Volume 33, Issue 8 (November 2022)                   Studies in Medical Sciences 2022, 33(8): 563-574 | Back to browse issues page


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Jafarnezhadgero A, Naseri S. COMPARING EFFICIENCY OF EXERCISE ON THE TREADMILL AND GROUND ON THE GROUND REACTION FORCES DURING WALKING IN PEOPLE WITH GENU VARUM. Studies in Medical Sciences 2022; 33 (8) :563-574
URL: http://umj.umsu.ac.ir/article-1-5572-en.html
Associate Professor, Department of Sport Biomechanics, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran (Corresponding Author) , amiralijafarnezhad@gmail.com
Abstract:   (347 Views)
Background & Aim: Genu varum is one of the most common abnormalities of the knee joint in which the inner condyles of the femur move away from each other. The aim of the present study was to compare efficiency of exercise on the treadmill and ground on the ground reaction forces during walking in people with genu varum.
Material & Methods: The present study was a quasi-experimental and laboratory study. Forty-five boys with genu varum were selected randomly and divided into three groups of 15 in each including: exercise on the treadmill (age: 21.78±2.28 years, weight: 83.35±1.10 kg), exercise on the ground (age: 21.14±2.33 years, weight: 82.25±1.84 kg), and control group (age: 23.14±2.60 years, weight: 80.15±1.50 kg). Running exercises were performed for eight weeks in training groups with running speed of 3.2 m/s. Ground reaction forces were recorded by Bertec Corporation (Columbus, OH) with sampling frequency of 1000 Hz. Ground reaction force amplitudes and their time to peak were used for statistical analysis. For statistical analysis, SPSS V21 software and analysis of variance with repeated measures (repeated measure ANOVA) were used at a significant level of 0.05.
Results: The results of the present study demonstrated that time to peak of the medio-lateral force at heel contact phase at exercise on the ground group was statistically different from other groups (P=0.000). Also, time to peak of the medio-latral force at heel contact phase at exercise on the treadmill group was statistically different from other groups (P =0.000). Moreover, time to peak of the vertical force at push-off phase at exercise on the treadmill group was statistically different from other groups (P =0.000).
Conclusion: According to the results, training on the treadmill is most effective than training on the ground on time to reach peak forces than force amplitudes. Overall, training on the treadmill have greater positive aspects than training on the ground. However, future studies are needed to establish this issue.
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Type of Study: Research | Subject: Medical Physics

References
1. Van Caekenberghe I, Segers V, Aerts P, Willems P, De Clercq D. Joint kinematics and kinetics of overground accelerated running versus running on an accelerated treadmill. J R Soc Interface 2013;10(84):20130222. doi.org/10.1098/rsif.2013.0222 [DOI:10.1098/rsif.2013.0222] [PMID] [PMCID]
2. Nigg BM, De Boer RW, Fisher V. A kinematic comparison of overground and treadmill running. Med Sci Sports Exerc 1995;27(1):98-105. [DOI:10.1249/00005768-199501000-00018] [PMID]
3. Noble CA. Iliotibial band friction syndrome in runners. Am J Sports Med 1980;8(4):232-4. doi.org/10.1177/036354658000800403 [DOI:10.1177/036354658000800403] [PMID]
4. Chuckpaiwong B, Cook C, Pietrobon R, Nunley JA. Second metatarsal stress fracture in sport: comparative risk factors between proximal and non-proximal locations. Br J Sports Med 2007;41(8):510-4. doi.org/10.1136/bjsm.2006.033571 [DOI:10.1136/bjsm.2006.033571] [PMID] [PMCID]
5. Marks R, Kumar S, Semple J, Percy JS. Quadriceps femoris activation in healthy women with genu varum and women with osteoarthrosis and genu varum. J Electromyogr Kinesiol 1994;4(3):153-60. doi.org/10.1016/1050-6411(94)90016-7 [DOI:10.1016/1050-6411(94)90016-7] [PMID]
