Showing 44 results for Type of Study: Applicable
Kamal Rezaei, Doctor Ali Amiri, Doctor Mohammad Ali Sanjari, Doctor Ali Ashraf Jamshidi, Doctor Nader Marofi,
Volume 3, Issue 1 (4-2013)
Abstract
Background and Aim: Activity of trunk muscles is essential for the stability of lumbar spine because of the unstable structure of that portion of the spine. Also stabilization of the core and pelvis are necessary for all movements of the extremities. In order to investigate how function of the central nervous system in landing on trunk muscles . With this situation the timing component of the muscles of trunk were evaluated during landing. Material and Methods:: In this quasi-experimental study to examine onset of trunk muscles 15 male subjects with no history of low back pain studied. Surface EMG of gluteus medius, Erector spine and Internal Oblique was recorded and EMG onset was assessed during landing. The time of foot contact was assessed by a sensitive surface during landing.Results: Findings of this study indicated that lumbar muscles activity occurring prior to touch of foot with ground. Conclusion: Result suggest that the central nervous system deal with stabilization of the spine by contraction of the core muscle in anticipation of perturbation produced by touch of foot with ground.
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Volume 3, Issue 3 (10-2013)
Abstract
Subject: Questionnaires are one of the most important instruments for screening the people with disability. خoccupational low back pain is one of the causes of disability. Initially, questionnaires should be created and adapted with the cultural conditions of the target group in order to generalize the results and to compare with other countries. The aim of the current study was translation, cross cultural adaptation and face validity evaluation of the Persian version of Orebro Musculoskeletal Pain Screening Questionnaire. Materials & Methods: This study was performed according to standard protocols of IQOLA that included following steps: translating the questionnaire, evaluation of the quality of translation, back translation and comparison of the English version with the Persian version by the developer of the questionnaire. Questionnaire was evaluated in basis of quality of translation and face validity that was conducted in 15 low back pain subjects. Result: results showed that the sentences and items translation was easy. Quality of translation (includes clarity of translation, common language use, conceptual equivalence and overall quality of translation)of the items were good. Face validity was evaluated and resulted in changing in the 3 items of questionnaire. Conclusion: in this stage the Persian version of the questionnaire has appropriate cultural adaptation and face Validity. More studies are needed to evaluate it's construct validity and reliability.
Fatemeh Ehsani, Dr. Iraj Abdollahi,
Volume 3, Issue 4 (1-2014)
Abstract
purpose: Recent research indicated that the brain can change or reorganize itself after stroke and Stroke rehabilitation based on the evidence of neuroplasticity, which is responsible for recovery following stroke. The purpose of the present study was to review the previously published studies concerning effective of rehabilitation techniques in brain plasticity after stroke. methods: A literature search for the period of 1995-2012 was performed, using ProQuest , google scholar, PubMed ,Elsevier and science direct databases. Brain plasticity, stroke,CVA, rehabilitation training were used as keywords. Results: eighteen articles were selected according to the inclusion criteria of the study. There was a wide variation among studies in terms of methodology, main outcome measures, sample size,procedure, imaging parameters and type of rehabilitation techniques, etc. Conclusion: The results demonstrated that there is adequate evidence to support effective of rehabilitation techniques in brain plasticity and adaptation after stroke.
Mahsa Kosari Nejad, Shohreh Noorizadeh Dehkordi, Mehdi Dadgoo, Afsoon Hassani Mehraban, Seyed Massood Nabavi,
Volume 3, Issue 4 (1-2014)
Abstract
Objective: The purpose of this study was the association between urinary disorder (UD), spastic hypertonia and assistive device with falling. Methods: In this analytical cross sectional study, 140 participants with Expanded Disability Status Scale (EDSS) score below 7 aged 20 to 55 years were divided into two groups according to their reports of falls in the past 6 months. Participants selected from Tehran outpatient clinics by convenient sampling. The presence or absence of UD, fall history and using assistive device was recorded by self-report. In addition, spastic hypertonia was assessed by Ashworth scale in knee extensors and ankle plantar flexors muscles for lower extremities. Finally, we used Mann whitney, chi-square test and Spearman correlation coefficient for analyzing. Results: We found more UD, spastic hypertonia and using assistive device in MS with history of falling compared with MS without history of falls (P < 0.05). Additionally, the direct and significant relationship existed between UD, spastic hypertonia and using assistive device with falls. Conclusion: MS people with history of falls that have UD, spastic hypertonia and using assistive device are in risk of falling than MS patients without history of falling.
