Association of sacral inclination and lumbar curvature with clinical manifestation in patients with patellofemoral pain syndrome / Samar Mohamed Abdelhamied ; Supervised Nadia Abdelazim Fayaz , Ahmed Mahmoud Gad , Samah Saad Zahran

Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Musculoskeletal Disorders

Background: Patellofemoral pain syndrome (PFPS) is recognized as one of the most common lower-extremity disorders encountered by orthopedic physical therapists. Despite its prevalence, however, the etiology of this pain syndrome and specific treatment of this condition remain vague and controversial. Thus, spinal instrumentation, measurements of spinal and leg alignment are thought to be important in patients with PFPS. Objective: the purpose of this study was to investigate the association between sacral inclination and lumbar curvature with degree of pain severity, functional disability and degree of frontal plane projection angle. Methods: This study is: A Cross {u2013}Sectional Study. Overall, 60 female patients with mean age (32 ±6.47) years participated in this study as PFPS. Lumber curvature and sacral inclination were measured by Radiographic X-Ray (lateral view), Pain assessed by the Arabic Numeric Pain Rating Scale (ANPRS), Assessment of knee function done by the Arabic Anterior Knee Pain Scale (AAKP/Kujala) and finally the frontal plane projection angle measured using Kinovea Computer Program (KCP) .Results: The results of this study demonstrated that there is a strong positive correlation of both lumber Cobb's angle and sacral inclination with pain intensity and Frontal Plane Projection Angle (FPPA) (r=0.825, r=0.812 , p=0.0001) respectively, There is poor inverse correlation of both lumber Cobb's angle and sacral inclination with functional disability (r=-0.397 and r=-0.385, p=0.002 ) respectively

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