Factors associated with quadriceps angle in healthy young adult males

Main Article Content

Janya Chuadthong
Pimchanok Inpech
Pimonpan Potha
Monmanus Thepintha
Chatchada Sutalangka
Wilawan Chaiut
Ekalak Sitthipornvorakul

Abstract

This study aims to investigate the correlation between quadriceps angle (Q-angle) and leg muscles strength,
leg muscles flexibility, balance, and range of motion. A cross sectional study was conducted in 97 adult men. All participants were interviewed by using the questionnaire and physical examination. An outcome measurement consists of quadriceps angle and leg muscles strength, leg muscles flexibility, balance, and range of motion (ROM). The result of this study showed a statistically significant relationship between the Q-angle and the leg muscles strength (r = -0.23 - r = -0.31, p < 0.05), muscle flexibility of hip adductor (r = -0.48 p < 0.01), Iliotibial band (r = -0.30 p < 0.01) and hamstrings (r = -0.60 p < 0.01). In addition, there was statistically significant between the Q-angle and ROM of hip extension (r = -0.23 p < 0.05), hip adduction (r = -0.31
p < 0.05), and knee extension (r = 0.26 p < 0.05). However, there was no relationship between Q-angle and static and dynamic balance. In conclusion, this study found that the Q-angle had a statistically significant correlation with the leg muscles strength, leg muscle flexibility and ROM whereas not correlated with balance control.

Article Details

How to Cite
1.
Chuadthong J, Inpech P, Potha P, Thepintha M, Sutalangka C, Chaiut W, Sitthipornvorakul E. Factors associated with quadriceps angle in healthy young adult males. JMPH4 [Internet]. 2024 Mar. 8 [cited 2024 Nov. 22];14(1):159-68. Available from: https://he01.tci-thaijo.org/index.php/JMPH4/article/view/263981
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Original Articles

References

Atanda A, Reddy D, Rice JA, Terry MA. Injuries and chronic conditions of the knee in young athletes. Pediatr Rev 2009; 30(11): 419–28; quiz 429-30.

Woodland LH, Francis RS. Parameters and comparisons of the quadriceps angle of college-aged men and women in the supine and standing positions. Am J Sports Med 1992; 20(2): 208–11.

Horton MG, Hall TL. Quadriceps femoris muscle angle: normal values and relationships with gender and selected skeletal measures. Phys Ther 1989; 69(11): 897–901.

Mizuno Y, Kumagai M, Mattessich SM, Elias JJ, Ramrattan N, Cosgarea AJ, et al. Q-angle influences tibiofemoral and patellofemoral kinematics. J Orthop Res 2001; 19(5): 834–40.

Bolgla LA, Malone TR, Umberger BR, Uhl TL. Hip strength and hip and knee kinematics during stair descent in females with and without patellofemoral pain syndrome. J Orthop Sports Phys Ther 2008; 38(1): 12–8.

Hahn T, Foldspang A. The Q angle and sport. Scand J Med Sci Sports 1997; 7(1): 43-8.

Bayraktar B, Yucesir I, Ozturk A, Cakmak AK, Taskara N, Kale A, et al. Change of quadriceps angle values with age and activity. Saudi Med J 2004; 25(6): 756-60.

Wong YM, Straub RK, Powers CM. The VMO:VL activation ratio while squatting with hip adduction is influenced by the choice of recording electrode. J Electromyogr Kinesiol 2013; 23(2): 443-7.

Petersen W, Ellermann A, Gösele-Koppenburg A, Best R, Rembitzki IV, Brüggemann GP, et al. Patellofemoral pain syndrome. Knee Surg Sports Traumatol Arthrosc 2014; 22(10): 2264-74.

Denızoglu Kulli H, Yeldan I, Yildirim NU. Influence of quadriceps angle on static and dynamic balance in young adults. J Back Musculoskelet Rehabil 2019; 32(6): 857-62.

Springer BA, Marin R, Cyhan T, Roberts H, Gill NW. Normative values for the unipedal stance test with eyes open and closed. J Geriatr Phys Ther 2007; 30(1): 8-15.

