Correlation between clinical tibiofemoral angle and body mass index in normal Nigerian children

Bafor, Anirejuoritse; Omota, B; Ogbemudia, Alfred O.

doi:10.1007/s00264-011-1451-z

Cited by 15 publications

(30 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Specifically, there is a negative correlation with height and weight. Axial loading, as represented by BMI, does not contribute towards the increasing magnitude of knee angles in normal, healthy-weight children [23]. Only two studies, by Lin et al [2] and Arazi et al [3], correlated the prevalence of knock knees with sex, height and weight.…”

Section: Discussionmentioning

confidence: 94%

“…Both TF and the IM distance appear to be associated with height and weight. Only the study of Bafor et al [23], which was carried out among 471 Nigerian school children aged 3-10 years old, using clinical examination, determined the relationship between TF angle and BMI. By contrast, the correlation with sex and BMI is not statistically significant.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Range of variation of genu valgum and association with anthropometric characteristics and physical activity

Kaspiris

Zaphiropoulou²,

Vasiliadis

2013

Journal of Pediatric Orthopaedics B

View full text Add to dashboard Cite

The lower limbs of children aged 3-9 years present varying knock-knee deformities that have a direct impact on the diversification of the load-bearing axis of the valgus limb and on the modification of gait kinematics. The purpose of our study was to establish the reference values of knee alignment in a Greek population and whether this is linked to a change in the physical activity of children depending on the severity of the genu valgum. Using a clinical method, we measured both the tibiofemoral (TF) angle and the intermalleolar (IM) distance of the lower extremities of normal children. Subsequently, forms of the Netherlands Physical Activity Questionnaire (NPAQ) for young children and the Baecke questionnaire on habitual physical activity, modified especially for children, were completed by the parents. We examined both the development of the TF angle and the IM distance in relation to age and the degree of restriction of physical activity in relation to the severity of the genu valgum. We analysed 316 unaffected lower extremities in children aged 3-9 years. The average value of the TF angle starts around 7° at the age of 3 years and gradually decreases to 4° at the age of 7-8 years. The average value of the IM distance ranges over 3.5 cm at the age of 3 years and progressively decreases to 2 cm at the age of 7-8 years. Physical activity appears to be influenced by sex and the severity of the genu valgum. We provide age-specific values for limb alignment and joint orientation of the lower extremity in children aged 3-9 years. A statistical correlation between all indexes (sport, leisure time and total) of the Baecke and the NPAQs and measurements of genu valgum was noted depending on the severity of the valgus deformity.

show abstract

Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Range of variation of genu valgum and association with anthropometric characteristics and physical activity

Kaspiris

Zaphiropoulou²,

Vasiliadis

2013

Journal of Pediatric Orthopaedics B

View full text Add to dashboard Cite

show abstract

“…It has also been shown to correlate well with the anatomic TFA. 19 , 32 The measurements in this study were assessed for intra-observer variation, which, even though was found to be minimal, may be responsible for the sizable sds noted in each age group and the change in TFA after skeletal maturity. The reliability of this method has also been established in previous studies.…”

Section: Discussionmentioning

confidence: 99%

Developmental pattern of tibiofemoral angle in healthy north-east Indian children

Baruah

Kumar

Harikrishnan

2017

Journal of Children's Orthopaedics

View full text Add to dashboard Cite

PurposePhysiological range of tibiofemoral angle (TFA) is poorly defined and may lead to unnecessary therapeutic interventions. Studies on TFA developmental pattern suggest that racial and ethnic differences are present; children in north-east India who have not yet been studied need to be evaluated.Patients and methodsCross-sectional study of clinical TFA, intermalleolar distance and intercondylar distance in 1020 healthy north-east Indian children aged from 2 to 18 years was done. Height, weight and body mass index were also recorded.ResultsAt two years of age the mean TFA was valgus. The values reached a peak of 8.55° (standard deviation (SD) 1.01) valgus at seven years of age. The TFA then gradually stabilised to 3.18° (SD 1.18) valgus by 18 years of age. There was no significant difference in TFA between male and female patients.DiscussionThe present study is the largest and only the third such study on Indian children and the first on healthy northeast Indian children. By the end of two years most children had valgus angulation. This, along with the peak angulation observed, was similar to most of the other studies. The age at peak angulation and subsequent stabilisation of valgus angulation varied greatly among children of different origins, especially non-Indian children.ConclusionsData can be used to identify children who require further follow-up/evaluation and can serve as guidelines during deformity correction and future studies. The development of TFA in this cohort is not different from other children of India but differs from children of other ethnic origins.

show abstract

“…All anthropometrical and goniometrical measurements were done according to the standard technique: IMD, 13 TFA. 3 Body height was measured using a Harpender metal anthropometer to the nearest 0.1 cm, body mass was measured with minimal clothing to the nearest 0.1kg with a medical electronic scale (A&D Instruments, Ltd, Abingdon, UK), and body mass index (BMI) was calculated (BMI=kg/ m 2 ).…”

Section: Methodsmentioning

confidence: 99%

Development of garment with elastic straps and pressure applicator in mechanotherapy to correct children’s genu valgum

Tamm

Linkberg

Vaher

et al. 2018

IPMRJ

View full text Add to dashboard Cite

Objective: Genu valgum (GV), also known as valgus knee, or knock-knee, is a common orthopaedic condition in growing children. Physiological genu valgum have intermalleolar distance of up to 8 cm, the greatest distance being observed between 3 and 4 years, disappearing gradually after the age of 7-8 years. If the longitudinal axis of the knee joint is not aligned by then, physiotherapeutic intervention is called for. Aim:The aim of our study was to determine if garment with elastic straps and pressure applicator could be used in mechanotherapy to correct children's excessive GV. Methods:The study has lasted last 6 years and there has been three study periods. In all study-periods, practical part lasted six months. Inclusion criterias were: subjects were not involved in physical therapy and did not wear orthoses during the study. Once in every month myometric values (tone, biomechanical and viscoelastic properties of m. sartorius, tensor fasciae latae, semitendinosus, tibialis anterior, gastrocnemius caput mediale, m. peroneus longus) were determined with MyotonPro (Myoton AS, Estonia); anthropometric (height, body mass, intermalleolar distance), and goniometric (tibiofemoral angle) parameters were measured according to the standard technique. During the last three months children didn't wear garment and final measurement was done to evaluate long term effect of garment. Individual analysis was carried out to evaluate the results. Results:After wearing the garments with pressure and elastic components the changes in the lower limb joint alignment and biomechanical parameters promoted the correction of GV position. Three months after the wearing period the changes occurred the worsening of GV position, which indicates that the muscles could not maintain the condition achieved by wearing the garment. Conclusion:The relationship between applied mechano therapeutic stimulus and changes in the lower limb joint alignment and changes of the biomechanical parameters are individual. Study continues with upgrading a device where a new solution is found using digital technology to measure tensile strength at a desired period.

show abstract

Correlation between clinical tibiofemoral angle and body mass index in normal Nigerian children

Cited by 15 publications

References 10 publications

Range of variation of genu valgum and association with anthropometric characteristics and physical activity

Range of variation of genu valgum and association with anthropometric characteristics and physical activity

Developmental pattern of tibiofemoral angle in healthy north-east Indian children

Development of garment with elastic straps and pressure applicator in mechanotherapy to correct children’s genu valgum

Contact Info

Product

Resources

About