Journal of the Korean Society of Physical Medicine 2023 KCI Impact Factor : 0.45
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pISSN : 1975-311X / eISSN : 2287-7215
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The Effect of Corrective Exercise in a patient with knee joint valgus deformity: A single-subject A-B-A experimental design
- Journal of the Korean Society of Physical Medicine
- Abbr : J Korean Soc Phys Med
- 2016, 11(1), pp.93-105
- DOI : 10.13066/kspm.2016.11.1.93
- Publisher : The Korean Society of Physical Medicine
- Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy
Lee, Ho-seong 1, Kim Ah-Ram 2
1단국대학교
2남서울대학교
Accredited
ABSTRACT
PURPOSE: The purpose of this study was to determine the effect of corrective exercise on hip joint range of motion, lower limb alignment, radiographs of hip and knee joints, and quadriceps muscle activity in a patient with knee joint valgus deformity.
METHODS: A single-subject A-B-A experimental design was used to determine the effects of therapeutic exercise. The single-subject was a 27-year-old male, who presented with knee joint valgus deformity. Corrective exercise program was performed for 40 min/day twice a week for 12-week. Range of motion (hip flexion, extension, abduction, adduction, internal rotation, and external rotation), lower limb alignment test (Q-angle, rear foot alignment, and leg length), standing anterior-posterior radiographs (neck shaft angle and knee joint space), and quadriceps muscle activity of both lower limbs were measured before (A 1), after 6 weeks (B 1) and after 12-weeks (B 2) of corrective exercise and after 6 weeks of exercise completion (A 2).
RESULTS: Hip range of motion increased in all directions of both sides at B 2 and A 2 compared to at A 1. Q-angle of both side and leg length discrepancy decreased at B 2 and A 2 compared to at A 1. Neck shaft angle and knee joint space of both sides improve at B 2 and A 2 compared to at A 1. Quadriceps of both side muscle activities improved at B 2 and A 2 compared to at A 1.
CONCLUSION: We demonstrated that corrective exercise increases range of motion, and improves lower limb alignment and muscle activity in a patient with knee joint valgus deformity.
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[journal]
Amis AA
/ 2007
/ Current concepts on anatomy and biomechanics of patellar stability
/ Sports Med Arthrosc
15(2)
: 48~56
[journal]
Anderson JY
/ 1998
/ Patterns of sexual, bilateral and interpopulational variation in human femoral neck-shaft angles
/ J Anat
192(Pt 2)
: 279~285
[journal]
Bakhtiary AH
/ 2008
/ Open versus closed kinetic chain exercises for patellar chondromalacia
/ Br J Sports Med
42(2)
: 99~102
[journal]
Barendrecht M
/ 2011
/ Neuromuscular training improves knee kinematics, in particular in valgus aligned adolescent team handball players of both sexes
/ J Strength Cond Res
25(3)
: 575~584
[journal]
Joaquin A. Barrios
/ 2016
/ Three-dimensional hip and knee kinematics during walking, running, and single-limb drop landing in females with and without genu valgum
/ Clinical Biomechanics
/ Elsevier BV
31
: 7~11
[journal]
Buchanan KR
/ 2005
/ The relationship between forefoot, midfoot, and rearfoot static alignment in pain-free individuals
/ J Orthop Sports Phys Ther
35(9)
: 559~566
[journal]
채정병
/ 2010
/
The Change of Gait as Q-angle in Chronic Knee Osteoarthritis Disease
/ 대한물리의학회지
/ 대한물리의학회
5(1)
: 71~79
[journal]
Chappell JD
/ 2007
/ Kinematics and electromyography of landing preparation in vertical stop-jump: risks for noncontact anterior cruciate ligament injury
/ Am J Sports Med
35(2)
: 235~241
[journal]
Dacre JE
/ 1991
/ Joint space in radiologically normal knees
/ Br J Rheumatol
30(6)
: 426~428
[journal]
Donatelli R
/ 1988
/ Biomechanical foot orthotics : A retrospective study
/ Orthop Sports Phys Ther
10
: 205~212
[journal]
Duivenvoorden T
/ 2015
/ Do laterally wedged insoles or valgus braces unload the medial compartment of the knee in patients with osteoarthritis?