Nelson S, Wilson CS, Becker J. Kinematic and Kinetic Predictors of Y-Balance Test Performance. Int J Sports Phys Ther 2021; 16(2): 371-80.

Russell AK, Zerr MC, Rinehart TG, Norris BM, Perkuhn NK, Lehecka BJ. The Relationship between Lower Extremity Musculature Strength, Q-angle, and Single-Leg Balance. Proceedings of the 10th Annual GRASP symposium, Wichita State Universit .2014

Sarkar A, Razdan S, Yadav J, Bansal N, Kuhar S, Pahuja P. Effect of isometric quadricep activation on “Q” angle in young females. Indian J Physiol Pharmacol 2009; 53(3): 275-8.

Powers CM. The influence of altered lower-extremity kinematics on patellofemoral joint dysfunction: a theoretical perspective. J Orthop Sports Phys Ther 2003; 33(11): 639-46.

Chinkulprasert C, Piniijmung P, Kirdpum P, Chaisiriwongsuk Y. Effects of Hip Muscle Strengthening on Knee Valgus and Hip Adduction Angles during Step Down Task in Females With and Without Patellofemoral Pain. Thai J Phys Ther 2017; 39(1): 11-9. (in Thai)

Saç A, Taşmektepligil MY. Correlation between the Q angle and the isokinetic knee strength and muscle activity. Turk J Phys Med Rehabil 2018; 64(4): 308-13.

Kwon O, Yun M, Lee W. Correlation between Intrinsic Patellofemoral Pain Syndrome in Young Adults and Lower Extremity Biomechanics. J Phys Ther Sci 2014; 26(7): 961-4.

Fatahi A, Sadeghi H, Ameli M. Relationship Between Q Angle and Knee Injuries Prevalence in Elite Volleyball Players. Advances in Surgical Sciences 2017; 5(4): 45.

Sirivarakul U, Aksaranukraha S. Q angle: Normal value and Its Influence on Quadriceps Femoris Performance in Chulalongkorn Hospital. J Thai Rehabil 1996; (6)1: 18-23. (in Thai)

Zorić I. Anatomy, physiology and biomechanics of hamstrings injury in football and effective strength and flexibility exercises for its prevention. Journal of Human Sport and Exercise. 6th INSHS International Christmas Sport Scientific Conference, 11-14 December 2012; 7: S208-17.

Aiyegbusi A, Tella B, Okeke C. Lower Limb Biomechanical Variables Are Indicators of the Pattern of Presentation of Patella Tendinopathy in Elite African Basketball and Volleyball Players. Rev Bras Ortop (Sao Paulo) 2019; 54(5): 540-8.

Scattone Silva R, Nakagawa TH, Ferreira ALG, Garcia LC, Santos JEM, Serrão FV. Lower limb strength and flexibility in athletes with and without patellar tendinopathy. Phys Ther Sport 2016; 20: 19-25.

Fredericson M, Yoon K. Physical examination and patellofemoral pain syndrome. Am J Phys Med Rehabil 2006; 85(3): 234-43.

Hudson Z, Darthuy E. Iliotibial band tightness and patellofemoral pain syndrome: a case-control study. Man Ther 2009; 14(2): 147-51.

Kang SY, Choung SD, Park JH, Jeon HS, Kwon OY. The relationship between length of the iliotibial band and patellar position in Asians. Knee 2014; 21(6): 1135-8.

Citaker S, Kaya D, Yuksel I, Yosmaoglu B, Nyland J, Atay OA, et al. Static Balance in Patients With Patellofemoral Pain Syndrome. Sports Health 2011; 3(6): 524-7.

Balasuburamaniam A, Vakkachan T, Abraham B. Comparison of Dynamic Postural Control with and Without Patellofemoral Pain Syndrome using Star Excursion Balance Test. Journal of Medical Science and Technology 2013; 2: 1-6.

Ozmen T. Relationship between core stability, dynamic balance and jumping performance in soccer players. Turk J Sport Exe 2016; 18(1): 110.