Volume 7, Issue 4 (2-2022)                   J Sport Biomech 2022, 7(4): 270-279 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Jalalvand H, Fatahi A, Entezari Khorasani Z. Comparison of the Kinematic Pattern of Knee Joint Flexion in Healthy and Genu Valgum and Genu Varum Children During Jumping. J Sport Biomech 2022; 7 (4) :270-279
URL: http://biomechanics.iauh.ac.ir/article-1-262-en.html
1- Department of Sports Biomechanics, Faculty of Physical Education and Sports Sciences, Central Tehran Branch, Islamic Azad University, Tehran, Iran.
2- Department of Motor Behavior, Faculty of Physical Education and Sport Sciences, Central Tehran Branch, Islamic Azad University, Tehran, Iran.
Full-Text [PDF 4195 kb]   (785 Downloads)     |   Abstract (HTML)  (2001 Views)
Full-Text:   (1346 Views)
Introduction
Skeletal deformities of the knee are the most common body posture disorders, and the most common of these are the genu varum and the genu valgum. A genu valgum is a type of deformity of the knee in the frontal plane, in which the ankle joints had spaced apart if the knees are in contact with each other in a weight-bearing position.
The genu varum is another deformity in which the internal condyles of the femur become spaced apart if they are in weight-bearing contact with the inner ankles of the ankle. These abnormalities were caused by various causes, including heredity, osteoporosis, osteoarthritis, damage to the growth plates, muscle paralysis, rupture of the capsule and external and internal ligaments of the knee, muscle weakness, and muscle shortening. 
Some posture disorders can cause changes in the direction of a body part relative to the base of support, which restricts the movements needed to maintain a proper posture and balance. It makes children who are less proficient in basic motor skills more likely to have problems in everyday motor areas. There is a possibility that they do not perform well in sports activities and games of childhood and adolescence. Knee deformities are more important in children and adolescents because this group had exposed to undesirable pressure on the knee in different environments such as home and school, which will increase the risk of injury and future problems.
One of the fundamental motor skills is jumping. Children typically start jumping activities early and often learn simple forms of this pattern before two. In jumping skills, the child raises his body from a surface with one or both feet and then land with both feet. To improve foot action, the jumper must first take off, fly, and land symmetrically with both feet. Secondly, he must then fully open the joints of the ankles, knees, and thighs at the moment of taking off the body from the ground. And after entirely pulling the legs with full force when taking the body off the ground, bend the joints of the knees and thighs together in the flight stage in a pair length jump. It is helpful for beginners to identify some of the features of long bipedal jumping. In children’s jumps, the body bends in the preparatory phase, very little, and the legs open when taking off the ground is not complete. 
Materials and Methods
The child has gathered the legs instead of opening the legs entirely in the throwing phase. Jumping and landing are some of the most common sports in sports such as basketball, volleyball, football, and badminton. This study had performed on 45 boys aged 7 to 9 years in Shahr-e-Rey of Tehran province who had randomly selected. In this study, using a caliper and a ruler, the distance between the inner ankles and the distance between the inner epicondyles of the thigh had measured, and a length of more than 2.5 cm had considered as cruciate and brace anomalies. 15 students had a genu varum deformity, 15 had a genu valgum deformity, and 15 had a normal knee.
In this study, the stepwise method of longitudinal pair jumping of Clark and Phillips had used. In this way, the legs had fully extended in the stage of detachment from the ground; in other words, flexion in the knee joint had minimized in the flight stage, the knee joint was bent, or the knee joint flexion had maximized. Finally, in the landing stage, the knee joint opens. In other words, the flexion of the knee joint had minimized in the landing stage. Subjects performed a long jump in front of the camera using the Clark and Phillips step method. The knee joint angle data on the sagittal plate had analyzed in three phases: detachment from the ground, flight, and landing using motion analysis software.
Results
The research variables had analyzed in two sections: descriptive statistics and inferential statistics in SPSS software v. 21. The Shapiro-Wilk test had used to examine the normal distribution of data, and the Kruskal-Wallis test and the Mann-Whitney U test had used to detect differences between groups.
The results showed that the knee joint angle in the genu valgum group in the phase of separation from the ground was significantly different from the normal knee group and was not significantly different from the genu varum group. There is no significant difference in knee joint angle in flight and landing phases between genu varum, genu valgum, and natural knee groups. According to the results, the deviation created in the genu valgum deformity and disturbing the lower limb can negatively affect the performance of children when detached from the ground in the skill of longitudinal pair jumping (Table 1).


