Article

Patellofemoral pain is a common orthopedic condition in the athletic
population. Previous investigators focused on exploring the etiology and
investigating the effectiveness of different treatment approaches for
patellofemoral pain. However, the severity of symptoms and its corresponding
impact on quality of life (QOL) in athletes at different skill levels have not
been explored. Such information may help in formulating rehabilitation strategies
targeting different levels of athletes. OBJECTIVE: To compare the perception of
patellofemoral symptoms and its impact on QOL between professional and amateur
athletes with patellofemoral pain. DESIGN: Cross-sectional study. PARTICIPANTS:
Thirty-eight athletes with patellofemoral pain: 19 professional athletes from the
Chinese national track and field team and 19 matched amateur participants
recruited from a local track and field club. MAIN OUTCOME MEASURES: All
participants completed the Chinese version of Kujala scale and Medical Outcomes
Study 36-Item Short Form Health Survey (SF-36), which we used to quantify the
severity of patellofemoral symptoms and QOL, respectively. RESULTS: Professional
athletes demonstrated a significantly higher level of patellofemoral symptoms (P
< .001) and lower physical functioning subscore of SF-36 (P < .014) than did the
amateur athletes. We also found a trend of a lower mental health subscore of
SF-36 in professional athletes than in the amateurs (P = .07). The Kujala scale
score was positively correlated with the subscore of "physical functioning" in
both professional athletes (rs = 0.688, P = .001) and amateurs (rs = 0.751, P <
.001). We also observed a trend of correlation between the subscore in the mental
health domain and the severity of patellofemoral symptoms in professional
athletes. CONCLUSIONS: Athletes at different elite levels might have varied
perceptions of patellofemoral pain and the corresponding impact on physical
aspects of quality of life. The results of this study may highlight the necessity
of addressing psychosocial factors when formulating rehabilitation strategies in
the athletic population with patellofemoral pain.
CI - Copyright (c) 2013 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS