Assessment of Patellar Alignment in Different Postures

Hugo Machado Sanchez; Eliane Gouveia de Morais Sanchez; Mario Antonio Baraúna; Roberto Sérgio de Tavares Canto

doi:doi:10.11648/j.ajss.20140202.14

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Assessment of Patellar Alignment in Different Postures

Hugo Machado Sanchez, Eliane Gouveia de Morais Sanchez, Mario Antonio Baraúna, Roberto Sérgio de Tavares Canto

Published in American Journal of Sports Science (Volume 2, Issue 2)

Received: 18 November 2013 Published: 10 March 2014

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Abstract

Introduction: The evaluation of Q angle is a common clinical practice however standardization regarding the best way does not exist. Objective: Compare the value of the Q angle in different static positions and rotations of lower limbs. Methods: Evaluated 56 volunteers, 30 women and 26 men, in the supine andunder static weight-bearing positions with parallel feet and with outward foot rotation. For calculate Q angle used Computerized Biophotogrammetry. Results: Have significant difference between the static weight-bearing position with parallel feet and static weight-bearing with outward foot rotation in the left side for both the sexes (p=0.00) and between the supine position with outward foot rotation and static weight-bearing with parallel feet of the left side (p=0.03), in the feminine sex. Conclusion: it is concluded that there are no differences between different positions and postures to review the Q angle, however we stress the importance of checking the relaxation of the muscles of the lower limbs.

Published in	American Journal of Sports Science (Volume 2, Issue 2)
DOI	10.11648/j.ajss.20140202.14
Page(s)	30-34
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2014. Published by Science Publishing Group

Keywords

Q angle, Alignment, Evaluation, Computerized Biophotogrammetry

References

[1]	Heiderscheit BC, Hamill J, Van Emmerik REA. Q-angle influences on the variability of lower extremity coordination during running. Med Sci Sports Exerc. 1999; 31(9):1313-1319.
[2]	Heiderscheit BC, Hamill J, Caldwell GE. Influence of Q-angle on lower-extremity running kinematics. JOSPT 2000; 30(5):271-278.
[3]	Biedert RM & Warnke, K. Correlation between the Q angle and the patella position: a clinical and axial computed tomography evaluation. Arch Orthop Trauma Surg 2001; 121:346-349.
[4]	Kuhn R, Yochum TR, Cherry AR, Rodgers SS. Immediate changes in the Quadriceps Femoris angle after insertion of an orthotic device. J Maniopulative Physio Ther 2002; 25(7):465-470.
[5]	Livingston LA & Spaulding SJ. Measurement of the Quadriceps Angle Using Standardized Foot Positions. J Athl Train 2002; 37(3):252-255.
[6]	Herrington L & Nester C. Q-angle undervalued? The relationship between Q-angle and medio-lateral position of the patella. Clin Biomech 2004; 19(10):1070-1073.
[7]	Melo de Paula GM, Molinero de Paula VR, Almeida GJM, Machado VEI, Baraúna MA, Bevilaqua-Grosso D. Correlação entre a dor anterior do joelho e a medida do ângulo Q por intermédio da fotogrametria computadorizada. Rev Bras Fis 2004; 8(1):39-43.
[8]	Livingston LA & Mandingo JL. Bilateral Q angle asymmetry and anterior knee pain syndrome. Clin Biomech 1999; 14(1):7-13.
[9]	France, L & Nester, C. Effect of errors in the identification of anatomical landmarks on the accuracy of Q angle values. Clin Biomech 2001; 16(8):710-713.
[10]	Devan MR, Pescatello LS, Faghri JA. A Prospective Study of Overuse Knee Injuries Among Female Athletes With Muscle Imbalances and Structural Abnormalities. J Athl Train 2004; 39(3):263-267.
[11]	Hahn T & Foldspang A. The Q angle and sport. Scand J Med Sci Sports. 1997; 7(1):43-8.
[12]	Lathinghouse LH & Trimble MH. Effects of isometric quadriceps activation on the Q-angle in women before and after quadriceps exercise. JOSPT 2000; 30(4):211-6.
[13]	Tsujimoto K, Kurosaka M, Yoshiya S, Mizuno K. Radiographic and computed tomographic analysis of the po sition of the tibial tubercle in recurrent dislocation and subluxation of the patella. Am J Knee Surg 2000; 13(2):83-8.
[14]	Iunes DH, Castro FA, Salgado HS, Moura IC, Oliveira AS, Bevilaqua-Grossi D. Confiabilidade Intra e Interexaminadores e Repetibilidade da Avaliação Postural pela Fotogrametria. Rev Bras Fis 2005; 9(3):327-334.
[15]	Livingston LA. The quadriceps angle: a review of the literature. JOSPT 1998; 28(2):105-9.
[16]	Woodland LH & Francis RS. Parameters and comparisons of the quadriceps angle of college-aged men and women in the supine and standing positions. Am J Sports Med 1992; 20(2):208-11.
[17]	Tomsich DA, Nitz AJ, Threlkeld AJ, Shapiro R. Patellofemoral alignment: reliability. JOSPT 1996; 23(3):200-8.
[18]	Huberti HH & Hayes WC. Patellofemoral contact pressures: the influence of q-angle and tendofemoral contact. J Bone Joint Surg Am. 1984; 66(5):715-24.
[19]	Olerud C & Berg P. The variation of the Q angle with different positions of the foot. Clin Orthop. 1984; 191:162-5.
[20]	Raveendranath R, Nachiket S, Sujatha N, Priya R, Rema D. Bilateral Variability of the Quadriceps Angle (Q angle) in an Adult Indian Population. Iran J Basic Med Sci. 2011 Sep;14(5):465-71.
[21]	Ounpuu S & Winter DA. Bilateral electromyographical analysis of the lower limbs during walking in normal adults. Electro Clin Neurophysiol. 1989; 72(5):429-38.
[22]	Bagesteiro LB &Sainburg RL Handedness: dominant arm advantages in control of limb dynamics. J Neurophysiol. 2002; 88(5):2408-21.
[23]	Sanfridsson J, Arnbjornsson A, Friden T, Ryd L, Svahn G, Jonsson K. Femorotibial rotation and the Q-angle related to the dislocating patella. Acta Radiol. 2001; 42(2):218-24.

