scholarly journals PES PLANUS & GENU VALGUM

2015 ◽  
Vol 22 (10) ◽  
pp. 1237-1244
Author(s):  
Zara Khalid ◽  
Mishal Ali Rai ◽  
Bushra Mobeen ◽  
Imran Amjad
Keyword(s):  
Physical Activity ◽  
Knee Pain ◽  
Lower Limb ◽  
Genu Valgum ◽  
Activity Level ◽  
Flat Foot ◽  
Pes Planus ◽  
Weight Category ◽  
Tibiofemoral Angle ◽  
Associated Symptoms

Pes planus (flat foot) is a musculoskeletal abnormality of lower limb, oftenassociated with some degree of malalignment at the knee i.e. genu valgum (knock knees). Inmajority of cases, these deformities resolve by themselves during infancy and childhood, butif they persist in adolescent age, then there is no chance of resolution and might pose seriousproblems for the individual in the future. Objectives: The objective of this study was to determinethe factors associated with pes planus and genu valgum in adolescents. The two main factorsunder investigation were physical activity and dietary habits of adolescents and their effect onthese lower limb musculoskeletal conditions. Material and methods: A case-control study wasconducted on 400 (161 cases and 239 controls) school- going adolescents (11-16 years). Aftercompleting the demographic data and recording the height and weight of each participant, thediagnosis of pes planus was made on the basis of physical examination and special tests. Thedata for genu valgum was collected by the measurement of clinical tibiofemoral angle. A selfreportquestionnaire was used to collect other relevant data such as the symptoms experiencedby the individuals. Data was analyzed on SPSS 21. Results: Out of 400 adolescents, therewere 171 males and 229 females. The physical activity level of cases was 2.17 ± 0.70, slightlyless than that of control group 2.32 ± 0.76. The diet score of cases (11.087 ± 3.75) did notdiffer much from that of controls (11.214 ± 3.75). Tibiofemoral angle of cases was 15.7 ± 3.42degrees valgus for controls it was 14.1 ± 3.49 degrees valgus. There was also a greater trendof cases towards overweight (12.8% cases and 7.43% controls) and obesity (5.84% cases and2.62% controls), whereas the frequency of controls was higher in underweight (19.8% casesand 27.5% controls) and healthy/ normal weight category (55.5% cases and 66.8% controls).Other associated symptoms such as foot pain, knee pain, trauma to foot and knee, difficultyin running and jumping activities etc were also found to be in higher frequency in cases ascompared to in controls along with significant gender differences. Conclusion: Our study resultsshowed that reduced physical activity can be a factor for causation of flat foot and knock-kneesbut the difference in diet habits was not very significant between cases and controls. Thereforeunhealthy diet is not a very considerable factor in the contribution to musculoskeletal conditionsin lower limb. There was a direct link between obesity and pes planus, along with a greater TFA.There was also a higher incidence of knee pain in the flat foot cases who complained of footpain along with various other associated symptoms.

Reaction Time, Strength, and Physical Activity in Women Aged 20–89 Years

2001 ◽  
Vol 9 (1) ◽  
pp. 32-42 ◽  
Author(s):  
Sandra K. Hunter ◽  
Martin W. Thompson ◽  
Roger D. Adams
Keyword(s):  
Physical Activity ◽  
Regression Analysis ◽  
Reaction Time ◽  
Lower Limb ◽  
Physical Activity Level ◽  
Predictor Variable ◽  
Community Dwelling ◽  
Rate Of Change ◽  
Activity Level ◽  
Knee Extensors

The purposes of this study were to investigate the rate of change with age of simple lower-limb reaction time (RT) in women and determine the relationship among RT. strength, and physical activity. Independent, community-dwelling women aged 20–89 years (N = 217) were assessed for knee-extension RT, maximal voluntary isometric contractions of the knee extensors (KE), and physical activity level. Trend analysis by ANOVA and regression analysis on RT were performed. Lower-limb RT increased and KE strength and physical activity level decreased linearly across age groups (p < .001). Active women had faster RTs than those of inactive women of the same age (p < .01). From multiple-regression analysis on RT, only 1 predictor variable. KE strength, emerged. Stronger women had faster RTs than those of weaker women (p < .0001), regardless of age and physical activity. Although RT was slower in older women, higher levels of strength and physical activity were associated with faster RTs in this group.

scholarly journals Motivating Diabetic and Hypertensive Patients to Engage in Regular Physical Activity: A Multi-Component Intervention Derived from the Concept of Photovoice