/ Clin Orthop Relat Res
473(1)
: 265~274
[journal]
Felson DT
/ 2013
/ Valgus malalignment is a risk factor for lateral knee osteoarthritis incidence and progression: findings from the Multicenter Osteoarthritis Study and the Osteoarthritis Initiative
/ Arthritis Rheum
65(2)
: 355~362
[journal]
Fransen M
/ 2001
/ Physical therapy is effective for patients with osteoarthritis of the knee: a randomized controlled clinical trial
/ J Rheumatol
28(1)
: 156~164
[journal]
Genova JM
/ 2000
/ Effect of foot orthotics on calcaneal eversion during standing and treadmill walking for subjects with abnormal pronation
/ J Orthop Sports Phys Ther
30(11)
: 664~675
[journal]
Gong WT
/ 2007
/ Influence of therapeutic exercise on functional leg length inequality
/ J Korean Soc Phys Med
2(2)
: 183~194
[journal]
Gurney B
/ 2002
/ Leg length discrepancy
/ Gait Posture
15(2)
: 195~206
[journal]
Guzman H
/ 2011
/ Early experience with medial femoral tension band plating in idiopathic genu valgum
/ J Child Orthop
5(1)
: 11~17
[journal]
Häkkinen K
/ 2000
/ Neuromuscular adaptation during prolonged strength training, detraining and re-strength-training in middle-aged and elderly people
/ Eur J Appl Physiol
83(1)
: 51~62
[journal]
Heiderscheit BC
/ 2000
/ Influence of Q-angle on Lower-Extremity Running kinematic
/ J Orthop Sports Phys Ther
30(5)
: 271~278
[journal]
Herring SA
/ 2002
/ Predictors of low back injuries in varsity athletes
/ Clin J Sport Med
12(4)
: 261~
[journal]
Hurley ST
/ 2012
/ Is there a dose response for valgus unloader brace usage on knee pain, function, and muscle strength?
/ Arch Phys Med Rehabil
93(3)
: 496~502
[journal]
Ilahi OA
/ 1998
/ Lower extremity morphology and alignment and risk of overuse injury
/ Clin J Sport Med
8
: 38~42
[journal]
James SL
/ 1978
/ Injuries to runners
/ Am Sports Med
6
: 40~50
[journal]
Jung YW
/ 2014
/ Correlations Between Quadriceps Angle, Functional Leg Length Discrepancy and Lower Extremity Muscle Strength of Women University Students in Their Twenties
/ Korean Academy of Orthopedic Manual Ther
20(2)
: 9~14
[journal]
Kader M
/ 2002
/ The Correction of genu valgum by a reversed dome osteotomy in the supracondylar area of the femur
/ Pan Arab J Orth Trauma
6(2)
: 199~202
[journal]
강정선
/ 2010
/
Effect of a modified maneuver for quadriceps muscle setting with co-contraction of the hamstrings on patients with knee joint osteoarthritis
/ 대한물리의학회지
/ 대한물리의학회
5(3)
: 375~383
[journal]
김영훈
/ 2014
/
Correlation of Hip Joint Range of Motion and Femur Head Anterior Mobility with Gait Ability in Stroke Patients
/ 대한물리의학회지
/ 대한물리의학회
9(1)
: 35~44
[journal]
Kraus VB
/ 2005
/ A comparative assessment of alignment angle of the knee by radiographic and physical examination methods
/ Arthritis Rheum
52(6)
: 1730~1735
[book]
Kulkarni GS
/ 2008
/ Text Book of Orthopedics and Trauma
/ Jaypee Publishers
[journal]
Kulkarni RM
/ 2015
/ Correction of coronal plane deformities around the knee using a tension band plate in children younger than 10 years
/ Indian J Orthop
49(2)
: 208~218
[journal]
Lathinghouse LH
/ 2000
/ Effects of isometric quadriceps activation on the Q-angle in women before and after quadriceps exercise
/ J Orthop Sports Phys Ther
30(4)
: 211~216
[journal]
Lee J
/ 2014
/ Effect of Weight-bearing Therapeutic Exercise on the Q-angle and Muscle Activity Onset Times of Elite Athletes with Patellofemoral Pain Syndrome: A Randomized Controlled Trial
/ J Phys Ther Sci
26(7)
: 989~992
[journal]
Mikesky AE
/ 2006
/ Effects of strength training on the incidence and progression of knee osteoarthritis
/ Arthritis Rheum
55(5)
: 690~699
[journal]
Monk AP
/ 2014
/ The shape of the distal femur: a geometrical study using MRI
/ Bone Joint J
96-B(12)
: 1623~1630
[book]
Muscolino, J.
