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Relationship of Medial Longitudinal Arch with Femoral Anteversion Angle, Balance and Hypermobility

Yıl 2024, Cilt: 6 Sayı: 1, 74 - 83, 25.04.2024

Neslihan Altuntas Yılmaz Fatma Erdeo Ahmet Şimşek Gülsüm Demir Seda Nur Atabilen

Öz

This study aimed to examine the relationship between changes in the medial longitudinal arch, femoral anteversion angle, balance, and hypermobility in healthy young individuals. The study was conducted on 80 students (56 female, 24 male) working at Necmettin Erbakan University, Nezahat Keleşoğlu Faculty of Health Sciences. Demographic data of all individuals were obtained. Medial longitudinal arch distribution was evaluated by Foot Posture Index (API), a dynamic balance was evaluated by the Y balance test, hypermobility was evaluated by Beighton Hypermobility scoring, and femoral anteversion angle (FAA) was evaluated by Craig's test. The mean age of all individuals was 20.78±2.37 years. The FAA was 19.28°±3.04° on the right, while it was 19.06°±3.24° on the left. The right API was 1.92±1.77 and the left API was 1.91±1.56. The hypermobility score in all humans was 1.56±1.76 cm. No correlation was found in terms of gender, dominant foot and hypermobility (p>0.05). There was no correlation between foot posture index and femoral anteversion angle (p>0.05). While positive rates were found between right and left API and right and left FAA, negative aspects were aimed between API right and dynamic posteromedial balance. The foot posture index was not found at points with femoral anteversion angle and hypermobility. However, it will take the dynamic balance of the foot posture towards the posteromedial direction. So, it is recommended to evaluate the dynamic balance in foot evaluations and if necessary dynamic balance exercises for foot posture exercises in students.

Anahtar Kelimeler

Femoral Anteversion Angle Balance Foot Posture Index Hypermobility Medial Longitudinal Arch

