Pediatric and Adult Orthopedics Poland, Dolna Wilda 88G/104, 61-501, Poznań, Poland.
PhysioCenter, Osiedle Zwycięstwa 124, Poznań, Poland.
BMC Musculoskelet Disord. 2024 May 19;25(1):393. doi: 10.1186/s12891-024-07429-7.
The aim of the study was to assess factors affecting the popliteal angle and foot dorsiflexion, in particular gender. The subjects were 142 students from the 2nd and 3rd year of Poznań junior high schools.
The participants included 57 girls and 87 boys. Three raters examined each subject: a specialist in orthopaedics, a resident doctor and a physical therapy student. Foot dorsal flexion was tested in a supine position with lower limbs extended. Next, dorsal flexion was evaluated with the knee and hip in 90 degrees of flexion. Finally, a passive knee extension (PKE) test was carried out. The significance of the PKE test is that the lower the angle the more flexible the hamstrings. This is because the PKE measurement is the distance to the right angle, that is a full knee extension with the hip flexed.
The non-parametric test (Mann-Whitney) and the Student's t-test showed differences between the female and male gender in the measurements of the popliteal angle (p < .05000). The correlation was negative, which means that the hamstrings are more flexible in girls. No differences were found between gender and passive foot dorsiflexion and dorsiflexion with a flexed hip and knee. No differences were found between the group with the extended PE curriculum and the group with the standard number of PE classes in the range of motion of foot dorsiflexion and the value of the popliteal angle.
Girls between 13 and 15 years old have a significantly larger hamstring flexibility, which is confirmed by the tests of the popliteal angle. No differences were found in dorsiflexion between girls and boys who have not been trained using a training model.
本研究旨在评估影响腘窝角和足背屈的因素,尤其是性别因素。研究对象为来自波兹南初中二年级和三年级的 142 名学生。
参与者包括 57 名女孩和 87 名男孩。3 位评估者对每位受试者进行检查:骨科专家、住院医师和物理治疗学生。受试者仰卧位,下肢伸直,测试足背屈。然后,膝关节和髋关节屈曲 90 度,再次评估背屈。最后,进行被动膝关节伸展(PKE)测试。PKE 测试的意义在于,角度越低,腘绳肌越灵活。这是因为 PKE 测量的是距离直角的距离,即髋关节弯曲时的完全膝关节伸展。
非参数检验(Mann-Whitney)和学生 t 检验显示,女性和男性在腘窝角测量方面存在差异(p<.05000)。相关性为负,这意味着女孩的腘绳肌更灵活。性别与被动足背屈以及髋关节和膝关节弯曲时的背屈之间无差异。在伸展 PE 课程组和标准 PE 课程组之间,足背屈的运动范围和腘窝角的数值无差异。
13 至 15 岁的女孩腘绳肌的柔韧性明显更大,这一点通过腘窝角测试得到了证实。未接受过训练模型训练的女孩和男孩在背屈方面没有差异。