Patellofemoral Joint Stress During Front and Back Squats at Two Depths

The purpose of this study was to identify differences between patellofemoral joint stress (PFJS), patellofemoral joint reaction force (PFJRF), quadriceps force, trunk and knee flexion angles, and horizontal position of applied load relative to the knee and heel between the front squat (FS) and back squat (BS) exercises at two depths (60 and 80% of leg length, where 60% represents a lower squat depth). Twenty-two healthy college-aged females (age: 22.23 ± 1.86 years, mass: 67.65 ± 9.60 kg, height: 171.34 ± 6.38 cm) participated in this study. Mechanical variables were measured or estimated using a 15-camera 3D motion analysis (180 Hz) system and force platforms (1800 Hz). Five repetitions of each squatting technique at each depth were performed. Multivariate testing showed a difference in patellofemoral loading variables, trunk and knee kinematics, and bar position relative to the heel and knee (p = 0.00) between squat depths. There was no difference between techniques, no interaction between depth and techniques (p > 0.05). Follow-up univariate analyses showed differences in PFJS, PFJRF, quadriceps force, horizontal bar position relative to the heel and knee, and knee and trunk flexion between squat depths. The similar joint stress observed between FS and BS may be explained by compensatory trunk mechanics or the use of a light external load.