{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T16:20:18Z","timestamp":1781713218915,"version":"3.54.5"},"reference-count":46,"publisher":"Journal of Orthopaedic & Sports Physical Therapy (JOSPT)","issue":"12","content-domain":{"domain":["www.jospt.org"],"crossmark-restriction":true},"short-container-title":["Journal of Orthopaedic &amp; Sports Physical Therapy"],"published-print":{"date-parts":[[2014,12]]},"abstract":"<jats:sec><jats:title>Study Design<\/jats:title><jats:p> Cross-sectional. <\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p> To determine what physical measures are associated with visually assessed quality of movement among patients with patellofemoral pain (PFP). <\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p> An altered movement pattern has been implicated as a risk factor for PFP. An understanding of physical measures associated with an altered movement pattern could potentially help guide prevention and management efforts in patients with PFP. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> Seventy-nine (40 women) Israel Defense Forces soldiers referred to physical therapy with a diagnosis of PFP were included. Movement pattern was assessed visually during a lateral step-down test and rated as \u201cgood\u201d or \u201cmoderate,\u201d based on previously established criteria. Weight-bearing and non-weight-bearing ankle dorsiflexion (DF) range of motion (ROM); hip internal and external rotation ROM; and hip abduction, hip external rotation, and knee extension strength were also assessed. Differences in physical measures between those with good versus moderate quality of movement were assessed. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> Weight-bearing DF ROM was more limited among participants with a moderate quality of movement compared to those with a good quality of movement (P&lt;.01). Among men, non-weight-bearing DF ROM was more limited in those with a moderate quality of movement as well (P&lt;.01). In addition, quality of movement was associated with weight-bearing DF ROM for both women (r = \u22120.39, P = .01) and men (r = \u22120.46, P&lt;.01), and with non-weight-bearing DF ROM for men (r = \u22120.66, P&lt;.01). When the subgroup of participants who exhibited more than 25\u00b0 of non-weight-bearing DF ROM was assessed, those with a good quality of movement displayed greater hip external rotator and knee extensor muscle strength compared with those with a moderate quality of movement (P&lt;.01). <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p> Ankle DF ROM should be assessed when patients with PFP demonstrate a lower quality of movement during a lateral step-down test. Lower hip muscle strength may be associated with lower quality of movement among patients with relatively greater ankle DF ROM. J Orthop Sports Phys Ther 2014;44(12):937\u2013946. 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