Sanchez Hugo Machado, Sanchez Eliane Gouveia de Morais, Baraúna Mario Antonio, Canto Roberto Sérgio de Tavares
Universidade de Rio Verde, Rio Verde, GO, Brazil, Universidade de Rio Verde (UniRV), Rio Verde, GO, Brazil.
Centro Universitário do Triângulo, Uberlândia, MG, Brazil, Centro Universitário do Triângulo (UNITRI), Uberlândia, MG, Brazil.
Acta Ortop Bras. 2014;22(6):325-9. doi: 10.1590/1413-78522014220600451.
To compare the value of Q angle in different positions, in the external and internal rotations of lower limbs.
This is a descriptive cross-sectional study. We have evaluated 62 volunteers, 32 women and 30 men in the following positions: supine positions with parallel feet, supine with abduction (external rotation of lower limbs), and standing position with parallel feet and with external rotation. All the participants were sedentary and without previous history of acute injury or complaints regarding lower limbs. In order to calculate the Q angle we used computerized biophotogrammetry through ALC image 2.1((r)) program.
The results of the comparisons showed significant difference between the standing position with feet parallel and orthostatic positions with abductees feet on the left side for both genders (p = 0.000). We also found a significant difference between supine and standing position with abducted feet and with feet parallel on the left side (p = 0.046) in females.
From these results, we can conclude that there are significant differences in the standing position with abducted feet and parallel to the left leg, and symmetry between the lower limbs independent of rotation of limbs in the supine posture. Level of Evidence II, Diagnostic Studies Investigating a Diagnostic Test.
比较下肢内旋和外旋时不同体位下Q角的值。
这是一项描述性横断面研究。我们评估了62名志愿者,其中32名女性和30名男性,评估体位如下:双脚平行仰卧位、下肢外展(下肢外旋)仰卧位、双脚平行站立位以及外旋站立位。所有参与者均久坐不动,且既往无急性损伤史或下肢相关不适主诉。为计算Q角,我们通过ALC图像2.1((r))程序使用计算机生物摄影测量法。
比较结果显示,双脚平行站立位与双脚外展直立位相比,男女左侧均存在显著差异(p = 0.000)。我们还发现,女性中,双脚外展仰卧位与双脚平行站立位相比,左侧存在显著差异(p = 0.046)。
从这些结果我们可以得出结论,双脚外展且与左腿平行的站立位存在显著差异,且仰卧位时下肢对称性与肢体旋转无关。证据等级II,诊断性研究(调查诊断试验)。