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Journal of the American Podiatric Medical Association
Volume 93 Number 6 481-484 2003
Copyright © 2003 American Podiatric Medical Association

Relationship Between the Subtalar Joint Inclination Angle and the Location of Lower-Extremity Injuries

Michael R. Pierrynowski, PhD *, Eric Finstad, BHSc(PT) *, Marta Kemecsey, BHSc(PT) * and Jade Simpson, BHSc(PT) *

* Human Movement Laboratory, School of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada.

Corresponding author: Michael R. Pierrynowski, PhD, Human Movement Laboratory, School of Rehabilitation Science, McMaster University, 1400 Main St W, Hamilton, Ontario, Canada L8S 1C7.

Abstract

This study hypothesized that individuals who have a history of knee pain during repetitive weightbearing activities have a higher subtalar joint inclination angle than those with a history of foot pain. Study participants were selected on the basis of results of a written questionnaire that asked about the site and cause of injury and pain frequency and intensity. Pain items were graded on a 7-point Likert scale. Subjects were mainly young (18 to 32 years of age), healthy university students who had a history of knee pain (knee group) or foot pain (foot group) during weightbearing activity. Both foot and lower-leg kinematic data were used to estimate the magnitude of each participant’s subtalar joint inclination angle. These data were obtained while participants performed a series of open- and closed-kinetic-chain motions. The subtalar joint inclination angle was significantly greater for the knee group than for the foot group. The results of this study support the hypothesis that a higher subtalar joint inclination angle may predispose an individual to knee pain, and a lower subtalar joint inclination angle to foot pain. (J Am Podiatr Med Assoc 93(6): 481-484, 2003)




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