Volume 8 Supplement 2

Australasian Podiatry Conference 2015

Open Access

Foot and ankle mobility and the frontal plane projection angle in asymptomatic controls

  • Narelle Wyndow1,
  • Amy De Jong1,
  • Krystal Rial1,
  • Kylie Tucker2,
  • Natalie Collins3,
  • Bill Vicenzino1,
  • Trevor Russell1 and
  • Kay Crossley1
Journal of Foot and Ankle Research20158(Suppl 2):O43

https://doi.org/10.1186/1757-1146-8-S2-O43

Published: 22 September 2015

Keywords

Foot mobility ankle mobility frontal plane Projection angle

Introduction

The frontal plane projection angle (FPPA) is a measure of the degree of dynamic knee valgus during functional tasks such as the single leg squat. An increased FPPA is associated with patellofemoral pain and is indicative of knee valgus during other tasks such as running. Therefore, it is important to determine factors that can contribute to FPPA in order to develop treatment strategies for people with (or at risk of) PFJ pain.

Methods

The FPPA was measured during a single leg squat (FPPASq), and single leg hop (FPPAhop) in 30 healthy controls aged 18-50 years. The FPPA was determined as the valgus (or varus) angle at the knee formed by lines connecting the anterior superior iliac spine, the midpoint of the femoral condyles and the midpoint of the malleoli at the deepest part of the squat, or at the point of full foot contact during the hop. Knee valgus excursion was determined as the difference in FPPA from the start to the bottom of the single leg squat (FPPASqexc). Foot mobility was quantified as the difference in dorsal midfoot arch height, or midfoot width, between non-weight bearing and bilateral weight bearing (50% total body weight), at 50% of the total foot length. Ankle joint range was measured as the maximum distance between the longest toe and the wall during a knee-to-wall lunge in the sagittal plane.

Results

Higher midfoot width mobility was associated with a greater FPPASq (p = < .001), FPPAhop (p = .008), and FPPASqexc (p = < .001). Smaller ankle joint dorsiflexion range was associated with an increased FPPASq (p = .004), FPPAhop (p = .002), and FPPSSqexc (p = .003). Midfoot height mobility was only associated with an increased peak FPPASq (p = .002).

Discussion

The findings of this study indicate that foot and ankle mobility is associated with an increased FPPA during the SLSq and SLH in healthy individuals. Specifically, an increased midfoot width mobility, or reduced ankle joint dorsiflexion range, are both associated with increased FPPA. These two factors require consideration in the clinical management of knee related disorders such as patellofemoral pain.

Authors’ Affiliations

(1)
Division of Physiotherapy, School of Health & Rehabilitation Sciences, The University of Queensland
(2)
The University of Queensland, School of Biomedical Sciences
(3)
Department of Mechanical Engineering, Melbourne School of Engineering, University of Melbourne

Copyright

© Wyndow et al. 2015

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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