Kaynakça

  • Ak, C., & Takinacı, Z. D. (2019). Bening eklem hipermobilite sendromu olan ve olmayan lisans fizyoterapi öğrencilerinde alt ekstremite kas gücü ve denge skorlarının karşılaştırılması. J Health Pro Res, 1(1), 3–17. https://dergipark.org.tr/en/pub/jhpr/issue/49226/586432.
  • Alam, F., Raza, S., Moiz, J. A., Bhati, P., Anwer, S., & Alghadir, A. (2019). Effects of selective strengthening of tibialis posterior and stretching of iliopsoas on navicular drop, dynamic balance, and lower limb muscle activity in pronated feet: A randomized clinical trial. Phys Sportsmed, 47(3),301–311. https://doi.org/10.1080/00913847.2018.1553466
  • Bozbaş, G.T. & Gürer, G. (2018). Does the lower extremity alignment affect the risk of falling? Turk J Phys Med Rehabil, 64(2), 140–147. https://doi.org/10.5606/tftrd.2018.1451
  • Choi, B. R., & Kang, S. Y.(2015). Intra- and inter-examiner reliability of goniometer and inclinometer use inCraig’s test. J Phys Ther Sci, 27(4), 1141. https://doi.org/10.1589/JPTS.27.1141
  • Cobb, S.C., Bazett-Jones, D.M., Joshi, M.N., Earl-Boehm, J.E., James, C.R. (2014). The relationship among foot posture, core and lower extremity muscle function, and postural stability. J Athl Train, 49,173–180. https://doi.org/10.4085/1062-6050-49.2.02.
  • El, O,. Akcal, I.O,. Kosay, C,.Kaner, B,. Arslan, Y,. Sagol, E,. Soylev, S,.İyidoğan, D,. Cinar, N,. Peker, O,.(2006). Flexible flatfoot and related factors in primary school children: a report of a screening study. Rheumatol Int, 26,1050–3. https://doi.org/10.1007/s00296-006-0128-1
  • Haksever, B., Düzgün, İ., Yüce, D., Baltaci, G.(2017). Sağlıklı bireylere standart denge eğitiminin dinamik, statik denge ve fonksiyonellik üzerine etkileri. Gazi Sağlık Bilimleri Dergisi, 2(3), 40–49. https://doi.org/10.1155/2014/565370
  • Hertel, J., Gay, M.R., Denegar, C.R. (2002). Differences in postural control during single-leg stance among healthy ındividuals with different foot types. J Athl Train, 37,129–132. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC164334/
  • Hyong, I.H., Kang, J.H.(2016). Comparison of dynamic balance ability in healthy university students according to foot shape. J Phys Ther Sci, 28,661–664. https://doi.org/10.1589/jpts.28.661.
  • Kaneko, M., & Sakuraba, K. (2013). Association between femoral anteversion and lower extremity posture uponsingle-leg landing: Implications for anterior cruciate ligament injury. J Phys Ther Sci, 25(10), 1213. https://doi.org/10.1589/JPTS.25.1213.
  • Karthikeyan, G., Jadav, J.S., Narayanan. V.(2015). Effect of forefoot type on postural stability - a cross sectional comparative study. Int J Sports Phys Ther, 10, 213–224. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4387729/
  • Kodithuwakku, A. S. N. K., Chander, H., Knight, A. (2019). Flat feet: Biomechanical implications, assessment and management. Foot, 38, 81–85. https://doi.org/10.1016/j.foot.2019.02.004.
  • Lin, C.J., Lai, K.A., Kuan, T.S., Chou, Y,L,. (2001). Correlating factors and clinical significance of flexible flatfoot in preschool children. J Pediatr Orthop, 21,378–82. https://l24.im/KyRueM
  • Malar, A., Azhagiri, R., Hemapriya, J., Sumathi, G. (2021). The cause and frequency of PES Planus (Flat Foot) problems among young adults. AJMS, 12(7), 107–111. https://doi.org/10.3126/ajms.v12i7.35410.
  • Nicholl, K. (2020). A royal spark. Vanity Fair, 62(5), 56–65, 100. https://archive.vanityfair.com/article/2020/5/a-royal-spark
  • Seber, S., Hazer, B., Köse N., Göktürk, E., Günal, I., Turgut, A. (2000). Rotational profile of the lower extremity and foot progression angle: computerized tomographic examination of 50 male adults. Arch Orthop Trauma Surg, 120, 255–258. https://link.springer.com/article/10.1007/s004020050459
  • Staheli, L.T., Chew, D.E., Corbett, M. (1987). The longitudinal arch. A survey of eight hundred and eighty-two feet in normal children and adults. J Bone Joint Surg Am, 69,426–8. https://pubmed.ncbi.nlm.nih.gov/3818704/
  • Şahin, F. N., Ceylan, L., Küçük, H., Ceylan, T., Arıkan, G., Yiğit, S., Sarşık, D. Ç., Güler, Ö. (2022). Examining the relationship between pes planus degree, balance and jump performances in athletes. IJERPH, 19(18), 2-7. https://doi.org/10.3390/ijerph191811602.
  • Telfer, H., & Knowles, Z. (2013). How can sport practitioners balance conflicting values? Values in Youth Sport and Physical Education, 191. https://l24.im/lZEioj
  • Toullec, E. (2015). Adult flatfoot. Orthopaedics and Traumatology: Surgery and Research, 101(1), 11-17. https://doi.org/10.1016/j.otsr.2014.07.030
  • Tsai, C.C., Chia, Y., Shih, C.L., Chen, S.J., Shen, P.C., Tien, Y.C. (2022). Joint Hypermobility And Preschool-Age Flexible Flatfoot. Medicine, 101(31), e29608. https://doi.org/10.1097/MD.0000000000029608.
  • Unver, B., Erdem, E. U., & Akbas, E. (2020). Effects of short-foot exercises on foot posture, pain, disability, and plantar pressure in pes planus. JSR, 29(4), 436–440. https://doi.org/10.1123/jsr.2018-0363.
  • Zafiropoulos, G., Prasad, K., Kouboura, T., Danis, D. (2009). Flat foot and femoral anteversion in children- A prospective study. The Foot, 19(1), 50-4. https://doi.org/10.1016/j.foot.2008.09.003.

Medial Longitudinal Arkın, Femoral Anteversiyon Açısı, Denge ve Hipermobilite ile İlişkisi

