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Comparison of Changes in Dynamic Balance and Leg Muscle Activity in Adults in Their 20s With or Without Shoes

신발 착용 유무에 따른 20대 성인의 동적 균형 및 다리의 근활성도 변화 비교

  • Ahn, Su-Hong (Department of Biomedical Health Science, Graduate School, Dong-Eui University) ;
  • Lee, Su-Kyong (Department of Physical Therapy, College of Nersing and Healthcare Sciences, Dong-Eui University) ;
  • Yang, Ju-Hui (Department of Biomedical Health Science, Graduate School, Dong-Eui University) ;
  • Jo, Jae-Sung (Department of Physical Therapy, Walk Rehabilitation Hospital) ;
  • Park, Jin-Sung (Daonwellness Corp.)
  • 안수홍 (동의대학교 보건의과학대학원) ;
  • 이수경 (동의대학교 물리치료학과) ;
  • 양주희 (동의대학교 보건의과학대학원) ;
  • 조재성 (부산워크재활병원 물리치료실) ;
  • 박진성 (주식회사 다온웰니스)
  • Received : 2021.03.18
  • Accepted : 2021.04.27
  • Published : 2021.08.31

Abstract

Purpose: The purpose of this study was to investigate the difference in the dynamic balance and leg muscle activity of adults in their 20s with or without shoes. Methods: In this study, seven male and 11 female university students in their 20s were randomized to determine the order of being with or without shoes, and the dominant foot was supported on the central platform of dynamic balance according to the order procedure. Using the opposite foot, the distance of leg stretching in the anterior, posterior medial, and posterior lateral directions and the muscle activity of the supporting leg were measured. Muscle activity measurement sites were attached to the dominant vastus medialis oblique muscle, vastus lateral oblique muscle, tibialis anterior muscle, peroneus longus muscle, and lateral gastrocnemius muscle. Results: As a result of this study, the distance of leg stretching was significantly increased in the anterior, posterior medial, and posterior lateral directions when barefoot rather than when wearing shoes (p < 0.05). The muscle activity of the vastus medial and lateral oblique muscles was significantly increased in all three directions when barefoot rather than when wearing shoes (p < 0.05). The muscle activity of the tibialis anterior was significantly increased in the anterior direction when barefoot (p < 0.05), the peroneus longus muscle was significantly increased when it was barefoot in the posterior medial direction (p < 0.05), and the lateral gastrocnemius muscle activity significantly increased when barefoot in the posterior direction (p < 0.05). Conclusion: The movement of the legs is freed when barefoot as compared to when wearing shoes, and being barefoot can effectively activate muscle activity and improve balance ability.

