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

Year 2024, Volume: 6 Issue: 1, 74 - 83, 25.04.2024

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

Abstract

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.

Keywords

Femoral Anteversion Angle, Balance, Foot Posture Index, Hypermobility, Medial Longitudinal Arch

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

Abstract

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.

Keywords

Ayak Postür İndeksi, Denge, Femoral Anteversiyon Açı, Hipermobilite, Medial Longitudunal Ark

References

• 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.