Mrs Pirayeh Mohammadi, Dr Mohammad Akbari, Dr Javad Sarafzadeh,
Volume 4, Issue 1 (4-2014)
Abstract
Purpose: Scoliosis is one of the most common spinal deformities that affect chest wall mechanics. Scoliosis results in ventilator disorders and respiratory muscle weakness. However, the mechanism of these disorders is still unknown. The main objective of this study was to identify the intensity of respiratory muscles activity in patients with idiopathic scoliosis compare with healthy individuals and determine the relationship between scoliosis degree and respiratory dysfunctions. In this study, 20 female patients with adult idiopathic scoliosis (mild, moderate) as well as 10 healthy matched individuals with characteristics of the patients were selected.
Methods: Electromyography values were recorded through rest phase. In addition, the electromyography values of external intercostal muscles and diaphragm were recorded bilaterally.
Results: The RMS of concave and convex external intercostal muscles and concave diaphragm in patients with idiopathic scoliosis were reduced significantly relative to healthy individuals in rest (P<0.001, P<0.001, P=0.023). .There was a correlation between scoliosis degree and decrease in concave and convex intercostal muscle performances (P=0.001) but there was no correlation in diaphragm muscle.
Conclusion: Respiratory muscle performance is drastically decreased in patients with adult idiopathic scoliosis. There was a relationship between scoliosis degree and respiratory dysfunction. This reduction has more observed in concave side and resulted in reduced physical capacity.
Abbas Ali Pourmomeny, Sahar Asadi,
Volume 4, Issue 2 (7-2014)
Abstract
Facial nerve palsy (FNP) changes facial expression and leads to functional problems in facial movement and negative psychological effect on patients. Fortunately, some of FNP problems recover completely, but some others remain with some sequelae like asymmetry, muscle contracture, synkinesis, and hyperkinesias that need rehabilitation. This article aimed to investigate physiotherapy modalities on these sequelae. Generally, exercise therapy in the form of neuromuscular reeducation was effective when the sequelae of FNP are analyzed. Then, we could select the type of exercise therapy according to that signs and sequelae (symptom). No acceptable researches about physiotherapy modalities like electrical nerve stimulation have been reported. Therefore, using electrical stimulation is not advised. Biofeedback therapy has been approved to be suitable.
Sasan Naderi, Fariborz Mohammadipour, Mohammadreza Amir Seyfaddini,
Volume 4, Issue 3 (10-2014)
Abstract
Purpose: Given the high prevalence of varus malalignment of the knee and the consequences of walking on different surfaces on this malalignment, the aim of the present study was to investigate the effect of walking inclination on knee angle in the frontal plane of patients with varus malalignment.
Methods: 18 male subjects with varus malalignment classified at grade 3 bowleg, within the age range of 19-24 years, volunteered to participate in this study. The parameters of knee angle in the frontal plane at the moments of heel contact, midstance and toe off when walking on -7.5, zero, +5 and +10 percent of treadmill inclination were calculated using three-dimensional motion analysis system with six optoelectronic cameras. Repeated measures of variance and non-parametric Friedman test were used for data analysis.
Results: The results of the present study showed that as walking inclination increases, knee angle in the frontal plane decreases. The only significant differences were related to varus angle between +10 and zero percent inclinations at the moment of midstance (P<0.001) and between -7.5 and zero percent inclinations at the moment of toe off (P<0.001) and in case of other parameters, no significant differences were observed.
Conclusion: According to the obtained results, walking on upslope surfaces, probably is a suitable solution to reduce the load exerted on the knee and prevent premature osteoarthritis in young individuals with varus malalignment.
