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The Correlation Between Foot and Knee Posture Characteristics in Knee Osteoarthritis People

무릎관절 뼈관절염 환자의 발과 무릎관절 자세 특성간의 상관관계

  • Kim, Seong-Hwan (Department of Physical Therapy, Seomun Clinic) ;
  • Kim, Suhn-Yeop (Department of Physical Therapy, College of Natural Science, Daejeon University) ;
  • Kim, Ho-Bong (Department of Physical Therapy, Cheju Halla University)
  • 김성환 (서문의원 물리치료실) ;
  • 김선엽 (대전대학교 자연과학대학 물리치료학과) ;
  • 김호봉 (제주한라대학교 물리치료학과)
  • Received : 2012.05.11
  • Accepted : 2012.09.19
  • Published : 2012.11.30

Abstract

PURPOSE: This study investigated to correlation between foot and knee posture characteristics in knee osteoarthritis patients. METHODS: The subjects of this study were 103 patients with clinically and radiographically-confirmed knee osteoarthritis was investigated using the quadriceps angle (QA), distance of both knee (DBK), ankle dorsiflexion angle (ADA), navicular drop (ND). One-way ANOVA and Pearson's correlation were used to investigate the correlation between foot and knee posture measurements. All of whom agreed to participate in the study. In order to assure the statistical significance of the results, we used for SPSS ver. 18.0 for windows. RESULTS: The results of this study were as follows : 1) There were statistically significant difference in the correlation between QA and DBK. 2) There were statistically significant difference in the correlation between DBK and ADA. CONCLUSION: According the results of this study, patients with osteoarthritis exhibit more genu varus knee posture. Moreover patients with osteoarthritis were not correlation between foot and knee Posture characteristics.

