Relationship Between Q Angle and Knee Injuries Prevalence in Elite Volleyball Players
Advances in Surgical Sciences
Volume 5, Issue 4, August 2017, Pages: 45-48
Received: Jan. 7, 2017;
Accepted: Apr. 21, 2017;
Published: Jul. 12, 2017
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Ali Fatahi, Department of Physical Education & Sport Science, Islamic Azad University, Central Tehran Branch, Tehran, Iran
Heydar Sadeghi, Department of Physical Education & Sport Science, Kharazmi University, Tehran, Iran
Mitra Ameli, Department of Physical Education, Payam-E-Noor University, Tehran, Iran
Recent study was performed to determine relationship between Q angle and knee injury prevalence in 70 elite volleyball players (35 male and 35 female, age of 26.43 ± 3.56 years old and volleyball background of 7.32 ± 1.23 years) with no musculoskeletal pathology that influence the Q angle. Participants fulfilled contest form and injury prevalence was collected by standard Australian injury questionnaire. The Q-angle was measured using a universal Goniometer with the subject in the erect weight-bearing position. Injury prevalence was reported 12.52%, 11.89%, 11.53% and 11.25% in right and left knee in male and female respectively. Mean average and standard deviation of Q angle was 12.34 ± 2.36° for right and 12.48 ± 2.62° for left leg. Results of pair t-test showed no significant differences between right and left Q angle in male and female but independent t test showed significant differences between right legs in male and female as well as left. Significant relationship was determined between Q angle and injury prevalence using chi-square tests.
Relationship Between Q Angle and Knee Injuries Prevalence in Elite Volleyball Players, Advances in Surgical Sciences.
Vol. 5, No. 4,
2017, pp. 45-48.
Beneka A, Malliou P, Gioftsidou A, Tsigganos G, Zetou H, Godilas G.. Injury incidence rate, severity and diagnosis in male volleyball players, Sport Sci Health, 2009, 5: 93-99.
Verhagen E, Van der Beek AJ, Bouter L, Bahr R, Mechelen W. 2004. A one season prospective cohort study of volleyball injuries. Br J Sports Med, 2004, 38 (4): 447-481.
Plawinski M. P. An analysis of the different spike attack arm swings used in elite levels of men’s volleyball. A thesis submitted to the school of kinesiology and health studies in conformity with the requirements for the degree of master of science, Queens university kingstone, Ontario, Canada, 2008.
Ferretti A, De carli A, Fontana M. Injury of suprascapular nerve at the spinoglenoid notch, the natural history of infraspinatus atrophy in volleyball players. Am J Sport Med, 1998, 26 (6): 759-763.
Solgard L, Nielsen AB, Moller-Madsen B, Jacobsen B. W, Yde J, Jensen J. Volleyball injuries presenting in casualty: A prospective study. Br J Sports Med, 1995, 29: 200-204.
Fattahi A, Ameli M, Sadeghi H, Mahmoodi B. Relationship between anthropometric parameters with vertical jump in male elite volleyball players due to game’s position, J. Human Sport & Exercise, 2012, 7 (3): 714-726.
Baker MM, Juhn MS. Patellofemoral pain syndrome in the female athlete. Clin Sports Med, 2000, 19: 315-329.
Rauh MJ, Koespsell TD, Rivara FP, Rice SG, Margherita AJ. 2007. Quadriceps angle and risk of injury among high school cross country runners. J Orthop Sports Phys Ther, 2007, 37: 725-733.
Livingston LA. The quadriceps angle: A review of the literature. J Orthop Sports Phys Ther, 1998, 28: 105-109.
Smith TO, Hunt NJ, Donell ST. 2008. The reliability and the validity of the Q-angle: a systematic review. Knee Surg Sports Traumatol Arthrosc, 2008, 16: 1068-1079.
Sendur OF, Gurer G, Yildirim T, Ozturke E, Aydeniz A. Relationship of Q angle and joint hypermobility and Q angles in different positions. Clin Rheumatol, 2000, 25: 304-308.
Smith TO, Davies L, O’driscoll ML, Donell ST. An evaluation of the clinical tests and outcome measures used to assess patellar instability. J Knee, 2008, 15: 255-262.
Chester R, Smith TO, Sweeting D, Dixon J, Wood S, Song F. The relative timing of VMO and VL in anterior knee pain: a systematic review and meta-analysis. BMC Musculoskelet Disord, 2008, 9: 64.
Hahn T, Foldspang A. The Q-angle and sport. Scand J Med Sci Sports, 1997, 7: 43-48.
Livingston LA, Spaulding SJ. OPTOTRAK Measurement of the Quadriceps angle using standardized foot positions. J Athl Train, 2002, 37: 252-255.
Sra A, Ba T, Oo J. Comparison of bilateral Quadriceps angle in asymptomatic and symptomatic males with anterior knee pain. Internet J Pain Symptom Cont. Palliative Care, 2008, 6: 1.
Byl T, Cole JA, Livingston LA. What determines the magnitude of the Q angle? A preliminary study of selected skeletal and muscular measures. J Sport Rehab, 2000, 9: 26-34.
Fredericson M., Yoon K.. Physical examination and patellofemoral pain syndrome. Am J Phys Med Rehab, 2006; 85: 234–243.
Grelsamer RP, Dubey A, Weinstein CH. Men and women have similar Q angles: a clinical and trigonometric evaluation. J Bone Joint Surg, 2005, 87: 1498–1501.
Herrington L, Nester C. Q-angle undervalued? The relationship between Q-angle and medio-lateral position of the patella. Clin Biomech, 2004, 19: 1070–1073.
Thomee R, Renstro¨m P, Karlsson J, Grimby G. Patellofemoral pain syndrome in young women. I. A clinical analysis of alignment, pain parameters, common symptoms and functional activity level. Scand J Med Sci Sports, 1995, 237–244.
Waryasz GR, Mcdermott AY. 2008. Patellofemoral pain syndrome (PFPS): a systematic review of anatomy and potential risk factors. Dyn Med, 2008, 26: 7-9.
Laura H. Lathinghouse, Mark H. Trimble. Effects of Isometric Quadriceps Activation on the Q-angle in Women before and After Quadriceps Exercise, Journal of Orthopaedic & Sports Physical Therapy, 2000, 30 (4): 211-2 16.
Emami MJ, Ghahramani MH, Abdinejad F, Namazi H. Q-angle: an invaluable parameter for evaluation of anterior knee pain. Arch Iran Med, 2007, 10: 24–26.
Conley S, Rosenberg A, Crowninshield R. 2007. The female knee: anatomic variations. J. Am. Acad. Orthop. Surg, 2007, 15 (1), 31–36.
Dhaher YY, Kahn LE. The effect of vastus medialis forces on patello- femoral contact: a model-based study. J. Biomech. Eng., 2002, 124: 758–767.
Thor F. Besier a, MichaelFredericson a, GarryE. Gold b, Gary S. Beaupre´ d, ScottL D. Knee muscle forces during walking and running in patellofemoral pain patients and pain-free controls, Journal of Biomechanics, 2009, 42: 898–905.
Elias JJ, Bratton DR, Weinstein DM, Cosgarea AJ. Comparing two estimations of the quadriceps force distribution for use during patellofemoral simulation. J. Biomech, 2006, 39: 865–872.
Zhang LQ, Wang G, Nuber GW, Press JM, Koh JL. In vivo load sharing among the quadriceps components. J. Orthop. Res. 2003, 21, 565–571.