Hubungan Kekuatan Otot Quadriceps dan Posisi Patella terhadap Fungsi Lutut pada Olahragawan

Luh Gede Risma Yanti; I Putu Gde Surya Adhitya; Ari Wibawa; I Made Niko Winaya

doi:10.31004/koloni.v5i2.901

Authors

Luh Gede Risma Yanti Universitas Udayana
I Putu Gde Surya Adhitya Universitas Udayana
Ari Wibawa Universitas Udayana
I Made Niko Winaya Universitas Udayana

DOI:

https://doi.org/10.31004/koloni.v5i2.901

Keywords:

Knee function, quadriceps muscle strength, athletes, patellar position.

Abstract

Knee function is the ability of the knee joint to perform movements or activities without pain or limitations such as walking, running, jumping or going up and down stairs. Athletes demand optimal knee conditions with complex movements requiring quadriceps muscle strength and good patellar position, if there is weakness of the quadriceps muscle it can cause an unbalanced pull between the medial and lateral knee. This causes the patella position to experience pulling or tracking which can increase the patellofemoral joint and impact knee function due to pain. This study aims to determine the relationship between quadriceps muscle strength and patellar position to knee function in athletes. This study used a cross-sectional design with 75 athletes aged 15-22 years selected by purposive sampling technique. Quadriceps muscle strength was measured with a hand-held dynamometer, patellar position by visual inspection of the patellar tendon using ultrasonography and knee function with the Knee Injury and Osteoarthritis Outcome Score (KOOS). Statistical analysis used the Spearman's rho bivariate test. A significant correlation was found between left quadriceps muscle strength and the KOOS QOL domain (p=0.031, r=0.250), and a significant correlation was found between right patellar position and the KOOS ADL domain (p=0.042, r=-0.236), but no correlation was found for the other KOOS domains. There was a significant correlation between left quadriceps muscle strength and KOOS QOL, and there was a significant correlation between right patellar position and KOOS ADL in athletes. These findings support the role of quadriceps muscle strength and optimal patellar position in improving knee function.

References

Adouni, M., Aydelik, H., Faisal, T.R. et al. The effect of body weight on the knee joint biomechanics based on subject-specific finite element-musculoskeletal approach. Sci Rep 14, 13777 (2024). https://doi.org/10.1038/s41598-024-63745-x

Boling, M. C., Nguyen, A. D., Padua, D. A., Cameron, K. L., Beutler, A., & Marshall, S. W. (2021). Gender-Specific Risk Factor Profiles for Patellofemoral Pain. Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine, 31(1), 49–56. https://doi.org/10.1097/JSM.0000000000000719

Brennan J Thompson, Morgan Whitson, Eric J Sobolewski, Matt S Stock, The Influence of Age, Joint Angle, and Muscle Group on Strength Production Characteristics at the Knee Joint, The Journals of Gerontology: Series A, Volume 73, Issue 5, May 2018, Pages 603–607,

Chia, L., Silva, D. O., Whalan, M., McKay, M. J., Sullivan, J., Fuller, C. W., & Pappas, E. 2022. Epidemiology of gradual-onset knee injuries in team ball-sports: A systematic review with meta-analysis of prevalence, incidence, and burden by sex, sport, age, and participation level. Journal of science and medicine in sport, 25(10), 834–844. https://doi.org/10.1016/j.jsams.2022.08.016

Falkowski, Wojciech, Gaszyńska, Monika, Drzewiecka, Antonina, Drzewiecki, Artur, Korczak, Wiktor, Madejska, Maria, Rudzka, Aleksandra, Krysińska, Anna, Woźniak, Weronika And Magielski, Jakub. 2025. Physical Activity and Knee Joint Injuries -Risk Factors, Management and Prognosis. Journal of Education, Health and Sport.;80:59973. eISSN 2391-8306.https://doi.org/10.12775/JEHS.2025.80.59973

Hidayatulloh, A., & Oka Narasara, G. G. (2025). Analysis of the Quality of Life Domain in Knee Injury an Osteoarthritis Outcome Score as an Expansion of Western Ontario and McMaster Universities Osteoarthritis Index for Evaluating Knee Osteoarthritis Therapy Outcomes. Indonesian Journal of Physical Medicine and Rehabilitation, 14(2), 183 - 188.