/ 2010
/ Flashcards for Bone s, Joints, and Actions of the Human Body
/ Mosby
[journal]
Nguyen AD
/ 2011
/ A preliminary multifactorial approach describing the relationships among lower extremity alignment, hip muscle activation, and lower extremity joint excursion
/ J Athl Train
46(3)
: 246~256
[journal]
Nissen CW
/ 1998
/ Physical and arthroscopic examination techniques of the patellofemoral joint
/ J Orthop Sports Phys Ther
28
: 277~285
[journal]
Omololu BB
/ 2009
/ Normal Q-angle in an adult Nigerian population
/ Clin Orthop Relat Res
467(8)
: 2073~2076
[journal]
박선욱
/ 2015
/
The Reliability and Validity of Hip Range of Motion Measurement using a phone Operative Patient
/ 대한물리의학회지
/ 대한물리의학회
10(2)
: 1~7
[journal]
Powers CM
/ 2003
/ The influence of altered lower-extremity kinematics on patellofemoral joint dysfunction: a theoretical perspective
/ J Orthop Sports Phys Ther
33(11)
: 639~646
[journal]
Puddu G
/ 2010
/ Which osteotomy for a valgus knee?
/ Int Orthop
34
: 239~247
[journal]
Raja K
/ 2011
/ Efficacy of knee braces and foot orthoses in conservative management of knee osteoarthritis:a systematic review
/ Am J Phys Med Rehabil
90(3)
: 247~262
[journal]
Sacco Ide C
/ 2006
/ Functional and EMG responses to a physical therapy treatment in patellofemoral syndrome patients
/ J Electromyogr Kinesiol
16(2)
: 167~174
[journal]
Salenius P
/ 1975
/ The development of the tibiofemoral angle in children
/ J Bone Joint Surg Am
57(2)
: 259~261
[journal]
Sanhudo JA
/ 2014
/ Association between leg length discrepancy and posterior tibial tendon dysfunction
/ Foot Ankle Spec
7(2)
: 119~126
[journal]
Schulthies SS
/ 1995
/ Does the Q angle reflect the force on the patella in the frontal plane?
/ Phys Ther
75(1)
: 24~30
[report]
SENIAM
/ 1999
/ European Recommendations for Surface ElectroMyoGraphy, results of the SENIAM project
/ Roessingh Research and Development
[journal]
Shelbourne KD
/ 2006
/ Digital radiographic evaluation of medial joint space narrowing after partial meniscectomy of bucket-handle medial meniscus tears in anterior cruciate ligament-intact knees
/ Am J Sports Med
34(10)
: 1648~1655
[journal]
Stensdotter AK
/ 2003
/ Quadriceps activation in closed andopen kinetic chain exercise
/ Med Sci Sports Exerc
35(12)
: L2043~L2047
[journal]
Urquhart DM
/ 2011
/ What is the effect of physical activity on the knee joint? A systematic review
/ Med Sci Sports Exerc
43(3)
: 432~442
[journal]
van der Kraan P
/ 2007
/ Osteophytes : relevance and biology
/ Osteoarthritis Cartilage
15
: 237~244
[journal]
Voight ML
/ 1991
/ Comparative reflex response times of vastus medialis obliquus and vastus lateralis in normal subjects and subjects with extensor mechanism dysfunction. An electromyographic study
/ Am J Sports Med
19(2)
: 131~137
[journal]
Waryasz GR
/ 2008
/ Patellofemoral pain syndrome (PFPS): a systematic review of anatomy and potential risk factors
/ Dyn Med
7
: 9~
[journal]
Woodland LH
/ 1999
/ Parameters and comparisons of the quadriceps angle of college-aged men and women in the supine and standing positions
/ Am J Sports Med
20(2)
: 208~211
[journal]
Zhang AL
/ 2008
/ Progressive genu valgum resulting from idiopathic lateral distal femoral physeal growth suppression in adolescents
/ J Pediatr Orthop
28(7)
: 752~756
[journal]
Zhang X
/ 2015
/ Radiographic classification and treatment of fibrous dysplasia of the proximal femur: 227 femurs with a mean follow-up of 6 years
/ J Orthop Surg Res
10(1)
: 171~