Physical Therapy Rehabilitation Science

korean Academy of Physical Therapy Rehabilitation Science (물리치료재활과학회)
권호 표지
DOI QR코드

DOI QR Code

The effect of intrinsic foot muscle training on medial longitudinal arch and ankle stability in patients with chronic ankle sprain accompanied by foot pronation

  • Chung, Kyoung A (Department of Occupational Therapy, Dongshin University) ;
  • Lee, Eunsang (Department of Physcal Therapy, The Graduate School, Sahmyook University) ;
  • Lee, Seungwon (Department of Physcal Therapy, College of Health and Welfare, Sahmyook University)
  • Received : 2016.05.04
  • Accepted : 2016.06.15
  • Published : 2016.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objective: The purpose of this study was to investigate whether the intrinsic foot muscle training method can improve the medial longitudinal arch in patients with chronic ankle injury and with pronated feet, as well as to investigate for the most effective exercise method for these patients. Design: Randomized controlled trial. Methods: Thirty men and women with pronated feet had participated in this study and were allocated to either the short foot exercise group (SFEG) or the towel curl exercise group (TCEG) randomly. SFEG and TCEG underwent exercises three times a week for 8 weeks, with three sets per day, totalling up to 5 minutes per day. The navicular drop test (NDT) was used in order to assess for changes in the medial longitudinal arch and the Cumberland ankle instability tool (CAIT) was used to assess for ankle instability of the chronic ankle sprain patients. Results: There was a significant increase in CAIT scores in the SFEG (p<0.05) and a significant difference between groups was presented (p<0.05). The NDT scores were significantly decreased in both groups (p<0.05). In the SFEG, the NDT scores were more decreased than in the TCEG (p<0.05). Conclusions: These results suggest that short foot exercises are more effective in providing intrinsic foot muscle training for patients with pronated feet among chronic ankle sprain patients. Furthermore, short foot exercises may be used to provide ankle stability.

