Prevalence of Patellofemoral Pain Syndrome and Its Impact on Quality of Life Among Recreational Athletes at Private Universities in Peshawar

Muhammad Suleman Sikandar; Tajseem Un Noor; Jalwa Noor; Qadeer Nawaz; Zaheer Rehman; Hafiz Yaseen Khan

doi:10.55735/7gzc1b35

Authors

Muhammad Suleman Sikandar Department of Health Sciences, City University of Science and Information Technology, Peshawar, Pakistan
Tajseem Un Noor Department of Health Sciences, City University of Science and Information Technology, Peshawar, Pakistan
Jalwa Noor Department of Health Sciences, City University of Science and Information Technology, Peshawar, Pakistan
Qadeer Nawaz Department of Health Sciences, City University of Science and Information Technology, Peshawar, Pakistan
Zaheer Rehman Department of Health Sciences, City University of Science and Information Technology, Peshawar, Pakistan
Hafiz Yaseen Khan Department of Health Sciences, City University of Science and Information Technology, Peshawar, Pakistan

DOI:

https://doi.org/10.55735/7gzc1b35

Keywords:

Patellofemoral pain syndrome , Quality of life , Recreational athletes

Abstract

Background: Patellofemoral pain syndrome is characterised by pain around or behind the kneecap, worsened by activities involving repetitive knee bending like running, squatting, or climbing stairs. University students engaged in recreational sports may suffer from this syndrome without proper diagnosis or preventive care, impacting their quality of life. Objective: To assess the prevalence and impact of patellofemoral pain syndrome among university students involved in recreational sports. Methodology: The study was a cross-sectional design conducted at different private universities in Peshawar, Pakistan, with a sample size of 188 participants selected through non-probability convenient sampling. Ethical approval was obtained from the Research Committee of City University of Science and Information Technology and the Research Committees of the concerned private universities at Peshawar. Inclusion criteria were students involved in recreational sports, aged 19 to 25 years, while those with knee surgery, systemic and inflammatory knee conditions, such as osteoarthritis and rheumatoid arthritis. Tools used in the study were the SNAPPS Questionnaire for evaluating this syndrome and the short form 12 for assessing quality of Life. Data was analyzed using SPSS v 26. Association between different variables was found using Pearson's correlation. The p-value ≤0.05 was considered statistically significant. Results: A total of 188 recreational athletes (84.6% male, 15.4% female), aged 19–25 years, participated. Cricket was the most played sport (55.3%), followed by badminton (23.4%) and football (14.4%). The prevalence of patellofemoral pain syndrome was 15.4%, significantly higher in females (31%) than males (12.6%) (p=0.011). Although 96.3% reported good quality of life, patellofemoral pain syndrome was significantly associated with reduced quality of life (p<0.001), explaining 15.8% of its variance. Conclusion: Patellofemoral pain syndrome is common among recreational athletes, especially females, and is linked to lower quality of life. Early detection and targeted care are key to improving outcomes and preventing long-term issues.

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References

1. Petersen W, Rembitzki I, Liebau C. Patellofemoral pain in athletes. Open Access Journal of Sports Medicine 2017; 8: 143–54. DOI: https://doi.org/10.2147/OAJSM.S133406

https://doi.org/DOI: 10.2147/OAJSM.S133406 DOI: https://doi.org/10.2147/OAJSM.S133406

2. Lankhorst NE, Bierma-Zeinstra SM, van Middelkoop M. Risk factors for patellofemoral pain syndrome: a systematic review. Journal of Orthopaedic & Sports Physical Therapy 2012; 42(2): 81–94. DOI: https://doi.org/10.2519/jospt.2012.3803

https://doi.org/10.2519/jospt.2012.3803 DOI: https://doi.org/10.2519/jospt.2012.3803

3. Crossley KM, van Middelkoop M, Callaghan MJ, Collins NJ, Rathleff MS, Barton CJ. 2016 Patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester. Part 2: recommended physical interventions (exercise, taping, bracing, foot orthoses and combined interventions). British Journal of Sports Medicine 2016; 50(14): 844–52. DOI: https://doi.org/10.1136/bjsports-2016-096268

https://doi.org/10.1136/bjsports-2016-096384 DOI: https://doi.org/10.1136/bjsports-2016-096384

4. Ullah U, Khan HY, Shakeel K, Rehman M, Basit SA. The Prevalence of Knee Osteoarthritis in Industrial Workers of Industrial State Hayatabad, Peshawar. Insights-Journal of Health and Rehabilitation 2025; 3(3 (Health & Allied)): 176–82. DOI: https://doi.org/10.71000/afn2kj81

https://doi.org/10.71000/afn2kj81 DOI: https://doi.org/10.71000/afn2kj81

5. Reijnders L, Van de Groes SA. The quality of life of patients with patellofemoral pain - a systematic review. Acta Orthopaedic Belgica 2020; 86(4): 678–87.