Yıl 2024, Cilt: 6 Sayı: 1, 74 - 83, 25.04.2024

Neslihan Altuntas Yılmaz Fatma Erdeo Ahmet Şimşek Gülsüm Demir Seda Nur Atabilen

Öz

Bu çalışmanın amacı sağlıklı genç bireylerde medial longitudinal arktaki değişikliklerin femoral anteversiyon açısı, denge ve hipermobilite arasındaki ilişkisi incelemektir. Çalışma Necmettin Erbakan Üniversitesi, Nezahat Keleşoğlu Sağlık Bilimleri Fakültesi’nde öğrenim gören 80 öğrencide (56 kadın, 24 erkek) yapılmıştır. Bireylerin demografik verileri alınmıştır. Medial longutudinal ark yüksekliğinin değerlendirmesi Ayak Postür İndeksi (APİ), dinamik denge Y denge testi, hipermobilite Beighton Hipermobilite skorlaması, fermoral anteversiyon açısı (FAA) Craig’s testi ile değerlendirilmiştir. Tüm bireylerin yaş ortalaması 20.78±2.37 yıl, FAA sağ 19.28°±3.04° iken FAA sol 19.06°±3.24°dir. APİ sağ 1.92±1.77, APİ sol 1.91±1.56 idi. Tüm katılımcılarda hipermobilite skoru 1,56±1,76 cm’dir. Yapılan istatistik çalışmasında cinsiyet, dominant ayak ve hipermobilite açısından bir ilişki bulunamamıştır (>0.05). Ayak postür indeksi ile femoral anteversiyon açısı arasında anlamlı ilişki yoktur (p>0.05). Sağ ile sol APİ ve sağ ile sol FAA arasında pozitif korelasyon bulunurken, APİ sağ ile dinamik posteromedial denge arasında negatif yönde korelasyon belirlenmiştir. Ayak postür indeksi femoral anteversiyon açısı ve hipermobilite ile ilişkili bulunmamıştır. Ancak ayak postürünün dinamik dengeyi posteromedial yönde etkilediği görülmüştür. Buna göre ayak değerlendirmelerinde dinamik dengeninde değerlendirilmesi ve gerekirse ayak postürüne yönelik egzersizlerinin dinamik denge egzersizleri ile desteklenmesi önerilir.

Anahtar Kelimeler

Ayak Postür İndeksi Denge Femoral Anteversiyon Açı Hipermobilite Medial Longitudunal Ark

