Reliability of Body Landmarks Analyzer for Measuring the Quadriceps Angle

Yousefi, Mohammad; Zanguie, Hamidreza

Volume 20, Issue 24 (3-2023) RSMT 2023, 20(24): 32-42 | Back to browse issues page

‎ 20.1001.1.22520708.1401.20.24.3.8

Mendeley

Zotero

RefWorks

Yousefi M, Zanguie H. Reliability of Body Landmarks Analyzer for Measuring the Quadriceps Angle. RSMT 2023; 20 (24) :32-42
URL: http://jsmt.khu.ac.ir/article-1-508-en.html

Reliability of Body Landmarks Analyzer for Measuring the Quadriceps Angle

Mohammad Yousefi

, Hamidreza Zanguie

University of Birjand , m.yousefi@Birjand.ac.ir

Abstract: (1970 Views)

Genovarum and Genovalgum are the most common postural deformities of the knee joint. A quadriceps angle is used to measure these anomalies. Methods of measuring this angle are divided into two categories: invasive and non-invasive. The purpose of the present research was to study the inter/intra rater reliability of the non-invasive Body Landmarks Analyzer method for measuring of the quadriceps angle. Seventeen males (Age: 23.40 ± 1.7 years, height: 176.32 ± 6.41 cm, weight: 72.25 ± 14.6 kg, and BMI: 22.33 ± 1.38, kg/m2). participated in this study. Body landmarks analyzer system consists of a pen (sender) and camera (receiver), both of which are equipped with IR sensors. Anatomical Landmarks of the ASIS, medial and lateral epicondyle, tibial tuberosity, and medial and lateral malleolus were used to diagnose and calculate the quadriceps angle position. Intra-class correlation coefficient (ICC) two-way mixed model on absolute agreement was used to identify the inter/intra raters’ reliability. The results showed that the intra-rater reliability for the first technician was 0.83; The second technician is 0.81 and the third technician is 0.8. In addition, the inter-rater reliability was also 0.85. Therefore, it can be stated that the Body Landmark Analyzer method has good reliability for use in the extraction of knee joint abnormalities. Therefore, it can be suggested that this system be used along with other non-invasive methods.

Keywords: Reliability, Q angle, Genovarum, Genovalgum, BLA system

Full-Text [PDF 862 kb] (804 Downloads)

Type of Study: Research | Subject: sport biomechanic
Received: 2021/10/3 | Accepted: 2022/02/20 | Published: 2023/03/6

References

1. Soheilipour F, Pazouki A, Mazaherinezhad A, Yagoubzadeh K, Dadgostar H, Rouhani F. The prevalence of genu varum and genu valgum in overweight and obese patients: assessing the relationship between body mass index and knee angular deformities. Acta Bio Medica: Atenei Parmensis. 2020;91(4).

2. Namavarian N, Rezasoltani A, Rekabizadeh M. A study on the function of the knee muscles in genu varum and genu valgum. Modern Rehabilitation. 2014;8(3).

3. Bakhtiaty AH, Fatemi E, Rezasoltani A. Genu varum deformity may increase postural sway and falling risk. Koomesh. 2012:330-7.

4. Herrington L, Nester C. Q-angle undervalued? The relationship between Q-angle and medio-lateral position of the patella. Clinical biomechanics. 2004;19(10):1070-3. [DOI:10.1016/j.clinbiomech.2004.07.010]

5. Brinkman J-M, Freiling D, Lobenhoffer P, Staubli A, van Heerwaarden R. Supracondylar femur osteotomies around the knee. Der Orthopäde. 2014;43(1):1-10. [DOI:10.1007/s00132-014-3007-6]

6. Loudon JK. Biomechanics and pathomechanics of the patellofemoral joint. International journal of sports physical therapy. 2016;11(6):820.

7. Hungerford DS, Barry M. Biomechanics of the patellofemoral joint. Clinical orthopaedics and related research. 1979(144):9-15. [DOI:10.1097/00003086-197910000-00003]

8. Grana WA, Kriegshauser LA. Scientific basis of extensor mechanism disorders. Clinics in sports medicine. 1985;4(2):247-57. [DOI:10.1016/S0278-5919(20)31232-1]

9. Jaiyesimi A, Jegede O. Influence of gender and leg dominance on Q-angle among young adult nigerians. African Journal of Physiotherapy and Rehabilitation Sciences. 2009;1(1):18-23. [DOI:10.4314/ajprs.v1i1.51309]

10. Oranchuk DJ, Hopkins WG, Nelson AR, Storey AG, Cronin JB. The effect of regional quadriceps anatomical parameters on angle-specific isometric torque expression. Applied Physiology, Nutrition, and Metabolism. 2021;46(4):368-78. [DOI:10.1139/apnm-2020-0565]

11. Bessette GC, Hunter RE. The Maquet procedure. A retrospective review. Clinical orthopaedics and related research. 1988(232):159-67. [DOI:10.1097/00003086-198807000-00021]

12. Brown DE, Alexander AH, Lichtman DM. The Elmslie-Trillat procedure: evaluation in patellar dislocation and subluxation. The American journal of sports medicine. 1984;12(2):104-9. [DOI:10.1177/036354658401200203]

13. Çankaya T, Dursun Ö, Davazlı B, Toprak H, Çankaya H, Alkan B. Assessment of quadriceps angle in children aged between 2 and 8 years. Turkish Archives of Pediatrics/Türk Pediatri Arşivi. 2020;55(2):124.

