Evidence map›Paper›PMID 40861530›Full record

ArticleCureus2025

Patellofemoral Pain in Elite Female Volleyball Players: Correlation With Trunk Muscle Strength.

Dimitrios Kalatzis, Georgios Zoumpoulis, Konstantinos Zygogiannis, Konstantinos Kaoullas, Ioannis Fotoniatas, Georgios C Thivaios

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In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Dimitrios KalatzisOrthopedics and Traumatology, Laiko General Hospital of Athens, Athens, GRC.
Georgios ZoumpoulisOrthopedics and Traumatology, Laiko General Hospital of Athens, Athens, GRC.
Konstantinos ZygogiannisOrthopedics - Scoliosis and Spine, KAT General Hospital, Athens, GRC.
Konstantinos KaoullasOrthopedics and Traumatology, Laiko General Hospital of Athens, Athens, GRC.
Ioannis FotoniatasOrthopedics and Traumatology, Laiko General Hospital of Athens, Athens, GRC.
Georgios C ThivaiosOrthopedics and Traumatology, Laiko General Hospital of Athens, Athens, GRC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Patellofemoral pain (PFP) is a prevalent musculoskeletal condition, particularly among adolescent and young adult females, often associated with sports involving high knee loads, such as volleyball. While previous studies have examined local and distal factors contributing to PFP, the role of trunk muscle strength remains underexplored, particularly in elite athletes. Objective The objective of this study is to investigate the correlation between PFP and trunk muscle strength in elite adolescent female volleyball players. Methods A retrospective analysis was conducted on 23 elite adolescent female volleyball players (mean age: 15.59 years) from the Hellenic National Team. Trunk muscle strength was measured using isokinetic dynamometry (Biodex System 4 Pro, Biodex Medical Systems, Inc., Shirley, NY, USA) during maximum flexion and extension at 90° of trunk inclination. Participants were categorized into PFP (n = 11) and non-PFP groups (n = 12) based on clinical evaluation. Statistical analysis included comparison of peak torque (Nm/kg), mean power, and agonist-antagonist ratios between groups. Results No significant differences were found in trunk flexion strength (p = 0.449), trunk extension strength (p = 0.423), or agonist-antagonist ratios (p = 0.601) between PFP and non-PFP groups. Trunk extension strength was consistently greater than flexion strength across all participants. Most athletes with PFP reported pain onset linked to increased training loads. Conclusions Despite the hypothesized correlation, this study did not identify significant differences in trunk muscle strength between volleyball players with and without PFP. These findings contrast with prior research on non-athletic populations, suggesting that elite athletes may possess compensatory mechanisms. Further studies are warranted to clarify the role of trunk strength in PFP pathophysiology and inform targeted prevention and rehabilitation strategies in elite sports.

Indexed as

adolescent athletesisokinetic dynamometrypatellofemoral paintrunk muscle strengthvolleyball

Identifiers

PMID40861530
PMCPMC12375291

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.