نوع مقاله : مقاله پژوهشی
نویسندگان
1 استادیار، گروه فیزیولوژی ورزشی، دانشکده علوم ورزشی، دانشگاه الزهرا، تهران، ایران (نویسندۀ مسئول)
2 استادیار، گروه علوم ورزشی، دانشکده ادبیات و علوم انسانی، دانشگاه ملایر، ملایر، ایران
3 استادیار، گروه علوم ورزشی، دانشکده علوم انسانی، دانشگاه کاشان، کاشان، ایران
چکیده
هدف تحقیق مقایسه کینماتیک مجموعه پا و مچ پا و زانو در زنان مبتلا به کف پای صاف منعطف و ثابت حین راه رفتن بود. 29 زن جوان (10 نفر سالم، 10 نفر کف پای صاف منعطف و 9 نفر کف پای صاف ثابت) در پژوهش حاضر شرکت داشتند. برای جمع‌آوری داده‌ها از دوربین‌های تحلیل حرکت و فورس پلیت استفاده شد. نتایج نشان دادند دورسی‌فلکشن مچ پا در گروه کف پای صاف ثابت از دو گروه دیگر کمتر بود. میزان اورژن مچ پا نیز در گروه کف پای صاف ثابت از گروه سالم بیشتر بود. گروه کف پای صاف منعطف میزان والگوس زانوی بیشتری نسبت به دو گروه دیگر داشت. براساس یافته‌های تحقیق حاضر می‌توان گفت، افراد دارای کف پای صاف منطف همانند افراد دارای کف پای صاف ثابت در معرض ابتلا به آسیب‌های زانو هستند، لذا انجام اقدامات درمانی در افراد دارای کف پای صاف منعطف ضروری بنظر می‌رسد.
کلیدواژه‌ها
موضوعات
عنوان مقاله [English]
Comparison of foot-ankle complex and knee joint kinematics in women with flexible and rigid flatfeet during walking
نویسندگان [English]
- Leila Ghazaleh 1
- Yasin Hoseiny 2
- keyvan sharifmoradi 3
1 Department of Sport Physiology, Faculty of Sport Sciences, Alzahra University, Tehran, Iran
2 Department of Sport Sciences, Faculty of Literature and Humanities, Malayer University, Malayer, Iran
3 Department of Sport Sciences, Faculty of Humanities, University of Kashan, Kashan, Iran
چکیده [English]
The aim of the present study was to compare the kinematics of the foot-ankle complex and knee joints in women with flexible and rigid flatfeet during stance phase of walking. Twenty-nine young women (10 healthy, 10 with flexible flatfeet and 9 with rigid flatfeet) participated in this study. Motion analysis system and a force plate were used to collect research data. The results showed that ankle dorsiflexion was significantly lower in subjects with rigid flatfeet than the other groups. The amount of ankle eversion was significantly higher in subjects with rigid flatfeet than healthy group. Subjects with flexible flatfeet had significantly more knee valgus than other groups. According to the findings, it can be said that subjects with flexible flatfeet were exposed knee injuries as subjects with rigid flatfeet, so it seems necessary to perform treatment in subjects with flexible flatfeet.
کلیدواژه‌ها [English]
- Flat foot
- Flexible
- Rigid
- Gait
- Joint
- Napolitano C, Walsh S, Mahoney L, McCrea J. Risk factors that may adversely modify the natural history of the pediatric pronated foot. Clinics in podiatric medicine and surgery. 2000;17(3):397-417.
- Arachchige SNK, Chander H, Knight A. Flatfeet: Biomechanical implications, assessment and management. The Foot. 2019;38:81-5.
- Dars S, Uden H, Banwell HA, Kumar S. The effectiveness of non-surgical intervention (Foot Orthoses) for paediatric flexible pes planus: A systematic review: Update. PloS one. 2018;13(2):1-17.
