RELATIONSHIPS AMONG SELECTED LOWER EXTREMITY ALIGNMENT VARIABLES IN PATIENTS WITH SYMPTOMATIC OSTEOARTHRITIS OF THE KNEE
Background and Purpose: Osteoarthritis (OA) leads to destruction of cartilage and mal-alignment of structures in the knee joint leading to anatomic alterations of the joint. It has been identified that mal-alignment in the lower extremity is a potential factor that increases the risk of acute i...
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| Format: | Article |
| Language: | English |
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University of Oradea Publishing House
2018-12-01
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| Series: | Romanian Journal of Physical Therapy |
| Subjects: | |
| Online Access: | http://revrokineto.uoradea.ro/24_41/2.rovrekineto_24_41_Odebiyi.pdf |
| _version_ | 1797727225902006272 |
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| author | Odebiyi Daniel O. Josiah Eniola Evelyn Akinbo Sra |
| author_facet | Odebiyi Daniel O. Josiah Eniola Evelyn Akinbo Sra |
| author_sort | Odebiyi Daniel O. |
| collection | DOAJ |
| description | Background and Purpose: Osteoarthritis (OA) leads to
destruction of cartilage and mal-alignment of structures in
the knee joint leading to anatomic alterations of the joint.
It has been identified that mal-alignment in the lower
extremity is a potential factor that increases the risk of
acute injury and osteoarthritis. Therefore, the purpose of
this study was to determine the relationship among selected lower extremity alignment variables in individuals with osteoarthritis of the knee. Methods: A total of 40 individuals (mean ± SD age of 56.35 ± 9.70) with knee Osteoarthritis (KOA) were recruited in this cross sectional observational study. Six anatomical alignment characteristics (Quadriceps angle, Tibiofemoral angle, Tibial Torsion, Femoral anteversion, Genu recurvatum, Navicular drop) were measured on the left and right lower extremities of each participant. Results: There was no significant relationship (P>0.05) among the lower extremity alignment variables in subjects with unilateral symptomatic KOA. There was a significant relationship between Femoral anteversion and Genu recurvatum (r= -0.443, p= 0.039) and between Tibiofemoral angle and Tibial torsion angle (r= -0.445, p= 0.038) respectively in the left and right limbs of participants with symptomatic bilateral KOA. There was also a significance gender difference for Femoral anteversion (t= -2.803, p= 0.016) and Navicular drop (t= 2.335, p= 0.038) in participants with unilateral symptomatic right KOA and significance in gender difference for Quadriceps angle (t= -2.148, p= 0.044) in the right limb of participants with bilateral symptomatic KOA. Discussion: Mal-alignment of the lower extremity exists in individuals with unilateral and bilateral symptomatic KOA. Therefore, emphasis should be placed on not only correcting mal-alignments at the knee but also correcting mal-alignment at other segments of the lower extremity so as to further prevent disease progression in the affected and unaffected limb. |
| first_indexed | 2024-03-12T10:56:48Z |
| format | Article |
| id | doaj.art-bd1ff378f8854b2880d68173e214e328 |
| institution | Directory Open Access Journal |
| issn | 2068-1712 |
| language | English |
| last_indexed | 2024-03-12T10:56:48Z |
| publishDate | 2018-12-01 |
| publisher | University of Oradea Publishing House |
| record_format | Article |
| series | Romanian Journal of Physical Therapy |
