RESUMO
The aim of this study is to investigate the characteristics of pre-existing physical factors associated with the onset of Osgood-Schlatter disease (OSD) in junior soccer players. Fifty-nine junior soccer players of the elementary school were included in this study. The boys who had been diagnosed as OSD were excluded. At the time of the first investigation, the subjects were examined through physical evaluation and an ultrasonography. The subjects were followed up one and a half years, and the tibial tuberosity was classified according to the growth stages using the ultrasonography. After the end of follow-up period, the subjects were divided into two groups, those with signs and symptoms of OSD that appeared during the follow up period and those without that. The Mann-Whitney U test was used for the comparison between OSD group’s and control group’s initial assessments. The players who were followed up for one and half years were 38 people. 5 knees of the 4 players were clinically diagnosed as OSD (OSD group), and the remaining 34 players with no symptoms of the OSD constituted the control group. The range of the bilateral hip external rotation, straight leg raise of the non-dominant side, and knee flexion in the OSD group were significantly lower than those in the control group (p < 0.05). We concluded that a decrease in specific joint flexibility might be related with the onset of OSD.
RESUMO
The purpose of this study was to determine if there were any reliable predictors for achieving jogging requirements after anterior cruciate ligament (ACL) reconstruction. We analyzed associations among variables collected from 128 subjects at 12 weeks postoperatively, including jogging parameters (i.e. pain, apprehension, speed, and distance), the isokinetic muscle strength of the leg extensors, the knee stability, and patient's profiles (i.e. age, sex, activity level, body mass index (BMI), meniscectomy, and cartilage injury).Jogging parameters were significantly correlated with the isokinetic muscle strength of leg extensors, but not with the knee stability. With the jogging ability of achieving a distance of 2000m at a velicity of 9km/h being an objective variable, a logistic regression analysis revealed that the isokinetic muscle strength of leg extensors and BMI were considered relevant. Using a receiver operating characteristic (ROC) curve analysis and a contingency table, the cut-off values of the isokinetic muscle strength of leg extensors to the uninvolved side and body weight were 85% and 1.9Nm/kg, respectively, whose sensitivity and specificity were 0.90 and 0.82, respectively. Therefore, we concluded that the isokinetic muscle strength of leg extensors is a reliable predictor for projecting the timing to start jogging after ACL reconstruction.
RESUMO
The six major determinants of gait, as proposed by Saunders et al., were reviewed. The results showed that each of the first three determinants (pelvic rotation, pelvic list, and stance phase knee flexion) have only a minor effect on decreasing the vertical displacement of the center of gravity (COG). The major determinant of COG displacement is heel rise, and the second is the inclination of the lower extremity in the stance phase. In spite of the assumption that decreasing the COG displacement decreases gait energy consumption, the energy required for walking with a flat COG trajectory increased dramatically. Therefore, the major gait determinants as defined by Saunders et al. should be corrected in terms of both the COG displacement and energetics.