2019 ◽  
Author(s):  
Angela Y. M. Leung ◽  
Pui Hing Chau ◽  
Isaac S. H. Leung ◽  
Michael Tse ◽  
Perick Lai Choi Wong ◽  
...  
Keyword(s):  
Physical Activity ◽  
Confidence Interval ◽  
Lower Limb ◽  
The Elderly ◽  
Mean Difference ◽  
Regular Physical Activity ◽  
Activity Level ◽  
Body Strength ◽  
Barriers To Exercise ◽  
Group Meetings

Aims: A community-based multi-component intervention (increasing awareness of the importance of physical activity in chronic illness management through reading comic books, training regarding warm-up stretching exercises, identifying facilitators and barriers to exercise through photosharing, supporting self-reflection and development of action plans) was developed to promote physical activity (PA) among patients with diabetes and hypertension. This study aimed to evaluate the efficacy of this intervention on health behaviour (walking) and health outcomes. Design: A non-randomized controlled trial with waitlisted control and pre- and post-measures. Setting: Community centres for the elderly. Participants: A total of 204 older adults with diabetes and/or hypertension were recruited. They were assigned to either the intervention group (IG) or waitlisted to the control group (CG). Intervention: Under the supervision of a nurse, six weekly group meetings were arranged in community centres for the elderly in which the participants freely exchanged their views regarding the barriers and facilitators of regular physical activity. Participants were encouraged to take photos in their neighbourhood or at home and brought these photos to share at the group meetings. The photos showed both the barriers and the facilitators to PA. In the last meeting, each participant worked out a plan to perform PA in the coming four weeks. Measures: PA referred to the number of steps taken per day and it was measured by a Garmin Accelerometer at baseline, Week 6 and Week 10. Other measures included the nine-item Self-Efficacy Scale for Exercise - Chinese version (SEE-C), the 23-item Chinese Barriers to Exercise Scale and Senior Fitness Tests. Generalised Estimating Equations (GEE) models compared the outcomes over time between IG and CG. Results: A statistically significant difference in the changes in the average number of steps taken daily between the two groups at Week 10 (mean difference = 965.4; 95% confidence interval: 92.2, 1838.6, p = 0.030) was observed, although the difference at Week 6 was non-significant (mean difference = 777.6; 95% confidence interval: &minus;35.3, 1590.5, p = 0.061). IG participants also showed significant improvements in lower body strength (mean difference = 0.967; 95% confidence interval: 0.029, 1.904, p = 0.043) and lower limb flexibility (mean difference = 2.068; 95% confidence interval: 0.404, 3.731, p = 0.015) at Week 10 compared to CG participants. Conclusion: This multi-component intervention improved the participants&rsquo; physical activity level and physical fitness, particularly in lower limb flexibility and body strength.

scholarly journals Motivating Diabetic and Hypertensive Patients to Engage in Regular Physical Activity: A Multi-Component Intervention Derived from the Concept of Photovoice

2019 ◽  
Vol 16 (7) ◽  
pp. 1219 ◽  
Author(s):  
Angela Leung ◽  
Pui Chau ◽  
Isaac Leung ◽  
Michael Tse ◽  
Perick Wong ◽  
...  
Keyword(s):  
Physical Activity ◽  
Confidence Interval ◽  
Lower Limb ◽  
The Elderly ◽  
Mean Difference ◽  
Regular Physical Activity ◽  
Activity Level ◽  
Body Strength ◽  
Barriers To Exercise ◽  
Group Meetings