Lesnak, J., Anderson, D., Farmer, B., Katsavelis, D., & Grindstaff, T. L. 2019. Validity of hand-held dynamometry in measuring quadriceps strength and rate of torque development. International journal of sports physical therapy, 14(2), 180–187.

Li, J., Chen, Y., Yuan, M. et al. 2025. Lateral patellar maltracking and patellar alta in the absence of increased TT-TGdynamic distance in isolated patellofemoral pain: a dynamic kinematic CT study. BMC Med Imaging 25, 446. https://doi.org/10.1186/s12880-025-01999-1

Liao T-C, Pedoia V, Link TM, Majumdar S, Souza RB. Association of patella alignment with cartilage relaxation times and self-reported symptoms in individuals with patellofemoral degeneration. J Orthop Res. 2023;41:562-569. doi:10.1002/jor.25384

Morri, M., Contri, A., Peccerillo, V. et al. 2025. Conservative treatment of patellofemoral pain: effectiveness of strength exercises compared to other treatments. a systematic review with meta-analysis. BMC Sports Sci Med Rehabil 17, 303. https://doi.org/10.1186/s13102-025-01297-x

Mulyaningsih, F., Suryobroto, A. S., Pertiwi, N. C., & Utama, A. B. 2023. Hubungan antara aktivitas fisik dan pola hidup sehat dengan tingkat kebugaran jasmani peserta ekstrakurikuler olahraga di smp negeri 2 mlati. Majalah Ilmiah Olahraga (MAJORA), 29(1), 15–21. https://doi.org/10.21831/majora.v29i1.64506

Rapicavoli JL, Feigenbaum LA, Roach KE, Milian EK. Comparing the Dominant and Non-Dominant Leg Strength of Division I Collegiate Female Cutting Athletes to Jumping Athletes: A Pilot Study. IJSPT. 2025;20(6):793-800. doi:10.26603/001c.137955

Suchomel, T.J., Nimphius, S. & Stone, M.H. 2016. The Importance of Muscular Strength in Athletic Performance. Sports Med 46, 1419–1449. https://doi.org/10.1007/s40279-016-0486-0

Szybist, Sarah DO1; Houser, Alex DO, FAAFP1; Corletto, John MD2; Maloy, Wyatt MD, MS1. 2025. Patellofemoral Biomechanics Considerations: Analysis of Factors Contributing to Patellofemoral Pain. Current Sports Medicine Reports 24(9):p 275-280. |DOI: 10.1249/JSR.0000000000001284

Wang, X., & Cheng, Z. 2020. Cross-Sectional Studies: Strengths, Weaknesses, and Recommendations. Chest, 158(1S), S65–S71. https://doi.org/10.1016/j.chest.2020.03.012

Xiaofeng Wang, Zhenshun Cheng, 2020, Cross-Sectional Studies: Strengths, Weaknesses, and Recommendations, Chest, Volume 158, Issue 1, Supplement, Pages S65-S71, ISSN 0012-3692, https://doi.org/10.1016/j.chest.2020.03.012.

Yasuma, S., Kato, S., Usami, T. et al. Internal rotational patellar resection and patella alta induced patellar maltracking in total knee arthroplasty: intraoperative measurement of the patellofemoral pressure. Knee Surg & Relat Res 36, 25 (2024).

Zumstein, F., Centner, C. & Ritzmann, R. How limb dominance influences limb symmetry in ACL patients: effects on functional performance. BMC Sports Sci Med Rehabil 14, 206 (2022). https://doi.org/10.1186/s13102-022-00579-y