Scoliosis for experts

Kinematic review of Single-Leg Squat(SLS) In men and women

The knee joint is primarily designed for flexion and extension movements but also allows minor abduction, adduction, and lateral sliding. Exceeding normal movement ranges in these directions can be pathological, potentially leading to skeletal disorders, and thus warrants careful evaluation and resolution. The cruciate ligament, vital for knee stability, is also prone to injuries. To prevent such injuries, it’s essential to assess the kinematic indicators of the knee, thigh, and ankle. If there’s a risk, preventative measures should include a regimen to strengthen muscles and improve posture.

Introduction to a Diagnostic Test:
The Single Leg Squat (SLS) test is a crucial assessment for identifying cruciate ligament injuries and the risk of rupture. During the test, the individual performs a squat on the injured leg only, while the uninjured leg remains inactive. The squat should be as deep as possible within the pain threshold before standing back up. This test helps in evaluating the injured leg’s strength and stability.

Method
The importance of kinetic results is not hidden from anyone, and the extent of this importance can be seen in the following review. Below is a balance check with a person tested in the lab using the FlexiTrace app.

Basic examination using a vertical line to check a person's balance

Examination using the FlexiTrace application tool and static balance

Examination using a horizontal line to check a person's balance

When evaluating pelvic imbalance after a single-leg squat, it’s observed that in an injured individual, the right side of the pelvis is lower than the left side. In contrast, a healthy person’s pelvis remains symmetrical during this exercise. This asymmetry in pelvic alignment during the squat can be an indicator of underlying issues or injuries.



Checking the balance of a healthy person with a knee injury


As you can see, a healthy person has kept the balance in the centerline of the body, but a person with a knee injury has deviated from the balance line and tries to maintain balance by moving the body to the right.

As can be seen in the photo, the ankle, knee, and hip joints in a person with a knee injury are not in a vertical alignment.



Discussion:
An examination of the hip and knee joints during a single-leg squat in both healthy and injured individuals revealed notable differences. Compared to healthy subjects, injured individuals exhibited a greater range of motion in the hip’s frontal plane. Moreover, hip joint instability was evident in the diagrams, particularly visible in the side view during hip flexion, where healthy individuals showed more pronounced peaks than their injured counterparts. After the implementation of corrective exercises, tracking and managing the recovery process is feasible. This can be achieved by utilizing specific assessment tools and making comparisons with the baseline results. Such an approach allows for a quantifiable evaluation of the rehabilitation progress and the effectiveness of the corrective exercises applied.