Assessment of Lower-Extremity Alignment in the Transverse Plane: Implications for Management of Children with Neuromotor Dysfunction

1992 ◽  
Vol 72 (1) ◽  
pp. 3-15 ◽  
Author(s):  
Beverly D Cusick ◽  
Wayne A Stuberg
Keyword(s):  
Lower Extremity ◽  
Transverse Plane ◽  
Lower Extremity Alignment

Relationship of Knee Motions With Static Leg Alignments and Hip Motions in Frontal and Transverse Planes During Double-Leg Landing in Healthy Athletes

2017 ◽  
Vol 26 (5) ◽  
pp. 396-405 ◽  
Author(s):  
Shogo Uota ◽  
Anh-Dung Nguyen ◽  
Naoko Aminaka ◽  
Yohei Shimokochi
Keyword(s):  
Lower Extremity ◽  
Outcome Measures ◽  
External Rotation ◽  
Weight Bearing ◽  
Patellofemoral Pain ◽  
Transverse Plane ◽  
Knee Valgus ◽  
Chronic Knee Pain ◽  
Lower Extremity Alignment ◽  
Peak Knee

Context:Excessive knee valgus and tibial external rotation relative to the femur during weight bearing motions, such as jump-landing, reportedly increases the risk of developing chronic knee pain, such as patellofemoral pain. Excessive deviations from normal ranges of several static lower extremity alignment measures and dynamic hip motions may also increase the risks for patellofemoral pain.Objective:To determine the relationship between lower extremity alignments and hip motions to frontal and transverse plane knee motions during double-leg landings.Design:Correlational study.Setting:Laboratory.Patients or Other Participants:69 healthy, competitive athletes (27 men, 42 women; height, 166.5 ± 9.5 cm; weight, 61.3 ± 9.9 kg; age, 20.7 ± 1.0 y) participated in this study.Interventions:Prone and supine hip version, quadriceps angle, and tibiofemoral angle were measured. Frontal and transverse knee and hip angles at peak knee extensor moment during landing were calculated.Main Outcome Measures:2 separate stepwise multiple regression analyses were conducted to predict frontal and transverse plane knee motions using 4 static lower extremity alignment measures and hip motions.Results:Greater hip adduction and prone hip anteversion, and lesser hip internal rotation and supine hip anteversion, were related to greater knee valgus motions (R2 = .475, P < .01). Greater hip adduction was related to greater knee external rotation (R2 = .205, P < .01).Conclusions:Some targeted static lower extremity alignments and hip motions are associated with frontal and transverse knee motions. However, stronger relationships of hip motions with knee motions than static lower extremity alignments provided evidence that improving hip movements may help improve patellofemoral pain in those with lower extremity malalignments.

The Relationship Between Early-Stage Knee Osteoarthritis and Lower-Extremity Alignment, Joint Laxity, and Subjective Scores of Pain, Stiffness, and Function

2016 ◽  
Vol 25 (3) ◽  
pp. 213-218
Author(s):  
Charlie A. Hicks-Little ◽  
Richard D. Peindl ◽  
Tricia J. Hubbard-Turner ◽  
Mitchell L. Cordova
Keyword(s):  
Knee Joint ◽  
Lower Extremity ◽  
Knee Osteoarthritis ◽  
Outcome Measures ◽  
Early Stage ◽  
Joint Laxity ◽  
Knee Oa ◽  
Lower Extremity Alignment ◽  
Knee Joint Laxity ◽  
And Function

