Dynamic Evaluation Method of Lower Limb Joint Alignment with Parallel Feet (MADAAMI-P): Content validation and Reproducibility
Neutral static alignment, normal movement and a satisfactory segmental interrelationship are described as significant factors in normal asymptomatic function and, when altered, increase the risk of lesions in the lower limbs. It is important to focus on the early identification of joint misalignments. Thus, the present study aims at developing, validating the content developed and confirming the reproducibility of the Dynamic Evaluation Method of Lower Limb Joint Alignment with Parallel Feet (MADAAMI-P), a simple video-based evaluation method using surface markers and a score sheet. The study was carried out in three stages: (1) the Dynamic Evaluation Method of Lower Limb Joint Alignment for dancers (MADAAMI) was adapted; (2) the content validity of the score sheet used in MADAAMI-P was checked; and (3) the intra- and inter-rater reproducibility were evaluated. Cohen's Kappa coefficient and the Intraclass Correlation Coefficient (ICC) were used in the statistical analysis to analyze the categories of the score sheet criteria and sum of the scores (α <0.05). The results showed that MADAAMI-P presents content validity satisfactory.
Amraee D., Alizadeh M.H., Minoonejhad H., Razi M., Amraee G.H. (2015). Predictor factors for lower extremity malalignment and non-contact anterior cruciate ligament injuries in male athletes. Knee Surgery Sports Traumatology.
Assaiante C. (1998) Development of Locomotor Balance Control in Healthy Children. Neuroscience and Biobehavioral Reviews. 22(4), 527–532.
Calais-Germain, B. (2010). O quadril e o joelho. In Anatomia para o movimento: introdução à análise das técnicas corporais (4ª ed., pp. 191-256). Barueri, SP: Manole.
Fleiss, J. L., Levin, B., Paik, M. C. (2004). Statisticalmethods for rates and proportions (3ª ed.). New Jersey: Wiley.
Gao F., Ma J., Sun W., Guo W., Li Z., Wang W. (2016). The influence of knee malalignment on the ankle alignment in varus and valgus gonarthrosis based on radiographic measurement. European Journal of Radiology 85, 228–232.
Gontijo, K. N. S.; Candotti, C. T. ; Feijó,G. S.; Ribeiro,L. P.; Loss,J. F. (2017). Assessment method of dynamic joint alignment of lower limb (MADAAMI) for dancers during the plié. Revista Brasileira de Ciências do Esporte. 39(2), 148-159.
Gontijo, K.N.S., Candotti, C. T., Amaral, M.A., Santos, G.C., Loss, J. F. (2017 – in press). Reproducibility of Dynamic Evaluation Method of Lower Limb Joint Alignment (MADAAMI-II) During the Demi-Plié, Grand Plié and Fondu. Journal of Dance Medicine & Science.
Gustafson J.A., Robinsons M.E., Fitzgerald G.K., Tashm S., Farrokhi S. (2015) Knee motion variability in patients with knee osteoarthritis: the effect of self-reported instability. Clinical Biomechanics. 30, 475–480.
Kapandji, A.I. (2000). O joelho. In Fisiologia articular, volume 2: esquemas comentados de mecânica humana (5ª edição., pp. 74-157). Rio de Janairo, RJ: Guanabara Koogan.
Karukunchit U., Puntumentakul R., Swangnetr M., Boucaut R. (2015). Prevalence and risk factor analysis of lower extremity abnormal alignment characteristics among rice farmers. Patient Preference and Adherence. 9, 785-795.
Khamis S., Dar G., Peretz C, Yizhar Z. (2015). The Relationship Between Foot and Pelvic Alignment While Standing. Journal of Human Kinetics. 46, 85-97.
Landis J.R. & Koch G.G. (1977). The Measurement of Observer Agreement for Categorical Data. Biometrics. 33(1), 159-174.
Lee J. & Park H.S. (2016) Effects of physical characteristics and residence style on alignment of lower extremity. Journal of Exercise Rehabilitation. 12(2), 109-112.
Lee S.A., Choi S.H., Chang M.J. (2015). How accurate is anatomic limb alignment in predicting mechanical limb alignment after total knee arthroplasty? BMC Musculoskeletal Disorders 16,323.
Magee, D.J. (2010). Joelho. In Avalaiação Musculoesquelética (5ª ed., pp. 727-843). Barueri, SP: Manole.
Moyer R, Wirth W, Duryea J, Eckstein F. (2016) Anatomical alignment, but not goniometry, predicts femorotibial cartilage loss as well as mechanical alignment: data from the Osteoarthritis Initiative. Osteoarthritis and Cartilage. 24, 254-261.
Oliveira T, Santos A, Andradel M, Ávila O. (2008) Avaliação do controle postural de crianças praticantes e não praticantes de atividade física regular. Brazilian Journal of Biomechanics, 16(9).
Pohjola H, Sayers M, Mellifont R, Mellifont D, Venojärvi M. (2014). Three-Dimensional Analysis of a Ballet Dancer with Ischial Tuberosity Apophysitis. A Case Study. Journal of Sports Science and Medicine. 13, 874-880.
Saavedra, C., Mendes, E. J. (2014). Alinhamento dos membros inferiores. Revista Medicina Desportiva informa, 5(4), 30-31.
Shippen J. (2011). Turnout Is An Euler Angle. Arts BioMechanics. 1(1).
Sim, J.; Wright, C. C. (2005). The Kappa Statistic in Reliability Studies: Use, Interpretation, and Sample Size Requirements. Physical Therapy. 85(3), 257-68.
Thomas, J. R., Nelson, J. K. (2012) Métodos de pesquisa em atividade física (6ª ed.) Porto Alegre, RS: Artmed.
Yumi C., Young J.K., Wanhee L. Relationships among foot position, lower limb alignment, and knee adduction moment in patients with degenerative knee osteoarthritis. Journal of Physical Therapy and Science. 27, 265–268.
Zampogna B, Vasta S, Amendola A, Marbach Bue, Gao Y, Papalia R, Denaro V. (2015). Assessing lower limb alignment: comparison of standard knee x-ray vs long leg view. The Iowa Orthopaedic Journal. 5, 49-54.
The authors of submitted manuscripts must transfer the full copyright to Journal Motricidade / Desafio Singular Editions. Granting copyright permission allows the publication and dissemination of the article in printed or electronic formats and copyrights start at the moment the manuscript is accepted for publication. It also allows Journal Motricidade to use and commercialize the article in terms of licensing, lending or selling its content to indexation/abstracts databases and other entities.
According to the terms of the Creative Commons licence, authors may reproduce a reasonable number of copies for personal or professional purpose but without any economic gains. SHERPA/RoMEO allows authors to post a final digital copy (post-printing version) of the article in their websites or on their institutions' scientific repository.