The Relationship Between the Range of Hip Rotation and the Quadriceps Angle in Subjects With and Without Flat Foot
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Background: Alignment of the lower limb is an important factor, influencing balance and gait in kinematics and kinetics, in patients with and without a flat arched foot. Flat arched foot are associated with the range of motion (ROM) of the hip and alignments of the knee joints, is strongly influenced. Objects: The purpose of this research was to investigate the relationship between hip joint ROM and quadriceps angle (Q-angle), by dividing them into two groups according to the presence or absence of flat feet, using a navicular drop test (NDT) and resting calcaneal stance position (RCSP). Methods: Forty elderly patients were allocated to the experimental group (flat foot group, n1=20) or the control group (non-flat group, n2=20). Universal and digital goniometer, tractograph and tape measure were used to determine the related changes in the hip ROM, Q-angle, NDT and RCSP. Results: Data were analyzed using the Pearson correlation coefficients. Active internal ROM of the hip joint (right, r=.803, p<.001), (left, r=.951, p<.001) were highly correlated with NDT, and also, was moderately correlated with Q-angle (right, r=.562, p=.019), (left, r=.757, p<.001). Passive internal ROM of the hip joint (right, r=.742, p=.001), (left, r=.922, p<.001) were highly correlated with NDT, and also, was moderately correlated with RCSP (right, r=-.530, p=.029) and with Q-angle (right, r=.710, p=.001), (left, r=.698, p=.002) in the flat foot group. However, no strong correlation among the hip ROM, NDT, RCSP and Q-angle were found in the non-flat foot group. Conclusion: This research may provide evidence of the correlations between hip internal ROM and flat foot.
Abstract
Background: Alignment of the lower limb is an important factor, influencing balance and gait in kinematics and kinetics, in patients with and without a flat arched foot. Flat arched foot are associated with the range of motion (ROM) of the hip and alignments of the knee joints, is strongly influenced. Objects: The purpose of this research was to investigate the relationship between hip joint ROM and quadriceps angle (Q-angle), by dividing them into two groups according to the presence or absence of flat feet, using a navicular drop test (NDT) and resting calcaneal stance position (RCSP). Methods: Forty elderly patients were allocated to the experimental group (flat foot group, n1=20) or the control group (non-flat group, n2=20). Universal and digital goniometer, tractograph and tape measure were used to determine the related changes in the hip ROM, Q-angle, NDT and RCSP. Results: Data were analyzed using the Pearson correlation coefficients. Active internal ROM of the hip joint (right, r=.803, p<.001), (left, r=.951, p<.001) were highly correlated with NDT, and also, was moderately correlated with Q-angle (right, r=.562, p=.019), (left, r=.757, p<.001). Passive internal ROM of the hip joint (right, r=.742, p=.001), (left, r=.922, p<.001) were highly correlated with NDT, and also, was moderately correlated with RCSP (right, r=-.530, p=.029) and with Q-angle (right, r=.710, p=.001), (left, r=.698, p=.002) in the flat foot group. However, no strong correlation among the hip ROM, NDT, RCSP and Q-angle were found in the non-flat foot group. Conclusion: This research may provide evidence of the correlations between hip internal ROM and flat foot.
참고문헌 (32)
- Arnold AS, "Internal rotation gait : A compensatory mechanism to restore abduction capacity decreased by bone deformity", Dev Med Child Neurol, 39(1), pp.40~44 (1997)
- BRENT L. ARNOLD, "Ankle Instability Is Associated with Balance Impairments", Medicine & Science in Sports & Exercise, 41(5), pp.1048~1062 (2009), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Paul F. Balen, "Association of Posterior Tibial Tendon Injury with Spring Ligament Injury, Sinus Tarsi Abnormality, and Plantar Fasciitis on MR Imaging", American Journal of Roentgenology, 176(5), pp.1137~1143 (2001), American Roentgen Ray Society[DOI]
- Blauth M, "Stressing on the human femoro-patellar joint. I. Components of a vertical and horizontal tensile bracing system", Anat Embryol(Berl), 168(1), pp.117~123 (1983)
- Brody DM, "Techniques in the evaluation and treatment of the injured runner", Orthop Clin North Am, 13(3), pp.541~558 (1982)
- Cibulka MT, "Unilateral hip rotation range of motion asymmetry in patients with sacroiliac joint regional pain", Spine, 23(9), pp.1009~1015 (1998)