Kaynakça

  • Ak, C., & Takinacı, Z. D. (2019). Bening eklem hipermobilite sendromu olan ve olmayan lisans fizyoterapi öğrencilerinde alt ekstremite kas gücü ve denge skorlarının karşılaştırılması. J Health Pro Res, 1(1), 3–17. https://dergipark.org.tr/en/pub/jhpr/issue/49226/586432.
  • Alam, F., Raza, S., Moiz, J. A., Bhati, P., Anwer, S., & Alghadir, A. (2019). Effects of selective strengthening of tibialis posterior and stretching of iliopsoas on navicular drop, dynamic balance, and lower limb muscle activity in pronated feet: A randomized clinical trial. Phys Sportsmed, 47(3),301–311. https://doi.org/10.1080/00913847.2018.1553466
  • Bozbaş, G.T. & Gürer, G. (2018). Does the lower extremity alignment affect the risk of falling? Turk J Phys Med Rehabil, 64(2), 140–147. https://doi.org/10.5606/tftrd.2018.1451
  • Choi, B. R., & Kang, S. Y.(2015). Intra- and inter-examiner reliability of goniometer and inclinometer use inCraig’s test. J Phys Ther Sci, 27(4), 1141. https://doi.org/10.1589/JPTS.27.1141
  • Cobb, S.C., Bazett-Jones, D.M., Joshi, M.N., Earl-Boehm, J.E., James, C.R. (2014). The relationship among foot posture, core and lower extremity muscle function, and postural stability. J Athl Train, 49,173–180. https://doi.org/10.4085/1062-6050-49.2.02.
  • El, O,. Akcal, I.O,. Kosay, C,.Kaner, B,. Arslan, Y,. Sagol, E,. Soylev, S,.İyidoğan, D,. Cinar, N,. Peker, O,.(2006). Flexible flatfoot and related factors in primary school children: a report of a screening study. Rheumatol Int, 26,1050–3. https://doi.org/10.1007/s00296-006-0128-1
  • Haksever, B., Düzgün, İ., Yüce, D., Baltaci, G.(2017). Sağlıklı bireylere standart denge eğitiminin dinamik, statik denge ve fonksiyonellik üzerine etkileri. Gazi Sağlık Bilimleri Dergisi, 2(3), 40–49. https://doi.org/10.1155/2014/565370
  • Hertel, J., Gay, M.R., Denegar, C.R. (2002). Differences in postural control during single-leg stance among healthy ındividuals with different foot types. J Athl Train, 37,129–132. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC164334/
  • Hyong, I.H., Kang, J.H.(2016). Comparison of dynamic balance ability in healthy university students according to foot shape. J Phys Ther Sci, 28,661–664. https://doi.org/10.1589/jpts.28.661.
  • Kaneko, M., & Sakuraba, K. (2013). Association between femoral anteversion and lower extremity posture uponsingle-leg landing: Implications for anterior cruciate ligament injury. J Phys Ther Sci, 25(10), 1213. https://doi.org/10.1589/JPTS.25.1213.
  • Karthikeyan, G., Jadav, J.S., Narayanan. V.(2015). Effect of forefoot type on postural stability - a cross sectional comparative study. Int J Sports Phys Ther, 10, 213–224. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4387729/
  • Kodithuwakku, A. S. N. K., Chander, H., Knight, A. (2019). Flat feet: Biomechanical implications, assessment and management. Foot, 38, 81–85. https://doi.org/10.1016/j.foot.2019.02.004.
  • Lin, C.J., Lai, K.A., Kuan, T.S., Chou, Y,L,. (2001). Correlating factors and clinical significance of flexible flatfoot in preschool children. J Pediatr Orthop, 21,378–82. https://l24.im/KyRueM
  • Malar, A., Azhagiri, R., Hemapriya, J., Sumathi, G. (2021). The cause and frequency of PES Planus (Flat Foot) problems among young adults. AJMS, 12(7), 107–111. https://doi.org/10.3126/ajms.v12i7.35410.
  • Nicholl, K. (2020). A royal spark. Vanity Fair, 62(5), 56–65, 100. https://archive.vanityfair.com/article/2020/5/a-royal-spark
  • Seber, S., Hazer, B., Köse N., Göktürk, E., Günal, I., Turgut, A. (2000). Rotational profile of the lower extremity and foot progression angle: computerized tomographic examination of 50 male adults. Arch Orthop Trauma Surg, 120, 255–258. https://link.springer.com/article/10.1007/s004020050459
  • Staheli, L.T., Chew, D.E., Corbett, M. (1987). The longitudinal arch. A survey of eight hundred and eighty-two feet in normal children and adults. J Bone Joint Surg Am, 69,426–8. https://pubmed.ncbi.nlm.nih.gov/3818704/
  • Şahin, F. N., Ceylan, L., Küçük, H., Ceylan, T., Arıkan, G., Yiğit, S., Sarşık, D. Ç., Güler, Ö. (2022). Examining the relationship between pes planus degree, balance and jump performances in athletes. IJERPH, 19(18), 2-7. https://doi.org/10.3390/ijerph191811602.
  • Telfer, H., & Knowles, Z. (2013). How can sport practitioners balance conflicting values? Values in Youth Sport and Physical Education, 191. https://l24.im/lZEioj
  • Toullec, E. (2015). Adult flatfoot. Orthopaedics and Traumatology: Surgery and Research, 101(1), 11-17. https://doi.org/10.1016/j.otsr.2014.07.030
  • Tsai, C.C., Chia, Y., Shih, C.L., Chen, S.J., Shen, P.C., Tien, Y.C. (2022). Joint Hypermobility And Preschool-Age Flexible Flatfoot. Medicine, 101(31), e29608. https://doi.org/10.1097/MD.0000000000029608.
  • Unver, B., Erdem, E. U., & Akbas, E. (2020). Effects of short-foot exercises on foot posture, pain, disability, and plantar pressure in pes planus. JSR, 29(4), 436–440. https://doi.org/10.1123/jsr.2018-0363.
  • Zafiropoulos, G., Prasad, K., Kouboura, T., Danis, D. (2009). Flat foot and femoral anteversion in children- A prospective study. The Foot, 19(1), 50-4. https://doi.org/10.1016/j.foot.2008.09.003.
Toplam 23 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Araştırma Makaleleri
Yazarlar

Neslihan Altuntas Yılmaz 0000-0003-0116-9089

Fatma Erdeo 0000-0002-0266-229X

Ahmet Şimşek 0000-0001-6892-8882

Gülsüm Demir 0000-0003-1959-2440

Seda Nur Atabilen 0000-0002-9336-3817

Erken Görünüm Tarihi 25 Nisan 2024
Yayımlanma Tarihi 25 Nisan 2024
Gönderilme Tarihi 13 Mart 2023
Kabul Tarihi 14 Temmuz 2023
Yayımlandığı Sayı Yıl 2024 Cilt: 6 Sayı: 1

Kaynak Göster

APA Yılmaz, N. A., Erdeo, F., Şimşek, A., Demir, G., vd. (2024). Medial Longitudinal Arkın, Femoral Anteversiyon Açısı, Denge ve Hipermobilite ile İlişkisi. Genel Sağlık Bilimleri Dergisi, 6(1), 74-83.
 Kapak Resmi İndir

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