Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

A Comparative Study of Ankle and Foot Characteristics in Knee Osteoarthritis Patients and Normals


Affiliations
1 Dr. D. Y. Patil University, Nerul, Navi Mumbai, India
     

   Subscribe/Renew Journal


AIM:

To compare ankle and foot characteristics of knee osteoarthritis patients with age and gender matched normal.

METHOD:

STUDY DESIGN:

Cross Sectional Study

STUDY SETTING:

Physiotherapy OPD, Pad. Dr. D. Y. Patil Hospital and Research Centre.

PARTICIPANTS:

In total, 60 participants:

• 30 patients with knee osteoarthritis- GROUP 1

• 30 age and gender matched normals- GROUP 2

OUTCOME MEASURES:

Foot posture index (FPI), navicular drop, calcaneal eversion angle, range of motion (ROM) of ankle dorsiflexion and first metatarsophalangeal (MTP) joint extension.

RESULTS:

Extremely significant differences in FPI scores, navicular drop, calcaneal eversion angle and ROM of ankle dorsiflexion and 1st MTP extension were seen between both the groups. Patients in group 1 had a pronated foot as compared to group 2 with mean FPI score of 7.03. Mean navicular drop in group 1 was 8.36mm and mean calcaneal angle was 15.53 degrees. Decreased ROM of ankle dorsiflexion and 1st MTP extension were observed in group 1.

CONCLUSION:

Patients with medial knee osteoarthritis have a pronated foot posture with greater navicular drop and calcaneal eversion angle. They also have a decreased ankle dorsiflexion and great toe extension as compared to normals. Thus foot assessment should be considered as an important component in the evaluation of patients with severe knee osteoarthritis. This can have implications for use of orthotics in the management of knee osteoarthritis.


Keywords

Medial Compartment Knee Osteoarthritis, Foot Posture Index, Navicular Drop, Calcaneal Eversion Angle, Ankle Dorsiflexion, First Mtp Extension
Subscription Login to verify subscription
User
Notifications
Font Size


  • Bennell KL, Talbot RC et.al. : Intra and inter rater reliability of weight bearing lunge measure of ankle dorsiflexion. Australian J of Physiotherapy. 44:175-180, 1998.

  • Brody DM, : Techniques in evaluation and treatment of injured runner. Orthop Clin North Am 13:541, 1982.

  • Cornwall MW, Mcpoil TG: Effect of ankle dorsiflexion ROM on rear foot motion during walking. JAPMA.89:272-277, 1999

  • Dahle,LK; Mueller,M: visual assessment of foot type and relationship of foot type to lower limb extremity injury. J. Orthop. Sports Phys. Ther. 14:70-74, 1991.

  • Feldman A.: Biomechanics of running: practical considerations. Tech Orthop,5:8-14, 1990

  • Felson,DT; Lawrence,RC: Osteoarthritis: new insights: part 2: treatment approaches. Ann. Int. Med. 133: 726-737, 2000.

  • Feldman, A: the biomechanics of running: practical considerations. Tech. orthop. 5:8-14, 1990.

  • Giladi, M: the low arch, a prospective factor in stress fractures. A prospective study of 295 military recruits. Orthop. Rev. 14:709-712, 1985.

  • Hillstrom,HJ; Brower,D: lower extremity conservative realignment therapies for knee osteoarthritis. Phy. Med. Rehab.:state of the art reviews, Hanley & Belfus, Philadelphia, pp.507-520, 2002

  • Hinman RS et.al. : Lateral wedges in knee osteoarthritis: What are their immediate clinical and biomechanical effects and can these predict a three-month clinical outcome? Arthritis Rheum, 59:408-415, 2008.

  • Jonson SR, Gross MT: Intra examiner reliability, inter examiner reliability and normal values for nine lower extremity skeletal measures. JOSPT. 25:253-263, 1997.

  • Kelaher,D et al.: Effects of semi rigid arch support orthotics: an investigation with potential ergonomic implications. Appl. Ergon. 31:515-522, 2000

  • Mann RA: Biomechanics of running. In: Mack (ed). Symposium on the Foot and Leg in running sports, pp 1-29. St Louis: CV Mosby.1982.