Keywords

References

  1. Ahlback S. Osteoarthrosis of the knee. a radiographic investigation. Acta Radiol Diaqn (Stockh). 1968;Suppl277:7-72.
  2. Bush PG, Huntley JS, Brenkel IJ et al. The shape of things to come: chondrocytes and osteoarthritis. Clin Invest Med. 2003;26(5):249-51.
  3. Brody DM. Techniques in the evaluation and treatment of the injured runner. Orthop Clin North Am. 1982;13(3):541-58.
  4. Cho HJ, Chang CB, Jung JW et al. Prevalence of radiographic knee osteoarthriits in elderly koreans. Knee Surg Relat Res. 2009;21(4):223-31.
  5. Delgado ED, Schoenecker PL, Rich MM et al. Treatment of severe torsional misalignment syndrome. J Pediatr Orthoep. 1996;16(4):484-8. https://doi.org/10.1097/01241398-199607000-00012
  6. Felson DT, Lawrence RC, Dieppe PA et al. Osteoarthritis: new insights. Part 1: The disease and its risk factors. Ann Intern Med. 2000;133(8):635-46. https://doi.org/10.7326/0003-4819-133-8-200010170-00016
  7. Goker B & Block JA. Improved precision in quantifying knee alignment angle. Clin Orthop Relat Res. 2007;458:145-9.
  8. Han SM. A study on the effect of correction exercise on the space between knees of genu varum lower limbs deformation. Graduate School of Sports Industry Kookmin Univ. Master's thesis. 2009.
  9. Kettelkamp DB, Leach RE & Nasca R. Pitfalls of proximal tibial osteotomy. Clin Orthop Relat Res. 1975;(106):232-41.
  10. Kim JU, Lee EH, Koh GH et al. The effect of navicular drop on the clinical measures of lower extremity alignment. The Korean Academy of Orthopedic Manual Therapy. 2010;16(1):1-8.
  11. KOA (The Korean Orthopaedic Association). Orthopedics. 6th ed. Newest Medicine Company. 2006.
  12. Ledingham J, Regan M, Jones A et al. Radiographic patterns and associations of osteoarthritis of the knee in patients referred to hospital. Ann Rheum Dis. 1993;52(7):520-6. https://doi.org/10.1136/ard.52.7.520
  13. Lee WC, Park HS, Han YK et al. Measurement of the dorsiflexion range in the ankle. The Korean Journal of Sprots Medicine. 1998;16(1)29-34.
  14. Levinger P, Menz HB, Fotoohabadi MR et al. Foot posture in people with medial compartment knee osteoarthritis. J Foot Ankle Res. 2010;3(1):29. https://doi.org/10.1186/1757-1146-3-29
  15. Lindenfeld TN, Hewett TE & Andriacchi TP. Joint loading with valgus bracing in patients with varus gonarthrosis. Clinal orthop Relat Res. 1997;(344):290-7.
  16. Mankin HJ. The response of articular cartilage to mechanical injury. J Bone joint Surg Am. 1982;64(3):460-6. https://doi.org/10.2106/00004623-198264030-00022
  17. Neumann DA. Kinesiology of the musculoskeletal system. Mosby. 2010.
  18. Norkin CC & White DJ. Measurement of Joint Motion. F.A.DavisCompany. 2003.
  19. Nuki G. Osteoarhritis: A problem of joint failure. Z Rheumatol. 1999;58(3):142-7. https://doi.org/10.1007/s003930050164
  20. Olerud C & Berg P. The variation of the Q angle with different positions of the foot. Clin Orthop Relat Res. 1984;(191):162-5.
  21. Paulos L, Rusche K, Johanson C et al. Patellar malaligment. a treatment rationale. Phys Ther. 1980;60(12):1624-32. https://doi.org/10.1093/ptj/60.12.1624
  22. Plisky MS, Rauh MJ, Heiderscheit B et al. Medial tibial stress syndrome in high school cross-country runners: Incidence and risk factors. J Orthop Sports Phys Ther. 2007;37(2):40-7. https://doi.org/10.2519/jospt.2007.2343
  23. Reilly K, Barker K, Shamley D et al. The role of foot and ankle assessment of patients with lower limb osteoarthritis. Physiotherapy. 2009;95(3):164-9. https://doi.org/10.1016/j.physio.2009.04.003
  24. Reilly K, Barker K, Shamley D et al. Influence of foot characteristics on the site of lower limb osteoarthritis. Foot Ankle Int. 2006;27(3):206-11. https://doi.org/10.1177/107110070602700310
  25. Roemhildt ML, Coughlin KM, Peura GD et al. Effects of increased chronic loading on articular cartilage material properties in the lapine tibio-femoral joint. J Biomech. 2010;43(12):2301-8. https://doi.org/10.1016/j.jbiomech.2010.04.035
  26. Sahrmann S. Movement system impairment syndromes of the extremities, cervical and thoracic spines. C V Mosby Co. 2011.
  27. Schipplein OD & Andriacchi TP. Interaction between active and passive knee stabilizers during level walking. J Orthop Res. 1991;9(1):113-9. https://doi.org/10.1002/jor.1100090114
  28. Shrader JA, Popovich JM Jr, Gracey GC et al. Navicular drop measurement in people with rheumatoid arthritis: Interrater and intrarater reliability. J Phys Ther. 2005;85(7):656-64.
  29. Sharma L, Song J, Felson DT et al. The role of knee alignment in disease progression and functional decline in knee osteoarthritis. JAMA. 2001;286(2):188-95. https://doi.org/10.1001/jama.286.2.188
  30. Shultz SJ, Carcia CR, Gansneder BM et al. The independent and interactive effects of navicular drop and quadriceps angle on neuromuscular responses to weight-bearing perturbation. J Athl Train. 2006;41(3):251-9.
  31. Wada M, Imura S, Nagatani K et al. Relationship between gait and clinical results after high tibial osteotomy. Clin Orthop Relat Res. 1998;(354):180-8.
  32. White SH, Ludkowski PF & Goodfellow JW. Anteromedial osteoarthritis of the knee. J Bone Joint Surg Br. 1991;73(4):582-6.
  33. Woodland LH & Francis RS. Parameters and comparisons of quadriceps angle of college-aged men and women in the supine and standing positions. Am J Sports Med. 1992;20(2):208-11. https://doi.org/10.1177/036354659202000220
  34. Woolf AD & Pfleger B. Burden of major musculoskeletal conditions. Bull World Health Organ. 2003;81(9):646-56.

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