Quadriceps muscle performance in sitting and standing in young women with patellofemoral pain syndrome and young healthy women

Abstract

The aim of this study was to evaluate and compare muscular activation in sitting and standing in patients with patellofemoral pain syndrome and healthy controls. Eleven women with patellofemoral pain syndrome and nine healthy controls were evaluated regarding: (a) muscle performance in sitting compared to standing-knee extensor torque was registered in sitting with a Kin Com dynamometer and in standing with a force plate, and quadriceps muscle activity was registered with EMG in both sitting and standing; and (b) ability to maximally voluntarily activate during sitting isometric knee extension. Maximally tolerated single-twitch electrical stimulation was superimposed on 20, 40, 60, 80 and 100% of maximal voluntary activation. Additional torque from the single twitch was documented. Five patients and all nine controls were tested twice (tests a and b) with 2 days between tests, and high reproducibility could be demonstrated. A significantly higher torque during sitting compared with standing was found in both patients and controls, but with a significant correlation between sitting and standing torque values. No significant difference was found between patients and controls. Single-twitch electrical stimulation superimposed on maximal voluntary activation resulted in increased torque in two of the nine controls compared to 10 of the 11 patients. The average increased torque in the patients were significantly higher than in the controls and estimated to 18%. It was concluded that sitting isometric measurements are representative of the ability to produce standing isometric knee torque. A moderate degree of inhibition was demonstrated during sitting strength measurements in the patients (not studied in standing).