Journal of Paramedical Sciences & Rehabilitation

Journal of Paramedical Sciences & Rehabilitation

Comparison of Hip and Knee Anatomical Alignment in Elite Male Runners with and without Medial Tibial Stress Syndrome

Document Type : Original Article

Authors
O Kashi 1
H Minoonejad 1
R Rajabi 1
R Daei 2
1 Department of Health & Sport Medicine, Faculty of Physical Education & Sport Sciences, University of Tehran, Tehran, Iran
2 Department of Health & Sport Medicine, Faculty of Physical Education & Sport Sciences, University of Tehran, Tehran, Ira
10.22038/jpsr.2017.15074.1345
Abstract
Purpose:
The aim of the study is to evaluate the anatomical alignment difference of the hip and knee in elite male runners with and without medial tibial stress syndrome.
Methods:
The study population comprised 70 elite male runners, who were divided into two groups with medial tibial stress syndrome and control group. Variables including genu varum and genu valgum (IM-IC index), knee hyper extension, Q angle, femoral anteversion, hip internal rotation and hip external rotation of the runners were measured. Data was analyzed by independent t test by SPSS statistical software version 18.
Results:
Results showed significant differences between mean knee hyper extension (3/51± 2.33) (6.0± 2.62), femoral anteversion (14.38± 2.52) (16.7± 2.87) and hip external rotation (33.15±6.25) (30/50 6/23) between two groups (p<0.05). Therefore, amount of knee hyperextension and femoral anteversion in the group of MTSS is more and runners with MTSS are limited ROM hip external rotation. Additionally, there is no significant differences in the means of index IM-IC (1.98± 3.30) (1/90± 2.94), Q angle (10.7± 3.90) (11.6± 3.20) and hip internal rotation (31.8± 5/6) (32.3± 5.98) between two groups (p>0.05).
Conclusion:
According to the results of the present study probably genu recurvatum, increased femoral anteversion and decreased hip external rotation is effective and considered risk factors in the occurrence of medial tibia stress syndrome, which can be the timely detection of abnormalities and early intervention may prevent the occurrence of the damage.
Keywords
Medial tibia stress syndrome
anatomical alignment
elite runner
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Journal of Paramedical Sciences & Rehabilitation
Volume 6, Issue 3
Summer 2017
Pages 51-59