Discussion
In the other stage, where there was no difference between the functions of the groups, we can proceed according to the theoretical approach of dynamic body systems, which are composed of different components. Whenever one of them changes, the other body dimensions will change accordingly, and this exchange of different systems and dimensions as a functional unit gives the body a lot of flexibility. Based on this, it can be concluded that this abnormality is probably normal in terms of function, and because it occurred during childhood, it has led to their better adaptation.

Ethical Considerations
Compliance with ethical guidelines

This study has been reviewed and approved in terms of research ethics in the Department of Sports Biomechanics, Faculty of Physical Education and Sports Sciences, Central Tehran Branch, Islamic Azad University, Iran.

Funding
The present article is the result of a part of Hamed Jalalvand's master's thesis in the Faculty of Physical Education and Sports Sciences, Central Tehran Branch, Islamic Azad University, Iran.

Authors' contributions
All authors contributed equally in preparing all parts of the research.

Conflicts of interest
The authors declared no conflict of interest.
 

References
  1. Derscheid GL, Malone TR. Knee disorders. Phys Ther. 1980; 60(12):1582-9. [DOI:10.1093/ptj/60.12.1582] [PMID]
  2. Prodromos CC, Han Y, Rogowski J, Joyce B, Shi K. A meta-analysis of the incidence of anterior cruciate ligament tears as a function of gender, sport, and a knee injury–reduction regimen. Arthroscopy. 2007; 23(12):1320-5.[DOI:10.1016/j.arthro.2007.07.003] [PMID]
  3. Mirzaei R, Salimi N. [The study of height anomalies among secondary school students in Bayangan (Persian)]. J Kermanshah Univ Med Sci. 2012; 16(7):565-72. https://brief.land/jkums/articles/77297.html
  4. Kathleen H. [Growth and motor development during life (Persian)]. [Namazizadeh M, Aslankhani MA, Persian trans]. 10th ed.  Thehran: Samat Publications; 2009. http://opac.nlai.ir/opac-prod/search/briefListSearch.do?command=FULL_VIEW&id=2060620&pageStatus=1&sortKeyValue1=sortkey_title&sortKeyValue2=sortkey_author
  5. Boden BP, Torg JS, Knowles SB, Hewett TE. Video analysis of anterior cruciate ligament injury: Abnormalities in hip and ankle kinematics. Am J Sports Med. 2009; 37(2):252-9 [DOI:10.1177/0363546508328107] [PMID]
  6. Zahradnik D, Jandacka D, Uchytil J, Farana R, Hamill J. Lower extremity mechanics during landing after a volleyball block as a risk factor for anterior cruciate ligament injury. Phys Ther Sport. 2015; 16(1):53-8. [DOI:10.1016/j.ptsp.2014.04.003] [PMID]
  7. McNair P, Prapavessis H, Callender K. Decreasing landing forces: Effect of instruction. Br J Sports Med. 2000; 34(4):293-6. [DOI:10.1136/bjsm.34.4.293] [PMID] [PMCID]
  8. Louw Q, Grimmer K. Biomechanical factors associated with the risk of knee injury when landing from a jump. S Afr J Sports Med. 2006; 18(1):18-23. [DOI:10.17159/2078-516X/2006/v18i1a248]
  9. Wu HW, Chang YW, Liu CW, Wang LH. Biomechanical analysis of landing from counter movement jump and vertical jump with run-up in the individuals with functional ankle instability. Int J Sport Exerc Sci. 2010; 2:43-8. https://www.semanticscholar.org/paper/Biomechanical-Analysis-of-Landing-from-Counter-Jump-Wu-Chang/7ce4737f93458d71b502daa4da06305a3daec1c5
  10. Hargrave MD, Carcia CR, Gansneder BM, Shultz SJ. Subtalar pronation does not influence impact forces or rate of loading during a single-leg landing. J Athl Train. 2003; 38(1):18-23. [PMCID]
  11. Shahidi-zandi Z, Amir-seyfaddini MR, Amiri-Khorasani MT. [Evaluation of lower extremity kinematic characteristics during single-leg landing from different heights in patients with knee valgus deformity (Persian)]. Sci J Rehabil Med. 2017; 6(1):122-31. [DOI:10.22037/JRM.2017.1100299]
