COMPARISONS OF THE Q ANGLE AND HIP JOINT INTERNAL-EXTERNAL ROTATION ANGLES OF MALE WRESTLERS WITH AND WITHOUT PES PLANUS DEFORMITY

Year 2020, , 94 - 102, 17.08.2020

Tuğba Kocahan Ayşe Sena Özsoy Banu Kabak Bihter Akınoğlu

https://doi.org/10.17155/omuspd.636349

Cited By: 1

Abstract

The aim of this study was to compare the knee joint Q angle (patellofemoral angle) and the hip joint internal and external rotation angle in male wrestlers with and without pes planus deformity. Fifteen male wrestlers with at least second-degree pes planus deformity and 15 male wrestlers without pes planus deformity were included in the study. Pes planus status was evaluated by Feiss Line method. The Q angle was measured passively in the supine position and actively during the weight transfer of the foot with a goniometer. Internal and external rotation angles of the hip joint were measured actively and passively with a goniometer in the prone position. Mann Whitney-U test was used to compare the demographic characteristics, sports years, Q angles, hip internal and external rotation angles. Active and passive Q angles of wrestlers with and without pes planus deformity were similar. Similarly, there was no difference between active and passive internal and external rotation angles of the hip joints of both sides (p> 0.05). As a result of our study, it was determined that the Q angle and the hip internal and external rotation angles were similar in male wrestlers with and without pes planus deformity. It should be kept in mind that pes planus deformity may impair the biomechanical alignment of the lower extremities and is therefore one of the postural disorders that should be evaluated.

Keywords

Biomechanics, Knee, Lower Extremity, Pes Planus

ERKEK GÜREŞÇİLERDE Q AÇISI İLE KALÇA EKLEMİ ROTASYON AÇILARININ PES PLANUS DEFORMİTESİNE GÖRE KARŞILAŞTIRILMASI

Abstract

Bu araştırmanın amacı, pes planus deformitesi olan ve olmayan erkek güreşçilerde diz eklemi Q açısı (patellafemoral açı) ile kalça eklemi internal ve eksternal rotasyon açılarının karşılaştırılmasıdır. Çalışmaya her iki ayağında en az ikinci derece pes planus deformitesi olan 15 erkek güreşçi ve pes planus deformitesi olmayan 15 erkek güreşçi dahil edilmiştir. Pes planus varlığı Feiss Çizgisi yöntemi ile değerlendirildi. Q açısı sırtüstü pozisyonda pasif olarak ve ayakta ağırlık aktarımı sırasında aktif olarak gonyometre ile ölçüldü. Kalça eklemi internal ve eksternal rotasyon açıları yüzüstü pozisyonda aktif ve pasif olarak gonyometre ile ölçüldü. Sporcuların demografik özellikleri, spor yılları, Q açıları, kalça eklemi internal ve eksternal rotasyon açılarının karşılaştırılmasında Mann Whitney- U testi kullanıldı. Pes planus deformitesi olan ve olmayan güreşçilerin her iki taraf aktif ve pasif Q açılarının birbirine benzer olduğu belirlendi. Benzer şekilde sporcuların her iki taraf kalça eklemi aktif ve pasif internal ve eksternal rotasyon açıları arasında fark olmadığı belirlendi (p>0,05). Bu çalışma sonucunda, pes planus deformitesi olan ve olmayan erkek güreşçilerde Q açısı ile kalça eklemi internal ve eksternal rotasyon açılarının benzer olduğu belirlendi. Pes planus deformitesinin alt ekstremite biyomekaniksel dizilimini bozabilme ihtimalinden dolayı değerlendirilmesi gereken postüral bozukluklardan biri olduğu unutulmamalıdır. 

