scholarly journals Correlation of rearfoot angle to Q-angle in patellofemoral pain syndrome: a prospective study

Author(s):  
K.S. Dileep ◽  
Krishna Harish ◽  
Rameez P. Mohammed

<p class="abstract"><strong>Background:</strong> Objective of the study was to evaluate the correlation between rearfoot posture to Q-angle in patients with patellofemoral pain syndrome.</p><p class="abstract"><strong>Methods:</strong> This is a two-year prospective observational study in which all patients with patellofemoral pain syndrome in the age group of 20-30 years were included in the study. The static Q-angle and the rearfoot angles of these subjects were measured and analyzed statistically for their correlation.<strong></strong></p><p class="abstract"><strong>Results:</strong> There were sixty patients who fulfilled the inclusion criteria of the study. Pearson product moment correlation showed 27% subjects having rearfoot valgus and 73% having rearfoot varus angle. T test showed statistically significant Q-angle for rearfoot varus compared to rearfoot valgus.</p><p class="western"><strong>Conclusions:</strong> Rearfoot varus is more commonly associated with patellofemoral pain syndrome. The Q-angle increases in both rearfoot varus and valgus but is significantly more in patients with rearfoot varus. </p>

2012 ◽  
Vol 19 (1) ◽  
pp. 45-51 ◽  
Author(s):  
Sandra Aliberti ◽  
Mariana Souza Xavier Costa ◽  
Sílvia Maria Amado João ◽  
Anice de Campos Pássaro ◽  
Antonio Carlos Arnone ◽  
...  

The aim of the present study was to investigate the association between the patellofemoral pain syndrome and the clinical static measurements: the rearfoot and the Q angles. The design was a cross-sectional, observational, case-control study. We evaluated 77 adults (both genders), 30 participants with patellofemoral pain syndrome, and 47 controls. We measured the rearfoot and Q angles by photogrammetry. Independent t-tests were used to compare outcome continuous measures between groups. Outcome continuous data were also transformed into categorical clinical classifications, in order to verify their statistical association with the dysfunction, and χ2 tests for multiple responses were used. There were no differences between groups for rearfoot angle [mean differences: 0.2º (95%CI -1.4-1.8)] and Q angle [mean differences: -0.3º (95%CI -3.0-2.4). No associations were found between increased rearfoot valgus [Odds Ratio: 1.29 (95%CI 0.51-3.25)], as well as increased Q angle [Odds Ratio: 0.77 (95%CI 0.31-1.93)] and the patellofemoral pain syndrome occurrence. Although widely used in clinical practice and theoretically thought, it cannot be affirmed that increased rearfoot valgus and increased Q angle, when statically measured in relaxed stance, are associated with patellofemoral pain syndrome (PFPS). These measures may have limited applicability in screening of the PFPS development.


2008 ◽  
Vol 16 (4) ◽  
pp. 213-219 ◽  
Author(s):  
Nathalie Duvigneaud ◽  
Eric Bernard ◽  
Veerle Stevens ◽  
Erik Witvrouw ◽  
Damien Van Tiggelen

2020 ◽  
Vol 4 (1) ◽  
pp. 72-78
Author(s):  
Adnan Faris Naufal ◽  
Dini Afriani Khasanah ◽  
Ulfa Noviyana

ABSTRAK Patellofemoral pain syndrome tidak memikili definisi gejala yang jelas karena gejala dan sakit yang dirasakan pasien mungkin berbeda dan rata-rata mengganggu aktivitas fisik pasien. Salah satu konsep penting dalam patellofemoral joint adalah Q-angle. Secara teoritis, lebih tinggi Q-angle meningkatkan tarikan lateral paha depan femoris pada patella dan mempotensiasi gangguan patellofemoral. Penelitian ini dilakukan untuk mengevaluasi hubungan antara nyeri lutut anterior dan Q-angle. Pengukuran pada penelitian ini dilakukan dengan menggunakan kujala score untuk mengukur keluhan patellofemoral pain syndrome, untuk mengukur besar sudut Q-angle diukur dengan goniometer. Data yang dikumpulkan kemudian dianalisis menggunakan uji Spearman Rho. Hasil penelitian menunjukan adanya hubungan Q-angle dan patellafemoral pain syndrome pada pemain bola basket wanita. Nilai p value dari Q-angle sebesar 0,024 sehingga Ho ditolak dengan nilai r = 0,579 menunjukan hubungan positif dan kekuatan korelasi yang tinggi, patellofemoral pain syndrome 0,043 dengan nilai r = 0,528 menunjukan hubungan positif dan kekuatan korelasi yang kuat. Nilai korelasi tersebut menunjukkan terdapat hubungan Q-angle terhadap keluhan patellofemoral pain syndrome.  


