Muscle Strength and Flexibility Characteristics of People Displaying Excessive Medial Knee Displacement

Abstract Bell DR, Padua DA, Clark MA. Muscle strength and flexibility characteristics of people displaying excessive medial knee displacement. Objective To determine differences in strength and range of motion (ROM) between participants who exhibit medial knee displacement (MKD) during a squat that...

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Veröffentlicht in:Archives of physical medicine and rehabilitation 2008-07, Vol.89 (7), p.1323-1328
Hauptverfasser: Bell, David R., MEd, ATC, Padua, Darin A., PhD, ATC, Clark, Michael A., DPT, MS, PES, CES
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container_end_page 1328
container_issue 7
container_start_page 1323
container_title Archives of physical medicine and rehabilitation
container_volume 89
creator Bell, David R., MEd, ATC
Padua, Darin A., PhD, ATC
Clark, Michael A., DPT, MS, PES, CES
description Abstract Bell DR, Padua DA, Clark MA. Muscle strength and flexibility characteristics of people displaying excessive medial knee displacement. Objective To determine differences in strength and range of motion (ROM) between participants who exhibit medial knee displacement (MKD) during a squat that is corrected by a heel lift and those who do not. Design Case control. Setting Sports medicine research laboratory. Participants Thirty-seven healthy subjects (control, 19; MKD, 18) with no lower-extremity injury in the past 6 months volunteered to participate. Interventions Not applicable. Main Outcome Measures Peak force was measured in newtons using a hand-held dynamometer and passive ROM was measured in degrees with a goniometer. Separate multivariate analyses of variance were used to determine differences in strength and ROM between groups. Post hoc testing was used to elucidate differences between groups. Results The MKD group had the following: greater hip external rotation strength ( P =.03), increased hip extension strength ( P =.01), less plantarflexion strength ( P =.007), and increased hip external rotation ROM ( P =.008). Conclusions The MKD group exhibited tight and weak ankle musculature. Interventions focusing on improving strength and ROM of the ankle may improve kinematics during a squat.
doi_str_mv 10.1016/j.apmr.2007.11.048
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Muscle strength and flexibility characteristics of people displaying excessive medial knee displacement. Objective To determine differences in strength and range of motion (ROM) between participants who exhibit medial knee displacement (MKD) during a squat that is corrected by a heel lift and those who do not. Design Case control. Setting Sports medicine research laboratory. Participants Thirty-seven healthy subjects (control, 19; MKD, 18) with no lower-extremity injury in the past 6 months volunteered to participate. Interventions Not applicable. Main Outcome Measures Peak force was measured in newtons using a hand-held dynamometer and passive ROM was measured in degrees with a goniometer. Separate multivariate analyses of variance were used to determine differences in strength and ROM between groups. Post hoc testing was used to elucidate differences between groups. Results The MKD group had the following: greater hip external rotation strength ( P =.03), increased hip extension strength ( P =.01), less plantarflexion strength ( P =.007), and increased hip external rotation ROM ( P =.008). Conclusions The MKD group exhibited tight and weak ankle musculature. Interventions focusing on improving strength and ROM of the ankle may improve kinematics during a squat.</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1016/j.apmr.2007.11.048</identifier><identifier>PMID: 18586134</identifier><identifier>CODEN: APMHAI</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Ankle Joint - physiopathology ; Biological and medical sciences ; Case-Control Studies ; Diseases of the osteoarticular system ; Exercise - physiology ; Hip Joint - physiopathology ; Humans ; Joint Instability - physiopathology ; Knee ; Knee Joint - physiopathology ; Medical sciences ; Miscellaneous ; Muscle Strength ; Muscle Strength Dynamometer ; Muscle, skeletal ; Muscle, Skeletal - physiopathology ; Physical Medicine and Rehabilitation ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. 