Keywords

Alt ekstremite, Biyomekani, Diz, Pes planus

References

• KAYNAKLAR1. Tachdjian MO. Flexible pesplanovalgus (flat foot). 2nd ed. Pediatric Orthopedics, Philadelphia: W6 Saunders Company; 1990: 2717-2759.2. Nurzynska D, Di Meglio F, Castaldo C, Latino F, Romano V, Miraglia R, et al. Flatfoot in children: anatomy of decision making. Italian Journal of Anatomy and Embryology, 2012; 117(2): 98-106.3. Talu B, Bayramlar K, Bek N, Yakut Y. Validity and reliability of the Turkish version of the Manchester-Oxford Foot Questionnaire for hallux valgus deformity evaluation. Acta Orthopaedica et Traumatologica Turcica, 2016; 50(2): 207-213.4. Guichet JM, Javed A, Russell J, Saleh M. Effect of the foot on the mechanical alignment of the lower limbs. Clinical Orthopaedics and Related Research, 2003; 415: 193-201.5. Page P, Rouge B, Frank C. Assessment and treatment of muscle imbalances; the janda approach. 1st ed. Human Kinetics, 2010; 70-142. 6. Borges Cdos S, Fernandes LF, Bertoncello D. Relationship between lumbar changes and modi_ications in the plantar arch in women with low back pain. Acta Ortopedica Brasileira, 2013; 21(3): 135.7. Roach KE, Miles TP. Normal hip and knee active range of motion: the relationship to age. Physical Therapy, 1991; 71(9): 656-664.8. Levinger P, Menz HB, Morrow AD, Feller JA, Bartlett JR, Bergman NR. Foot kinematics in people with medial compartment knee osteoarthritis. Rheumatology, 2012; 51(12): 2191-2198.9. Souza TR, Pinto RZ, Trede RG, Kirkwood RN, Fonseca ST. Temporal couplings between rearfoot-shank complex and hip joint during walking. Clinical Biomechanics, 2010; 25(7): 745-748.10. Arnold BL, De La Motte S, Linens S, Ross SE. Ankle instability is associated with balance impairments: a meta-analysis. Medicine and Science in Sports and Exercise, 2009; 41(5): 1048-1062.11. Nilsson MK, Friis R, Michaelsen MS, Jakobsen PA, Nielsen RO. Classification of the height and flexibility of the medial longitudinal arch of the foot. Journal of Foot and Ankle Research, 2012; 5(3): 9.12. Kraus VB, Veil TP. A comparative assessment of alignment of the knee by radiographic and physical examination methods. Arthritis and Rheumatism, 2005; 52(6): 1730-1735.13. Picha KJ, Harding JL, Huxel Bliven KC. Glenohumeral and hip range of motion and strength measures in youth baseball athletes. Journal of Athletic Training, 2016; 51(6): 466–473.14. Shih YF, Chen CY, Chen WY, Lin HC. Lower extremity kinematics in children with and without flexible flatfoot: a comparative study. BMC Musculoskeleteal Disorders, 2012; 13(1): 31.15. Menz HB, Dufour AB, Riskowski JL, Hillstrom HJ, Hannan MT. Association of planus foot posture and pronated foot function with foot pain: the Framingham foot study. Arthritis Care and Research, 2013; 65(12): 1991-1999.16. Carr JB, Yang S, Lather LA. Pediatric pesplanus: a state-of-the-art review. Pediatrics 2016; 137(3): e20151230.17. Chuter VH, de Jonge XA. Proximal and distal contributions to lower extremity injury: a review of the literature. Gait and Posture, 2012; 36(1): 7-15.18. Gross KD, Felson DT, Niu J, Hunter DJ, Guermazi A, Roemer FW, et al. Association of flat feet with knee pain and cartilage damage in older adults. Arthritis Care and Research, 2011; 63(7): 937-944.19. Levangie PK, Norkin CC. Joint structure and function: a comprehensive analysis. 4th ed. F.A. Davis Company, 2005; 437-476.20. Powers CM. The influence of altered lower-extremity kinematics on patellofemoral joint dysfunction: a theoretical perspective. Journal Orthopaedic Sports and Physical Therapy, 2003; 33(11): 639-646.21. AlKhouli MN, Ghait AS, Abogazya AA. Relationship between flatfoot and q angle in male secondary school student. International Journal of Physiotherapy Research, 2017; 5(6): 2477-2481.22. Buchbinder MR, Napora NJ, Biggs EW. The relationship of abnormal pronation to chondromalacia of the patella in distance runners. Journal of the American Podiatry Association, 1979; 69(2): 159.23. Livingston LA, Mandigo JL. Bilateral q angle asymmetry and anterior knee pain syndrome. Clinical Biomechanics, 1999; 14(1): 7-13.24. Eliöz M, Tülin A, Saç A, Yamak B. Sporcu ve sedanterlerde q açısı ile bazı fiziksel özellikler arasındaki ilişkinin incelenmesi. Spor ve Performans Araştırmaları Dergisi, 2014; 6(1): 58-65.