- Abaraogu UO, Onyeka C, Ucheagwu C, Ozioko M. Association between flatfoot and age is mediated by sex: A cross-sectional study. Polish Annals of Medicine. 2016;23(2):141-6.
- Carr JB, Yang S, Lather LA. Pediatric pes planus: a state-of-the-art review. Pediatrics. 2016;137(3).
- Harris EJ. The natural history and pathophysiology of flexible flatfoot. Clinics in podiatric medicine and surgery. 2010;27(1):1-23.
- Hösl M, Böhm H, Multerer C, Döderlein L. Does excessive flatfoot deformity affect function? A comparison between symptomatic and asymptomatic flatfeet using the Oxford Foot Model. Gait & posture. 2014;39(1):23-8.
- Haendlmayer KT, Harris NJ. (ii) Flatfoot deformity: an overview. Orthopaedics and Trauma. 2009;23(6):395-403.
- Rose G, Welton E, Marshall T. The diagnosis of flat foot in the child. The Journal of bone and joint surgery British volume. 1985;67(1):71-8.
- Khamis S, Yizhar Z. Effect of feet hyperpronation on pelvic alignment in a standing position. Gait & posture. 2007;25(1):127-34.
- Walters JL, Mendicino SS. The flexible adult flatfoot: anatomy and pathomechanics. Clinics in podiatric medicine and surgery. 2014;31(3):329-36.
- Dabholkar T, Agarwal A. Quality of Life in Adult Population with Flat Feet. International Journal of Health Sciences and Research. 2020; 10(2).
- Prachgosin T, Chong DY, Leelasamran W, Smithmaitrie P, Chatpun S. Medial longitudinal arch biomechanics evaluation during gait in subjects with flexible flatfoot. Acta of bioengineering and biomechanics. 2015;17(4).
- Yavuzer G, Sarmer S, Ergin S. Gait deviation of subjects with flexible flatfeet. Ankara University Medical School, Department of Physical Medicine and Rehabilitation, Turkey. 2001:4-6.
- Hunt AE, Smith RM. Mechanics and control of the flat versus normal foot during the stance phase of walking. Clinical biomechanics. 2004;19(4):391-7.
- Levinger P, Murley GS, Barton CJ, Cotchett MP, McSweeney SR, Menz HB. A comparison of foot kinematics in people with normal-and flat-arched feet using the Oxford Foot Model. Gait & posture. 2010;32(4):519-23.
- Buldt AK, Murley GS, Butterworth P, Levinger P, Menz HB, Landorf KB. The relationship between foot posture and lower limb kinematics during walking: A systematic review. Gait & posture. 2013;38(3):363-72.
- Pfeiffer M, Kotz R, Ledl T, Hauser G, Sluga M. Prevalence of flat foot in preschool-aged children. Pediatrics. 2006;118(2):634-9.
- Maestre-Rendon J, Rivera-Roman T, Sierra-Hernandez J, Cruz-Aceves I, Contreras-Medina L, Duarte-Galvan C, et al. Low computational-cost footprint deformities diagnosis sensor through angles, dimensions analysis and image processing techniques. Sensors. 2017;17(11):2700.
- Soper C, Hume P, Cheung K, Benschop A, editors. Foot morphology of junior football players: Implications for football shoe design. A sports medicine odyssey-challenges, controversies and change Australian Conference of Science and Medicine in Sport; 2001. Wellington, New Zealand.
- Onodera AN, Sacco ICN, Morioka EH, Souza PS, de Sá MR, Amadio AC. What is the best method for child longitudinal plantar arch assessment and when does arch maturation occur? The Foot. 2008;18(3):142-9.
- Aenumulapalli A, Kulkarni MM, Gandotra AR. Prevalence of flexible flat foot in adults: A cross-sectional study. Journal of Clinical and Diagnostic Research: JCDR. 2017;11(6):AC17.