  12. Nejishima M, Urabe Y, Yokoyama S. Relationship between the knee valgus angle and EMG activity of the lower extermity in single- and double-leg landing. J Biomech. 2007; 40(S 2):S743 [DOI:10.1016/S0021-9290(07)70731-5]
  13. Shahamiri Fatahi FA, Alizadeh MH, Minoonejad H. [Effect of genu varum deformity on dynamic stabilization during single-leg jump-landing (Persian)]. Stud Sport Med. 2013; 5(13):39-52. https://smj.ssrc.ac.ir/article_253_73.html?lang=en
  14. Joseph M, Tiberio D, Baird J, Trojian T, Anderson J, Kraemer W, et al. Knee valgus during drop jumps in National Collegiate Athletic Association Division I Female Athletes. Am J Sports Med. 2008; 36(2):285-9. [DOI:10.1177/0363546507308362] [PMID]
  15. Nyland J, Smith S, Beickman K, Armsey T, Caborn DN. Frontal plane knee angle affects dynamic postural control strategy during unilateral stance. Med Sci Sports Exerc. 2002; 34(7):1150-7. [DOI:10.1097/00005768-200207000-00016] [PMID]
  16. Van der M, Steultjens M, Harlaar J, Wolterbeek N, Knol D, Dekker J. Varus-valgus motion and functional ability in patients with knee osteoarthritis. Ann Rheum Dis. 2008; 67(4):471-7. [DOI:10.1136/ard.2007.071258] [PMID]
  17. Malina RM, Bouchard C. Growth, maturation, and physical activity [A Bahram, H Khalaji, Persian trans]. Tehran: Omid-e Danesh Publications; 2002. https://lib1.ut.ac.ir:8443/site/catalogue/257250
  18. Yayaei-Rad M, Norasteh AA, Shamsi A, Sanjari MA. The comparison of postural stability in different knee alignment. J Basic Appl Sci Res. 2013; 3(7):322-6. https://www.semanticscholar.org/paper/The-Comparison-of-Postural-Stability-in-Different-Yayaei-Rad-Norasteh/10484e2ccef504de9244d27cb75a5baefc880fda
  19. Van Gheluwe B, Kirby KA, Hagman F. Effects of simulated genu valgum and genu varum on ground reaction forces and subtalar joint function during gait. J Am Podiatr Med Assoc. 2005; 95(6):531-41. [DOI:10.7547/0950531] [PMID]
  20. Besier TF, Lloyd DG, Ackland TR, Cochrane JL. Anticipatory effects on knee joint loading during running and cutting maneuvers. Med Sci Sports Exerc. 2001; 33(7):1176-81. [DOI:10.1097/00005768-200107000-00015] [PMID]
  21. Naji M. [Determining the relationship and difference between physical abilities and height disorders of university students Imam Hussein (AS) (Persian)] [MSc. Thesis]. Thehran: Imam Hussein (AS) University; 2002. https://ganj.irandoc.ac.ir/#/articles/065e1a3496194b97fd7cf30ca4f343e0
  22. Anbarian M, Ismaili H, Hosseini Nejad SI, Rabiee M, Binabaji H. [Comparison of the activity of the muscles around the knee when walking and running in people with varus deformity of the knee and the control group (Persian)]. J Res Rehabil Sci. 2012; 8(2):298-309. [DOI:10.22122/jrrs.v8i2.359]
  23. Ghojaghi M, Arab Ameri A, Hemayat Talab R, Minunjad H. [Comparison of basic motor skills in children aged 7 to 9 years with cruciate ligament and brace deformity with children with normal knee orientation (Persian)]. 8th International Conference on Physical Education and Sport 2012 February 18-19, Thehran, Iran. https://www.sid.ir/fa/seminar/ViewPaper.aspx?ID=26414
  24. Shahrjerdi S, Golpayegani M, Ghadiri U. [Effect of proprioception training on knee joint position sense of athletes with Genuvarum (Persian)]. J Res Sport Rehabil. 2014; 2(3):67-73. https://www.sid.ir/en/Journal/ViewPaper.aspx?ID=445095
  25. Mirzadeh Moghaddam A, Soltandost Nari SM, KhoshraftarYazdi N. [Investigating static balance and lower extremity kinematics during Walking in patients with Genuvarum (Persian)]. J Rehab Med. 2016; 4(4):148-55.file:///C:/Users/m.jamshidi/Downloads/3004813940418.pdf
  26. Hayati A, Farhpour N, Rahmani D. [The effect of braced knee on the performance of soccer shooting technique in adolescent boys soccer players (Persian)]. Sports Med. 2012; 4(8):63-72. https://www.sid.ir/fa/Journal/ViewPaper.aspx?ID=209906