Keywords

References

  1. Ahn SH. Effects of various handle grip directions on muscle activity of trunk and upper limb of wheelchair attendant and ground reaction force during ramp climbing. Dongeui University. Dissertation of Master's Degree. 2018.
  2. Ahn SH. The effect of strengthening the gluteus medius and muscles around the ankle on the balance and muscle activity during functional movements in chronic ankle instability. Dongeui University. Dissertation of Doctorate Degree. 2021.
  3. Ahn HJ. Effect of the squat exercise methods on thickness of leg muscles and muscle activity, balance ability. Nambu University. Dissertation of Master's Degree. 2018.
  4. An SY, Kim SB, Lee KK. A comparative study of characters of muscle activity in lower limb and gait pattern on type of heel rockers. Korean Journal of Sports Biomechanics. 2007;17(1):111-119. https://doi.org/10.5103/KJSB.2007.17.1.111
  5. Al-Abdulwahab S, Al-Dosry RD. Hallux valgus and preferred shoe types among young healthy saudi arabian females. Annals of Saudi Medicine. 2000;20(3-4):319-321. https://doi.org/10.5144/0256-4947.2000.319
  6. Alghadir AH, Zafar H, Anwer S. Effect of footwear on standing balance in healthy young adult males. Journal of Musculoskeletal and Neuronal Interactions. 2018;18(1):71-75.
  7. Andresa MCG, Gunther S, Thomas LM. Balance control and muscle activity in various unstable shoes compared to barefoot during one-leg standing. Footwear Science. 2012;4(2):145-151. https://doi.org/10.1080/19424280.2012.674063
  8. Barton CJ, Bonanno D, Menz HB. Development and evaluation of a tool for the assessment of footwear characteristics. Journal of foot and ankle research. 2009;23(2):1142-1146.
  9. Carl TJ, Barrett SL. Computerized analysis of plantar pressure variation in flip-flops, athletic shoes, and bare feet. Journal of the American Podiatric Medical Association. 2008;98(5):374-378. https://doi.org/10.7547/0980374
  10. Clifford AM, Holder-Powell H. Postural control in healthy individuals. Clinical Biomechanics. 2010;25(6):546-551.
  11. Cote KP, Brunet ME, Gansneder BM, et al. Effects of pronated and supinated foot postures on static and dynamic postural stability. Journal of Athletic Training. 2005;40(1):41-46.
  12. Cram JR, Kasman GS, Holtz J. Introduction to surface electromyography. Gaithersburg. Aspen. 1998.
  13. D'AoUt K, Pataky TC, De Clercq D, et al. The effects of habitual footwear use: foot shape and function in native barefoot walkers. Footwear Science. 2009;1(2):81-94. https://doi.org/10.1080/19424280903386411
  14. Earl JE, Hertel J. Lower-extremity muscle activation during the star excursion balance tests. Journal of Sport Rehabilitation. 2001;10(2):93-104.
  15. Egol KA, Koval KJ, Kummer F, et al. Stress fractures of the femoral neck. Clinical Orthopaedics and Related Research. 1998;34(8):72-78.
  16. Endo M, Ashton-Miller JA, Alexander NB. Effects of age and gender on toe flexor muscle strength. The Journals of Gerontology: Series A. 2002;57(6):392-397.
  17. Franklin S, Grey MJ, Heneghan N, et al. Barefoot vs common footwear: a systematic review of the kinematic, kinetic and muscle activity differences during walking. Gait & Posture. 2015;42(3):230-239. https://doi.org/10.1016/j.gaitpost.2015.05.019
  18. Fullam K, Caulfield B, Coughlan GF, et al. Kinematic analysis of selected reach directions of the star excursion balance test compared with the Y-balance test. Journal of Sport Rehabilitation. 2014;23(1):27-35. https://doi.org/10.1123/JSR.2012-0114
  19. Gefen A. Biomechanical analysis of fatigue-related foot injury mechanisms in athletes and recruits during intensive marching. Medical and Biological Engineering and Computing. 2002;40(3):302-310. https://doi.org/10.1007/BF02344212
  20. Gribble PA, Hertel J, Denegat CR, et al. The effects of fatique and chronic ankle instability on dynamic postural control. Journal of Athletic Training. 2004;39(4):321-329.
  21. Hermens HJ, Freriks B, Disselhorst-Klug C, et al. Development of recommendations for SEMG sensors and sensor placement procedures. Journal of Electromyography and Kinesiology. 2000;10(5):361-374.
  22. Hillstrom HJ, Song J, Kraszewski AP, et al. Foot type biomechanics part 1: structure and function of the asymptomatic foot. Gait & Posture. 2013;37(3):445-451. https://doi.org/10.1016/j.gaitpost.2012.09.007
  23. Hoch M, McKeon PO. Joint mobilization improves spatiotemporal postural control and range of motion in those with chronic ankle instability. Journal of Orthopaedic Research. 2011;29(3):326-332. https://doi.org/10.1002/jor.21256
  24. Hrysomallis C. Balance ability and athletic performance. Sports medicine. 2011;41(3):221-232. https://doi.org/10.2165/11538560-000000000-00000
  25. Kim CY, Choi JD, Kim SY, et al. Reliability and validity of ultrasound Imaging and sEMG measu rement to external abdominal oblique and lumbar multifidus muscles. Physical Therapy Korea. 2011;18(1):37-46.