14. Stief F, Böhm H, Ebert C, Döderlein L, Meurer A. Effect of compensatory trunk movements on knee and hip joint loading during gait in children with different orthopedic pathologies. Gait & posture. 2014;39(3):859-64. [DOI:10.1016/j.gaitpost.2013.11.012]

15. Garrett BR, Grundill ML. Patella dislocations and patellofemoral instability: a current concepts review. South African Orthopaedic Journal. 2021;20(3):167-77. [DOI:10.17159/2309-8309/2021/v20n3a6]

16. Paranjape S, Singhania N. Effect of body positions on quadriceps angle measurement. SciMedicine Journal. 2019;1(1):20-4. [DOI:10.28991/SciMedJ-2019-0101-3]

17. Dzioba RB. Diagnostic arthroscopy and longitudinal open lateral release: a four year follow-up study to determine predictors of surgical outcome. The American journal of sports medicine. 1990;18(4):343-8. [DOI:10.1177/036354659001800402]

18. de Oliveira Silva D, 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? Clinical Biomechanics. 2015;30(10):1083-7. [DOI:10.1016/j.clinbiomech.2015.09.002]

19. Yousefi M, Ilbiegi S, Naghibi SE, Farjad Pezeshk SA, Zanguee H. Reliability of Body Landmark Analyzer (BLA) system for Measuring Hyperkyphosis and Hyperlordosis Abnormalities. Journal of Advanced Sport Technology. 2020;4(1):20-9.

20. Yousefi M, Ilbeigi S. The intelligent estimating of spinal column abnormalities by using artificial neural networks and characteristics vector extracted from image processing of reflective markers. African Journal of Biotechnology. 2013;12(4). [DOI:10.5897/AJB12.1099]

21. Portek I, Pearcy M, Reader G, Mowat A. Correlation between radiographic and clinical measurement of lumbar spine movement. Rheumatology. 1983;22(4):197-205. [DOI:10.1093/rheumatology/22.4.197]

22. Silva MS, Fernandes AR, Cardoso FN, Longo CH, Aihara AY. Radiography, CT, and MRI of hip and lower limb disorders in children and adolescents. Radiographics. 2019;39(3):779-94. [DOI:10.1148/rg.2019180101]

23. Jones CE, Cooper AP, Doucette J, Buchan LL, Wilson DR, Mulpuri K, et al. Southwick angle measurements and SCFE slip severity classifications are affected by frog-lateral positioning. Skeletal radiology. 2018;47(1):79-84. [DOI:10.1007/s00256-017-2761-z]

24. Rahimi M, Alizadeh M, Rajabi R, Mehrshad N. The Comparison of innovative image processing and goniometer methods in Q angle measurement. World Applied Sciences Journal. 2012;18(2):226-32.

25. Moore ML. Clinical assessment of joint motion. Therapeutic exercise. 1978.

26. Moncrieff MJ, Livingston LA. Reliability of a digital-photographic-goniometric method for coronal-plane lower limb measurements. Journal of sport rehabilitation. 2009;18(2):296-315. [DOI:10.1123/jsr.18.2.296]

27. Smith TO, Hunt NJ, Donell ST. The reliability and validity of the Q-angle: a systematic review. Knee Surgery, Sports Traumatology, Arthroscopy. 2008;16(12):1068-79. [DOI:10.1007/s00167-008-0643-6]

28. Shultz SJ, Nguyen A-D, Windley TC, Kulas AS, Botic TL, Beynnon BD. Intratester and intertester reliability of clinical measures of lower extremity anatomic characteristics: implications for multicenter studies. Clinical Journal of Sport Medicine. 2006;16(2):155-61. [DOI:10.1097/00042752-200603000-00012]

29. Merchant AC, Fraiser R, Dragoo J, Fredericson M. A reliable Q angle measurement using a standardized protocol. The Knee. 2020;27(3):934-9. [DOI:10.1016/j.knee.2020.03.001]

30. Roush JR, Bustillo K, Low E. Measurement error between a goniometer and the NIH ImageJ program for measuring quadriceps angle. Internet Journal of Allied Health Sciences and Practice. 2008;6(2):7. [DOI:10.46743/1540-580X/2008.1195]

31. Nasrabadi R, Sadeghi H, Yousefi M, Birjand I. Effects of Local and Global Fatigue on the Myoelectric Variables of Selected Lower Limb Muscles in Healthy Young Active Men in Single Jump-Landing Task. 2020.

32. Li B, Heng L, Koser K, Pollefeys M, editors. A multiple-camera system calibration toolbox using a feature descriptor-based calibration pattern. 2013 IEEE/RSJ International Conference on Intelligent Robots and Systems; 2013: IEEE.

33. Haim A, Yaniv M, Dekel S, Amir H. Patellofemoral pain syndrome: validity of clinical and radiological features. Clinical Orthopaedics and Related Research®. 2006;451:223-8. [DOI:10.1097/01.blo.0000229284.45485.6c]

34. Sacco IC, Alibert S, Queiroz B, Pripas D, Kieling I, Kimura A, et al. Reliability of photogrammetry in relation to goniometry for postural lower limb assessment. Brazilian Journal of Physical Therapy. 2007;11:411-7. [DOI:10.1590/S1413-35552007000500013]

35. Yousefi M, Ilbeigi S, Mehrshad N, Afzalpour ME, Naghibi SE. Comparing the validity of non-invasive methods in measuring thoracic kyphosis and lumbar lordosis. Zahedan Journal of Research in Medical Sciences. 2012;14(4):37-42.

36. Greene CC, Edwards TB, Wade MR, Carson EW. Reliability of the quadriceps angle measurement. The American journal of knee surgery. 2001;14(2):97-103.