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http://dx.doi.org/10.5762/KAIS.2015.16.3.2064

The effects of the correction exercise program combined with stretching and elastic band exercise on femoral intercondylar distance, Q-angle, plantar pressure in undergraduate with genu varum  

Yu, Byong-Kyu (Department of Physical Therapy, Shingu College)
Kim, Eun-Hye (Health Sciences Research Institute, College of Health Sciences, Korea University)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.16, no.3, 2015 , pp. 2064-2072 More about this Journal
Abstract
The aim of this study is to identify the effects of the correction exercise program on femoral intercondylar distance, Q-angle and plantar pressure in undergraduate with genu varum. A experimental study with a randomized controlled trial design was used. Thirty subjects with genu varum were allocated in two groups: the experimental group (n=15) or the control group (n=15). The experimental group conducted correction exercise program for 30 minutes a day, 5 times a week, for 6 weeks, while the control group did not perform any exercise. The correction exercise program group showed a significant decreased femoral intercondylar distance, plantar pressure of M 4, M 5 (Metatarsal 4, 5). Also the correction exercise program group significantly increased Q-angle, plantar pressure of Toe 2-5 and M 1, M 2, M 3 (Metatarsal 1, 2, 3) (Rt, Lt) (p<.05). Thus, we suggested that the correction exercise program may be suitable intervention to improve normal alignment in undergraduate with genu varum.
Keywords
Exercise program; Femoral intercondylar distance; Genu varum; Plantar pressure Q-angle;
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1 S. M. Han, K. K. Lee, S. Ha, J. H. Sohn, "The Effects of Correction Exercise on Hip joint angle, Q-angle, and the Distance between Knees of Genu Varum Patients", The official journal of the korean association of certified exercise professionals, Vol. 13, No. 1, pp. 83-90, 2011
2 E.D. Delgado, P.L. Schoenecker, M.M. Rich, A.M. Capelli, "Treatment of severe torsional malalignment syndrome", Journal of Pediatric Orthopaedics, Vol. 16, No. 4, pp. 484-488, 1996   DOI
3 T.F. Kling Jr, R.N. Hensinger, "Angular and torsional deformities of the lower limbs in children", Clinical Orthopaedics and Related Research, Vol. 176, pp. 136-147, 1983
4 A. King-Martinez, A. Cuellar-Avaroma, J. Perez-Correa, R. Torres-Gonzalez, U. Guevara-Lopez, "High tibial dome osteotomy complications in genu varum patients", Rev Med Inst Mex Seguro Soc, Vol. 45, No. 2, pp. 111-116, 2007
5 H. Shtarker, G. Volpin, J. Stolero, A. Kaushansky, M. Samchukov, "Correction of combined angular and rotational deformities by the Ilizarov method", Clinical Orthopaedics and Related Research, Vol. 402, pp. 184-195, 2002 DOI: http://dx.doi.org/10.1097/00003086-200209000-00017   DOI
6 M. Frotscher, W. Kahle, W. Platzer, H. Leonhar dt, Color Atlas of Human Anatomy: Vol. 1, Locomotor System, Thieme, 2008
7 F. Kendall, E. McCreary, P. Provance, M. Rodgers, W. Romani, 2005. Muscles, Testing and Function With Posture and Pain. Williams & Wilkins, Baltimore.
8 N. Hamilton, K. Luttgens, W. Weimar, Scientific Basis of Human Motion, 2002
9 L.S.R. Jonson, M.T. Gross, "Intraexaminer reliability, interexaminer reliability, and mean values for nine lower extremity skeletal measures in healthy naval midshipmen", Journal of Orthopaedic & Sports Physical Therapy, Vol. 25, No. 4, pp. 253-263, 1997 DOI: http://dx.doi.org/10.2519/jospt.1997.25.4.253   DOI
10 C.M. Powers, "The influence of altered lower-e xtremity kinematics on patellofemoral joint dysfunction: a theoretical perspective", Journal of Orthopaedic & Sports Physical Therapy, Vol. 33, No. 11, pp. 639-646, 2003 DOI: http://dx.doi.org/10.2519/jospt.2003.33.11.639   DOI
11 P. AGLIETTI, J.N. INSALL, G. Cerulli, "Patellar pain and incongruence: I: Measurements of incongruence", Clinical Orthopaedics and Related Research, Vol. 176, pp. 217-224, 1983
12 R. Biedert, K. Warnke, "Correlation between the Q-angle and the patella position: a clinical and axial computed tomography evaluation", Archives of orthopaedic and trauma surgery, Vol. 121, No. 6, pp. 346-349, 2001 DOI: http://dx.doi.org/10.1007/s004020000239   DOI