Aims: A community-based multi-component intervention (increasing awareness of the importance of physical activity in chronic illness management through reading comic books, training regarding warm-up stretching exercises, identifying facilitators and barriers to exercise through photosharing, supporting self-reflection and development of action plans) was developed to promote physical activity (PA) among patients with diabetes and hypertension. This study aimed to evaluate the efficacy of this intervention on health behaviour (walking) and health outcomes. Design: A non-randomized controlled trial with waitlisted control and pre- and post-measures. Setting: Community centres for the elderly. Participants: A total of 204 older adults with diabetes and/or hypertension were recruited. They were assigned to either the intervention group (IG) or waitlisted to the control group (CG). Intervention: Under the supervision of a nurse, six weekly group meetings were arranged in community centres for the elderly in which the participants freely exchanged their views regarding the barriers and facilitators of regular physical activity. Participants were encouraged to take photos in their neighbourhood or at home and brought these photos to share at the group meetings. The photos showed both the barriers and the facilitators to PA. In the last meeting, each participant worked out a plan to perform PA in the coming four weeks. Measures: PA referred to the number of steps taken per day and it was measured by a Garmin Accelerometer at baseline, Week 6 and Week 10. Other measures included the nine-item Self-Efficacy Scale for Exercise–Chinese version (SEE-C), and the 23-item Chinese Barriers to Exercise Scale and Senior Fitness Tests. Generalised estimating equations (GEE) models compared the outcomes over time between IG and CG. Results: A statistically significant difference in the changes in the average number of steps taken daily between the two groups at Week 10 (mean difference = 965.4; 95% confidence interval: 92.2, 1838.6, p = 0.030) was observed, although the difference at Week 6 was non-significant (mean difference = 777.6; 95% confidence interval: −35.3, 1590.5, p = 0.061). IG participants also showed significant improvements in lower body strength (mean difference = 0.967; 95% confidence interval: 0.029, 1.904, p = 0.043) and lower limb flexibility (mean difference = 2.068; 95% confidence interval: 0.404, 3.731, p = 0.015) at Week 10 compared to CG participants. Conclusion: This multi-component intervention improved the participants’ physical activity level and physical fitness, particularly in lower limb flexibility and body strength.

Functional Exercise Capacity, And The Association With Physical Activity Level, Lower-limb Function And Falls In Elderly Community Women

2014 ◽  
Vol 46 ◽  
pp. 64
Author(s):  
Liliana Laura Rossetin ◽  
Anna Raquel Silveira Gomes ◽  
Elisângela Valevein Rodrigues ◽  
Eduardo Luiz Wamser ◽  
Caroline Pianaro ◽  
...  
Keyword(s):  
Physical Activity ◽  
Exercise Capacity ◽  
Lower Limb ◽  
Physical Activity Level ◽  
Activity Level ◽  
Limb Function ◽  
Functional Exercise ◽  
Functional Exercise Capacity ◽  
Falls In Elderly ◽  
Lower Limb Function

scholarly journals Cross-sectional analysis of self-reported sedentary behaviors and chronic knee pain among South Korean adults over 50 years of age in KNHANES 2013-2015

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Sook-Hyun Lee ◽  
Chihyoung Son ◽  
Sujung Yeo ◽  
In-Hyuk Ha
Keyword(s):  
Physical Activity ◽  
Sedentary Behavior ◽  
Knee Pain ◽  
Odds Ratio ◽  
Adjusted Odds Ratio ◽  
Cross Sectional Study ◽  
Activity Level ◽  
Sedentary Behaviors ◽  
Cross Sectional ◽  
Chronic Knee Pain

Abstract Background An increasing amount of evidence supports an association between sedentary behaviors and chronic knee pain. However, the association between the total daily duration of sedentary behavior and chronic knee pain in the general population remains unclear. We aimed to analyze the association between sedentary behavior and chronic knee pain in a study population representative of the general Korean population aged > 50 years while also considering the physical activity or body mass index (BMI). Methods This cross-sectional study used data from the 6th Korean National Health and Nutrition Examination Survey (KNHANES VI) of 2013–2015, which was completed by 22,948 Korean adult participants aged > 50 years. The participants were divided into two groups based on the status of the chronic knee pain. Data were analyzed using multivariable logistic regression after adjustment for age, sex, and individual factors. Results Longer sedentary behavior was correlated with chronic knee pain (p for trend = 0.02). Sedentary behavior exceeding 10 h/day was significantly associated with chronic knee pain (adjusted odds ratio, 1.28; p = 0.03). Participants with high levels of physical activity were less likely to suffer from chronic knee pain (adjusted odds ratio, 0.78; p = 0.00), and women with over 10 daily hours of sedentary behavior with high levels of physical activity were more likely to have chronic knee pain. A significant association was noted between chronic knee pain and obesity (≥30.0 kg/m2) individuals (adjusted odds ratio, 3.48; p = 0.04). Conclusions Longer duration of sedentary behaviors was correlated with chronic knee pain. Our study suggests the need to encourage reductions in overall sedentary behavior to < 10 h daily. A high physical activity level is recommended, particularly for women > 50 years and those with obesity.

scholarly journals Motivating Diabetic and Hypertensive Patients to Increase Physical Activity: The Use of Photos and Group Dynamics