Leila Ghazaleh, Mehrdad Anbarian, Mohamad Taghi Karimi, Mohsen Damavandi,
Volume 4, Issue 3 (10-2014)
Abstract
Purpose: The present study aimed to evaluate the effect of dominant lower limb on the correlation between some of the dynamic variables of ankle joint and center of mass during quiet standing balance control.
Methods: Twelve healthy females with no known neurological or musculoskeletal disorders, with the mean age of 26±3.5 years, participated in this study. Motion analysis system, force platform and Visual3D software were utilized in order to measure and compute the research variables. The relationship between research variables was evaluated using Pearson’s correlation coefficient. T test and One-way ANOVA were used to examine the effect of dominant leg on the correlations.
Results: Findings indicated the correlation between ankle joint moment and center of mass displacement (r=0.95) was higher than the correlation between ankle angular displacement and center of mass displacement (r=0.84). It seems that the leg factor (dominance and nondominance) does not influence the correlation of angular displacement of ankle joint and center of mass displacement. However, it influenced the correlation between ankle joint moment and center of mass displacement.
Conclusion: Therefore according to the present study it can be said that the kinetic variables of ankle joints are more important than kinematic variables for the prediction of center of mass displacement. In addition, it is suggested that in order to evaluate the lower extremity dynamics, during balance control, dominant and non-dominant lower limbs of the subjects be noticed too.
Ali Asghar Jamebozorgi, Ladan Zakeri, Amir Hossein Kahlaee, Hamed Ghomashchi, Ashkan Irani,
Volume 4, Issue 4 (1-2015)
Abstract
Purpose: Total Knee Replacement (TKR) is the treatment of choice for severe osteoarthritis with acceptable outcomes regarding pain management, function and quality of life enhancement. Because many patients require TKR procedure for their both knees, there has always been a challenge in the choice of simultaneous or consecutive operations. The aim of the present study was to compare the two protocols based on functional capabilities of patients with osteoarthritis (OA).
Methods: In this quasi-experimental study, twenty five severe patients with OA candidates for bilateral TKR (sampled by simple convenient method) were assigned into unilateral (3 men, 9 women) and bilateral (3 men, 10 women) groups based on the preference of the patients for the surgery procedure. Knee Injury and Osteoarthritis Outcome Score (KOOS) was used to evaluate functional capabilities of the patients prior to and 6 weeks after the operation and rehabilitation program. Repeated measures analysis of variance was used for the statistical analysis by SPSS 21 software.
Results: The findings indicated that the KOOS scores of the 2 groups were not significantly different before or after the interventions. Besides, patients in both groups showed significant improvement after TKR and the following rehabilitation program (P<0.01 for both groups and all KOOS subscales).
Conclusion: TKR and the post-operative rehabilitation program could significantly enhance function of the severe OA patients but no priority for either unilateral or simultaneous bilateral methods was recognized.
Tahere Rezaeian, Soraya Piroozi, Najme Ghanbari, Fahime Moghimi, Tahere Motiallah,
Volume 5, Issue 1 (4-2015)
Abstract
Purpose: The prevalence of work-related musculoskeletal disorders is increasing worldwide. This survey aimed to evaluate the prevalence of leg pain among female hairdressers in Shiraz, Iran, in 2010.
Methods: This is a descriptive-correlational study that was conducted on female hairdressers in Shiraz, Iran. A total of 239 hairdressers were selected by available sampling method. Data were collected by interview and a questionnaire regarding their age, body mass index, marital status, experience, total work time, positions during work (sitting and standing), daily exercise, types of shoes worn during work, and use of arch support. Also existence of pain in feet and legs was evaluated. We used descriptive statistics and Chi-square test to analyze the collected data. The statistical analyses were done by SPSS version 16.
Results: About 30.1% of subjects had a BMI lower than 18 and 56.1% of them were married. Also 38.9% of subjects had a total work time of more than 8 hours per day and 69.5% of them worked in the standing position. According to the results, 53.1% of the subjects worn ordinary sandals and only 8.4% of them used arch support. Majority of the subjects (70.7%) reported pain in their feet and legs. The result also revealed the significant correlation between pain prevalence and age, BMI, marital status, total work time per day, and type of shoes worn during the work. Also, married people reported pain more.
