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Comparison of Dynamic Knee Valgus During Single-leg Step Down Between People With and Without Pronated Foot Using Two-dimensional Video Analysis

  • Kim, Hyun-sook (Department of Physical Therapy, Yeoju Institute of Technology) ;
  • Yoo, Hwa-ik (Department of Physical Therapy, The Graduate School, Yonsei University) ;
  • Hwang, Ui-jae (Kinetic Ergocise Based on Movement Analysis Laboratory) ;
  • Kwon, Oh-yun (Kinetic Ergocise Based on Movement Analysis Laboratory)
  • Received : 2021.08.24
  • Accepted : 2021.08.27
  • Published : 2021.11.20

Abstract

Background: Considering the kinetic chain of the lower extremity, a pronated foot position (PFP) can affect malalignment of the lower extremity, such as a dynamic knee valgus (DKV). Although the DKV during several single-leg movement tests has been investigated, no studies have compared the differences in DKV during a single-leg step down (SLSD) between subjects with and without PFP. Objects: The purpose of this study was to compare the DKV during SLSD between subjects with and without PFP. Methods: Twelve subjects with PFP (9 men, 3 women) and 15 subjects without PFP (12 men, 3 women) participated in this study. To calculate the DKV, frontal plane projection angle (FPPA), knee-in distance (KID), and hip-out distance (HOD) during SLSD were analyzed by two-dimensional video analysis software (Kinovea). Results: The FPPA was significantly lower in PFP group, compared with control group (166.4° ± 7.5° and 174.5° ± 5.5°, p < 0.05). Also, the KID was significantly greater in PFP group, compared with control group (12.7 ± 3.9 cm and 7.3 ± 2.4 cm, p < 0.05). However, the HOD not significantly differed between two groups (12.7 ± 1.7 cm and 11.4 ± 2.5 cm, p > 0.05). Conclusion: The PFP is associated with lower FPPA and greater KID. When assess the DKV during SLSD, the PFP should be considered as a crucial factor for occurrence of DKV.

Keywords

Acknowledgement

This study was supported by the Yeoju Institute of Technology.

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