Investigation of the Relationship Between Pes Planus and Iliotibial Band Tension in University Students
Yıl 2024,
Cilt: 4 Sayı: 3, 307 - 317, 30.09.2024
Kamil Yılmaz
,
Bahar Demirhan
,
Hatice Merve Yaman
Zeynep Ekiz
Öz
Purpose: Both pes planus and iliotibial band (ITB) tension, which can cause internal rotation of the tibia and foot pronation, can affect each other and lower extremity biomechanics. The aim of this study was to investigate the relationship between pes planus and İTB tension.
Methods: A total of 39 university students, 30 females and 9 males, aged 18-25 years (mean age: 21.44 ± 1.31 years) participated in this cross-sectional study. Pes planus assessment was performed using the Feiss line method. The ITB tension of the participants was evaluated by measuring the Ober inclination angle (OIA). According to the OIA results measured using an inclinometer device in the Ober Test position, the participants were divided into two groups as individuals with ITB tension (OIA below 24.59°) and individuals without ITB tension (OIA above 24.59°).
Results: Pes planus was detected in 18 (94.7%) and 13 (65%) participants with and without ITB tension. Most of them had grade 1 pes planus (23 right-74%, 20 left-64.5%) and the remaining (8 right-26%, 11 left-35.5%) had grade 2 pes planus. No correlation was found between pes planus and ITB tension. In contrast, there was a significant difference in the rate of pes planus between the groups with and without ITB tension (p=0.044).
Conclusion: The rate of pes planus was found to be higher in individuals with ITB tension. Moreover, this rate is significant when compared with individuals without ITB tension. Conversely, the relationship between the presence of pes planus and ITB tension was not significant.
Kaynakça
- 1. Turner C, Gardiner M, Midgley A, Stefanis A. A guide to the management of paediatric pes planus. Australian Journal for General Practitioners. 2020;49:245-9.
- 2. Pita-Fernandez S, Gonzalez-Martin C, Alonso-Tajes F, Seoane-Pillado T, Pertega-Diaz S, Perez-Garcia S ve diğ. Flat Foot in a Random Population and its Impact on Quality of Life and Functionality. J Clin Diagn Res. 2017;11(4):Lc22-lc7.
- 3. Pfeiffer M, Kotz R, Ledl T, Hauser G, Sluga M. Prevalence of flat foot in preschool-aged children. Pediatrics. 2006;118(2):634-9.
- 4. Kodithuwakku Arachchige SNK, Chander H, Knight A. Flatfeet: Biomechanical implications, assessment and management. The Foot. 2019;38:81-5.
- 5. Sachithanandam V, Joseph B. The influence of footwear on the prevalence of flat foot. A survey of 1846 skeletally mature persons. J Bone Joint Surg Br. 1995;77(2):254-7.
- 6. Powers CM, Maffucci R, Hampton S. Rearfoot posture in subjects with patellofemoral pain. J Orthop Sports Phys Ther. 1995;22(4):155-60.
- 7. Levinger P, Murley GS, Barton CJ, Cotchett MP, McSweeney SR, Menz HB. A comparison of foot kinematics in people with normal- and flat-arched feet using the Oxford Foot Model. Gait & Posture. 2010;32(4):519-23.
- 8. McPoil TG, Hunt GC. Evaluation and management of foot and ankle disorders: Present problems and future directions. Journal of Orthopaedic and Sports Physical Therapy. 1995;21(6):381-8.
- 9. Murley GS, Landorf KB, Menz HB, Bird AR. Effect of foot posture, foot orthoses and footwear on lower limb muscle activity during walking and running: A systematic review. Gait and Posture. 2009;29(2):172-87.
- 10. Williams DS, McClay IS, Hamill J, Buchanan TS. Lower extremity kinematic and kinetic differences in runners with high and low arches. Journal of applied biomechanics. 2001;17(2):153-63.
- 11. Fredericson M, Weir A. Practical management of iliotibial band friction syndrome in runners. Clin J Sport Med. 2006;16(3):261-8.
- 12. Vieira EL, Vieira EA, da Silva RT, Berlfein PA, Abdalla RJ, Cohen M. An anatomic study of the iliotibial tract. Arthroscopy. 2007;23(3):269-74.
- 13. Flato R, Passanante GJ, Skalski MR, Patel DB, White EA, Matcuk GR, Jr. The iliotibial tract: imaging, anatomy, injuries, and other pathology. Skeletal Radiol. 2017;46(5):605-22.
- 14. Hirschmann MT, Müller W. Complex function of the knee joint: the current understanding of the knee. Knee Surg Sports Traumatol Arthrosc. 2015;23(10):2780-8.
- 15. Vinson EN, Major NM, Helms CA. The posterolateral corner of the knee. AJR Am J Roentgenol. 2008;190(2):449-58.