Context:Knee osteoarthritis (OA) is a debilitating disease that affects an estimated 27 million Americans. Changes in lowerextremity alignment and joint laxity have been found to redistribute the medial and/or lateral loads at the joint. However, the effect that changes in anteroposterior knee-joint laxity have on lower-extremity alignment and function in individuals with knee OA remains unclear.Objective:To examine anteroposterior knee-joint laxity, lower-extremity alignment, and subjective pain, stiffness, and function scores in individuals with early-stage knee OA and matched controls and to determine if a relationship exists among these measures.Design:Case control.Setting:Sports-medicine research laboratory.Participants:18 participants with knee OA and 18 healthy matched controls.Intervention:Participants completed the Western Ontario McMaster (WOMAC) osteoarthritis questionnaire and were tested for total anteroposterior knee-joint laxity (A-P) and knee-joint alignment (ALIGN).Main Outcome Measures:WOMAC scores, A-P (mm), and ALIGN (°).Results:A significant multivariate main effect for group (Wilks’ Λ = 0.30, F7,26 = 8.58, P < .0001) was found. Knee-OA participants differed in WOMAC scores (P < .0001) but did not differ from healthy controls on ALIGN (P = .49) or total A-P (P = .66). No significant relationships were identified among main outcome measures.Conclusion:These data demonstrate that participants with early-stage knee OA had worse pain, stiffness, and functional outcome scores than the matched controls; however, ALIGN and A-P were no different. There was no association identified among participants’ subjective scores, ALIGN, or A-P measures in this study.

Influence of Previous Iliotibial Band Syndrome on Coordination Patterns and Coordination Variability in Female Runners

2019 ◽  
Vol 35 (5) ◽  
pp. 305-311
Author(s):  
Eric Foch ◽  
Clare E. Milner
Keyword(s):  
Lower Extremity ◽  
Frontal Plane ◽  
Transverse Plane ◽  
Iliotibial Band ◽  
Coordination Pattern ◽  
Vector Coding ◽  
Iliotibial Band Syndrome ◽  
History Of ◽  
Coordination Patterns ◽  
Ellipse Area

It is unknown if female runners who have sustained multiple iliotibial band syndrome occurrences run differently compared with runners who developed the injury once or controls. Therefore, the purpose of this study was to determine if differences existed in coordination patterns and coordination variability among female runners with recurrent iliotibial band syndrome, 1 iliotibial band syndrome occurrence, and controls. Overground running trials were collected for 36 female runners (n = 18 controls). Lower extremity coordination patterns were examined during running via a vector coding analysis. Coordination variability was calculated via the ellipse area method. Separate 1-way (group) Kruskal–Wallis tests were performed to compare each coordination pattern and coordination variability. Lower extremity coordination between frontal plane hip–transverse plane hip, frontal plane pelvis–frontal plane thigh, and frontal plane thigh–transverse plane shank was similar among groups and so may not be related to the risk of iliotibial band syndrome. Runners with 1 iliotibial band syndrome occurrence demonstrated greater coordination variability for 2 of 3 couplings compared with both controls and runners with recurrent iliotibial band syndrome. Thus, the number of previous injury episodes may influence coordination variability in female runners with a history of iliotibial band syndrome.

Differences Between Sexes in Lower Extremity Alignment and Muscle Activation During Soccer Kick

2010 ◽  
Vol 92 (11) ◽  
pp. 2050-2058 ◽  
Author(s):  
Robert H Brophy ◽  
Sherry Backus ◽  
Andrew P Kraszewski ◽  
Barbara C Steele ◽  
Yan Ma ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Muscle Activation ◽  
Lower Extremity Alignment ◽  
Soccer Kick

0911 Three-Dimensional Evaluation of Lower Extremity Alignment Using knee Metaphysis Bone Model

2010 ◽  
Vol 2009.22 (0) ◽  
pp. 153
Author(s):  
Keisuke Sasagawa ◽  
Koichi Kobayashi ◽  
Makoto Sakamoto ◽  
Yuji Tanabe ◽  
Yoshio Koga
Keyword(s):  
Lower Extremity ◽  
Three Dimensional ◽  
Bone Model ◽  
Lower Extremity Alignment

Three-dimensional lower extremity alignment in the weight-bearing standing position in healthy elderly subjects

2010 ◽  
Vol 15 (1) ◽  
pp. 64-70 ◽  
Author(s):  
Akihiro Ariumi ◽  
Takashi Sato ◽  
Koichi Kobayashi ◽  
Yoshio Koga ◽  
Go Omori ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Weight Bearing ◽  
Three Dimensional ◽  
Standing Position ◽  
Elderly Subjects ◽  
Healthy Elderly ◽  
Lower Extremity Alignment ◽  
Healthy Elderly Subjects
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