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临床试验/NCT04377373
NCT04377373已完成不适用

Correlation Between Sacral Angle and Lumbar Range of Motion in Women With Genu Valgum

Cairo University1 个研究点 分布在 1 个国家目标入组 64 人开始时间: 2019年4月14日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
64
试验地点
1
主要终点
Sacral angle

研究概览

简要总结

Many patients with genu valgum present with postural changes, such as: internal rotation of the tibial and femoral axes, anteversion of the iliac bones, increased lumbar lordosis, thoracic hyperkyphosis and cervical hyperlordosis. Such pathomechanical changes may interfere with lumbar range of motion. Investigators of this study try to answer the following question: is there a relationship between sacral angle and lumbar range of motion in women with bilateral genu valgum. the results of this study will help professionals to plan a proper treatment program for patients with genu valgum.

详细描述

Sixty four female participants were under the following procedures:

  • Screening for genu valgum via postural assessment from frontal view, then measuring the Q angle bilaterally.
  • Patients with Q-angle >20 degress were under the following procedures:

A. Full-Length AP standing X-ray,then the investigators measured the hip-knee angle (the angle between the mechanical axis of the femur and the tibia). It will be obtained by connecting the center of the femoral head to the midpoint of the tibial eminential spine in a line tangential to the femoral condyles, and another line from here to the centre of the trochlea tali.

B-Lumbo-sacral X-ray lateral view was done at the time and the sacral angle was the measured by Ferguson´s technique in degrees using a protractor and this was the sacral angle.

C- During the same session, trunk range of motion was measured by Modified schober test D- Collected data were taken for statistical analysis.

研究设计

研究类型
Observational
观察模型
Case Control
时间视角
Cross Sectional

入排标准

年龄范围
18 Years 至 25 Years(Adult)
性别
Female
接受健康志愿者

入选标准

  • Female with bilateral genu valgum (Q angle> 20 degrees.
  • Age ranges from 18-25 years old.
  • BMI ≥ 30 (kg/m2)

排除标准

  • Previous lumbar surgery
  • lumbar spine fracture
  • Spondylolisthesis
  • Foraminal or extra foraminal lumbar disc herniation
  • spinal tumors, and bone metabolic diseases 6 - Knee surgeries

结局指标

主要结局

Sacral angle

时间窗: 30 minutes

After X-ray lateral view for lumbo-sacral spine, the investigators used a 30 cm long transparent ruler to measure the sacral angle on the X-ray film. Two lines were drawn, the first line along the superior margin of the sacrum, and the second line was the horizontal line. The acute angle between 2 lines(sacral angle) was measured in degrees using a protractor.

Lumbar range of motion measured by Modified Shobber test

时间窗: 15 minutes

* Patient was directed to stand with the back exposed. * Dimples of Venus (posterior superior iliac spine) was determined and was marked by pertinent marker. * Using tape measurement, the researcher marked a point 5 cm below and 10 cm above marked dimples (total marked area was 15 cm). * Then the subject was asked to lean forward without bending the knees. * The distance between 2 points was measured (D), then the ROM was determined by the following equation; ROM = D -15.

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Karima Abdelaty Hassan

Lecturer

Cairo University

研究点 (1)

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