  26. Kim EJ, Jeon SB, Jeong KY. Influences of short-term high-heeled walking on the activities of ankle-stabilizing muscles in healthy young females. The Journal of Korean Academy of Orthopedic Manual Therapy. 2015;21(2):39-46.
  27. Kim YH, Phuong BTT. Analysis of muscle forces and joint moments during squat exercise. Journal of the Korean Society for Precision Engineering. 2010;2010(5):987-988.
  28. Lee JH. Effect of treadmill walking by type of shoes to muscular activity and balance ability of lower extremity. Namseoul University. Dissertation of Master's Degree. 2014.
  29. Lee KY. The effect of shoe type on plantar pressure distributions. Journal of Korean Physical Education Association for Girls and Woman. 2010;24(4):1-12.
  30. Lee SK, Ahn SH. Effects of balance evalutation comparison of dynamic balance and Y Balance. Journal of Exercise Rehabilitation. 2018;14(6):939-943. https://doi.org/10.12965/jer.1836494.247
  31. McGill SM, Cholewicki J. Biomechanical basis for stability: an explanation to enhance clinical utility. Journal of Orthopaedic & Sports Physical Therapy. 2001;31(2):96-100.
  32. McKeon PO, Hertel J, Bramble D, et al. The foot core system: a new paradigm for understanding intrinsic foot muscle function. British Journal of Sports Medicine. 2014;49(5):290-298. https://doi.org/10.1136/bjsports-2013-092690
  33. Nagano Y, Ida H, Akai M, et al. Effects of jump and balance training on knee kinematics and electromyography of female basketball athletes during a single limb drop landing: pre-post intervention study. Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology. 2011;3(1): 14. https://doi.org/10.1186/1758-2555-3-14
  34. Neumann DA. Kinesiology of the musculoskeletal system foundations for rehabilitation, 2nd ed. St. Louis. Elsevier Mosby. 2010.
  35. Park JS. Development of the dynamic balance measurement equipment and correlation between the muscular activity of the legs and the distance of reach out a foot according to the direction of measurement. Dongeui University. Dissertation of Doctorate Degree. 2021.
  36. Perry J. Gait analysis. Normal and pathological function. New Jersey. SLAK. 1992.
  37. Petersen E, Zech A, Hamacher D. Walking barefoot vs. with minimalist footwear - influence on gait in younger and older adults. BMC Geriatrics. 2020;20(1):88. https://doi.org/10.1186/s12877-020-1486-3
  38. Plisky PJ, Gorman PP, Butler RJ, et al. The reliability of an instrumented device for measuring components of the star excursion balance test. North American Journal of Sports Physical Therapy. 2009;4(2):92-99.
  39. Plisky PJ, Rauh MJ, Kaminski TW, et al. Star ex-cursion balance test as a predictor of lower ex-tremity injury in high school basketball players. Journal of Orthopaedic & Sports Physical Therapy. 2006;36(12):911-919. https://doi.org/10.2519/jospt.2006.2244
  40. Radomski MV, Latham CAT. Occupational therapy for physical dysfunction. Baltimore. Lippincott Williams & Wilkins. 2008.
  41. Robbins S. Waked E, McClaran J. Proprioception and stability: foot position awareness as a function of age and footwear. Age and Ageing. 1995;24(1):67-72. https://doi.org/10.1093/ageing/24.1.67
  42. Rose W, Bowser B, McGrath R, et al. Effect of footwear on balance. American Society of Biomechanics Annual Meeting. 2011;3(7):65-66.
  43. Sacco IC, Akashi P, Hennig E. A comparison of lower limb EMG and ground reaction forces between barefoot and shod gait in participants with diabetic neuropathic and healthy controls. BMC Musculoskeletal Disorders. 2010;11(1):1-9.
  44. Schieppati M, Nardone A, Siliotto R, et al. Early and late stretch responses of human foot muscles induced by perturbation of stance. Experimental Brain Research. 1996;105(3):411-422.
  45. Shimada H, Obuchi S, Kamide N, et al. Relationship with dynamic balance function during standing and walking. American journal of physical medicine & rehabilitation. 2003;82(7):511-516. https://doi.org/10.1097/01.PHM.0000064726.59036.CB
  46. Tang SF, Chen CK, Hsu R, et al. Vastus medialis obliquus and vastus lateralis activity in open and closed kinetic chain exercises in patients with patellofemoral pain syndrome: an electromyographic study. Archives of Physical Medicine and Rehabilitation. 2001;82(1):1441-1445. https://doi.org/10.1053/apmr.2001.26252
  47. Vuillerme N, Forestier N, Nougier V. Attentional demands and postural sway: the effect of the calf muscles fatigue. Medicine and Science in Sports and Exercise. 2002;34(12):1907-1912. https://doi.org/10.1097/00005768-200212000-00008
  48. Wolf S, Simon J, Patikas D, et al. Foot motion in children shoes-a comparison of barefoot walking with shod walking in conventional and flexible shoes. Gait & Posture. 2008;27(1):51-59. https://doi.org/10.1016/j.gaitpost.2007.01.005
  49. Yang CH. The effect of muscle contraction type on iEMG responses of vastus medialis, vastus lateralis, biceps femoris and gastrocnemius in university student's squat. Journal of Korean Society for the Study of Physical Education. 2011;16(3):207-218.