6. Stief F, Böhm H, Dussa CU, Multerer C, Schwirtz A, Imhoff AB, et al. Effect of lower limb malalignment in the frontal plane on transverse plane mechanics during gait in young individuals with varus knee alignment. Knee 2014;21(3):688-93. doi.org/10.1016/j.knee.2014.03.004 [DOI:10.1016/j.knee.2014.03.004] [PMID]
7. Van Gheluwe B, Kirby KA, Hagman F. Effects of simulated genu valgum and genu varum on ground reaction forces and subtalar joint function during gait. J Am Podiatr Med Assoc 2005;95(6):531-41. doi.org/10.7547/0950531 [DOI:10.7547/0950531] [PMID]
8. Neely FG. Intrinsic risk factors for exercise-related lower limb injuries. Sport Med. 1998;26(4):253-63. doi.org/10.2165/00007256-199826040-00004 [DOI:10.2165/00007256-199826040-00004] [PMID]
9. Goldberg EJ, Neptune RR. Compensatory strategies during normal walking in response to muscle weakness and increased hip joint stiffness. Gait Posture 2007;25(3):360-7. doi.org/10.1016/j.gaitpost.2006.04.009 [DOI:10.1016/j.gaitpost.2006.04.009] [PMID]
10. Howell SM, Papadopoulos S, Kuznik K, Ghaly LR, Hull ML. Does varus alignment adversely affect implant survival and function six years after kinematically aligned total knee arthroplasty? Int Orthop 2015;39(11):2117-24. doi.org/10.1007/s00264-015-2743-5 [DOI:10.1007/s00264-015-2743-5] [PMID]
11. Jenkins J, Ellis C, editors. Using ground reaction forces from gait analysis: Body mass as a weak biometric. International conference on pervasive computing; 2007: Springer. doi.org/10.1007/978-3-540-72037-9_15
12. Riskowski JL, Mikesky A, Bahamonde RE, Alvey III T, Burr DB. Proprioception, gait kinematics, and rate of loading during walking: are they related? Musculoskelet Neuronal Interact 2005;5(4):379-87. [Google Scholar]
13. Hunt MA, Birmingham TB, Giffin JR, Jenkyn TR. Associations among knee adduction moment, frontal plane ground reaction force, and lever arm during walking in patients with knee osteoarthritis. J Biomech 2006;39(12):2213-20. doi.org/10.1016/j.jbiomech.2005.07.002 [DOI:10.1016/j.jbiomech.2005.07.002] [PMID]
14. Stief F, Böhm H, Schwirtz A, Dussa CU, Döderlein L. Dynamic loading of the knee and hip joint and compensatory strategies in children and adolescents with varus malalignment. Gait Posture 2011;33(3):490-5. doi.org/10.1016/j.gaitpost.2011.01.001 [DOI:10.1016/j.gaitpost.2011.01.001] [PMID]
15. Elliott AL, Kraus VB, Luta G, Stabler T, Renner JB, Woodard J, et al. Serum hyaluronan levels and radiographic knee and hip osteoarthritis in African Americans and Caucasians in the Johnston County Osteoarthritis Project. Arthritis Rheum 2005a;52(1):105-11. doi.org/10.1002/art.20724 [DOI:10.1002/art.20724] [PMID]
16. Tsakoniti AE, Stoupis CA, Athanasopoulos SI. Quadriceps cross-sectional area changes in young healthy men with different magnitude of Q angle. J Appl Physiol 2008;105(3):800-4. doi.org/10.1152/japplphysiol.00961.2007 [DOI:10.1152/japplphysiol.00961.2007] [PMID]
17. Jafarnezhadgero AA, Shad MM, Majlesi M, Granacher U. A comparison of running kinetics in children with and without genu varus: A cross sectional study. PloS One 2017;12(9):e0185057. [DOI:10.1371/journal.pone.0185057] [PMID] [PMCID]
18. Ramsey DK, Snyder‐Mackler L, Lewek M, Newcomb W, Rudolph KS. Effect of anatomic realignment on muscle function during gait in patients with medial compartment knee osteoarthritis. Arthritis Care Res 2007;57(3):389-97. doi.org/10.1002/art.22608 [DOI:10.1002/art.22608] [PMID] [PMCID]
19. Van Caekenberghe I, Segers V, Willems P, Gosseye T, Aerts P, De Clercq D. Mechanics of overground accelerated running vs. running on an accelerated treadmill. Gait Posture 2013;38(1):125-31. doi.org/10.1016/j.gaitpost.2012.10.022 [DOI:10.1016/j.gaitpost.2012.10.022] [PMID]
20. Chia L, Licari M, Guelfi K, Reid S. Investigation of treadmill and overground running: Implications for the measurement of oxygen cost in children with developmental coordination disorder. Gait Posture 2014;40(3):464-70. doi.org/10.1016/j.gaitpost.2014.05.054 [DOI:10.1016/j.gaitpost.2014.05.054] [PMID]
21. Jafarnezhadgero AA, Majlesi M, Etemadi H, Robertson D. Rehabilitation improves walking kinematics in children with a knee varus: Randomized controlled trial. Ann Phys Rehabil Med 2018. doi.org/10.1016/j.rehab.2018.01.007 [DOI:10.1016/j.rehab.2018.01.007] [PMID]
