Testes e escalas funcionais para a população com disfunção femoropatelar: uma revisão da literatura

Abstract

Introduction: The patellofemoral pain syndrome (PFPS) is described as a condition of "anterior knee pain" exacerbated by movements that increase the compressive forces in the patellofemoral joint. The evaluation is the most important and essentials stage for the diagnosis of PFPS and effective monitoring of the response of these patients to conservative treatment. However, there is still difficulty in measuring appropriate and/or specific measurement instruments for these individuals, due to the lack of standardization and validation of the same. The main instruments used generally cover scales, questionnaires and function test. Methodology: This systematic review in the electronic data base PubMed from 2002 to 2017, in the English language with the keywords: "patellofemoral pain syndrome”, “diagnosis”, “reability”, “step down”, “single leg”, “bilateral squat”, “balance and reach”, “single leg mini squat”, “mini squat”, “squatting, hop test”, “single test”, “IKDC”, “functional index questionnaire”, “Activities of Daily Living Scale”, “ADLS”, “Anterior Knee Pain Scale” and “AKPS”. Inclusion criteria: questionnaire, scales and functional tests; population with PFPS. Results: We found in the search 956 articles, removed 227 duplicates, with 36 articles selected for titles related to the topic. After reading the abstracts, 11 studies were included in this review. All studies were classified according to OCBM. Conclusion: The AKAPS, ADLS and PSS scales are efficient in evaluating the pain and function of patients with PFPS. And the intensity of pain can be measured by EVA and NPRS. These instruments are easy to apply, easy to understand, low cyst and require little time for their administration. For the evaluation of the valgus dynamic, the choice of the functional test should be according to the level of physical activity of the patient. The Step Down Test is indicated for the sedentary population and Single Leg Squat and Single Leg Triple Hop Test for the active population and athlete, respectively.