- Lee Y-C, Lin G, Wang M-JJ. Comparing 3D foot scanning with conventional measurement methods. Journal of foot and ankle research. 2014;7(1):44.
- Shariff SM, Manaharan T, Shariff AA, Merican AF. Evaluation of Foot Arch in Adult Women: Comparison between Five Different Footprint Parameters. Sains Malaysiana. 2017;46(10):1839-48.
- Pezzan PA, Sacco IC, João S. Foot posture and classification of the plantar arch among adolescent wearers and non-wearers of high-heeled shoes. Brazilian Journal of Physical Therapy. 2009;13(5):398-404.
- Queen RM, Mall NA, Hardaker WM, Nunley JA. Describing the medial longitudinal arch using footprint indices and a clinical grading system. Foot & ankle international. 2007;28(4):456-62.
- Ledoux WR, Hillstrom HJ. The distributed plantar vertical force of neutrally aligned and pes planus feet. Gait & posture. 2002;15(1):1-9.
- Sanchis-Sales E, Sancho-Bru JL, Roda-Sales A, Pascual-Huerta J. Kinematics and kinetics analysis of midfoot joints of 30 normal subjects during walking. Revista Española de Podología. 2016;27(2):e6-e12.
- Winter DA. Biomechanics and motor control of human movement: John Wiley & Sons; 2009.
- Kim HY, Shin HS, Ko JH, Cha YH, Ahn JH, Hwang JY. Gait analysis of symptomatic flatfoot in children: an observational study. Clinics in orthopedic surgery. 2017;9(3):363.
- Gatt A, De Giorgio S, Chockalingam N, Formosa C. A pilot investigation into the relationship between static diagnosis of ankle equinus and dynamic ankle and foot dorsiflexion during stance phase of gait: time to revisit theory? The Foot. 2017;30:47-52.
- Halabchi F, Mazaheri R, Mirshahi M, Abbasian L. Pediatric flexible flatfoot; clinical aspects and algorithmic approach. Iranian journal of pediatrics. 2013;23(3):247.
- Flores DV, Mejía Gómez C, Fernández Hernando M, Davis MA, Pathria MN. Adult acquired flatfoot deformity: anatomy, biomechanics, staging, and imaging findings. Radiographics. 2019;39(5):1437-60.
- Oatis C. Biomechanics of Joints. Kinesiology: The Mechanics and Pathomechanics of Human Movement. 2004:97-8.
- Błażkiewicz M, Wit A. Compensatory strategy for ankle dorsiflexion muscle weakness during gait in patients with drop-foot. Gait & posture. 2019;68:88-94.
- Nakagawa TH, Petersen RS. Relationship of hip and ankle range of motion, trunk muscle endurance with knee valgus and dynamic balance in males. Physical Therapy in Sport. 2018;34:174-9.
- Backman LJ, Danielson P. Low range of ankle dorsiflexion predisposes for patellar tendinopathy in junior elite basketball players: a 1-year prospective study. The American journal of sports medicine. 2011;39(12):2626-33.
- Rabin A, Kozol Z, Finestone AS. Limited ankle dorsiflexion increases the risk for mid-portion Achilles tendinopathy in infantry recruits: a prospective cohort study. Journal of foot and ankle research. 2014;7(1):1-7.
- Hoch MC, Andreatta RD, Mullineaux DR, English RA, Medina McKeon JM, Mattacola CG, et al. Two‐week joint mobilization intervention improves self‐reported function, range of motion, and dynamic balance in those with chronic ankle instability. Journal of orthopaedic research. 2012;30(11):1798-804.
- Chuckpaiwong B, Cook C, Pietrobon R, Nunley JA. Second metatarsal stress fracture in sport: comparative risk factors between proximal and non-proximal locations. British journal of sports medicine. 2007;41(8):510-4.
- Taunton JE, Wilkinson M. Rheumatology: 14. Diagnosis and management of anterior knee pain. Cmaj. 2001;164(11):1595-601.
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