2003 ◽  
Vol 93 (4) ◽  
pp. 264-271 ◽  
Author(s):  
Amol Saxena ◽  
Jack Haddad

In a retrospective review of 102 patients treated for chondromalacia pa-tellae and patellofemoral pain syndrome/retropatellar dysplasia (PFPS/RPD), the effectiveness of semiflexible foot orthoses was investigated. The combined disorders were diagnosed in 89.3% of the patients. Subjects were 46 women and 54 men, aged 12 to 87 years (mean, 37.9 years; SD, 15.9), who exhibited excessive forefoot varus or rearfoot varus. The initial screening and clinical diagnosis were based on an examination by an orthopedist. Particular attention was directed to patellar crepitation, patellofemoral malalignment, Q-angle measurements, limitation of range of motion, and knee effusion. Patients were evaluated for the onset and duration of patellofemoral pain and degree of knee joint disease. Semiflexible orthoses for each subject were fabricated, based on a clinical lower extremity biomechanical examination. At their follow-up visit, 76.5% were improved and 2% were asymptomatic, showing a significant decrease in the level of pain with orthoses intervention (chi-square P &lt; .001). Although multiple treatment modalities are used for these patients, the results suggest that the use of semiflexible orthoses is significant in reducing symptoms of PFPS/RPD. (J Am Podiatr Med Assoc 93(4): 264-271, 2003)


2019 ◽  
Vol 1 (1) ◽  
pp. 29-34
Author(s):  
Adnan Faris Naufal ◽  
Dini Afriani Khasanah ◽  
Ulfa Noviyana

Petellofemoral pain syndrome (PFPS) tidak memiliki definisi yang jelas tentang bagaimana gejala dan letak nyeri yang dirasakan seseorang yang mengalaminya. Diketahui PFPS memiliki hubungan terhadap besar sudut otot quadriceps atau Q angle. Namun masalahnya masih belum spesifik berapa besar Q-angle yang memiliki resiko terhadap PFPS. Penelitian ini dimaksudkan untuk mencari tahu hubungan antara besar q-angle dengan resiko PFPS. Untuk mngetahui adanya PFPS dapat dilakuka dengan Clarke's test, sedangkan untuk mengukur besar sudut Q-angle diukur dengan goniometer. Subyek penelitian mengambil dari pemain basket Universitas Muhammadiyah Surakarta. Data yang dikumpulkan kemudian dianalisis menggunakan uji Spearman Rho. Hasil penelitian menunjukan adanya hubungan Q-angle dan patellafemoral pain syndrome pada pemain bola basket wanita. Nilai p value dari Q-angle sebesar 0,024 sehingga Ho ditolak dengan nilai r = 0,579 menunjukan hubungan positif dan kekuatan korelasi yang tinggi, patellofemoral pain syndrome 0,043 dengan nilai r = 0,528 menunjukan hubungan positif dan kekuatan korelasi yang kuat. Hasil penelitian ini menunjukkan terdapat hubungan Q-angle terhadap keluhan patellofemoral pain syndrome.


2020 ◽  
Vol 7 (3) ◽  
pp. 757
Author(s):  
Sudhir R. Jayakar ◽  
Prashant V. Male ◽  
Maitreyee M. Save ◽  
Varun S. Shetty

Background: The abdominal cavity can harbour a varied spectrum of diseases. Abdominal lumps are one of the commonest disorders in this region. The clinical presentation, diagnosis, minimal investigations and optimum treatment of the lumps in the right hypochondrium were studied in detail in present study.Methods: The prospective observational study was carried out for 24 months. 60 consecutive patients who satisfied the inclusion criteria were taken up for the study. Calculation and analysis of data was done by using MS Excel.Results: The lumps in the right hypochondrium were most common in the 31-40 years age group in the present study. Majority of the lumps were found to be intraperitoneal (65%), of which 45% were neoplastic in nature. 68.3% as compared to 31.7% of lumps had an organ of origin which was not anatomically situated in the right hypochondrium viz. from right kidney and right adrenal. Hepatic lumps were found to be the commonest (35%), of which 14.3% were malignant tumors. Gall bladder carcinoma was more common in 40-60 years with female preponderance. Only 26.7% patients presented with the complaint of lump in abdomen. The commonest complaint was pain in the abdomen followed by vomiting. In 88.3% cases surgery was undertaken for curative or palliative purposes.Conclusions: Of all the lumps in the right hypochondrium, intraperitoneal lumps were more common with abdominal pain as commonest presenting symptom. The commonest lumps were found to be hepatic lumps. Incidence of Neoplastic masses was more than infections and infestations.


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