Physical Therapy Rehabilitation Science

korean Academy of Physical Therapy Rehabilitation Science (물리치료재활과학회)
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Changes in lower extremity alignment in standing position using a foot plate

  • Lee, Hye-Mi (Department of Physical Therapy, College of Medical Science, Konyang University) ;
  • Yang, Ji-Eun (Department of Physical Therapy, College of Medical Science, Konyang University) ;
  • Lee, Ju-Yeon (Department of Physical Therapy, College of Medical Science, Konyang University) ;
  • Im, Hong-Jun (Department of Physical Therapy, College of Medical Science, Konyang University) ;
  • Jeong, Yu-Jin (Department of Medical Science, The Graduate School of Konyang University) ;
  • Park, Dae-Sung (Department of Physical Therapy, College of Medical Science, Konyang University)
  • Received : 2016.08.19
  • Accepted : 2016.09.07
  • Published : 2016.09.30
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Abstract

Objective: Eversion of the foot is created with internal rotation of the shank, and inversion of the foot is created with external rotation of the shank. The purpose of the study was to investigate the effect of continuous changes in the angle of the subtalar joint on lower extremity alignments. Design: Cross-sectional study. Methods: Seventeen healthy young adult subjects recruited. The subjects were asked to stand up in a natural standing position on a footplate with eye open and equal weight on each foot for 10s in two different conditions: The right subtalar joint was everted continuously $0^{\circ}-20^{\circ}$ and in separate segments of $0^{\circ}$, $5^{\circ}$, $10^{\circ}$, $15^{\circ}$, $20^{\circ}$. The averages of three trials were used. The observation of the changes in the lower extremity was performed with the use of 3-dimensional motion analysis. For data analysis, the SPSS 18.0 software using paired t-test and repeated measures analysis of variance (ANOVA) was applied. Results: The angle was significantly increased at the horizontal rotation angle of the shank, thigh, and ankle without anterior rotation of the pelvis (p<0.05). The maximum horizontal rotation angle at the thigh on $20^{\circ}$ was $-4.52^{\circ}$ in static, and $-3.10^{\circ}$ in the dynamic conditions compared to $0^{\circ}$. Conclusions: Increased unilateral foot pronation, thigh, shank, ankle horizontal rotation variance was significantly effective. The observation of the changes in foot abduction with the use of a 3-dimensional motion analysis augmented in predicting the angle values of each segment of the lower extremity. In further studies, a comparison of the right and left subtalar joints need to be investigated.

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References

  1. Hinman RS, Bowles KA, Metcalf BB, Wrigley TV, Bennell KL. Lateral wedge insoles for medial knee osteoarthritis: effects on lower limb frontal plane biomechanics. Clin Biomech (Bristol, Avon) 2012;27:27-33. https://doi.org/10.1016/j.clinbiomech.2011.07.010
  2. Mann R, Inman VT. Phasic activity of intrinsic muscles of the foot. J Bone Joint Surg Am 1964;46:469-81. https://doi.org/10.2106/00004623-196446030-00001
  3. Khamis S, Yizhar Z. Effect of feet hyperpronation on pelvic alignment in a standing position. Gait Posture 2007;25:127-34. https://doi.org/10.1016/j.gaitpost.2006.02.005
  4. Sell KE, Verity TM, Worrell TW, Pease BJ, Wigglesworth J. Two measurement techniques for assessing subtalar joint position: a reliability study. J Orthop Sports Phys Ther 1994;19:162-7. https://doi.org/10.2519/jospt.1994.19.3.162
  5. Tiberio D. The effect of excessive subtalar joint pronation on patellofemoral mechanics: a theoretical model. J Orthop Sports Phys Ther 1987;9:160-5. https://doi.org/10.2519/jospt.1987.9.4.160
  6. Bae SS, Lee SY. The effects of on CTA and Q-angle with the different position of the foot in the standing status. J Korean Phys Ther 2002;14:203-25.
  7. Reischl SF, Powers CM, Rao S, Perry J. Relationship between foot pronation and rotation of the tibia and femur during walking. Foot Ankle Int 1999;20:513-20. https://doi.org/10.1177/107110079902000809
  8. Hong JA, Kim MH, Jung DH, Lim OB, Yi CH. Effect of medial wedge on muscle activity of lower limb in healthy adults during one leg standing. Phys Ther Korean 2011;18:60-6.
  9. Tateuchi H, Wada O, Ichihashi N. Effects of calcaneal eversion on three-dimensional kinematics of the hip, pelvis and thorax in unilateral weight bearing. Hum Mov Sci 2011;30:566-73. https://doi.org/10.1016/j.humov.2010.11.011
  10. Eslami M, Tanaka C, Hinse S, Farahpour N, Allard P. Effect of foot wedge positions on lower-limb joints, pelvis and trunk angle variability during single-limb stance. The Foot 2006;16:208-13. https://doi.org/10.1016/j.foot.2006.07.007
  11. Farokhmanesh K, Shirzadian T, Mahboubi M, Shahri MN. Effect of foot hyperpronation on lumbar lordosis and thoracic kyphosis in standing position using 3-dimensional ultrasound-based motion analysis system. Glob J Health Sci 2014;6:254-60.
  12. Kakihana W, Akai M, Nakazawa K, Takashima T, Naito K, Torii S. Effects of laterally wedged insoles on knee and subtalar joint moments. Arch Phys Med Rehabil 2005;86:1465-71. https://doi.org/10.1016/j.apmr.2004.09.033
  13. Khamis S, Dar G, Peretz C, Yizhar Z. The relationship between foot and pelvic alignment while standing. J Hum Kinet 2015;46:85-97. https://doi.org/10.1515/hukin-2015-0037
  14. Pinto RZ, Souza TR, Trede RG, Kirkwood RN, Figueiredo EM, