Amaç: Bu çalışma erkek sporcularda kuadriseps (Q) açısı ile kuadriseps kasının konsantrik ve eksantrik kas kuvveti arasındaki ilişkinin incelenmesi amacıyla yapıldı. Gereç ve Yöntemler: Çalışmaya, kış sporları (n=28), jimnastik (n=17), atletizm (atlamalar n=20, atmalar n=14, koşmalar n=8), karate (n=22) ve tekvando (n=36) branşından olmak üzere toplam 145 erkek sporcu dâhil edildi. Sporcuların Q açısı değeri, gonyometre ile sırtüstü (pasif) ve ayakta (aktif) ölçüldü. Kuadriseps kas kuvveti, IsoMed 2000® izokinetik dinamometre (Ferstl, Almanya) ile 60º/sn ve 180º/sn hızlarda konsantrik ve eksantrik olarak değerlendirildi. Değişkenler arasındaki ilişkiyi incelemek amacıyla Spearman korelasyon analizi kullanıldı. Anlamlılık düzeyi p<0,05 olarak alındı. Bulgular: Tüm sporcuların Q açısı ile kuadriseps kas kuvveti arasındaki ilişki incelendiğinde, sağ tarafta pasif Q açısı ile 60º/sn ve 180º/sn açısal hızlarda diz ekstansörlerinin eksantrik kuvveti arasında istatistiksel olarak anlamlı negatif yönde çok zayıf ilişki olduğu belirlendi (p<0,05). Branşlar tek tek incelendiğinde ise Q açısı ile kas kuvveti arasında farklı ilişkiler olduğu belirlendi. Sonuç: Q açısı ile kas kuvveti arasındaki ilişkinin genel olarak yorumlanamayacağı, branşa özel yorumlanması gerektiğini düşünmekteyiz. Q açısı, kuadriseps kas kuvveti ile ilişkili olabilir, ancak spor branşına göre bu ilişki değişebilir.
Anahtar Kelimeler: Diz eklemi; spor; kas kuvveti; açı
Objective: This study was conducted to investigate the relationship between quadriceps (Q) angle and concentric and eccentric muscle strength of male athletes. Material and Methods: A total of 145 male athletes were included to this study [winter sports (n=28), gymnastics (n=17), athletics (jumping n=20, throwing n=14, running n=8), karate (n=22), and taekwondo (n=36)]. The Q angle of the athletes were measured in supine position (passive) and in standing position (active) with a goniometer. Quadriceps muscle strength was evaluated by IsoMed 2000® isokinetic dynamometer (Ferstl, Germany) concentrically and eccentrically at 60º/sec and 180º/sec angular velocities. In order to examine the relationship between variables Spearman correlation analysis was used. Significance level was taken as p<0.05. Results: When the relationship between Q angle and quadriceps muscle strength of all athletes was examined, it was found that there was a statistically significant negative weak correlation between passive Q angle and eccentric strength of knee extensors at angular velocities of 60º/sec and 180º/sec on right side (p<0.05). When the branches were examined one by one, it was determined that there were different relationships between Q angle and muscle strength. Conclusion: We think that the relationship between the Q angle and muscle strength cannot be interpreted in general and should be interpreted in a specific way to the sport branches. The Q angle may be related to quadriceps muscle strength, but may vary depending on the sport branch.
Keywords: Knee joint; sport; muscle strength; angle
- O'Brien M. Clinical anatomy of the patellofemoral joint. Int Sport Med J. 2001;2(1).
- Sarkar A, Razdan S, Yadav J, Bansal N, Kuhar S, Pahuja P. Effect of isometric quadriceps activation on "Q" angle in young females. Indian J Physiol Pharmacol. 2009;53(3):275-8. [PubMed]
- Powers CM. The influence of altered lower-extremity kinematics on patellofemoral joint dysfunction: a theoretical perspective. J Orthop Sports Phys Ther. 2003;33(11):639-46. [Crossref] [PubMed]
- Herrington L, Nester C. Q-angle undervalued? The relationship between Q-angle and medio-lateral position of the patella. Clin Biomech (Bristol, Avon). 2004;19(10): 1070-3. [Crossref] [PubMed]
- Raveendranath V, Nachiket S, Sujatha N, Priya R, Rema D. The Quadriceps angle (Q angle) in Indian men and women. Eur J Anat. 2009;13(3):105-9.
