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Dynamic Knee Valgus in Single-Leg Movement Tasks. Potentially Modifiable Factors and Exercise Training Options. A Literature Review

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  • Bartosz Wilczyński

    (Centre of Rehabilitation and Training “Fizjo-world”, 81-537 Gdynia, Poland
    Department of Immunobiology and Environment Microbiology, Medical University of Gdańsk, Dębinki 7, 80-211 Gdańsk, Poland)

  • Katarzyna Zorena

    (Department of Immunobiology and Environment Microbiology, Medical University of Gdańsk, Dębinki 7, 80-211 Gdańsk, Poland)

  • Daniel Ślęzak

    (Departament of Medical Rescue, Medical University of Gdańsk, Dębinki 7, 80-211 Gdańsk, Poland)

Abstract

Dynamic knee valgus (DKV) as an incorrect movement pattern is recognized as a risk factor for lower limb injuries. Therefore, it is important to find the reasons behind this movement to select effective preventive procedures. There is a limited number of publications focusing on specific tasks, separating the double-leg from the single-leg tasks. Test patterns commonly used for DKV assessment, such as single-leg squat (SLS) or single leg landings (SLL), may show different results. The current review presents the modifiable factors of knee valgus in squat and landing single-leg tests in healthy people, as well as exercise training options. The authors used the available literature from PubMed, Scopus, PEDro and clinicaltrials.gov databases, and reviewed physiotherapy journals and books. For the purpose of the review, studies were searched for using 2D or 3D motion analysis methods only in the SLL and SLS tasks among healthy active people. Strengthening and activating gluteal muscles, improving trunk lateral flexion strength, increasing ROM dorsiflexion ankle and midfoot mobility should be taken into account when planning training programs aimed at reducing DKV occurring in SLS. In addition, knee valgus during SLL may occur due to decreased hip abductors, extensors, external rotators strength and higher midfoot mobility. Evidence from several studies supports the addition of biofeedback training exercises to reduce the angles of DKV.

Suggested Citation

  • Bartosz Wilczyński & Katarzyna Zorena & Daniel Ślęzak, 2020. "Dynamic Knee Valgus in Single-Leg Movement Tasks. Potentially Modifiable Factors and Exercise Training Options. A Literature Review," IJERPH, MDPI, vol. 17(21), pages 1-17, November.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:21:p:8208-:d:441072
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    References listed on IDEAS

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    1. Noël C. Barengo & José Francisco Meneses-Echávez & Robinson Ramírez-Vélez & Daniel Dylan Cohen & Gustavo Tovar & Jorge Enrique Correa Bautista, 2014. "The Impact of the FIFA 11+ Training Program on Injury Prevention in Football Players: A Systematic Review," IJERPH, MDPI, vol. 11(11), pages 1-15, November.
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    Cited by:

    1. Bartosz Wilczyński & Jakub Hinca & Daniel Ślęzak & Katarzyna Zorena, 2021. "The Relationship between Dynamic Balance and Jumping Tests among Adolescent Amateur Rugby Players. A Preliminary Study," IJERPH, MDPI, vol. 18(1), pages 1-10, January.
    2. Nakagawa, Kazumasa & Takamatsu, Reika & Matsushima, Miku, 2022. "Sex Differences in Muscle Activity During Drop-Jump Landing Motion," OSF Preprints 6fevb, Center for Open Science.
    3. Bartosz Wilczyński & Łukasz Radzimiński & Agnieszka Sobierajska-Rek & Katarzyna Zorena, 2022. "Association between Selected Screening Tests and Knee Alignment in Single-Leg Tasks among Young Football Players," IJERPH, MDPI, vol. 19(11), pages 1-15, May.
    4. Paloma Guillén-Rogel & David Barbado & Cristina Franco-Escudero & Cristina San Emeterio & Pedro J. Marín, 2021. "Are Core Stability Tests Related to Single Leg Squat Performance in Active Females?," IJERPH, MDPI, vol. 18(11), pages 1-10, May.

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