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APA Style

Hugo Machado Sanchez, Eliane Gouveia de Morais Sanchez, Mario Antonio Baraúna, Roberto Sérgio de Tavares Canto. (2014). Assessment of Patellar Alignment in Different Postures. American Journal of Sports Science, 2(2), 30-34. https://doi.org/10.11648/j.ajss.20140202.14

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ACS Style

Hugo Machado Sanchez; Eliane Gouveia de Morais Sanchez; Mario Antonio Baraúna; Roberto Sérgio de Tavares Canto. Assessment of Patellar Alignment in Different Postures. Am. J. Sports Sci. 2014, 2(2), 30-34. doi: 10.11648/j.ajss.20140202.14

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AMA Style

Hugo Machado Sanchez, Eliane Gouveia de Morais Sanchez, Mario Antonio Baraúna, Roberto Sérgio de Tavares Canto. Assessment of Patellar Alignment in Different Postures. Am J Sports Sci. 2014;2(2):30-34. doi: 10.11648/j.ajss.20140202.14

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@article{10.11648/j.ajss.20140202.14,
  author = {Hugo Machado Sanchez and Eliane Gouveia de Morais Sanchez and Mario Antonio Baraúna and Roberto Sérgio de Tavares Canto},
  title = {Assessment of Patellar Alignment in Different Postures},
  journal = {American Journal of Sports Science},
  volume = {2},
  number = {2},
  pages = {30-34},
  doi = {10.11648/j.ajss.20140202.14},
  url = {https://doi.org/10.11648/j.ajss.20140202.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajss.20140202.14},
  abstract = {Introduction: The evaluation of Q angle is a common clinical practice however standardization regarding the best way does not exist. Objective: Compare the value of the Q angle in different static positions and rotations of lower limbs. Methods: Evaluated 56 volunteers, 30 women and 26 men, in the supine andunder static weight-bearing positions with parallel feet and with outward foot rotation. For calculate Q angle used Computerized Biophotogrammetry. Results: Have significant difference between the static weight-bearing position with parallel feet and static weight-bearing with outward foot rotation in the left side for both the sexes (p=0.00) and between the supine position with outward foot rotation and static weight-bearing with parallel feet of the left side (p=0.03), in the feminine sex. Conclusion: it is concluded that there are no differences between different positions and postures to review the Q angle, however we stress the importance of checking the relaxation of the muscles of the lower limbs.},
 year = {2014}
}

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TY  - JOUR
T1  - Assessment of Patellar Alignment in Different Postures
AU  - Hugo Machado Sanchez
AU  - Eliane Gouveia de Morais Sanchez
AU  - Mario Antonio Baraúna
AU  - Roberto Sérgio de Tavares Canto
Y1  - 2014/03/10
PY  - 2014
N1  - https://doi.org/10.11648/j.ajss.20140202.14
DO  - 10.11648/j.ajss.20140202.14
T2  - American Journal of Sports Science
JF  - American Journal of Sports Science
JO  - American Journal of Sports Science
SP  - 30
EP  - 34
PB  - Science Publishing Group
SN  - 2330-8540
UR  - https://doi.org/10.11648/j.ajss.20140202.14
AB  - Introduction: The evaluation of Q angle is a common clinical practice however standardization regarding the best way does not exist. Objective: Compare the value of the Q angle in different static positions and rotations of lower limbs. Methods: Evaluated 56 volunteers, 30 women and 26 men, in the supine andunder static weight-bearing positions with parallel feet and with outward foot rotation. For calculate Q angle used Computerized Biophotogrammetry. Results: Have significant difference between the static weight-bearing position with parallel feet and static weight-bearing with outward foot rotation in the left side for both the sexes (p=0.00) and between the supine position with outward foot rotation and static weight-bearing with parallel feet of the left side (p=0.03), in the feminine sex. Conclusion: it is concluded that there are no differences between different positions and postures to review the Q angle, however we stress the importance of checking the relaxation of the muscles of the lower limbs.
VL  - 2
IS  - 2
ER  -