| spelling | doaj.art-bd1ff378f8854b2880d68173e214e3282023-09-02T06:20:38ZengUniversity of Oradea Publishing HouseRomanian Journal of Physical Therapy2068-17122018-12-0124411120RELATIONSHIPS AMONG SELECTED LOWER EXTREMITY ALIGNMENT VARIABLES IN PATIENTS WITH SYMPTOMATIC OSTEOARTHRITIS OF THE KNEEOdebiyi Daniel O.0Josiah Eniola Evelyn1Akinbo Sra2Associate Professor and Clinical Instructor, Physiotherapy Department, Faculty of Clinical Sciences, College of Medicine, University of LagosPhysiotherapist, Physiotherapy Department, Lagos University Teaching Hospital Physiotherapy Department, Faculty of Clinical Sciences, College of Medicine, University of Lagos, Lagos, Nigeria; and Lagos University Teaching Hospital, Idi-Araba, Lagos, NigeriaBackground and Purpose: Osteoarthritis (OA) leads to destruction of cartilage and mal-alignment of structures in the knee joint leading to anatomic alterations of the joint. It has been identified that mal-alignment in the lower extremity is a potential factor that increases the risk of acute injury and osteoarthritis. Therefore, the purpose of this study was to determine the relationship among selected lower extremity alignment variables in individuals with osteoarthritis of the knee. Methods: A total of 40 individuals (mean ± SD age of 56.35 ± 9.70) with knee Osteoarthritis (KOA) were recruited in this cross sectional observational study. Six anatomical alignment characteristics (Quadriceps angle, Tibiofemoral angle, Tibial Torsion, Femoral anteversion, Genu recurvatum, Navicular drop) were measured on the left and right lower extremities of each participant. Results: There was no significant relationship (P>0.05) among the lower extremity alignment variables in subjects with unilateral symptomatic KOA. There was a significant relationship between Femoral anteversion and Genu recurvatum (r= -0.443, p= 0.039) and between Tibiofemoral angle and Tibial torsion angle (r= -0.445, p= 0.038) respectively in the left and right limbs of participants with symptomatic bilateral KOA. There was also a significance gender difference for Femoral anteversion (t= -2.803, p= 0.016) and Navicular drop (t= 2.335, p= 0.038) in participants with unilateral symptomatic right KOA and significance in gender difference for Quadriceps angle (t= -2.148, p= 0.044) in the right limb of participants with bilateral symptomatic KOA. Discussion: Mal-alignment of the lower extremity exists in individuals with unilateral and bilateral symptomatic KOA. Therefore, emphasis should be placed on not only correcting mal-alignments at the knee but also correcting mal-alignment at other segments of the lower extremity so as to further prevent disease progression in the affected and unaffected limb.http://revrokineto.uoradea.ro/24_41/2.rovrekineto_24_41_Odebiyi.pdfsymptomatic osteoarthritismal-alignmentlower extremity alignment |
| spellingShingle | Odebiyi Daniel O. Josiah Eniola Evelyn Akinbo Sra RELATIONSHIPS AMONG SELECTED LOWER EXTREMITY ALIGNMENT VARIABLES IN PATIENTS WITH SYMPTOMATIC OSTEOARTHRITIS OF THE KNEE Romanian Journal of Physical Therapy symptomatic osteoarthritis mal-alignment lower extremity alignment |
| title | RELATIONSHIPS AMONG SELECTED LOWER EXTREMITY ALIGNMENT VARIABLES IN PATIENTS WITH SYMPTOMATIC OSTEOARTHRITIS OF THE KNEE |
| title_full | RELATIONSHIPS AMONG SELECTED LOWER EXTREMITY ALIGNMENT VARIABLES IN PATIENTS WITH SYMPTOMATIC OSTEOARTHRITIS OF THE KNEE |
| title_fullStr | RELATIONSHIPS AMONG SELECTED LOWER EXTREMITY ALIGNMENT VARIABLES IN PATIENTS WITH SYMPTOMATIC OSTEOARTHRITIS OF THE KNEE |
| title_full_unstemmed | RELATIONSHIPS AMONG SELECTED LOWER EXTREMITY ALIGNMENT VARIABLES IN PATIENTS WITH SYMPTOMATIC OSTEOARTHRITIS OF THE KNEE |
| title_short | RELATIONSHIPS AMONG SELECTED LOWER EXTREMITY ALIGNMENT VARIABLES IN PATIENTS WITH SYMPTOMATIC OSTEOARTHRITIS OF THE KNEE |
| title_sort | relationships among selected lower extremity alignment variables in patients with symptomatic osteoarthritis of the knee |
| topic | symptomatic osteoarthritis mal-alignment lower extremity alignment |
| url | http://revrokineto.uoradea.ro/24_41/2.rovrekineto_24_41_Odebiyi.pdf |
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