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Muscle strength and flexibility characteristics of people displaying excessive medial knee displacement. Objective To determine differences in strength and range of motion (ROM) between participants who exhibit medial knee displacement (MKD) during a squat that is corrected by a heel lift and those who do not. Design Case control. Setting Sports medicine research laboratory. Participants Thirty-seven healthy subjects (control, 19; MKD, 18) with no lower-extremity injury in the past 6 months volunteered to participate. Interventions Not applicable. Main Outcome Measures Peak force was measured in newtons using a hand-held dynamometer and passive ROM was measured in degrees with a goniometer. Separate multivariate analyses of variance were used to determine differences in strength and ROM between groups. Post hoc testing was used to elucidate differences between groups. Results The MKD group had the following: greater hip external rotation strength ( P =.03), increased hip extension strength ( P =.01), less plantarflexion strength ( P =.007), and increased hip external rotation ROM ( P =.008). Conclusions The MKD group exhibited tight and weak ankle musculature. Interventions focusing on improving strength and ROM of the ankle may improve kinematics during a squat.</description><subject>Ankle Joint - physiopathology</subject><subject>Biological and medical sciences</subject><subject>Case-Control Studies</subject><subject>Diseases of the osteoarticular system</subject><subject>Exercise - physiology</subject><subject>Hip Joint - physiopathology</subject><subject>Humans</subject><subject>Joint Instability - physiopathology</subject><subject>Knee</subject><subject>Knee Joint - physiopathology</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Muscle Strength</subject><subject>Muscle Strength Dynamometer</subject><subject>Muscle, skeletal</subject><subject>Muscle, Skeletal - physiopathology</subject><subject>Physical Medicine and Rehabilitation</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. 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Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Range of Motion, Articular</topic><topic>Rehabilitation</topic><topic>Rotation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bell, David R., MEd, ATC</creatorcontrib><creatorcontrib>Padua, Darin A., PhD, ATC</creatorcontrib><creatorcontrib>Clark, Michael A., DPT, MS, PES, CES</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of physical medicine and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bell, David R., MEd, ATC</au><au>Padua, Darin A., PhD, ATC</au><au>Clark, Michael A., DPT, MS, PES, CES</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Muscle Strength and Flexibility Characteristics of People Displaying Excessive Medial Knee Displacement</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>2008-07-01</date><risdate>2008</risdate><volume>89</volume><issue>7</issue><spage>1323</spage><epage>1328</epage><pages>1323-1328</pages><issn>0003-9993</issn><eissn>1532-821X</eissn><coden>APMHAI</coden><abstract>Abstract Bell DR, Padua DA, Clark MA. Muscle strength and flexibility characteristics of people displaying excessive medial knee displacement. Objective To determine differences in strength and range of motion (ROM) between participants who exhibit medial knee displacement (MKD) during a squat that is corrected by a heel lift and those who do not. Design Case control. Setting Sports medicine research laboratory. Participants Thirty-seven healthy subjects (control, 19; MKD, 18) with no lower-extremity injury in the past 6 months volunteered to participate. Interventions Not applicable. Main Outcome Measures Peak force was measured in newtons using a hand-held dynamometer and passive ROM was measured in degrees with a goniometer. Separate multivariate analyses of variance were used to determine differences in strength and ROM between groups. Post hoc testing was used to elucidate differences between groups. Results The MKD group had the following: greater hip external rotation strength ( P =.03), increased hip extension strength ( P =.01), less plantarflexion strength ( P =.007), and increased hip external rotation ROM ( P =.008). Conclusions The MKD group exhibited tight and weak ankle musculature. Interventions focusing on improving strength and ROM of the ankle may improve kinematics during a squat.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>18586134</pmid><doi>10.1016/j.apmr.2007.11.048</doi><tpages>6</tpages></addata></record>
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source MEDLINE; Access via ScienceDirect (Elsevier); EZB-FREE-00999 freely available EZB journals
subjects Ankle Joint - physiopathology
Biological and medical sciences
Case-Control Studies
Diseases of the osteoarticular system
Exercise - physiology
Hip Joint - physiopathology
Humans
Joint Instability - physiopathology
Knee
Knee Joint - physiopathology
Medical sciences
Miscellaneous
Muscle Strength
Muscle Strength Dynamometer
Muscle, skeletal
Muscle, Skeletal - physiopathology
Physical Medicine and Rehabilitation
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Range of Motion, Articular
Rehabilitation
Rotation
title Muscle Strength and Flexibility Characteristics of People Displaying Excessive Medial Knee Displacement
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