Conclusion: According to the findings of this study, several factors are associated with discomforts in the legs and feet among hairdressers. Therefore, hairdressing training in correct work procedures and modifying work conditions such as designing a proper chair, reducing working hours, use of medical shoes and sandals can prevent the incidence of musculoskeletal disorders in this occupational group.
Neda Rezvankhah Golsefidi, Seyed Ali Emami Hashemi,
Volume 5, Issue 2 (7-2015)
Abstract
Purpose: Autism is a developmental disorder characterized by social and communicative problems as well as movement skills. Anxiety is one of the widespread problems among the people affected by autism. The aim of the present research was to survey the effect of one period of selected spark motor program on the anxiety of children with autism.
Methods: Twenty autistic children (Asperger symptom) participated in this study. They were divided into experimental and control groups. Experimental group participated in selected spark motor program for 4 weeks. The anxiety level was measured by using Spence children’s anxiety scale questionnaire before and after the exercise program. Data were analyzed by using the dependent and independent t test with SPSS 21 and the α value was considered 0.05.
Results: The results showed that after the exercise program, the level of obsessive-compulsive disorder (P<0.001), separation anxiety (P<0.001), social phobia (P<0.001), general anxiety (P=0.02), physical injury fears (P=0.01), and agoraphobia (P=0.01) decreased significantly in the experimental group. While the control group showed no significant difference.
Conclusion: Training and exercise not only reduce anxiety in autistic children but also can be used as useful nonpharmaceutical method to reduce anxiety.
Tahere Rezaeian, Tahere Motiallah, Najme Ghanbari, Fahime Moghimi, Soraya Piroozi,
Volume 5, Issue 2 (7-2015)
Abstract
Purpose: The prevalence of work-related musculoskeletal disorders is increasing worldwide. This research surveys the prevalence of pain among female hairdressers in Shiraz in 2010.
Methods: This is a survey study and a total number of 239 hairdressers were selected in Shiraz, Iran by available sampling method. Data were collected by interview and filling out questionnaires about their age, body mass index (BMI), marital status, work experience, total work time, positions during work, types of shoes worn during work, and use of arch support. Also, different diseases such as hallux valgus, hallux rigidus, turf toe, hammer toe, arch foot, plantar fasciitis, posterior tarsal tunnel syndrome, metatarsalgia, metatarsal neuralgia, and cuboid syndrome were evaluated among them. Collected data were analyzed by descriptive statistics and the Chi-square test through SPSS software (version 16) to estimate the prevalence of pain and structural disorders among hairdressers.
Results: The results showed that 30.1% of subjects had a BMI lower than 18 and 56.1% of them were married. Also 38.9% of subjects worked more than 8 hours per day and 69.5% of them worked in the standing position. According to the results, 53.1% of the subjects worn ordinary sandals and only 8.4% of them used arch support. Hallux valgus was found as a common deformity (54.9%) among study subjects, also 34.8% of them had hallux rigidus and 31% calf pain and metatarsalgia. The result also revealed a significant correlation between prevalence of structural deformity and variables of BMI, marital status, total work time per day, work experience, use of arch support, and type of shoes worn during the work.
Conclusion: Several factors can cause discomfort in the legs and feet in hairdressers. Therefore, hairdressers should be trained in correct work procedures. Furthermore, modifying work conditions such as designing a proper chair, reducing working hours, and using medical shoes and sandals can reduce the prevalence of musculoskeletal disorders in this occupational group.
Mohammad Mohammadi Bazneshin, Ali Amiri, Ali Ashraf Jamshidi, Behnoosh Vasaghi-Gharamaleki,
Volume 5, Issue 2 (7-2015)
Abstract
Purpose: Proprioception is a part of the somatosensory system responsible for sending information to the central nervous system to monitor the status of various body parts relative to each another. One of the main causes of impaired proprioception is fatigue. In the following study, the effects of fatigue on quadriceps muscle and hence on knee proprioception in healthy subjects was studied.
