VARIATION OF Q’ANGLE IN MULTIPAROUS PREGNANT FEMALES: AN OBESRVATIONAL CROSS- SECTIONAL STUDY

Nadia  Anwer; Sufian  Ahmed; Masooma  Gull; Javeria  Aslam; Muhammad Saad  Shafiq

doi:10.54393/pbmj.v5i1.206

Authors

Nadia Anwer Shalamar Medical And Dental College, Lahore, Pakistan.
Sufian Ahmed Shalamar Medical And Dental College, Lahore, Pakistan
Masooma Gull Shalamar Medical And Dental College, Lahore, Pakistan
Javeria Aslam Shalamar Medical And Dental College, Lahore, Pakistan
Muhammad Saad Shafiq Ibadat International University, Islamabad, Pakistan.

DOI:

https://doi.org/10.54393/pbmj.v5i1.206

Abstract

To determine the variation of Q angle in multiparous pregnant females. Study Design: An observational cross-sectional study. Place and Duration of study: 22nd August 2020 to 22nd February 2021 at University of Lahore Gujrat Campus. Patients and Methods: Multiparous pregnant females were included in this study who was not diagnosed with any knee joint complication like any fracture, OA, RA, genu valgum, recurvatum and arthroplasty of knee joint. A semi structured proforma was used that consist of demographic data and Q’angle values. Q’angle was measured by using standard goniometer in standing position, BMI of females were calculated by taking height in cm and weight inkg.

Results:ThevalidvalueofQangleis15⁰-20⁰(normal)and>20⁰(abnormal),317multiparouspregnantfemales were included in this study participants were divided into two age groups 1st (20-30Years),2nd (31-40Years) out of 26.5% having bilateral normal Q angle and 73.5% bilateral abnormal Q angle. By applying chi-square test positive association found between age group of participants with significant p-value<0.001. Association found with bilateral abnormal Q angle value by BMI with significantp-value<0.001. Conclusion: According to this study we concluded that bilateral Q angle was significantly abnormal in multi parous pregnant females. By age group, participants in age group 2 having noteworthy abnormal Q’angle as per BMI, participants in overweight category having abnormal Q’angle value.

References

Abichandani D, Gupta V. Comparison of Knee Proprioception during the Three Trimesters ofPregnancy.

EskenaziB,FensterL,SidneyS,ElkinEP.Fetalgrowthretardationininfantsofmultiparousandnulliparouswomen with preeclampsia. American journal of obstetrics and gynecology.1993;169(5):1112-8.

Chu SR, Boyer EH, Beynnon B, Segal NA. Pregnancy results in lasting changes in knee joint laxity.PM&R.

;11(2):117-24.

Anselmo DS, Love E, Tango DN, Robinson L. Musculoskeletal effects of pregnancy on the lower extremity: a literature review. Journal of the American Podiatric Medical Association.2017;107(1):60-4.

Krkeljas Z. Changes in gait and posture as factors of dynamic stability during walking in pregnancy. Human movement science.2018;58:315-20.

Ham MH. Effects Of Q-angle On Lower Extremity Biomechanics And Injuries In Female Collegiate Track And Field Athletes.2020.

KesikburunS,GüzelküçükÜ,FidanU,DemirY,ErgünA,TanAK.Musculoskeletalpainandsymptomsinpregnancy: a descriptive study. Therapeutic advances in musculoskeletal disease.2018;10(12):229-34.

Pefanis N, Papaharalampous X, Tsiganos G, Papadakou E, Baltopoulos P. The effect of Q angle on ankle sprain occurrence. Foot & ankle specialist.2009;2(1):22-6.

Ferro ES, editor Reliability and Validity of an Electronic Inclinometer (EI) and Standard Goniometer (SG) for Measuring the Q-angle in 2 Different Positions in a Sample of Women. International Journal of Exercise Science: Conference Proceedings;2010.

Cholewicki J, Lee AS, PopovichJr JM, Mysliwiec LW, Winkelpleck MD, Flood JN, et al. Degenerative spondylolisthesis is related to multiparity and hysterectomies in older women. Spine.2017;42(21):1643.

Wilson T, Kitsell F. Is the Q-angle an absolute or a variable measure?: Measurement of the Q-angle over one minute in healthy subjects. Physiotherapy.2002;88(5):296-302.

Tural E, Imamoglu O. Q Angle Values in Team and Combat Athletes. International Journal of Applied Exercise Physiology.2020;9(9):205-9.

ŞenerOA,DurmazM.EffectofSportTrainingandEducationonQAngleinYoungMalesandFemales.Journalof Education and Training Studies.2019;7(7):17-21.

Hagan, L., & Wong, C. K. (2010). Gait in pregnant women: spinal and lower extremity changes from pre-to postpartum. Journal of Women’s Health Physical Therapy, 34(2), 46-56.

Ebeye, O., Abade, P., &Okwoka, B. (2014). Influence of gender on quadriceps (Q) angle among adult Urhobos in Nigeria population. Journal of experimental and clinical anatomy, 13(2), 50-50.

Sanchez, H. M., Sanchez, E. G. D. M., Baraúna, M. A., & Canto, R. S. D. T. (2014). Evaluation of Q angle in differents static postures. Actaortopedicabrasileira, 22, 325-329.

Charlton, W. P., Coslett-Charlton, L. M., &Ciccotti, M. G. (2001). Correlation of estradiol in pregnancy and anterior cruciate ligament laxity. Clinical Orthopaedics and Related Research®, 387, 165-170.

Schröder, G., Kundt, G., Otte, M., Wendig, D., &Schober, H. C. (2016). Impact of pregnancy on back pain and body posture in women. Journal of physical therapy science, 28(4), 1199-1207.

Stein, B. P. (2020). Impact of Parity on Gait Biomechanics.

QU, J., & ZHANG, X. (2010). Effect of Pregnancy and Delivery on the Pelvic Floor Function [J]. Journal of Practical Obstetrics and Gynecology, 4.