- Omololu BB, Ogunlade OS, Gopaldasani VK. Normal Q-angle in an adult Nigerian population. Clin Orthop Relat Res. 2009;467(8): 2073-6. [Crossref] [PubMed] [PMC]
- Biedert RM, Warnke K. Correlation between the Q angle and the patella position: a clinical and axial computed tomography evaluation. Arch Orthop Trauma Surg. 2001;121(6):346-9. [Crossref] [PubMed]
- Chester R, Smith TO, Sweeting D, Dixon J, Wood S, Song F. The relative timing of VMO and VL in the aetiology of anterior knee pain: a systematic review and meta-analysis. BMC Musculoskelet Disord. 2008;9:64. [Crossref] [PubMed] [PMC]
- Witvrouw E, Lysens R, Bellemans J, Cambier D, Vanderstraeten G. Intrinsic risk factors for the development of anterior knee pain in an athletic population. A two-year prospective study. Am J Sports Med. 2000;28(4):480-9. [Crossref] [PubMed]
- Bloomfield J, Polman R, O'Donoghue P, McNaughton L. Effective speed and agility conditioning methodology for random intermittent dynamic type sports. J Strength Cond Res. 2007;21(4):1093-100. [Crossref] [PubMed]
- Hewett TE, Myer GD, Ford KR, Heidt Jr RS, Colosimo AJ, McLean SG, et al. Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes: a prospective study. Am J Sports Med. 2005;33(4):492-501. [Crossref] [PubMed]
- Byl T, Cole JA, Livingston LA. What determines the magnitude of the Q angle? A preliminary study of selected skeletal and muscular measures. J Sport Rehabil. 2000;9(1):26-34. [Crossref]
- Douglas J, Pearson S, Ross A, McGuigan M. Chronic adaptations to eccentric training: a systematic review. Sport Med (Auckland, NZ). 2017;47(5):917-41. [Crossref] [PubMed]
- Lepley LK, Lepley AS, Onate JA, Grooms DR. Eccentric exercise to enhance neuromuscular control. Sports Health. 2017;9(4):333-40. [Crossref] [PubMed] [PMC]
- Mohanty NR, Tiwari A, Koley S. Bilateral correlation of Q-angle with selected lower extremity biomechanical alignment variables in state level female basket-ball players. European Journal of Physical Education and Sport Science. 2019;5(7).
- Messier SP, Davis SE, Curl WW, Lowery RB, Pack RJ. Etiologic factors associated with patellofemoral pain in runners. Med Sci Sports Exerc. 1991;23(9):1008-15. [Crossref] [PubMed]
- Hahn T, Foldspang A. The Q angle and sport. Scand J Med Sci Sports. 1997;7(1):43-8. [Crossref] [PubMed]
- Weiss L, DeForest B, Hammond K, Schilling B, Ferreira L. Reliability of goniometry-based Q-angle. PM R. 2013;5(9):763-8. [Crossref] [PubMed]
- Boucher JP, King MA, Lefebvre R, Pépin A. Quadriceps femoris muscle activity in patellofemoral pain syndrome. Am J Sports Med. 1992;20(5):527-32. [Crossref] [PubMed]
- Biedert RM, Gruhl C. Axial computed tomography of the patellofemoral joint with and without quadriceps contraction. Arch Orthop Trauma Surg. 1997;116(1-2):77-82. [Crossref] [PubMed]
- Hehne HJ. Biomechanics of the patellofemoral joint and its clinical relevance. Clin Orthop Relat Res. 1990;(258):73-85. [Crossref] [PubMed]
- Binder D, Brown-Cross D, Shamus E, Davies GJ. Peak torque, total work and power values when comparing individuals with Q-angle differences. Isokinet Exerc Sci. 2001;9(1):27-30. [Crossref]
- Lyon LK, Benz LN, Johnson KK, Ling AC, Bryan JM. Q-angle: a factor in peak torque occurrence in isokinetic knee extension. J Orthop Sport Phys Ther. 1988;9(7):250-3. [Crossref] [PubMed]
- Mizuno Y, Kumagai M, Mattessich SM, Elias JJ, Ramrattan N, Cosgarea AJ, et al. Q-angle influences tibiofemoral and patellofemoral kinematics. J Orthop Res. 2001;19(5):834-40. [Crossref] [PubMed]
- Masouros SD, Bull AMJ, Amis AA. Biomechanics of the knee joint. J Orthop Trauma. 2010;24(2):84-91. [Crossref]
- Evangelidis PE, Pain MTG, Folland J. Angle-specific hamstring-to-quadriceps ratio: a comparison of football players and recreationally active males. J Sports Sci. 2015;33(3):309-19. [Crossref] [PubMed]
- Bridgeman LA, McGuigan MR, Gill ND, Dulson DK. Relationships between concentric and eccentric strength and countermovement jump performance in resistance trained men. J Strength Cond Res. 2018;32(1):255-60. [Crossref] [PubMed]
- De Ste Croix M, Deighan MA, Armstrong N. Time to peak torque for knee and elbow extensors and flexors in children, teenagers and adults. Isokinet Exerc Sci. 2004;12(2):143-8. [Crossref]
- Brughelli M, Cronin J, Nosaka K. Muscle architecture and optimum angle of the knee flexors and extensors: a comparison between cyclists and Australian rules football players. J Strength Cond Res. 2010;24(3):717-21. [Crossref] [PubMed]
- Slocker de Arce A, Sánchez JC, Camacho FJF, Clemente de Arriba C and Pellico LG. Isokinetic evaluation of the healthy knee: position of the joint at the peak torque. Isokinet Exerc Sci. 2001;9(4):151-4. [Crossref]
- de Oliveira Silva, Briani RV, Pazzinatto MF, Gonçalves AV, Ferrari D, Aragão FA, et al. Q-angle static or dynamic measurements, which is the best choice for patellofemoral pain? Clin Biomech (Bristol, Avon). 2015;30(10):1083-7. [Crossref] [PubMed]
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