Associação da pronação excessiva e alinhamento patelar em mulheres com síndrome da dor patelofemoral: uma revisão da literatura

Abstract

Patellofemoral pain syndrome (PFPS) is a clinical disorder of high incidence, that generates previous knee pain in patients without the patellofemoral joint disorders and higher prevalence in women. Some factors are crucial for the emergence of PFPS, as changes to the alignment and biomechanics of the lower extremity. The objective of the present study was to identify, through a review of the literature, the occurrence of excessive pronation of the subtalar joint and patellar alignment in females with patellofemoral pain syndrome. The search for scientific articles in English and Portuguese occurred through a review in the databases MEDLINE, Scielo and VHL,. The search was conducted in the period to December 2015 to may 2016. The studies selected should submit (1) experimental design (2) investigate the Association of patellar alignment and excessive pronation with patellofemoral syndrome in women, not related to joint disorders. There was no restriction as to the date of publication. Studies were excluded (1) approached treatment for patellofemoral pain syndrome as it is not the purpose of the study, (2) comparison of other etiologies than excessive pronation of the foot with patellar alignment, (3) studies with males or both sexes, (4) surgical interventions, (5) use of Orthotics on the mechanics of the subtalar joint and (6) of this joint-related problems. Of the total of 124 items, six were selected. The data of the studies found in four of the six articles attest that no one can say that the excessive pronation and patellar alignment are associated with PFPS in women. The factors cited can manifest in individuals with SDFP as in asymptomatic women, but would not be a contributing factor to PFPS, associating this multifactorial causes pathology.