Methods: This is a pretest-posttest study. By available sampling, 34 healthy young subjects with a mean (SD) age of 22.15 (1.97) years, a normal knee motion range and muscle strength, with no skeletal muscle nerve damage, volunteered for this study. The subjects tested the target angle reconstruction (45° flexion) of their knee joints while contracting the quadriceps muscles. We used a digital inclinometer to assess proprioception before and after fatigue. Then, by using the paired t-test, the rate of constant error and absolute error were compared. For the statistical analyses, SPSS (version 16) was used.
Results: quadriceps muscle fatigue causes a significant increase in the error rate of the knee joint reconstruction angle at 45° (absolute error and constant error) (P<0.05).
Conclusion: Quadriceps muscle fatigue decreases accuracy and increases absolute error and constant reconstruction angle of the knee joint in healthy individual.
Sasan Naderi, Fariborz Mohammadipour, Mohammad Reza Amir Seyfaddini,
Volume 7, Issue 2 (7-2017)
Abstract
Purpose: Forward Walking (FW) and Backward Walking (BW) on different gradients of the treadmill is a common exercise for lower extremity rehabilitation. However, limited studies are found about the three-dimensional analysis of lower extremity and status of the knee joint during FW and BW on different gradients. Therefore, this study aimed to investigate the lower extremity joints kinematics during FW and BW on incline and decline surfaces.
Methods: The current research has a quasi-experimental design. Sixteen healthy males with the mean (SD) age of 22.4(2.5) years, volunteered to participate in this study. The subjects’ FW and BW with their preferred speed on a treadmill at four gradients (-7.5%, 0%, +5% and +10%), were analyzed by using motion capture system. All data were analyzed using paired sample t test (P<0.05).
Results: Significant differences were seen between FW and BW in most angular variables in sagittal plane. However, there were no significant differences between FW and BW in most parameters of knee angle in frontal plane.
Conclusion: Based on the results, with increase in FW inclination and decrease in BW inclination, the knee varus angle in frontal plane reduces. Therefore, FW on the upslope surfaces or BW on downslope surfaces, probably is a suitable solution to reduce the loads exerted on medial compartment of the knee.
Mehrdad Bastani, Gholamali Ghasemi, Morteza Sadeghi, Amirreza Afshon, Hossein Sadeghi,
Volume 7, Issue 2 (7-2017)
Abstract
Purpose: The elderly patients undergoing hemodialysis who developed end-stage renal failure are at higher risk for falling and its critical outcomes compared with their healthy counterparts due to of poor balance, reduced muscle endurance, and sedentary lifestyle. The current study aimed at evaluating the effect of selected core stability exercises on balance and muscle endurance in the elderly patients undergoing hemodialysis.
Methods: In the current quasi-experimental study, a total of 30 patients undergoing hemodialysis with the mean age of 62.24±6.51 years, the mean hemodialysis duration of 29.4±18.44 months, and the history of falling at least once during the last year were selected using the purposive convenience sampling method and then, the subjects were randomly allocated into 2 groups of intervention (n=15) and control (n=15). To assess the static balance, dynamic balance, and muscle endurance in the patients, the stork stand test, the timed Up and Go test (TUG), and the sit-to-stand-to-sit test for 60 seconds (STS-60) were used, respectively. The selected core stability exercises were performed for the intervention group in 6 weeks, three 45-minute sessions per week. To analyze data, the repeated measures analysis of variance (RM ANOVA) with SPSS version 22 was used; P<0.05 was considered the level of significance.
Results: Results of the current study indicated significant differences between the groups in terms of static balance, dynamic balance, and muscle endurance (P<0.001). In other words, the implemented exercises significantly affected the studied variables.
Conclusion: Based on the obtained results, the therapists can suggest the core stability exercises as a safe and functional strategy to improve balance and muscle endurance in patients undergoing hemodialysis, which may result in increased independence of action and reduced risk of falling due to loss of balance.