Type of Study: Research | Subject: Special
Received: 2021/07/21 | Accepted: 2021/12/27 | Published: 2022/03/1

References
1. Derscheid GL, Malone TR. Knee disorders. Journal of the American Physical Therapy Association 1980; 60: 1582-1589. [DOI:10.1093/ptj/60.12.1582] [PMID]
2. Prodromos, C. C., Han, Y., Rogowski, J., Joyce, B., & Shi, K. A meta-analysis of the incidence of anterior cruciate ligament tears as a function of gender, sport, and a knee injury-reduction regimen, Arthroscopy: The Journal of Arthroscopic & Related Surgery, 2007; 23(12), 1320-5. [DOI:10.1016/j.arthro.2007.07.003] [PMID]
3. Mirzaei, R. &, Salimi, N. The study of height anomalies among secondary school students in Bayangan. Journal of Kermanshah University of Medical Sciences, 2012; 16(7), 565-72. [IN PERSIAN]
4. Kathleen M. Haywood, Growth and motor development during life (1993) Translated by Dr. Mehdi Namazizadeh, Dr. Mohammad Ali Aslankhani, 10th edition 2009, Samat Publications. [IN PERSIAN]
5. Boden BP, Torg JS, Knowles SB, Hewett TE. Video analysis of anterior cruciate ligament injury: abnormalities in hip and ankle kinematics. Am J Sports Med. 2009; 37(2):252-9 [DOI:10.1177/0363546508328107] [PMID]
6. Zahradnik D, Jandacka D, Uchytil J, Farana R, Hamill J. Lower extremity mechanics during landing after a volleyball block as a risk factor for anterior cruciate ligament injury. Phys Ther Sport. 2015; 16(1):53-8. [DOI:10.1016/j.ptsp.2014.04.003] [PMID]
7. McNair P, Prapavessis H, Callender K. Decreasing landing forces: effect of instruction. Br J Sports Med. 2000 Aug; 34(4):293-6. [DOI:10.1136/bjsm.34.4.293] [PMID] [PMCID]
8. Louw Q, Grimmer K. Biomechanical factors associated with the risk of knee injury when landing from a jump. South African Journal of Sports Medicine. 2006; 18(1):18-23. [DOI:10.17159/2078-516X/2006/v18i1a248]
9. Hong-Wen W, Yi-Wen Ch, Chia-Wei L, Lin-Hwa W. Biomechanical analysis of landing from counter movement jump and vertical jump with run-up in the individuals with functional ankle instability. International Journal of Sport and Exercise Science. 2010; 2(2):43-8.
10. Hargrave MD, Carcia CR, Gansneder BM, Shultz SJ. Subtalar Pronation Does Not Influence Impact Forces or Rate of Loading during a Single-Leg Landing. J Athl Train. 2003; 38(1):18-23.
11. Zahra Shahidi Zandi, Mohammadreza Amir-Seifoddini, Mohammadtaghi Amiri-Khorasani. Evaluation of Lower Extremity Kinematic Characteristics during Single-Leg Landing from Different Heights in Patients with Knee Valgus Deformity. (2016). [IN PERSIAN]
12. Nejishima M, Urabe Y, Yokoyama S. Relationship between the knee valgus angle and EMG activity of the lower extermity in single- and double-leg landing. J Biomech. 2007; 40(2):14-5. [DOI:10.1016/S0021-9290(07)70731-5]
13. Faraj allah Shahamiri fatahi؛ Mohammad Hossein Alizadeh؛ Homan Minoonejad. Effect of Genu Varum Deformity on Dynamic Stabilization during Single-Leg Jump-Landing.(2013) [IN PERSIAN]