- 16. Strauss EJ, Kim S, Calcei JG, Park D. Iliotibial band syndrome: evaluation and management. J Am Acad Orthop Surg. 2011;19(12):728-36.
- 17. Gose JC, Schweizer P. Iliotibial band tightness. J Orthop Sports Phys Ther. 1989;10(10):399-407.
- 18. Mane A, Yadav T. Prevalence of Iliotibial Band Tightness in Prolonged Sitting Subjects. Indian Journal of Public Health Research & Development. 2020;11(5):44-8.
- 19. Merican AM, Amis AA. Anatomy of the lateral retinaculum of the knee. Journal of Bone and Joint Surgery - Series B. 2008;90(4):527-34.
- 20. Kramer LC, Denegar CR, Buckley WE, Hertel J. Factors associated with anterior cruciate ligament injury: History in female athletes. Journal of Sports Medicine and Physical Fitness. 2007;47(4):446-54.
- 21. Merican AM, Amis AA. Iliotibial band tension affects patellofemoral and tibiofemoral kinematics. Journal of Biomechanics. 2009;42(10):1539-46.
- 22. Hadeed A, Tapscott DC. Iliotibial Band Friction Syndrome. StatPearls. Treasure Island (FL): StatPearls Publishing Copyright © 2024, StatPearls Publishing LLC.; 2024.
- 23. Reese NB, Bandy WD. Use of an inclinometer to measure flexibility of the iliotibial band using the Ober test and the modified Ober test: differences in magnitude and reliability of measurements. J Orthop Sports Phys Ther. 2003;33(6):326-30.
- 24. Ferber R, Kendall KD, McElroy L. Normative and critical criteria for iliotibial band and iliopsoas muscle flexibility. J Athl Train. 2010;45(4):344-8.
- 25. Doucette SA, Goble EM. The effect of exercise on patellar tracking in lateral patellar compression syndrome. Am J Sports Med. 1992;20(4):434-40.
- 26. Nilsson MK, Friis R, Michaelsen MS, Jakobsen PA, Nielsen RO. Classification of the height and flexibility of the medial longitudinal arch of the foot. J Foot Ankle Res. 2012;5:3.
- 27. Persiane AS, Negrão DMG, Alves RDP, Freitas DG, Cazarini C, Alves V. Subtalar Joint In Neutral And Relaxed Positions For Evaluation Of Medial Longitudinal Arch. Acta Ortop Bras. 2021;29(4):177-80.
- 28. Şahin FN, Ceylan L, Küçük H, Ceylan T, Arıkan G, Yiğit S ve diğ. Examining the Relationship between Pes Planus Degree, Balance and Jump Performances in Athletes. Int J Environ Res Public Health. 2022;19(18).
- 29. Ünüvar BS, Demirdel E. İliotibial Bant Gerginliği Olan Sporcularda Ober Eğim Açısının Basınç Ağrı Eşiği ve Kalça Abdüktör Kas Kuvvetiyle İlişkisi. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi. 2022;13(1):92-9.
- 30. Twomey DM, McIntosh AS. The effects of low arched feet on lower limb gait kinematics in children. Foot (Edinb). 2012;22(2):60-5.
- 31. Zhang M, Nie MD, Qi XZ, Ke S, Li JW, Shui YY ve diğ. A Strong Correlation Between the Severity of Flatfoot and Symptoms of Knee Osteoarthritis in 95 Patients. Front Surg. 2022;9:936720.
- 32. Nakazato K, Taniguchi M, Yagi M, Motomura Y, Fukumoto Y, Saeki J ve diğ. Assessment of fore-, mid-, and rear-foot alignment and their association with knee symptoms and function in patients with knee osteoarthritis. Clin Rheumatol. 2023;42(2):511-7.
- 33. Lakstein D, Fridman T, Ziv YB, Kosashvili Y. Prevalence of anterior knee pain and pes planus in Israel defense force recruits. Mil Med. 2010;175(11):855-7.
- 34. Han Y, Duan D, Zhao K, Wang X, Ouyang L, Liu G. Investigation of the Relationship Between Flatfoot and Patellar Subluxation in Adolescents. J Foot Ankle Surg. 2017;56(1):15-8.
Üniversite Öğrencilerinde Pes Planus ile İliotibial Bant Gerginliği Arasındaki İlişkinin Araştırılması
Yıl 2024,
Cilt: 4 Sayı: 3, 307 - 317, 30.09.2024
Kamil Yılmaz
,
Bahar Demirhan
,
Hatice Merve Yaman
Zeynep Ekiz
Öz
Amaç: Tibianın iç rotasyonuna ve ayak pronasyonuna neden olabilen hem pes planus hem de iliotibial bant (İTB) gerginliği hem birbirlerini hem de alt ekstremite biyomekaniğini etkileyebilir. Bu çalışmanın amacı pes planus ile İTB gerginliği arasındaki ilişkiyi araştırmaktı.
