[article]
| Titre : |
Rehabilitation improves walking kinematics in children with a knee varus: Randomized controlled trial |
| Type de document : |
texte imprimé |
| Auteurs : |
Amir Ali Jafarnezhadgero ; Mahdi Majlesi ; Hojat Etemadi ; D.G.E. Robertson |
| Année de publication : |
2018 |
| Article en page(s) : |
p. 125-134 |
| Note générale : |
Doi : 10.1016/j.rehab.2018.01.007 |
| Langues : |
Anglais (eng) |
| Mots-clés : |
Genu varus Gait Lower limb Joint angle |
| Résumé : |
Background
Previous studies have demonstrated increased medial stresses in knee varus alignment. Selecting a suitable treatment strategy for individuals with knee malalignment should be a priority.
Objectives
We aimed to investigate the effects of a 16-week corrective exercise continuum (CEC) program on 3-D joint angles of the dominant and non-dominant lower limbs in children with genu varus during walking.
Methods
Overall, 28 male children with genu varus (age range 9–14 years) volunteered to participate in this study. They were randomly divided into 2 equal groups (experimental and control). The participants of the experimental group received CEC for 16 weeks. 3-D gait analysis involved using a Vicon Motion System. Paired and independent sample t-tests were used for within- and between-group comparisons, respectively.
Results
For the experimental group, comparison of pre- and post-test joint kinematics of the dominant lower limb revealed that CEC decreased the peak ankle dorsiflexion angle by 26% (P=0.020), peak foot internal rotation angle by 53% (P=0.001), peak knee internal rotation angle by 40% (P=0.011), peak hip abduction by 47% (P=0.010), and peak hip external rotation angle by 60% (P=0.001). In contrast, peak knee external rotation angle of the dominant limb was increased after the training program by 46% (P=0.044). For the non-dominant lower limb, CEC decreased the peak ankle inversion by 63% (P<0.01), peak ankle eversion by 91% (P<0.01), peak foot internal rotation by 50% (P<0.01), peak knee internal rotation by 29%; P=0.042), peak hip abduction angle by 38% (P<0.01), and peak hip external rotation angle by 60% (P<0.01).
Conclusions
CEC therapy reduced excessive foot and knee internal rotations as well as excessive hip external rotation during walking in children with genu varus. |
| Permalink : |
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in Annals of physical and rehabilitation medicine > Vol. 61, n°3 (Mai 2018) . - p. 125-134
[article] Rehabilitation improves walking kinematics in children with a knee varus: Randomized controlled trial [texte imprimé] / Amir Ali Jafarnezhadgero ; Mahdi Majlesi ; Hojat Etemadi ; D.G.E. Robertson . - 2018 . - p. 125-134. Doi : 10.1016/j.rehab.2018.01.007 Langues : Anglais ( eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°3 (Mai 2018) . - p. 125-134
| Mots-clés : |
Genu varus Gait Lower limb Joint angle |
| Résumé : |
Background
Previous studies have demonstrated increased medial stresses in knee varus alignment. Selecting a suitable treatment strategy for individuals with knee malalignment should be a priority.
Objectives
We aimed to investigate the effects of a 16-week corrective exercise continuum (CEC) program on 3-D joint angles of the dominant and non-dominant lower limbs in children with genu varus during walking.
Methods
Overall, 28 male children with genu varus (age range 9–14 years) volunteered to participate in this study. They were randomly divided into 2 equal groups (experimental and control). The participants of the experimental group received CEC for 16 weeks. 3-D gait analysis involved using a Vicon Motion System. Paired and independent sample t-tests were used for within- and between-group comparisons, respectively.
Results
For the experimental group, comparison of pre- and post-test joint kinematics of the dominant lower limb revealed that CEC decreased the peak ankle dorsiflexion angle by 26% (P=0.020), peak foot internal rotation angle by 53% (P=0.001), peak knee internal rotation angle by 40% (P=0.011), peak hip abduction by 47% (P=0.010), and peak hip external rotation angle by 60% (P=0.001). In contrast, peak knee external rotation angle of the dominant limb was increased after the training program by 46% (P=0.044). For the non-dominant lower limb, CEC decreased the peak ankle inversion by 63% (P<0.01), peak ankle eversion by 91% (P<0.01), peak foot internal rotation by 50% (P<0.01), peak knee internal rotation by 29%; P=0.042), peak hip abduction angle by 38% (P<0.01), and peak hip external rotation angle by 60% (P<0.01).
Conclusions
CEC therapy reduced excessive foot and knee internal rotations as well as excessive hip external rotation during walking in children with genu varus. |
| Permalink : |
./index.php?lvl=notice_display&id=80459 |
|  |
Rehabilitation improves walking kinematics in children with a knee varus: Randomized controlled trial in Annals of physical and rehabilitation medicine, Vol. 61, n°3 (Mai 2018)
