The impact of different ankle positions on postural balance and weight-bearing distributions during different kneeling positions
Year 2024,
Volume: 10 Issue: 4, 306 - 314, 31.12.2024
Ferhat Öztürk
,
Sibel Bozgeyik
,
Ezgi Ünüvar Yüksel
,
Gamze Arın Bal
,
Fırat Tan
,
Gizem İrem Kınıklı
,
Hande Guney Deniz
Abstract
The objective of this study is to investigate the variations in weight distribution and balance parameters between the knees when executing different kneeling positions with different ankle conditions. Twenty-eight participants, with a mean age of 23.35 ± 3.29 years, were included in the study. HurSmart balance system (HUR smart balance, HUR, Helsinki, Finland) was used for assessing the static balance and weight distribution characteristics of the knees during four different kneeling positions (Full kneeling with ankle dorsiflexion and plantar flexion, upright kneeling with ankle dorsiflexion and plantar flexion) for 30 seconds. Weight distribution on both the dominant and non-dominant knees, postural sways in the anteroposterior and mediolateral directions, the sway area within which the center of gravity was maintained for 90% of the time, and the total trace length were collected. Reliability of the testing method was executed. The simple main effects analysis revealed that knee position had a statistically significant effect on trace length, sway area, anteroposterior and mediolateral sway (p<0.01). The trace length and sway area were higher during upright kneeling postures when compared to full kneeling position. The different ankle positions did not show a significant effect on the balance and weight distribution parameters (p>0.05). This study demonstrates that balance and weight distribution parameters differ significantly across various kneeling positions in healthy individuals. The findings regarding balance and weight distribution in this study could be valuable for clinicians in evaluating different kneeling abilities among individuals.
Ethical Statement
This research was approved by Hacettepe University Health Sciences Research Ethics Committee with the number of GO 22/124
Supporting Institution
Hacettepe University
References
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- Olex-Zarychta, D., & Raczek, J. (2008). The relationship of movement time to hand–foot laterality patterns. Laterality, 13(5), 439-455.
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Year 2024,
Volume: 10 Issue: 4, 306 - 314, 31.12.2024
Ferhat Öztürk
,
Sibel Bozgeyik
,
Ezgi Ünüvar Yüksel
,
Gamze Arın Bal
,
Fırat Tan
,
Gizem İrem Kınıklı
,
Hande Guney Deniz
References
- Amin, R., Vasan, V., Ethgen, O., Bruyère, O., Richy, F., Dardennes, C., Reginster, J., Weiss, J., Noble, P., & Conditt, M. (2020a). Kneeling after total knee arthroplasty. J Knee Surg, 33(02), 138-143.
- Amin, R. M., Vasan, V., & Oni, J. K. (2020b). Kneeling after total knee arthroplasty. J Knee Surg, 33(02), 138-143.
- Artz, N. J., Hassaballa, M. A., Robinson, J. R., Newman, J. H., Porteous, A. J., & Murray, J. R. (2015). Patient reported kneeling ability in fixed and mobile bearing knee arthroplasty. J Arthroplasty, 30(12), 2159-2163.
- Calvert, N. D., Smith, A., Kuster, L., Calvert, M., Ebert, J., Ackland, T., & Kuster, M. S. (2019). The kneeling test is a valid method of assessing kneeling tolerance. Knee Surg Sports Traumatol Arthrosc, 27, 3705-3712.
- Carey, D. P., Smith, G., Smith, D. T., Shepherd, J. W., Skriver, J., Ord, L., & Rutland, A. (2001). Footedness in world soccer: an analysis of France'98. J Sport Sci, 19(11), 855-864.
- Coggon, D., Croft, P., Kellingray, S., Barrett, D., McLaren, M., & Cooper, C. (2000). Occupational physical activities and osteoarthritis of the knee. Arthritis Rheumatol, 43(7), 1443-1449.
- Granacher, U., Bridenbaugh, S. A., Muehlbauer, T., Wehrle, A., & Kressig, R. W. (2011). Age-related effects on postural control under multi-task conditions. Gerontology, 57(3), 247-255.
- Haj-Mirzaian, A., Mohajer, B., Guermazi, A., Roemer, F. W., Zikria, B., & Demehri, S. (2021). Kneeling as a risk factor of patellofemoral joint cartilage damage worsening: an exploratory analysis on the Osteoarthritis Initiative. Eur Radiol, 31, 2601-2609.
- Hassaballa, M., Porteous, A., Newman, J., & Rogers, C. (2003). Can knees kneel? Kneeling ability after total, unicompartmental and patellofemoral knee arthroplasty. Knee, 10(2), 155-160.
- Kocak, F. U., Unver, B., Karatosun, V., & Bakirhan, S. (2009). Associations between radiographic changes and function, pain, range of motion, muscle strength and knee function score in patients with osteoarthritis of the knee. J Phys Ther Sci, 21(1), 93-97.
- Koo, T. K., & Li, M. Y. (2016). A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med, 15(2), 155-163.
- MacDonald, B., Kurdin, A., Somerville, L., Ross, D., MacDonald, S., & Lanting, B. (2021). The effect of sensory deficit after total knee arthroplasty on patient satisfaction and kneeling ability. Arthroplast Today, 7, 264-267. e2.
- Mezzarane, R. A., & Kohn, A. F. (2008). Postural control during kneeling. Exp Brain Res, 187, 395-405.
- Olex-Zarychta, D., & Raczek, J. (2008). The relationship of movement time to hand–foot laterality patterns. Laterality, 13(5), 439-455.
- Pollard, J. P., Porter, W. L., & Redfern, M. S. (2011). Forces and moments on the knee during kneeling and squatting. J Appl Biomech, 27(3), 233-241.
- Scott, C. E., Holland, G., Gillespie, M., Keenan, O. J., Gherman, A., MacDonald, D. J., Simpson, A. H. R., & Clement, N. D. (2021). The ability to kneel before and after total knee arthroplasty: the role of the pattern of osteoarthritis and the position of the femoral component. Bone Joint J, 103(9), 1514-1525.
- Thwaites, S., Rickman, M., & Thewlis, D. (2022). Visualising knee loading patterns during kneeling and the development of a laboratory-based adaptation of the Aberdeen Weight-Bearing Test (Knee). Knee, 38, 201-211.