  • Martin RL, McPoil TG: Reliability of ankle goniometric measurements: Literature review. JAPMA.95:564-572, 2005

  • McPoil TG : Evaluation and management of foot and ankle disorders: Present problems and future directions. JOSPT. 21:381-388, 1995

  • McWilliams DF et. al. : Self reported knee and foot alignments in early adult life and risk of osteoarthritis. Arthritis Care Res (Hoboken) 62:489-495, 2010

  • Menz HB : Alternative techniques for clinical assessment of foot pronation. 3:88:119-128, 1998.

  • Menz HB, Munteanu SE: validity of 3 clinical techniques for measurement of static foot posture in older people. JOSPT 35:479-486, 2005.

  • Perry J : anatomy and biomechanics of hindfoot. Clinc Orthop, 77:9-15, 1983.

  • Powers CM: Influence of altered lower extremity kinematics on patellofemoral joint dysfunction: A theoretical perspective. JOSPT. 33:639-646, 2003

  • Redmond AC: Development and validation of a novel rating system for scoring standing foot posture: the Foot Posture Index. Clinical Biomechanics 21:89-98, 2006.

  • Roukis et al. position of the first ray and motion of the first metatarsophalangeal joint, J Am Pod Med Assoc. 86: 538-546, 1996)

  • Saunders JB et al: Major determinants in normal and pathological gait. J Bone Joint Surg (Am) 35543-558,1953

  • Sharma L et. al. : Varus and valgus alignment and incident and progressive knee osteoarthritis. Ann Rheum Dis.69:1940-1945,2010.

  • Tiberio D: The effect of excessive subtalar joint pronation on patella femoral mechanics: A theoretical model. JOSPT. 9:160-165, 198

  • Young et al. in vivo motion transmission in inactive gasrtocnemius medialis muscle tendon unit during ankle and knee joint rotation. J Electrmyogr Kinesiol, 16:413-422, 2006;


Abstract Views: 925

PDF Views: 0




  • A Comparative Study of Ankle and Foot Characteristics in Knee Osteoarthritis Patients and Normals

Abstract Views: 925  |  PDF Views: 0

Authors

Avani Jani
Dr. D. Y. Patil University, Nerul, Navi Mumbai, India
Ajit Dabholkar
Dr. D. Y. Patil University, Nerul, Navi Mumbai, India
Sujata Yardi
Dr. D. Y. Patil University, Nerul, Navi Mumbai, India

Abstract


AIM:

To compare ankle and foot characteristics of knee osteoarthritis patients with age and gender matched normal.

METHOD:

STUDY DESIGN:

Cross Sectional Study

STUDY SETTING:

Physiotherapy OPD, Pad. Dr. D. Y. Patil Hospital and Research Centre.

PARTICIPANTS:

In total, 60 participants:

• 30 patients with knee osteoarthritis- GROUP 1

• 30 age and gender matched normals- GROUP 2

OUTCOME MEASURES:

Foot posture index (FPI), navicular drop, calcaneal eversion angle, range of motion (ROM) of ankle dorsiflexion and first metatarsophalangeal (MTP) joint extension.

RESULTS:

Extremely significant differences in FPI scores, navicular drop, calcaneal eversion angle and ROM of ankle dorsiflexion and 1st MTP extension were seen between both the groups. Patients in group 1 had a pronated foot as compared to group 2 with mean FPI score of 7.03. Mean navicular drop in group 1 was 8.36mm and mean calcaneal angle was 15.53 degrees. Decreased ROM of ankle dorsiflexion and 1st MTP extension were observed in group 1.

CONCLUSION:

Patients with medial knee osteoarthritis have a pronated foot posture with greater navicular drop and calcaneal eversion angle. They also have a decreased ankle dorsiflexion and great toe extension as compared to normals. Thus foot assessment should be considered as an important component in the evaluation of patients with severe knee osteoarthritis. This can have implications for use of orthotics in the management of knee osteoarthritis.


Keywords


Medial Compartment Knee Osteoarthritis, Foot Posture Index, Navicular Drop, Calcaneal Eversion Angle, Ankle Dorsiflexion, First Mtp Extension

References