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KMID : 0608320210280040266
Physical Therapy Korea
2021 Volume.28 No. 4 p.266 ~ p.272
Comparison of Dynamic Knee Valgus During Single-leg Step Down Between People With and Without Pronated Foot Using Two-dimensional Video Analysis
Kim Hyun-Sook

Yoo Hwa-Ik
Hwang Ui-Jae
Kwon Oh-Yun
Abstract
Background: Considering the kinetic chain of the lower extremity, a pronated foot position (PFP) can affect malalignment of the lower extremity, such as a dynamic knee valgus (DKV). Although the DKV during several single-leg movement tests has been investigated, no studies have compared the differences in DKV during a single-leg step down (SLSD) between subjects with and without PFP.

Objects: The purpose of this study was to compare the DKV during SLSD between subjects with and without PFP.

Methods: Twelve subjects with PFP (9 men, 3 women) and 15 subjects without PFP (12 men, 3 women) participated in this study. To calculate the DKV, frontal plane projection angle (FPPA), knee-in distance (KID), and hip-out distance (HOD) during SLSD were analyzed by two-dimensional video analysis software (Kinovea).

Results: The FPPA was significantly lower in PFP group, compared with control group (166.4¡Æ ¡¾ 7.5¡Æ and 174.5¡Æ ¡¾ 5.5¡Æ, p < 0.05). Also, the KID was significantly greater in PFP group, compared with control group (12.7 ¡¾ 3.9 cm and 7.3 ¡¾ 2.4 cm, p < 0.05). However, the HOD not significantly differed between two groups (12.7 ¡¾ 1.7 cm and 11.4 ¡¾ 2.5 cm, p > 0.05).

Conclusion: The PFP is associated with lower FPPA and greater KID. When assess the DKV during SLSD, the PFP should be considered as a crucial factor for occurrence of DKV.
KEYWORD
Genu valgum, Knee joint, Pes planus
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