13 L. Sharma, D.D. Dunlop, S. Cahue, J. Song, K. W. Hayes, "Quadriceps strength and osteoarthrit is progression in malaligned and lax knees", Annals of Internal Medicine, Vol. 138, No. 8, pp. 613-619, 2003   DOI
14 C. H. Bae, Y. W. Jung, D. W. Lee, S. H. Cho, "The Effect of Sling Exercise on Muscular Strength and Range of Motion in Female Patients who Received Total Knee Replacement", Journal of the Korea Academia-Industrial cooperation Society , Vol. 15, No. 7, pp. 4395-4403, 2014   DOI
15 R. Marks, J. Percy, J. Semple, S. Kumar, "Quadriceps femoris activation changes in genu varum: a possible biomechanical factor in the pathogenesis of osteoarthrosis", Journal of theoretical biology, Vol. 170, No. 3, pp. 283-289, 1994 DOI: http://dx.doi.org/10.1006/jtbi.1994.1189   DOI
16 J. Beaudreuil, S. Bendaya, M. Faucher, E. Coud eyre, P. Ribinik, M. Revel, F. Rannou, "Clinical practice guidelines for rest orthosis, knee sleeves, and unloading knee braces in knee osteoarthritis", Joint Bone Spine, Vol. 76, No. 6, pp. 629-636, 2009   DOI
17 C.J. Hughes, K. Hurd, A. Jones, S. Sprigle, "Resistance properties of $Thera-Band^{(R)}$ tubing during shoulder abduction exercise", Journal of Orthopaedic & Sports Physical Therapy, Vol. 29, No. 7, pp. 413-420, 1999 DOI: http://dx.doi.org/10.2519/jospt.1999.29.7.413   DOI
18 P. Page, T.S. Ellenbecker, The scientific and clinical application of elastic resistance, Human Kinetics Europe Ltd, 2002
19 C. Kisner, L.A. Colby, Therapeutic exercise: foundations and techniques, FA Davis, 2012
20 S. Y. Kwon, J. H Jung, J. H. Yang, "Effects of Elastic Band Exercise for 8 weeks on Interval of Knee joint, Foot Pressure and Pain for Adult Women with Genu Varum according to surface", Korean Journal of Sports Science, Vol. 22, No. 3, pp. 1109-1119, 2013
21 M. Fredericson, K. Yoon, "Physical examination and patellofemoral pain syndrome", American journal of physical medicine & rehabilitation, Vol. 85, No. 3, pp. 234-243, 2006 DOI: http://dx.doi.org/10.1097/01.phm.0000200390.67408.f0   DOI
22 K.J. Pantano, S.C. White, L.A. Gilchrist, J. Leddy, "Differences in peak knee valgus angles between individuals with high and low Q-angles during a single limb squat", Clinical Biomechanics, Vol. 20, No. 9, pp. 966-972, 2005 DOI: http://dx.doi.org/10.1016/j.clinbiomech.2005.05.008   DOI
23 J. Korda, G.P. Balint, "When to consult the podiatrist", Best Practice & Research Clinical Rheumatology, Vol. 18, No. 4, pp. 587-611, 2004 DOI: http://dx.doi.org/10.1016/j.berh.2004.04.002   DOI
24 R.G. Braz, G.A. Carvalho, "Relationship between quadriceps angle (Q) and plantar pressure distribution in football players", Brazilian Journal of Physical Therapy, Vol. 14, No. 4, pp. 296-302, 2010 DOI: http://dx.doi.org/10.1590/S1413-35552010005000020   DOI
25 J. D'Amico, M. Rubin, "The influence of foot orthoses on the quadriceps angle", Journal of the American Pediatric Medical Association, Vol. 76, No. 6, pp. 337, 1986   DOI
26 A.H. Franco, "Pes Cavus and Pes Planus Analyses and Treatment", Physical Therapy, Vol. 67, No. 5, pp. 688-694, 1987   DOI
27 L. Sharma, "The role of varus and valgus alignment in knee osteoarthritis", Arthritis & Rheumatism, Vol. 56, No. 4, pp. 1044-1047, 2007 DOI: http://dx.doi.org/10.1002/art.22514   DOI
28 H. Dittmar, B. Lloyd, S. Dugan, E. Halliwell, N. Jacobs, H. Cramer, "The "Body Beautiful": English adolescents' images of ideal bodies", Sex Roles, Vol. 42, No. 9-10, pp. 887-915, 2000 DOI: http://dx.doi.org/10.1023/A:1007050517432   DOI
29 R.W. HSU, S. HIMENO, M.B. COVENTRY, E.Y. CHAO, "Normal axial alignment of the lower ext remity and load-bearing distribution at the knee", Clinical Orthopaedics and Related Research, Vol. 255, pp. 215-227, 1990
30 T. Hortobagyi, L. Westerkamp, S. Beam, J. Moody, J. Garry, D. Holbert, P. DeVita, "Altered ham string-quadriceps muscle balance in patients with knee osteoarthritis", Clinical Biomechanics, Vol. 20, No. 1, pp. 97-104, 2005   DOI
31 G. Solberg, "Postural Disorders and Musculoske letal Dysfunction", Editorial Churchill Livingstone, 2008
32 L.A. Greenberg, A.A. Swartz, "Genu varum and genu valgum: another look", American Journal of Diseases of Children, Vol. 121, No. 3, pp. 219-221, 1971   DOI