22. Alton F, Baldey L, Caplan S, Morrissey M. A kinematic comparison of overground and treadmill walking. Clin Biomech 1998;13(6):434-40. doi.org/10.1016/S0268-0033(98)00012-6 [DOI:10.1016/S0268-0033(98)00012-6] [PMID]
23. Watt JR, Franz JR, Jackson K, Dicharry J, Riley PO, Kerrigan DC. A three-dimensional kinematic and kinetic comparison of overground and treadmill walking in healthy elderly subjects. Clin Biomech 2010;25(5):444-9. doi.org/10.1016/j.clinbiomech.2009.09.002 [DOI:10.1016/j.clinbiomech.2009.09.002] [PMID]
24. Nymark JR, Balmer SJ, Melis EH, Lemaire ED, Millar S. Electromyographic and kinematic nondisabled gait differences at extremely slow overground and treadmill walking speeds. J Rehabil Res Dev 2005;42(4):523-34. DOI: 10.1682/jrrd.2004.05.0059 [DOI:10.1682/JRRD.2004.05.0059] [PMID]
25. Dixon SJ, Collop AC, Batt ME. Surface effects on ground reaction forces and lower extremity kinematics in running. Med Sci Sports Exerc 2000; 32.11: 1919-1926. doi: 10.1682/jrrd.2004.05.0059. [DOI:10.1682/JRRD.2004.05.0059] [PMID]
26. Wang L, Hong Y, Li JX. Muscular activity of lower extremity muscles running on treadmill compared with different overground surfaces. Am J Sports Med 2014;2(4):161-5. DOI:10.12691/ajssm-2-4-8 [DOI:10.12691/ajssm-2-4-8]
27. Di Nardo F, Fioretti S, editors. Emg-based analysis of treadmill and ground walking in distal leg muscles. XIII Mediterranean Conference on Medical and Biological Engineering and Computing 2013; 2014: Springer. doi.org/10.1007/978-3-319-00846-2_151 [DOI:10.1007/978-3-319-00846-2_151]
28. Saunders SW, Schache A, Rath D, Hodges PW. Changes in three dimensional lumbo-pelvic kinematics and trunk muscle activity with speed and mode of locomotion. Clin Biomech 2005;20(8):784-93. doi.org/10.1016/j.clinbiomech.2005.04.004 [DOI:10.1016/j.clinbiomech.2005.04.004] [PMID]
29. Radmehr, et al. Comparison of the pattern of activity of selected trunk muscles while walking on the ground and treadmill. New Rehab 2013; 6.4: 49-57. (Persian) iranjournals.nlai.ir/handle/123456789/520246 [URL]
30. Pinto RF, Birmingham TB, Leitch KM, Atkinson HF, Jones IC, Giffin JR. Reliability and validity of knee angles and moments in patients with osteoarthritis using a treadmill-based gait analysis system. Gait Posture 2020; 80:155-61. doi.org/10.1016/j.gaitpost.2020.05.005 [DOI:10.1016/j.gaitpost.2020.05.005] [PMID]
31. Association WM. " Ethical principles for medical research involving human subjects," Declaration of Helsinki. http://www wma net/e/policy/b3 htm. 2004.
32. Farahpour N, Jafarnezhad A, Damavandi M, Bakhtiari A, Allard P. Gait ground reaction force characteristics of low back pain patients with pronated foot and able-bodied individuals with and without foot pronation. J Biomech 2016;49(9):1705-10. doi.org/10.1016/j.jbiomech.2016.03.056 [DOI:10.1016/j.jbiomech.2016.03.056] [PMID]
33. Warman J. Genu Varum/Genu Valgum. Current Orthopedic diagnosis & treatment: Springer; 2000. p. 86-7. doi.org/10.1007/978-1-4613-1107-2_43 [DOI:10.1007/978-1-4613-1107-2_43]
34. Neely FG. Biomechanical risk factors for exercise-related lower limb injuries. Sport Med 1998;26(6):395-413. doi.org/10.2165/00007256-199826060-00003 [DOI:10.2165/00007256-199826060-00003] [PMID]
35. Marks R, Percy J, Semple J, Kumar S. Quadriceps femoris activation changes in genu varum: a possible biomechanical factor in the pathogenesis of osteoarthrosis. J Theor Biol 1994;170(3):283-9. doi.org/10.1006/jtbi.1994.1189 [DOI:10.1006/jtbi.1994.1189] [PMID]
36. John CT, Seth A, Schwartz MH, Delp SL. Contributions of muscles to mediolateral ground reaction force over a range of walking speeds. J Biomech 2012;45(14):2438-43. doi.org/10.1016/j.jbiomech.2012.06.037 [DOI:10.1016/j.jbiomech.2012.06.037] [PMID] [PMCID]
37. Jafarnezhadgero A, Ghorbanlou F, Majlesi M. The Effects of a Period of Corrective Exercise Training Program on Running Ground Reaction Forces in Children with Genu Varum: A Trial Study. J Rafsanjan Univ Med Sci 2019;17(10):937-50. [Google Scholar]

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