Yöntem: Bu kesitsel çalışmaya 18-25 yaş aralığında (ortalama yaş: 21,44 ± 1,31 yıl) 30’u kadın, 9’u erkek toplam 39 üniversite öğrencisi katıldı. Pes planus değerlendirmesi Feiss çizgisi yöntemi kullanılarak yapıldı. Katılımcıların İTB gerginlikleri Ober eğim açısı (OEA) ölçümüyle değerlendirildi. Ober Testi pozisyonunda inklinometre cihazı kullanılarak ölçülen OEA sonuçlarına göre katılımcılar İTB gerginliği olan (OEA 24,59° altında olanlar) ve İTB gerginliği olmayan (OEA 24,59° üzerinde olanlar) bireyler olmak üzere iki gruba ayrıldı.
Bulgular: İTB gerginliği olan 18 (%94,7) ve olmayan 13 katılımcıda (%65) pes planus saptandı. Bunların büyük çoğunluğunda 1. derece pes planus (sağ 23 kişi-%74, sol 20 kişi-64,5) geri kalanlarda (sağ 8 kişi-%26, sol 11 kişi-%35,5) ise 2. derece pes planus vardı. Pes planus ile İTB gerginliği arasında bir ilişki saptanmadı. Öte yandan İTB gerginliği olan ve olmayan gruplar arasında pes planus görülme oranları arasında anlamlı fark bulundu (p=0.044).
Sonuç: İTB gerginliği olan bireylerde pes planus görülme oranı daha yüksek bulunmuştur. Üstelik bu oran İTB gerginliği olmayan bireylerle karşılaştırıldığında anlamlıdır. Öte yandan pes planus varlığı ile İTB gerginliği arasındaki ilişki anlamlı değildir.
Etik Beyan
Çalışmanın yürütülmesi için KTO Karatay Üniversitesi İlaç ve Tıbbi Cihaz Dışı Araştırmalar Etik Kurulundan 17.06.2022 tarih ve 2022/020 karar sayılı onay alınmıştır.
Destekleyen Kurum
Bu araştırma, herhangi bir destek ya da özel hibe almamıştır.
Teşekkür
Çalışmamıza katılan tüm katılımcılara teşekkür ederiz.
Kaynakça
- 1. Turner C, Gardiner M, Midgley A, Stefanis A. A guide to the management of paediatric pes planus. Australian Journal for General Practitioners. 2020;49:245-9.
- 2. Pita-Fernandez S, Gonzalez-Martin C, Alonso-Tajes F, Seoane-Pillado T, Pertega-Diaz S, Perez-Garcia S ve diğ. Flat Foot in a Random Population and its Impact on Quality of Life and Functionality. J Clin Diagn Res. 2017;11(4):Lc22-lc7.
- 3. Pfeiffer M, Kotz R, Ledl T, Hauser G, Sluga M. Prevalence of flat foot in preschool-aged children. Pediatrics. 2006;118(2):634-9.
- 4. Kodithuwakku Arachchige SNK, Chander H, Knight A. Flatfeet: Biomechanical implications, assessment and management. The Foot. 2019;38:81-5.
- 5. Sachithanandam V, Joseph B. The influence of footwear on the prevalence of flat foot. A survey of 1846 skeletally mature persons. J Bone Joint Surg Br. 1995;77(2):254-7.
- 6. Powers CM, Maffucci R, Hampton S. Rearfoot posture in subjects with patellofemoral pain. J Orthop Sports Phys Ther. 1995;22(4):155-60.
- 7. Levinger P, Murley GS, Barton CJ, Cotchett MP, McSweeney SR, Menz HB. A comparison of foot kinematics in people with normal- and flat-arched feet using the Oxford Foot Model. Gait & Posture. 2010;32(4):519-23.
- 8. McPoil TG, Hunt GC. Evaluation and management of foot and ankle disorders: Present problems and future directions. Journal of Orthopaedic and Sports Physical Therapy. 1995;21(6):381-8.
- 9. Murley GS, Landorf KB, Menz HB, Bird AR. Effect of foot posture, foot orthoses and footwear on lower limb muscle activity during walking and running: A systematic review. Gait and Posture. 2009;29(2):172-87.
- 10. Williams DS, McClay IS, Hamill J, Buchanan TS. Lower extremity kinematic and kinetic differences in runners with high and low arches. Journal of applied biomechanics. 2001;17(2):153-63.
- 11. Fredericson M, Weir A. Practical management of iliotibial band friction syndrome in runners. Clin J Sport Med. 2006;16(3):261-8.
- 12. Vieira EL, Vieira EA, da Silva RT, Berlfein PA, Abdalla RJ, Cohen M. An anatomic study of the iliotibial tract. Arthroscopy. 2007;23(3):269-74.