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Author Information

Hugo Machado Sanchez

Master Physical Therapy, Teacher of Physical Therapy in UniRV (University of Green River), Rio Verde-GO, Brazil
Eliane Gouveia de Morais Sanchez

Master in Education (UFU), Rio Verde-GO, Brazil
Mario Antonio Baraúna

PhD. in Motricity Human for University of Lisboa (POR), Uberlandia-MG, Brazil
Roberto Sérgio de Tavares Canto

Post-doctoral in Traumatology for University of Liverpool (ING), Uberlandia-MG, Brazil

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Plain Text BibTeX RIS

APA Style

Hugo Machado Sanchez, Eliane Gouveia de Morais Sanchez, Mario Antonio Baraúna, Roberto Sérgio de Tavares Canto. (2014). Assessment of Patellar Alignment in Different Postures. American Journal of Sports Science, 2(2), 30-34. https://doi.org/10.11648/j.ajss.20140202.14

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ACS Style

Hugo Machado Sanchez; Eliane Gouveia de Morais Sanchez; Mario Antonio Baraúna; Roberto Sérgio de Tavares Canto. Assessment of Patellar Alignment in Different Postures. Am. J. Sports Sci. 2014, 2(2), 30-34. doi: 10.11648/j.ajss.20140202.14

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AMA Style

Hugo Machado Sanchez, Eliane Gouveia de Morais Sanchez, Mario Antonio Baraúna, Roberto Sérgio de Tavares Canto. Assessment of Patellar Alignment in Different Postures. Am J Sports Sci. 2014;2(2):30-34. doi: 10.11648/j.ajss.20140202.14

Copy | Download

@article{10.11648/j.ajss.20140202.14,
  author = {Hugo Machado Sanchez and Eliane Gouveia de Morais Sanchez and Mario Antonio Baraúna and Roberto Sérgio de Tavares Canto},
  title = {Assessment of Patellar Alignment in Different Postures},
  journal = {American Journal of Sports Science},
  volume = {2},
  number = {2},
  pages = {30-34},
  doi = {10.11648/j.ajss.20140202.14},
  url = {https://doi.org/10.11648/j.ajss.20140202.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajss.20140202.14},
  abstract = {Introduction: The evaluation of Q angle is a common clinical practice however standardization regarding the best way does not exist. Objective: Compare the value of the Q angle in different static positions and rotations of lower limbs. Methods: Evaluated 56 volunteers, 30 women and 26 men, in the supine andunder static weight-bearing positions with parallel feet and with outward foot rotation. For calculate Q angle used Computerized Biophotogrammetry. Results: Have significant difference between the static weight-bearing position with parallel feet and static weight-bearing with outward foot rotation in the left side for both the sexes (p=0.00) and between the supine position with outward foot rotation and static weight-bearing with parallel feet of the left side (p=0.03), in the feminine sex. Conclusion: it is concluded that there are no differences between different positions and postures to review the Q angle, however we stress the importance of checking the relaxation of the muscles of the lower limbs.},
 year = {2014}
}

Copy | Download

TY  - JOUR
T1  - Assessment of Patellar Alignment in Different Postures
AU  - Hugo Machado Sanchez
AU  - Eliane Gouveia de Morais Sanchez
AU  - Mario Antonio Baraúna
AU  - Roberto Sérgio de Tavares Canto
Y1  - 2014/03/10
PY  - 2014
N1  - https://doi.org/10.11648/j.ajss.20140202.14
DO  - 10.11648/j.ajss.20140202.14
T2  - American Journal of Sports Science
JF  - American Journal of Sports Science
JO  - American Journal of Sports Science
SP  - 30
EP  - 34
PB  - Science Publishing Group
SN  - 2330-8540
UR  - https://doi.org/10.11648/j.ajss.20140202.14
AB  - Introduction: The evaluation of Q angle is a common clinical practice however standardization regarding the best way does not exist. Objective: Compare the value of the Q angle in different static positions and rotations of lower limbs. Methods: Evaluated 56 volunteers, 30 women and 26 men, in the supine andunder static weight-bearing positions with parallel feet and with outward foot rotation. For calculate Q angle used Computerized Biophotogrammetry. Results: Have significant difference between the static weight-bearing position with parallel feet and static weight-bearing with outward foot rotation in the left side for both the sexes (p=0.00) and between the supine position with outward foot rotation and static weight-bearing with parallel feet of the left side (p=0.03), in the feminine sex. Conclusion: it is concluded that there are no differences between different positions and postures to review the Q angle, however we stress the importance of checking the relaxation of the muscles of the lower limbs.
VL  - 2
IS  - 2
ER  -

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