 2014; 29(9):1063-9. DOI: 10.1016/j.clinbiomech.2014.08.004. View

Nakagawa T, Petersen R . Relationship of hip and ankle range of motion, trunk muscle endurance with knee valgus and dynamic balance in males. Phys Ther Sport. 2018; 34:174-179. DOI: 10.1016/j.ptsp.2018.10.006. View

Oliveira G, Barbiero S, Cesa C, Pellanda L . Comparison of NCHS, CDC, and WHO curves in children with cardiovascular risk. Rev Assoc Med Bras (1992). 2013; 59(4):375-80. DOI: 10.1016/j.ramb.2013.02.001. View

Xu X, Yao C, Wu R, Yan W, Yao Y, Song K . Prevalence of patellofemoral pain and knee pain in the general population of Chinese young adults: a community-based questionnaire survey. BMC Musculoskelet Disord. 2018; 19(1):165. PMC: 5968546. DOI: 10.1186/s12891-018-2083-x. View

Sannasi R, Rajashekar A, Hegde N . Association of patellofemoral pain syndrome (PFPS) with quadratus lumborum and lower limb muscle tightness a cross-sectional study. J Orthop. 2023; 42:1-5. PMC: 10319640. DOI: 10.1016/j.jor.2023.06.007. View

Alves da Cunha R, Costa L, Junior L, Pires R, Kujala U, Lopes A . Translation, cross-cultural adaptation, and clinimetric testing of instruments used to assess patients with patellofemoral pain syndrome in the Brazilian population. J Orthop Sports Phys Ther. 2013; 43(5):332-9. DOI: 10.2519/jospt.2013.4228. View

Pegoraro Baroni M, Sanchis G, Costa de Assis S, Santos R, Pereira S, Sousa K . Factors associated with scoliosis in schoolchildren: a cross-sectional population-based study. J Epidemiol. 2015; 25(3):212-20. PMC: 4340998. DOI: 10.2188/jea.JE20140061. View

10.

Sayer T, Hinman R, Fortin K, Paterson K, Bennell K, Timmi A . Differences in Hip and Knee Running Moments across Female Pubertal Development. Med Sci Sports Exerc. 2017; 50(5):1015-1020. DOI: 10.1249/MSS.0000000000001525. View

11.

Chan L, Wong A, Wang M . Associations between sport participation and knee symptoms: a cross-sectional study involving 3053 undergraduate students. BMC Sports Sci Med Rehabil. 2020; 12:20. PMC: 7092581. DOI: 10.1186/s13102-020-00169-w. View

12.

Davis I, Tenforde A, Neal B, Roper J, Willy R . Gait Retraining as an Intervention for Patellofemoral Pain. Curr Rev Musculoskelet Med. 2020; 13(1):103-114. PMC: 7083994. DOI: 10.1007/s12178-020-09605-3. View

13.

Sanchis G, Lopes J, Costa de Assis S, Catao R, Teles Santos T, Roncalli A . Dynamic knee valgus prevalence in children and its association with pain intensity, foot mobility, and sex- A cross-sectional study. Heliyon. 2022; 8(10):e10984. PMC: 9582704. DOI: 10.1016/j.heliyon.2022.e10984. View

14.

Sigmund K, Bement M, Earl-Boehm J . Exploring the Pain in Patellofemoral Pain: A Systematic Review and Meta-Analysis Examining Signs of Central Sensitization. J Athl Train. 2020; 56(8):887-901. PMC: 8359717. DOI: 10.4085/1062-6050-0190.20. View

15.

Childs J, Cleland J, Elliott J, Teyhen D, Wainner R, Whitman J . Neck pain: Clinical practice guidelines linked to the International Classification of Functioning, Disability, and Health from the Orthopedic Section of the American Physical Therapy Association. J Orthop Sports Phys Ther. 2008; 38(9):A1-A34. DOI: 10.2519/jospt.2008.0303. View

16.

Antony B, Jones G, Jin X, Ding C . Do early life factors affect the development of knee osteoarthritis in later life: a narrative review. Arthritis Res Ther. 2016; 18(1):202. PMC: 5022173. DOI: 10.1186/s13075-016-1104-0. View

17.

Pereira P, Baptista J, Conceicao F, Duarte J, Ferraz J, Costa J . Patellofemoral Pain Syndrome Risk Associated with Squats: A Systematic Review. Int J Environ Res Public Health. 2022; 19(15). PMC: 9367913. DOI: 10.3390/ijerph19159241. View

18.

Galloway R, Xu Y, Hewett T, Barber Foss K, Kiefer A, DiCesare C . Age-Dependent Patellofemoral Pain: Hip and Knee Risk Landing Profiles in Prepubescent and Postpubescent Female Athletes. Am J Sports Med. 2018; 46(11):2761-2771. PMC: 9709661. DOI: 10.1177/0363546518788343. View

19.

Alsaleh S, Murphy N, Miller S, Morrissey D, Lack S . Local neuromuscular characteristics associated with patellofemoral pain: A systematic review and meta-analysis. Clin Biomech (Bristol). 2021; 90:105509. DOI: 10.1016/j.clinbiomech.2021.105509. View

20.

Heino Brechter J, Powers C . Patellofemoral stress during walking in persons with and without patellofemoral pain. Med Sci Sports Exerc. 2002; 34(10):1582-93. DOI: 10.1097/00005768-200210000-00009. View