- 13. Flato R, Passanante GJ, Skalski MR, Patel DB, White EA, Matcuk GR, Jr. The iliotibial tract: imaging, anatomy, injuries, and other pathology. Skeletal Radiol. 2017;46(5):605-22.
- 14. Hirschmann MT, Müller W. Complex function of the knee joint: the current understanding of the knee. Knee Surg Sports Traumatol Arthrosc. 2015;23(10):2780-8.
- 15. Vinson EN, Major NM, Helms CA. The posterolateral corner of the knee. AJR Am J Roentgenol. 2008;190(2):449-58.
- 16. Strauss EJ, Kim S, Calcei JG, Park D. Iliotibial band syndrome: evaluation and management. J Am Acad Orthop Surg. 2011;19(12):728-36.
- 17. Gose JC, Schweizer P. Iliotibial band tightness. J Orthop Sports Phys Ther. 1989;10(10):399-407.
- 18. Mane A, Yadav T. Prevalence of Iliotibial Band Tightness in Prolonged Sitting Subjects. Indian Journal of Public Health Research & Development. 2020;11(5):44-8.
- 19. Merican AM, Amis AA. Anatomy of the lateral retinaculum of the knee. Journal of Bone and Joint Surgery - Series B. 2008;90(4):527-34.
- 20. Kramer LC, Denegar CR, Buckley WE, Hertel J. Factors associated with anterior cruciate ligament injury: History in female athletes. Journal of Sports Medicine and Physical Fitness. 2007;47(4):446-54.
- 21. Merican AM, Amis AA. Iliotibial band tension affects patellofemoral and tibiofemoral kinematics. Journal of Biomechanics. 2009;42(10):1539-46.
- 22. Hadeed A, Tapscott DC. Iliotibial Band Friction Syndrome. StatPearls. Treasure Island (FL): StatPearls Publishing Copyright © 2024, StatPearls Publishing LLC.; 2024.
- 23. Reese NB, Bandy WD. Use of an inclinometer to measure flexibility of the iliotibial band using the Ober test and the modified Ober test: differences in magnitude and reliability of measurements. J Orthop Sports Phys Ther. 2003;33(6):326-30.
- 24. Ferber R, Kendall KD, McElroy L. Normative and critical criteria for iliotibial band and iliopsoas muscle flexibility. J Athl Train. 2010;45(4):344-8.
- 25. Doucette SA, Goble EM. The effect of exercise on patellar tracking in lateral patellar compression syndrome. Am J Sports Med. 1992;20(4):434-40.
- 26. Nilsson MK, Friis R, Michaelsen MS, Jakobsen PA, Nielsen RO. Classification of the height and flexibility of the medial longitudinal arch of the foot. J Foot Ankle Res. 2012;5:3.
- 27. Persiane AS, Negrão DMG, Alves RDP, Freitas DG, Cazarini C, Alves V. Subtalar Joint In Neutral And Relaxed Positions For Evaluation Of Medial Longitudinal Arch. Acta Ortop Bras. 2021;29(4):177-80.
- 28. Şahin FN, Ceylan L, Küçük H, Ceylan T, Arıkan G, Yiğit S ve diğ. Examining the Relationship between Pes Planus Degree, Balance and Jump Performances in Athletes. Int J Environ Res Public Health. 2022;19(18).
- 29. Ünüvar BS, Demirdel E. İliotibial Bant Gerginliği Olan Sporcularda Ober Eğim Açısının Basınç Ağrı Eşiği ve Kalça Abdüktör Kas Kuvvetiyle İlişkisi. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi. 2022;13(1):92-9.
- 30. Twomey DM, McIntosh AS. The effects of low arched feet on lower limb gait kinematics in children. Foot (Edinb). 2012;22(2):60-5.
- 31. Zhang M, Nie MD, Qi XZ, Ke S, Li JW, Shui YY ve diğ. A Strong Correlation Between the Severity of Flatfoot and Symptoms of Knee Osteoarthritis in 95 Patients. Front Surg. 2022;9:936720.
- 32. Nakazato K, Taniguchi M, Yagi M, Motomura Y, Fukumoto Y, Saeki J ve diğ. Assessment of fore-, mid-, and rear-foot alignment and their association with knee symptoms and function in patients with knee osteoarthritis. Clin Rheumatol. 2023;42(2):511-7.
- 33. Lakstein D, Fridman T, Ziv YB, Kosashvili Y. Prevalence of anterior knee pain and pes planus in Israel defense force recruits. Mil Med. 2010;175(11):855-7.
- 34. Han Y, Duan D, Zhao K, Wang X, Ouyang L, Liu G. Investigation of the Relationship Between Flatfoot and Patellar Subluxation in Adolescents. J Foot Ankle Surg. 2017;56(1):15-8.