2018 ◽  
Author(s):  
Angela Yee Man Leung ◽  
Pui Hing Chau ◽  
Isaac Leung ◽  
Michael Tse ◽  
Perick Lai Choi Wong ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Lower Limb ◽  
Intervention Group ◽  
Mean Difference ◽  
Regular Physical Activity ◽  
Activity Level ◽  
Control Group ◽  
Body Strength ◽  
Group Meetings

Aims: Photovoice is a strategy to allow people to express their views and concerns about health. This project aimed to promote physical activity (PA) among patients with chronic illness, identify facilitators and barriers for PA, enhance walking within the neighbourhood, and build up efficacy in doing exercise. Design: A quasi-experimental study with waitlisted control and pre-and-post measures. Setting: Community elderly centres. Participants: A total of 204 older adults with diabetes and/or hypertension were recruited. They were assigned to either intervention group (IG) or waitlisted control group (CG). Intervention: Under the supervision of a nurse, six weekly group meetings were arranged in community elderly centres in which the participants freely exchanged their views about the barriers and facilitators of regular physical activity. Participants were encourage to take photos in their neighbourhood or at homes, and brought these photos for sharing in the group meetings. The photos showed the barriers and the facilitators to PA. In the last meeting, each participant worked out a plan to perform PA in the coming four weeks. Measures: PA referred to the number of steps taken per day and it was measured by Garmin Accelerometer at baseline, at Week 6 and Week 10. Other measures include the 9-item Self-efficacy Scale for Exercise - Chinese version (SEE-C), the 23-item Chinese Barriers to Exercise Scale and Senior Fitness Tests. General linear mixed model was used to compare the outcomes between IG and CG after the intervention. Results: After the 6-week intervention, the average number of steps taken by the IG participants increased. At Week 10, there was a significant higher proportion of the IG participants who had increased at least 1,200 steps than that of the CG (Estimate=0.151, SE=0.066, p&lt;0.05). The lower body strength of the IG participants was significantly higher than that of the CG (mean difference = 0.94, t=1.957, p&lt;0.05) and the lower limb flexibility of the IG participants was also significantly higher than that of the CG (mean difference = 2.04, t=2.397, p&lt;0.05) at Week 10. Conclusion: Understanding older adults&rsquo; views and thoughts about barriers to PA through photos and group discussion seemed to be a good strategy to motivate older adults with chronic illnesses to commit to regular physical activity. This photovoice intervention improved the participants&rsquo; physical activity level and physical fitness, particularly in lower limb flexibility and body strength.

scholarly journals Influence of lower limb dominance and physical activity level on flexibility in healthy subjects

2018 ◽  
Vol 32 (1) ◽  
pp. 41-48
Author(s):  
Tiago Neto ◽  
Ana Lisa Melo ◽  
Ricardo Damião ◽  
Carla Silva-Batista
Keyword(s):  
Physical Activity ◽  
Lower Limb ◽  
Short Form ◽  
Young Subject ◽  
Activity Level ◽  
Healthy Young Subject ◽  
High Flexibility ◽  
Hip Flexion ◽  
Straight Leg Raise ◽  
Limb Dominance

The purpose of the present study was to verify the influence of lower limb dominance and physical activity (PA) levels on flexibility in healthy young subject. Ninety-nine university students (46 males and 53 females) volunteered for this study. Hip flexion range of motion (ROM) during the passive straight leg raise test was used to estimate lower limb flexibility. PA levels were determined by the International Physical Activity Questionnaire-Short Form (IPAQ-SF). The dominant limb of the subjects with high PA levels had higher flexibility values than the dominant and non-dominant limb of the subjects with low PA levels (p = 0.026 and p = 0.011, respectively) and the non-dominant limb of the subjects with moderate PA levels (p = 0.038). Thus, this investigation shows that lower limb dominance and PA levels have an influence on the flexibility. High flexibility values were observed in the dominant limb of the subjects with high PA levels. Therefore, this information may be useful when planning injury prevention or rehabilitation protocols for subjects with different PA levels and lower limb flexibility asymmetries.

scholarly journals Indices of physical activity, quality of life and psychological characteristics in patients with amputated lower limb

2014 ◽  
Vol 95 (6) ◽  
pp. 830-835
Author(s):  
F M Biktimirova ◽  
M V Fedorenko ◽  
E I Aukhadeev
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Locomotor Activity ◽  
Lower Limb ◽  
Age Groups ◽  
Functional Independence ◽  
Activity Level ◽  
Psychological Characteristics ◽  
High Level

