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>Analyzing of Rotational and Angular Deviations of Lower Extremities in Nursery School Children Based on a Turkish Sample: Gender Differences
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Analyzing of Rotational and Angular Deviations of Lower Extremities in Nursery School Children Based on a Turkish Sample: Gender Differences
The main aim of the study was to identify rotational and angular profile of the lower extremities and to define the distribution of the angle deviations in terms of gender and both right and left extremities in healthy nursery school children in Denizli, Turkey. One hundred and four children (208 limbs) aged between 5 to 7 (mean; 5.65±0.46 years) were selected by multistage random sampling among nursery schools in Denizli. To identify the rotational profile of the participants, the following angles and motions were measured; the Tibiofemoral Angle, the Thigh-foot Angle, the Calcaneal Angle, external and internal rotation of the hip at three different positions, the Transmalleoler Axis Angle and the Forefoot Varus Angle. All tests were performed for both the right and left extremities using a clinical goniometry. The results obtained from the study showed that the children had normal range of motions concerning all rotational tests, except for internal rotation of the hip joint. And there was not seen significant differences between right and left extremities. On the other hand, when comparing the girls and the boys; no significant differences were detected. Otherwise, it was found that there was a significant difference between both sexes in terms of the Ryder?s test scores (the part of external rotation) belonging to the left extremities (p<0.01). That?s why; the children who have reached walking age and completed derotation of the foot of their feet should be examined carefully in term of rotational profile. Namely, to predict the rotational problems in the lower extremities provides us to prevent the deformity and gives us opportunities to correct at early stage. The current study shows that gender and extremities differences concerning the rotational and the angle deviations were not seen in the sample based on Turkish nursery school children.
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