6. Gaitonde DY, Ericksen A, Robbins RC. Patellofemoral pain syndrome. American Family Physician 2019; 99(2): 88–94.

7. Ali S, Sajjad SA, Niaz M, Rana AA, Waseem M. Prevalence of patellofemoral pain syndrome among sports sciences students in Lahore. Pakistan Biomedical Journal 2022; 5(1): 154–9. DOI: https://doi.org/10.54393/pbmj.v5i1.281

https://doi.org/10.54393/pbmj.v5i1.281 DOI: https://doi.org/10.54393/pbmj.v5i1.281

8. Smith BE, Selfe J, Thacker D, et al. Incidence and prevalence of patellofemoral pain: a systematic review and meta-analysis. PloS One 2018; 13(1): e0190892. DOI: https://doi.org/10.1371/journal.pone.0190892

https://doi.org/10.1371/journal.pone.0190892 DOI: https://doi.org/10.1371/journal.pone.0190892

9. Aldharman SS, Almuhammadi HH, Madkhali AY, et al. Prevalence of patellofemoral pain and knee pain in the general population of Saudi Arabia. Cureus 2022; 14(10):e30355. DOI: https://doi.org/10.7759/cureus.30355

https://doi.org/10.7759/cureus.30355 DOI: https://doi.org/10.7759/cureus.30355

10. Silva DdO, Coura MB, Waiteman M, et al. Patellofemoral pain and sports practice: reduced symptoms and higher quality of life in adolescent athletes as compared to non-athletes. Motriz: Revista de Educação Física 2016; 22(1): 84–9. DOI: https://doi.org/10.1590/S1980-65742016000100011

https://doi.org/10.5016/motriz.v22i1.10928

11. Pavone V, Vescio A, Panvini FMC, et al. Patellofemoral Pain Syndrome in Young Female Athletes: A Case‐Control Study. Advances in Orthopaedics 2022; 2022(1): 1907975. DOI: https://doi.org/10.1155/2022/1907975

https://doi.org/10.1155/2022/1907975 DOI: https://doi.org/10.1155/2022/1907975

12. Ali I, Khan H, Rahman B, Nadir A, Khan HY, Ahmad M. Prevalence of Lower Cross Syndrome and Its Association with BMI Among Nurses: A Cross-Sectional Study. Insights-Journal of Health and Rehabilitation 2025; 3(3): 346-352. DOI: https://doi.org/10.71000/x0bhk362

https://doi.org/10.71000/x0bhk362 DOI: https://doi.org/10.71000/x0bhk362

13. Butt A, Niazi R, Jamil A, Mehrvi N. Prevalence of patellofemoral pain syndrome in females and its impact on daily activities. Rawal Medical Journal 2022; 47(2): 385.

14. Sikander MS, Shinwari NU, Shah J, Atif M, Jan SIU, Naz M. Prevalence and Association of Risk Factors for Plantar Fasciitis Among Nurses in Government Tertiary Care Hospitals of Peshawar. Journal of Health and Rehabilitation Research 2024; 4(2): 1623–8. DOI: https://doi.org/10.61919/jhrr.v4i2.1157

15. Coburn SL, Barton CJ, Filbay SR, Hart HF, Rathleff MS, Crossley KM. Quality of life in individuals with patellofemoral pain: a systematic review including meta-analysis. Physical Therapy in Sport 2018; 33: 96–108. DOI: https://doi.org/10.1016/j.ptsp.2018.06.006

https://doi.org/10.1016/j.ptsp.2018.06.006 DOI: https://doi.org/10.1016/j.ptsp.2018.06.006

16. Cheung RT, Zhang Z, Ngai SP. Different relationships between the level of patellofemoral pain and quality of life in professional and amateur athletes. Physical Medicine and Rehabilitation Journal 2013; 5(7): 568–72. DOI: https://doi.org/10.1016/j.pmrj.2012.12.007

https://doi.org/10.1016/j.pmrj.2012.12.007 DOI: https://doi.org/10.1016/j.pmrj.2012.12.007

17. Mustafa MG, Ashraf A, Basit F. Assessing Quality of Life in Young Athletes with Patellofemoral Pain Syndrome. International Journal of Healthcare Professions 2024; 1(2): 30-35. DOI: https://doi.org/10.71395/ijhp.1.2.2024.30-35

https://doi.org/10.71395/ijhp.1.2.2024.30-35 DOI: https://doi.org/10.71395/ijhp.1.2.2024.30-35

18. Nair T, Kumar GP. Correlation Between Severity of Symptoms and Quality of Life in Patellofemoral Pain Syndromes: A Cross-Sectional Study. Cureus 2023; 15(11):e49094. DOI: https://doi.org/10.7759/cureus.49094

https://doi.org/10.7759/cureus.49094 DOI: https://doi.org/10.7759/cureus.49094

19. Tiwari A, Sathe PK, Sathe A, Kumar DV. Correlation between physical activity level and anterior knee pain in Indian recreational and professional athletes. BLDE University Journal of Health Sciences 2023; 8(1): 56–60. DOI: https://doi.org/10.4103/bjhs.bjhs_125_21

https://doi.org/10.4103/bjhs.bjhs_125_21 DOI: https://doi.org/10.4103/bjhs.bjhs_125_21

20. Brady WS, Boonprakob Y. Prevalence of chronic patellofemoral pain in Thai university athletes and correlation between pain intensity, psychological features, and physical fitness of leg muscles. Journal of Physical Education and Sport 2021; 21: 2036–48.

https://doi.org/10.7752/jpes.2021.s3260 DOI: https://doi.org/10.7752/jpes.2021.s3260