Aim. To study the physical activity in disabled patients who underwent an amputation of the lower limb in a late period of rehabilitation and prosthetics. Methods. The study included patients with structural and functional disorders of limbs. 308 patients aged 18 to 66 years were randomly selected to participate in the study as they were referred to Prosthetic and orthopedics center «Reabilitaciya invalidov», Kazan, Russia from 2008 to 2010. Patients were allocated to five age groups: 19 to 29 years, 30 to 39 years, 40 to 49 years, 50 to 59 years old and older than 60 years. Activity level, depending on the motor capacity was investigated in 308 patients who were offered prosthetics according to the classification subdividing locomotor activity on five levels. SF-36 questionnaire (quality of life), Spielberger-Hanin reactive and personal anxiety scales, Beck Depression Inventory, the Mehrabian Achieving Tendency Scale, Smisek-Leonhard characterological test were administered. Quality of lower limbs prostheses were assessed by «TWO LEGS» prosthesis evaluation questionnaire on a 5-point scale. Results. The majority of patients who were at the remote stage of rehabilitation after prosthesis had high level of physical activity - 141 (45.7%) patients, average activity level - 81 (26.2%) patients, reduced level of activity - 63 (20.5%) patients. High level of physical activity, depending on the locomotor activity, was more typical for the second (20-29) and third (30-39 years) age groups - 60 and 54%, respectively. Very high and high levels of physical activity was equally observed in patients with one and both amputated both lower legs: 8.4 and 7%, respectively. Conclusion. Level of amputation, age and psychological characteristics, as well as prosthesis quality and the term of prosthesis use were essential for motor activity, quality of life and functional independence of the disabled with structural and functional of the lower limb disorders.

scholarly journals Estimation of selected parameters in stabilographic image depending on physical activity level in children and adolescents

2020 ◽  
Vol 24 (2) ◽  
pp. 4-14
Author(s):  
Justyna Filipowicz-Ciepły ◽  
Joanna Golec ◽  
Eżbieta Szczygieł ◽  
Dorota Czechowska ◽  
Marta Cichoń ◽  
...  
Keyword(s):  
Physical Activity ◽  
Children And Adolescents ◽  
Lower Limb ◽  
Activity Level ◽  
Sports Activity ◽  
Sample Distribution ◽  
Body Balance ◽  
Left Limb ◽  
Additional Task ◽  
The Right

Introduction: Balance is an extremely important component of everyday human functioning. Assessment of body balance in children can be not only a diagnostic tool, but also information about the maturation of the balance system, diversity in terms of age and sex, as well as factors affecting balance and its development. In practice, maintaining body balance is a dynamic process, consisting in "continuous loss and regaining balance". According to scientific reports, in addition to age, psychosomatic status, the development of specific sensory-motor capabilities and strategies is also influenced by the type of sport. Objective: The aim of the study was to assess balance in a group of children and adolescents with different levels of sports activity. Material and methods: The study comprised 64 children and adolescents aged 10 to 13. The group was divided into: Group 1 (15 girls and 17 boys) regularly physically active, and Group 2 (17 girls and 15 boys) not undertaking any physical activity. All participants were assessed regarding postural stability using a CQStab2P stabilometric platform. Four tests were carried out for each participant: standing on both feet, on the left and right limb, and free standing with an additional task. The following parameters were analysed: SP (Sway Path) MA (Mean Amplitude) and MF (Mean Frequency). Results: In the majority of cases, the variables indicated statistically significant differences from normal distribution – except for MA-R (on the right lower limb) and MF-T (standing on both feet with additional task). In the case of the SP-L indicators (on the left lower limb), SP-B (standing on both feet), SP-T, MA-B and MA-T, the advantage of low results was observed in the examined sample (distribution accuracy) and clear concentration near the average (leptocurticity of distribution). In the case of the trial to stand on the right lower limb, training subjects obtained statistically significantly higher SP results than those non-training. During the standing test, the length of MA was recorded as statistically significantly lower than in other conditions. In addition, the SA index, when trying to stand on the right lower limb, was statistically significantly higher in relation to the length of the radius when standing on the left limb. Training participants had a higher average radius compared to those not training. Conclusions: Physical training positively affects the results of posturographic examination. Non-training girls have a statistically significantly lower level of SP compared to boys not training and training girls.

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