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Table · dataset · 2026

<p>Changes in Q-angle (degrees) from baseline.</p>

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<div> <p>Objective</p><p>Hip stability training may influence the quadriceps angle (Q-angle) and pain, but the clinical relevance of static Q-angle changes remains uncertain.

Description

This study compared hip stability training with standard care for Q-angle, pain, and function in marathon runners with Patellofemoral Pain Syndrome (PFPS).</p> <p>Methods</p><p>We identified 487 marathon runners with PFPS, of whom 312 met the eligibility criteria.

After 1:1 propensity score matching, 94 runners were retained in each group: hip stability training (Hip-STAB) and standard care (Control). Outcomes were assessed at baseline (W0) and at 4, 8, and 16 weeks (W4, W8, W16). Primary outcomes were standing Q-angle, visual analog scale pain during running (VAS-Run; 0–100 mm), and Anterior Knee Pain Scale (AKPS; 0–100 points).</p> <p>Results</p><p>Both groups improved over 16 weeks.

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Linear mixed-effects models showed significant time effects for Q-angle, VAS-Run, and AKPS (all p < 0.001), but no significant time-by-group interactions for Q-angle (p = 0.190), VAS-Run (p = 0.302), or AKPS (p = 0.317). Bonferroni-adjusted post-hoc comparisons did not identify significant between-group differences at W16. The association between Q-angle reduction and VAS-Run improvement was significant in the Hip-STAB group (r = 0.35, 95% CI 0.16 to 0.52, p < 0.001) and the Control group (r = 0.44, 95% CI 0.26 to 0.59, p < 0.001).</p> <p>Conclusions</p><p>Hip-STAB and standard care were each associated with improvements in static Q-angle, running pain, and function, but Hip-STAB was not superior to standard care.

The correlation between Q-angle and pain changes should be interpreted as an association rather than evidence of a causal biomechanical mechanism.</p></div>

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Provenance · 1 source records, 16 field assertions
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figshareoai:figshare.com:article/339033418 d agoJSON v1
FieldAssertionExtractorEvidence
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