Vahid Maroof, Mahyar Salavati, Zahra Mosallanejhad, Seyyed Masoud Nabavi,
Volume 7, Issue 3 (10-2017)
Abstract
Purpose: Chronic diseases affect patients’ Quality of Life (QoL) and even their caregivers. By evaluating the QoL of patients with multiple sclerosis, the undiagnosed problems of the patients can be detected and the appropriate treatment objectives can be determined. This study was conducted to evaluate the QoL in patients with different types of MS.
Methods: A total of 314 patients with Multiple Sclerosis (MS) referred to “Society for the support of MS patients”, “Raad Charity and Education complex”, and an outpatient clinic in Tehran during fall and winter 2014-2015 were recruited. All patients completed the 36-Item Short Form questionnaire (SF-36) and Dartmouth Coop Functional Health Assessment/World Organization of National Colleges, Academies and Academic Association of General Practitioners (COOP/WONCA) functional health assessment charts as self-report.
Results: To investigate the research hypothesis and analyzing the results of the two questionnaires, 1-way analysis of variance (ANOVA) was used. The results of the analysis showed a significant difference between the three types of MS (relapsing-remitting, secondary progressive and primary progressive) in the scores of all SF-36 questionnaire subscales. A significant difference was also found between the three types of MS regarding the scores of all charts of COOP/WONCA, except for social support. Then with the use of LSD post hoc test, scores of both questionnaires subscales in these three types of MS were pair-wisely compared.
Conclusion: The results showed that the type of MS disease can affect the patients’ QoL. Patients with relapsing-remitting MS had the best level of QoL among all others. The COOP/WONCA charts were more sensitive in measuring the differences between the secondary-progressive MS and primary-progressive MS.
Mehdi Aslani, Homan Minoonejad, Reza Rajabi,
Volume 7, Issue 4 (1-2018)
Abstract
Purpose: This study aimed to compare the effect of 4 weeks of suspension exercises with TRX and hopping on the static and dynamic balance of male college athletes.
Methods: This was a quasi-experimental study. In total, 36 male volleyball, basketball, soccer and handball players of the University of Tehran with an age range between 20 and 28 years were selected purposefully and then randomly assigned into 3 groups of control (n=12), TRX suspension exercise (n=12), and hopping exercise (n=12). The exercise groups performed hopping and TRX exercise 3 sessions a week for 4 weeks (12 sessions). Static and dynamic balance of the participants were measured before and after 4 weeks of suspension exercises with TRX and hopping using Biodex balance system. For data analysis paired t test, ANCOVA and Bonferroni test were performed in SPSS. P≤0.05 was considered as the significant level.
Results: The scores of the general indicator of the static and dynamic balance test in the 2 exercise groups showed significant improvements, compared to the control group (P≤0.05). However, there was no significant difference between the effect of hopping and TRX exercise on the static and dynamic balance of the athletes (P>0.05).
Conclusion: Four weeks of hopping and TRX exercise significantly improves the static and dynamic balance of college athletes; Athletes and coaches can use both of these 2 sets of exercises for improving the static and dynamic balance and for prevention of injury.
Hooman Minoonejad, Hengameh Bazrafshan, Mahdiyeh Akoochakian, Mehdi Aslani,
Volume 8, Issue 1 (4-2018)
Abstract
Purpose: Because of the decrease in the quality of life caused by functional limitations and increase attention to functional ankle instability, this study investigated the attentional focus within 4 weeks of exercise therapy on performance improvement and the kinesiophobia in athletes with functional ankle instability.
Methods: This was a quasi-experimental study with pre-test post-test and control group design. In total, 37 female and male college student athletes of basketball, volleyball and futsal teams, who had functional ankle instability, were selected purposefully. After initial screening, the subjects were recruited based on the inclusion and exclusion criteria and then randomly divided into 3 groups of “internal focus”, “external focus”, and “without instruction”. Then, they performed the same training protocol but with different directions for 4 weeks. Health-related quality of life was investigated and compared between all 3 groups before and after exercises, using the Cumberland Ankle Instability Tool (CAIT) and Tampa Scale of Kinesiophobia (TSK-17) scores. The obtained data were analyzed by SPSS. The Kolmogorov-Smirnov Test was used to assess the normal distribution of the study variables. Paired t-test was also used to compare within-group pre-test and post-test scores. Analysis of Covariance (ANCOVA) and Bonferroni post Hoc Test were used to compare between-group results, at the significance level of P≤0.05.
