The influence of hip biomechanics on patellofemoral pain: Bibliographic Review

Juliana Cursage Pereira Dias


Patellofemoral pain can occur among young people even older sedentary ones, being more prevalent in young people. The characteristic symptoms are pain located in the anterior retropatellar and / or peripatellar region of the knee, presented during activities such as squatting, walking up / down trails, jumping and running. Muscle weakness in joints like the knee and the hip, has been shown to be symptomatic and developmental dysfunction modulators. The present literature aims to investigate the influence of hip biomechanics on symptoms of patellofemoral pain. This is a bibliographic review, including articles written in the English language, in the electronic databases LILACS, PubMed, SciELO and PEDro. A survey started in January 2020 and ended in February. As variables of interest, they were noted by one of the authors. In total, 15 articles were selected, excluding 6 items, including 9 in this review. The types of study were: Systematic Review (2), Meta-analysis (1), Cross-sectional descriptive study (1), Randomized Clinical Trial (4), Case-control study (1), with the total of final samples included in the sample 14 70 female and male individuals. Selected studies revealed that hip biomechanics directly influences the development of patellofemoral pain symptoms. The literature review shows that there is a direct relationship between femoral pain and hip biomechanics, which is excess adduction, internal rotation of the hip, muscle weakness of external rotators, hip extensors and abductors, enhancing the chance of showing the characteristic characters of the hip dysfunction.


Patellofemoral pain, Hip, Influence.

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Baldon, R. De M.; Serrão, F. V.; Silva, R. S. & Piva, S. R. (2014). Effects of functional stabilization training on pain, function, and lower extremity biomechanics in women with patellofemoral pain: A randomized clinical trial. journal of orthopaedic & sports physical therapy® journal of orthopaedic & sports physical therapy®.

Barton, C. J.; Levinger, P.; Menz, H. B.& Webster, K. E. (2009). Kinematic gait characteristics associated with patellofemoral pain syndrome: A systematic review gait posture. nov;30(4):405-16.

Barton, J. C.; Lack, S.; Malliaras, P. & Morrissey, D. (2012). Gluteal muscle activity and patellofemoral pain syndrome: A systematic review. British Journal of Sports Medicine.

Boling, M. Padua, D. Marshall, S. et al. (2010). Gender differences in the incidence and prevalence of patellofemoral pain syndrome. Scandinavian Journal of Medicine & Science in Sports.20:725–30.

Callaghan, M. J. & Selfe, J. (2007). Has the incidence or prevalence of patellofemoral pain in the general population in the United Kingdom been properly evaluated?. Physical Therapy in Sport - Journal.2007;8:37-43.

Davis, I. S. & Powers, C. M. (2010). Patellofemoral pain syndrome: proximal, distal, and local factors an international retreat. Journal of Orthopaedic & Sports Physical Therapy;40:A1-A48.

Fukuda, T. Y.; Melo, W. P.; Zaffalon, B. M. et al. (2012). Hip posterolateral musculature strengthening in sedentary women with patellofemoral pain syndrome: a randomized controlled clinical trial with 1-year follow-up. Journal of Orthopaedic & Sports Physical Therapy; 42:823-830.

Fukuda, T. Y.; Rossetto, F. M.; Magalhães, E.; Bryk, F. F. & Lucareli, P. R, de Almeida Carvalho, N. A. (2010). Shortterm effects of hip abductors and lateral rotators strengthening in females with patellofemoral pain syndrome: a randomized controlled clinical trial. Journal of Orthopaedic & Sports Physical Therapy. 40:736- 742.

Kannus, P. & Niittymäki, S. (1994). Which factors predict outcome in the non¬operative treatment of patellofemoral pain syndrome? A prospective follow-up study.. Medicine & Science in Sports & Exercise.26:289-296.

Lankhorst, N. E.; Bierma-Zeinstra, S. M. & Van Middelkoop, M. (2012). Risk factors for patellofemoral pain syndrome: a systematic review. Journal of Orthopaedic & Sports Physical Therapy.;42:81-94.

Nakagawa, T. H .; Muniz, T. B.; Baldon, R de M.; Dias Maciel. C.; De Menezes Reiff, R. B. & Serrão, F. V. (2008). The effect of additional strengthening of hip abductor and lateral rotator muscles in patellofemoral pain syndrome: a randomized controlled pilot study. Clinical Rehabilitation.;22:1051-1060.

Näslund, J.; Näslund, U. B.; Odenbring, S. & Lundeberg, T. (2006). Comparison of symptoms and clinical findings in subgroups of individuals with patel¬lofemoral pain. Physiotherapy Theory and Practice. 22:105-118.

Nunes, G. S.; Barton, C. J. & Serrão, F. V. (2018). Hip rate of force development and strength are impaired in females with patellofemoral pain without signs of altered gluteus medius and maximus morphology. Medicine & Science in Sports & Exercise.;21:123-128.

Post, W. R. (1999). Current concepts: clinical evaluation of patients with patello¬femoral disorders. Arthroscopy- Journal;15:841-851.

Rogan, S.; Haehni, M,; Luijckx, E.; Dealer , J.; Reuteler S. & Taeymans, J. (2019). Effects of hip abductor muscles exercises on pain and function in patients with patellofemoral pain:asystematic review and meta-analysis. Journal of Strength and Conditioning Research. Nov;33(11):3174-3187.

Sandow, M. J. & Goodfellow, J. W. (1985). The natural history of anterior knee pain in adolescents. The Journal of bone and joint surgery. British volume.;67:36-38.

Smith, B. E.; Moffatt, F.; Hendrick, P, et al. (2018). The experience of living with patellofemoral pain—loss, confusion and fear-avoidance: a UK qualitative study. BMJ Open.;8:e018624.

Stathopulu, E. & Baildam, E. (2003). Anterior knee pain: a long-term follow-up. Rheumatology (Oxford).;42:380-382.

Souza, R. B.; Draper, C. E.; Fredericson, M. & Powers, C. M. (2010). Femur Rotation and Patellofemoral Joint Kinematics: A Weight-Bearing Magnetic Resonance Imaging Analysis. Journal of Orthopaedic & Sports Physical Therapy® Downloaded from at on October 8, 2014. For personal use only. No other uses without permission. Copyright © Journal of Orthopaedic & Sports Physical Therapy®. All rights reserved.

Willson, J. D. & Davis, I. S. (2008). Lower extremity mechanics of females with and without patellofemoral pain across activities with progressively greater task demands. Clinical Biomechanics – Journal. (Bristol, Avon).;23:203-211.

Witvrouw, E.; Callaghan, M. J.; Stefanik, J. J, et al. (2014). Patellofemoral pain: consensus statement from the 3rd International Patellofemoral Pain Research Retreat held in Vancouver, September 2013. British Journal of Sports Medicine.;48:411-414.



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