Running biomechanics in people with femoroacetabular impingement syndrome: A cross-sectional analysis of sex differences and relationships with patient reported outcome measures

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport Pub Date : 2025-02-05 DOI:10.1016/j.ptsp.2025.02.002

Guilherme V. da Costa , Benjamin F. Mentiplay , Matthew G. King , Joanne L. Kemp , Kay M. Crossley , Sally L. Coburn , Denise M. Jones , Danilo de Oliveira Silva , Marcella F. Pazzinatto , Richard T.R. Johnston , Mark J. Scholes

{"title":"Running biomechanics in people with femoroacetabular impingement syndrome: A cross-sectional analysis of sex differences and relationships with patient reported outcome measures","authors":"Guilherme V. da Costa , Benjamin F. Mentiplay , Matthew G. King , Joanne L. Kemp , Kay M. Crossley , Sally L. Coburn , Denise M. Jones , Danilo de Oliveira Silva , Marcella F. Pazzinatto , Richard T.R. Johnston , Mark J. Scholes","doi":"10.1016/j.ptsp.2025.02.002","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><div>(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.</div></div><div><h3>Design</h3><div>Cross-sectional.</div></div><div><h3>Setting</h3><div>Gait laboratory.</div></div><div><h3>Participants</h3><div>Twenty women and 22 men enrolled in a clinical trial of physiotherapist-led treatments for femoroacetabular impingement syndrome.</div></div><div><h3>Main outcome measures</h3><div>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.</div></div><div><h3>Results</h3><div>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<sup>–2</sup>, 95% CI 0.02∗10<sup>–2</sup>,0.25∗10<sup>–2</sup>) in women, and smaller hip external rotation moment impulse in men (0.06∗10<sup>–2</sup>, 95% CI 0.01∗10<sup>–2</sup>,0.11∗10<sup>–2</sup>).</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"72 ","pages":"Pages 69-76"},"PeriodicalIF":2.2000,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Physical Therapy in Sport","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1466853X2500032X","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"REHABILITATION","Score":null,"Total":0}

引用次数: 0

Abstract

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.

查看原文本刊更多论文

求助全文

约1分钟内获得全文求助全文

来源期刊

Physical Therapy in Sport 医学-康复医学

CiteScore

4.50

自引率

8.30%

发文量

125

审稿时长

39 days

期刊介绍： Physical Therapy in Sport is an international peer-reviewed journal that provides a forum for the publication of research and clinical practice material relevant to the healthcare professions involved in sports and exercise medicine, and rehabilitation. The journal publishes material that is indispensable for day-to-day practice and continuing professional development. Physical Therapy in Sport covers topics dealing with the diagnosis, treatment, and prevention of injuries, as well as more general areas of sports and exercise medicine and related sports science. The journal publishes original research, case studies, reviews, masterclasses, papers on clinical approaches, and book reviews, as well as occasional reports from conferences. Papers are double-blind peer-reviewed by our international advisory board and other international experts, and submissions from a broad range of disciplines are actively encouraged.