Results: Paired t test results revealed that after 4 weeks of exercise with wobble board, CAIT scores in all 3 training groups significantly increased regardless of the focal attention but TKS-17 scores significantly decreased in all 3 groups (P≥0.05). The ANCOVA results demonstrated that after controlling the effect of pre-test (covariate), there were significant differences among 3 groups in post-test CAIT scores (P≥0.05). There were also significant differences among the 3 groups in post-test scores of TKS-17 (P≥0.05). Therefore, Bonferroni post hoc test was used to investigate the differences between the groups. The results of Bonferroni post-hoc test indicated that post-test CAIT scores in all 3 training groups increased significantly (P≥0.05) and TKS-17 scores in all 3 groups decreased significantly (P≥0.05).
Conclusion: Applying the “internal focus”, instructions within 4 weeks of exercise therapy to improve the quality of life associated in athletes with functional ankle instability is more effective than other guidelines or exercises without instructions.
Esmaeil Mozafaripour, Reza Rajabi, Hooman Minoonejad,
Volume 8, Issue 1 (4-2018)
Abstract
Purpose: Changes in lower extremity alignment in individuals with abnormality of this segments are unclear. The present study aimed to compare lower extremity alignment in subjects with genu valgum and genu varum deformities and healthy subjects in order to understand the lower extremity alignment changes in this group.
Methods: This was a causal-comparative study. The sample comprised 120 males selected by convenience sampling method. In total, 40 subjects were assigned to genu valgum group, 40 to genu varum group, and 40 to healthy subject group. Lower extremity alignment was evaluated in anteversion of hip, Q angle, internal and external rotation of hip, knee hyperextension, tibial torsion, tibia vara, and foot arch index, at the laboratory of Tehran University, Tehran, Iran. To compare the mean score of variables between the groups, 1-way Analysis of Variance (ANOVA) was used. The obtained data were analyzed by SPSS.
Results: The internal rotation of hip, Q angle, anteversion of hip, knee hyperextension and plantar arch index were significantly higher in the subjects with genu valgum deformity, compared to the subjects with genu varum deformity. The tibia vara value was significantly higher in the subjects with genu varum deformity than those with genu valgum deformity. However, no significant differences was found between the tibial torsion and external rotation of hip in the study groups.
Conclusion: The lower extremity alignment changes in the subjects with genu valgum deformity included increased anteversion, Q angle, flatfoot, knee hyperextension, and internal rotation of the hip. Also, the changes in the subjects with genu varum deformity included decreased Q angle, internal rotation of hip, knee hyperextension, but increased tibia vara, and foot arch.
Shokoufeh Pakbaz, Mehrdad Anbarian, Azar Aghayari,
Volume 8, Issue 3 (10-2018)
Abstract
Purpose: This study aimed to compare the effects of fatigue due to overground and treadmill running on the plantar pressure distribution pattern.
Methods: Twelve novice athletes (Mean±SD age=26.0±2.5 y, Mean±SD weight: 52.0±3.0 kg, Mean±SD height: 159.0±5.0 cm), without sports injuries over the past year, were selected. Overground and treadmill running created fatigue in the samples. Peak plantar pressure distribution, Center of Pressure, contact area, and impulse the samples were recorded using a footscan (Footscan Version 7 Gait 2nd generation software) pressure system during running before and after the fatigue protocol and analyzed with repeated measures ANOVA in SPSS v. 18.
Results: Peak plantar pressure on the second to fifth toe , the fourth and fifth metatarsal bones, and medial part of the heel significantly increased. The shift in the Center of Pressure of the foot was non-significant in all stages. The contact area at the second metatarsal and midfoot area shifted only before the fatigue protocol on overground running. Impulse at the second to fifth toe, first to fifth metatarsal, significantly increased in the ground running.
Conclusion: The results showed that fatigue due to treadmill running has different effects compared to fatigue due to overground running.