- Ellison JB, "Patterns of hip rotation range of motion : A comparison between healthy subjects and patients with low back pain", Phys Ther, 70(9), pp.537~541 (1990)
- France L, "Effect of errors in the identification of anatomical landmarks on the accuracy of Q angle values", Clin Biomech(Bristol, Avon), 16(8), pp.710~713 (2001)
- Gulan G, "Femoral neck anteversion : Values, development, measurement, common problems", Coll Antropol, 24(2), pp.521~527 (2000)
- Yu Han, "Investigation of the Relationship Between Flatfoot and Patellar Subluxation in Adolescents", The Journal of Foot and Ankle Surgery, 56(1), pp.15~18 (2017), Elsevier BV[DOI]
- Harris RI, "Hypermobile flat-foot with short tendo achillis", J Bone Joint Surg Am, 30A(1), pp.116~140 (1948)
- Horton MG, "Quadriceps femoris muscle angle : Normal values and relationships with gender and selected skeletal measures", Phys Ther, 69(11), pp.897~901 (1989)
- Huberti HH, "Patellofemoral contact pressures. The influence of q-angle and tendofemoral contact", J Bone Joint Surg Am, 66(5), pp.715~724 (1984)
- Do-Young Jung, "A comparison in the muscle activity of the abductor hallucis and the medial longitudinal arch angle during toe curl and short foot exercises", Physical Therapy in Sport, 12(1), pp.30~35 (2011), Elsevier BV[DOI]
- JM Kaye, "The K-square: a new biomechanical measuring device for the foot and ankle", Journal of the American Podiatric Medical Association, 69(1), pp.58~64 (1979), American Podiatric Medical Association[DOI]
- Belinda Lange, "The Effect of Low-Dye Taping on Plantar Pressures, During Gait, in Subjects With Navicular Drop Exceeding 10 mm", Journal of Orthopaedic & Sports Physical Therapy, 34(4), pp.201~209 (2004), Journal of Orthopaedic & Sports Physical Therapy (JOSPT)[DOI]
- JENNY McCONNELL, "The Management of Chondromalacia Patellae: A Long Term Solution", Australian Journal of Physiotherapy, 32(4), pp.215~223 (1986), Elsevier BV[DOI]
- Menz HB, "Clinical hindfoot measurement: A critical review of the literature review article", The Foot, 5(2), pp.57~64 (1995)[DOI]
- Babak Nakhostin-Roohi, "The effect of flexible flat-footedness on selected physical fitness factors in female students aged 14 to 17 years", Journal of Human Sport and Exercise, 8(3), pp.788~796 (2013), Journal of Human Sport and Exercise[DOI]
- Neumann DA, "Kinesiology of the musculoskeletal system", pp.613~614 (2011), Elsevier Korea LLC
- Olerud C, "The variation of the Q angle with different positions of the foot", Clin Orthop Relat Res, (191), pp.162~165 (1984)
- Paulos L, "Patellar malalignment : A treatment rationale", Phys Ther, 60(12), pp.1624~1632 (1980)
- Sara R Piva, "Reliability of measures of impairments associated with patellofemoral pain syndrome", BMC Musculoskeletal Disorders, 7(1), pp.33~ (2006), Springer Nature[DOI]
- Christopher M. Powers, "The Influence of Altered Lower-Extremity Kinematics on Patellofemoral Joint Dysfunction: A Theoretical Perspective", Journal of Orthopaedic & Sports Physical Therapy, 33(11), pp.639~646 (2003), Journal of Orthopaedic & Sports Physical Therapy (JOSPT)[DOI]
- Schulthies SS, "A modified low-dye taping technique to support the medial longitudinal arch and reduce excessive pronation", J Athl Train, 30(3), pp.266~268 (1995)
- Genevieve Scott, "Age-related differences in foot structure and function", Gait & Posture, 26(1), pp.68~75 (2007), Elsevier BV[DOI]
- Shultz SJ, "The independent and interactive effects of navicular drop and quadriceps angle on neuromuscular responses to a weight-bearing perturbation", J Athl Train, 41(3), pp.251~259 (2006)
- J Song, "Foot type biomechanics. comparison of planus and rectus foot types", Journal of the American Podiatric Medical Association, 86(1), pp.16~23 (1996), American Podiatric Medical Association[DOI]
- Thales R. Souza, "Temporal couplings between rearfoot–shank complex and hip joint during walking", Clinical Biomechanics, 25(7), pp.745~748 (2010), Elsevier BV[DOI]
- Vicenzino B, "Plantar foot pressures after the augmented low dye taping technique", J Athl Train, 42(3), pp.374~380 (2007)
- Williams DS, "Measurements used to characterize the foot and the medial longitudinal arch : Reliability and validity", Phys Ther, 80(9), pp.864~871 (2000)
- Lynn H. Woodland, "Parameters and comparisons of the quadriceps angle of college-aged men and women in the supine and standing positions", The American Journal of Sports Medicine, 20(2), pp.208~211 (2016), SAGE Publications[DOI]
