Background/Purpose:
There is a paucity of knowledge on the association between different foot posture quantified by Foot Posture Index (FPI) and Quadriceps angle (Q-angle) with development of running-related injuries. Earlier studies investigating these associations did not include an objective measure of the amount of running performed.Therefore, the purpose of this study was to investigate if kilometers to running-related injury (RRI) differ among novice runners with different foot postures and Q-angles when running in a neutral running shoe.Methods:
A 10 week study was conducted including healthy, novice runners. At baseline foot posture was evaluated using the foot posture index (FPI) and the Q-angle was measured. Based on the FPI and Q-angle, right and left feet / knees of the runners were categorized into exposure groups. All participants received a Global Positioning System watch to allow them to quantify running volume and were instructed to run a minimum of two times per week in a conventional, neutral running shoe. The outcome was RRI.Results:
Fifty nine novice runners of mixed gender were included. Of these, 13 sustained a running-related injury. No significant difference in cumulative relative risk between persons with pronated feet and neutral feet was found after 125 km of running (Cumulative relative risk = 1.65 [0.65; 4.17], p = 0.29). Similarly, no difference was found between low and neutral Q-angle (Cumulative relative risk = 1.25 [0.49; 3.23], p = 0.63).Conclusion:
Static foot posture as quantified by FPI and knee alignment as quantified by Q-angle do not seem to affect the risk of injury among novice runners taking up a running regimen wearing a conventional neutral running shoe. These results should be interpreted with caution due to a small sample size.Level of Evidence:
2a 相似文献Background
A greater Q-angle has been suggested as a risk factor for Patellofemoral Pain Syndrome. Greater frontal plane knee moment and impulse have been found to play a functional role in the onset of Patellofemoral Pain Syndrome in a running population. Therefore, the purpose of this investigation was to determine the relationship between Q-angle and the magnitude of knee abduction moment and impulse during running.Methods
Q-angle was statically measured, using a goniometer from three markers on the anterior superior iliac spine, the midpoint of the patella and the tibial tuberosity. Thirty-one recreational runners (21 males and 10 females) performed 8–10 trials running at 4 m/s (SD 0.2) on a 30 m-runway. Absolute and normalized knee moment and impulse were calculated and correlated with Q-angle.Findings
Negative correlations between Q-angle and the magnitude of peak knee abduction moment (R² = 0.2444, R = − 0.4944, P = 0.005) and impulse (R² = 0.2563, R = − 0.5063, P = 0.004) were found. Additionally, negative correlations between Q-angle and the magnitude of weight normalized knee abduction moment (R² = 0.1842, R = − 0.4292, P = 0.016) and impulse (R² = 0.2304, R = − 0.4801, P = 0.006) were found.Interpretation
The findings indicate that greater Q-angle, which is actually associated with decreased frontal plane knee abduction moment and impulse during running, may not be a risk factor of Patellofemoral Pain Syndrome. 相似文献Method. 109 asymptomatic subjects (51 male, 58 female) were assessed. Medio-lateral patella position was measured using a previous validated method and Q-angle was measured in standing with the quadriceps relaxed.
Findings. Mean Q-angle was 11.6° (SD 5.2) left knee, 11.3° (SD 4.9) right knee in the male subjects and 14.4° (SD 5.2) left knee, 13.3° (SD 5.5) right knee for female subjects. 40 females and 28 males had laterally displaced patellae. 13 subjects had centrally placed patellae (7 females, 6 males) with 28 subjects having medially displaced patellae (11 females, 17 males). Recalculation of Q-angle for the laterally displaced group brought about a statistically significant increase in angle. In the medial displaced group failed to produce a statistically significant decrease.
Interpretation. The adjusted Q-angle values for medially and neutral placed patellae brought the values very much into the centre of the reported ranges for Q-angles. After adjustment for lateral patella displacement, Q-angle values were towards the under end of values reported as normal, especially female values which were close to the previously reported pathological cut off point. Because of the inverse relationship between quadriceps strength and the magnitude of Q-angle and quadriceps crucial role in the aetiology of patellofemoral pain, any method which improves the reliability and applicability of Q-angle measurement could prove useful in investigations into the aetiology of and outcome from treatment of patellofemoral pain syndrome. 相似文献