Keywords

References

  1. Lambers K, Ootes D, Ring D. Incidence of patients with lower extremity injuries presenting to US emergency departments by anatomic region, disease category, and age. Clin Orthop Relat Res 2012;470:284-90. https://doi.org/10.1007/s11999-011-1982-z
  2. Cox JS. Surgical and nonsurgical treatment of acute ankle sprains. Clin Orthop Relat Res 1985;(198):118-26.
  3. Flemister AS, Neville CG, Houck J. The relationship between ankle, hindfoot, and forefoot position and posterior tibial muscle excursion. Foot Ankle Int 2007;28:448-55. https://doi.org/10.3113/FAI.2007.0448
  4. Kennedy JG, Knowles B, Dolan M, Bohne W. Foot and ankle injuries in the adolescent runner. Curr Opin Pediatr 2005;17:34-42. https://doi.org/10.1097/01.mop.0000150921.96790.0b
  5. Yamashita MH. Evaluation and selection of shoe wear and orthoses for the runner. Phys Med Rehabil Clin N Am 2005;16:801-29. https://doi.org/10.1016/j.pmr.2005.02.006
  6. Taunton JE, Ryan MB, Clement DB, McKenzie DC, Lloyd-Smith DR, Zumbo BD. A retrospective case-control analysis of 2002 running injuries. Br J Sports Med 2002;36:95-101. https://doi.org/10.1136/bjsm.36.2.95
  7. Busseuil C, Freychat P, Guedj EB, Lacour JR. Rearfoot-forefoot orientation and traumatic risk for runners. Foot Ankle Int 1998;19:32-7. https://doi.org/10.1177/107110079801900106
  8. Hintermann B, Nigg BM. Pronation in runners. Implications for injuries. Sports Med 1998;26:169-76. https://doi.org/10.2165/00007256-199826030-00003
  9. Borton DC, Saxby TS. Tear of the plantar calcaneonavicular (spring) ligament causing flatfoot. A case report. J Bone Joint Surg Br 1997;79:641-3. https://doi.org/10.1302/0301-620X.79B4.7396
  10. Fuller EA. The windlass mechanism of the foot. A mechanical model to explain pathology. J Am Podiatr Med Assoc 2000;90:35-46. https://doi.org/10.7547/87507315-90-1-35
  11. Thordarson DB, Schmotzer H, Chon J, Peters J. Dynamic support of the human longitudinal arch. A biomechanical evaluation. Clin Orthop Relat Res 1995;(316):165-72.
  12. Newsham KR. Strengthening the intrinsic foot muscles. Athl Ther Today 2010;15:32-5.
  13. Janda V, VaVrova M. Sensory motor stimulation. Baltimore: Williams & Wilkins; 1996. p. 319-28.
  14. Prentice WE. Rehabilitation techniques in sports medicine. 4th ed. New York: McGraw Hill Higher Education; 2009. p. 40-59.
  15. Moon DC, Kim K, Lee SK. Immediate Effect of Short-foot Exercise on Dynamic Balance of Subjects with Excessively Pronated Feet. J Phys Ther Sci 2014;26:117-9. https://doi.org/10.1589/jpts.26.117
  16. Jung DY, Kim MH, Koh EK, Kwon OY, Cynn HS, Lee WH. A comparison in the muscle activity of the abductor hallucis and the medial longitudinal arch angle during toe curl and short foot exercises. Phys Ther Sport 2011;12:30-5. https://doi.org/10.1016/j.ptsp.2010.08.001
  17. Lynn SK, Padilla RA, Tsang KK. Differences in static- and dynamic-balance task performance after 4 weeks of intrinsic-foot-muscle training: the short-foot exercise versus the towel-curl exercise. J Sport Rehabil 2012;21:327-33. https://doi.org/10.1123/jsr.21.4.327
  18. Sawkins K, Refshauge K, Kilbreath S, Raymond J. The placebo effect of ankle taping in ankle instability. Med Sci Sports Exerc 2007;39:781-7. https://doi.org/10.1249/MSS.0b013e3180337371
  19. Moore KL, Dalley AF, Agur AM. Clinically oriented anatomy. 2nd ed. Baltimore: Williams & Wilkins; 1985.
  20. Vinciguerra G, Belcaro G, Cesarone MR, Errichi BM, Di Renzo A, Errichi S, et al. Management of uncomplicated ankle sprains with topical or oral ketoprofen treatment. A registry study. Minerva Cardioangiol 2008;56(5 Suppl):47-53.
  21. Allen MK, Glasoe WM. Metrecom measurement of navicular drop in subjects with anterior cruciate ligament injury. J Athl Train 2000;35:403-6.
  22. Magee DJ. Orthopedic physical assessment. 5th ed. St. Louis: Saunders Elsevier; 2008.
  23. Kim TH, Koh EK, Jung DY. The effect of arch support taping on plantar pressure and navicular drop height in subjects with excessive pronated foot during 6 weeks. Korean Soc Phys Med 2011;6:489-96.
  24. Witchalls J, Waddington G, Blanch P, Adams R. Ankle instability effects on joint position sense when stepping across the active movement extent discrimination apparatus. J Athl Train 2012;47:627-34. https://doi.org/10.4085/1062-6050-47.6.12
  25. Snyder KR, Earl JE, O'Connor KM, Ebersole KT. Resistance training is accompanied by increases in hip strength and changes in lower extremity biomechanics during running. Clin Biomech (Bristol, Avon) 2009;24:26-34. https://doi.org/10.1016/j.clinbiomech.2008.09.009
  26. Fiolkowski P, Brunt D, Bishop M, Woo R, Horodyski M. Intrinsic pedal musculature support of the medial longitudinal arch: an electromyography study. J Foot Ankle Surg 2003;42:327-33. https://doi.org/10.1053/j.jfas.2003.10.003
  27. Beynnon BD, Renstrom PA, Alosa DM, Baumhauer JF, Vacek PM. Ankle ligament injury risk factors: a prospective study of college athletes. J Orthop Res 2001;19:213-20. https://doi.org/10.1016/S0736-0266(00)90004-4
  28. McKeon PO, Hertel J, Bramble D, Davis I. The foot core system: a new paradigm for understanding intrinsic foot muscle function. Br J Sports Med 2015;49:290. https://doi.org/10.1136/bjsports-2013-092690
  29. Lee ES. Effects of intrinsic foot muscle training on proprioception [Master thesis]. Seoul: Sahmyook University; 2015.

Cited by

  1. A Study on The Effects of Short Foot Exercise on Medial Longitudinal Arch and Balance in the Foot and Efficient Application: Literature Review vol.27, pp.4, 2018, https://doi.org/10.15857/ksep.2018.27.4.252
  2. 엄지발가락벌림을 강조한 PNF 다리패턴 시 엄지발가락벌림근을 활성화시킬 수 있는 가장 효과적인 방법은? vol.18, pp.1, 2016, https://doi.org/10.21598/jkpnfa.2020.18.1.97
  3. Modification of Pronated Foot Posture after a Program of Therapeutic Exercises vol.17, pp.22, 2020, https://doi.org/10.3390/ijerph17228406
  4. Acute Response of Toe-Spread-Out Exercise on Medial Longitudinal Arch Height and Balance vol.23, pp.1, 2016, https://doi.org/10.15758/ajk.2021.23.1.27
  5. 할룩스 포인트 인솔이 발의 접촉면적 및 압력에 미치는 영향 vol.19, pp.2, 2016, https://doi.org/10.21598/jkpnfa.2021.19.2.233
  6. The Effects of Electrical Stimulation Program on Navicular Height, Balance, and Fear of Falling in Community-Dwelling Elderly vol.18, pp.17, 2021, https://doi.org/10.3390/ijerph18179351