14. Joseph M, Tiberio D, Baird J, Trojian T, Anderson J, Kraemer W. Knee Valgus during Drop Jumps in National Collegiate Athletic Association Division I Female Athletes. Sports Med. 2008. [DOI:10.1177/0363546507308362] [PMID]
15. Nyland J, Smith S, Beickman K, Armsey T, Caborn D N. Frontal plane knee angle affects dynamic postural control strategy during unilateral stance. Med Sci Sports Exerc. 2002 Jul; 34(7): 1150-7. [DOI:10.1097/00005768-200207000-00016] [PMID]
16. Van der M, Steultjens M, Harlaar J, Wolterbeek N, Knol D, Dekker J. Varus-valgus motion and functional ability in patients with knee osteoarthritis. Ann Rheum Dis. 2008 Apr; 67(4): 471-477. [DOI:10.1136/ard.2007.071258] [PMID]
17. Malina. . Robert Bouchard. Claude "Development, maturity of physical activity." Translated by Abbas Bahram Hassan Khalaji. Rah-e Danesh Publications. First Edition, 1991; [IN PERSIAN].
18. 18Yayaei-Rad M, Norasteh AA, Shamsi A, Sanjari MA. The comparison of postural stability in different knee alignment. Journal of Basic and Applied Scientific Research 2013; 3(7): 322-326.
19. Gheluwe B.V., Kariby K.A., and Hagman F. "Effect of simulated genu valgum and genu varum on ground reaction factors and subtalar joint function during gait". J American Podiatric Medica Assosiation.2005; 95, pp: 531-541. [DOI:10.7547/0950531] [PMID]
20. Besier TF, Lloyd DG, Ackland TR, Cochrane JL. Anticipatory effects on knee joint loading during running and cutting maneuvers. Medicine and Science in Sports and Exercise, 01 Jul 2001; 33(7):1176-1181. [DOI:10.1097/00005768-200107000-00015] [PMID]
21. Naji, Morteza ، "Determining the relationship and difference between physical abilities and height disorders of university students Imam Hussein (AS) ". Master's thesis, Imam Hussein (AS) University; 2002. [IN PERSIAN]
22. Anbarian, Mehrdad; Ismaili, Hamed; Hosseini Nejad, Seyed Ismail; Rabiee, Mohammad; Binabaji, Hujjat, Comparison of the activity of the muscles around the knee when walking and running in people with varus deformity of the knee and the control group. Journal of Research in Rehabilitation Sciences, 2012; Vol. 2, pp. 82-74. [IN PERSIAN]
23. Ghojaghi, M., Arab Ameri, A., supporter, R., Minunjad, H. Comparison of basic motor skills in children aged 7 to 9 years with cruciate ligament and brace deformity with children with normal knee orientation; 2012. [IN PERSIAN]
24. Kashif, Majid. Investigating the relationship between physical abilities and physical abnormalities of male students Tehrani ". Research Council of the Ministry of Education; 2000. [IN PERSIAN]
25. Hadadnejad, Maliha. The relationship between brachial plexus anomalies and lower limb function and strength in adolescent soccer players. Research in Rehabilitation Sciences; 2011. [IN PERSIAN]
26. Hayati Amir, Farhpour Nader, Rahmani Donya. The effect of braced knee on the performance of soccer shooting technique in adolescent boys soccer players. Sports medicine. Fall, 2012. [IN PERSIAN]

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Journal of Sport Biomechanics

Designed & Developed by : Yektaweb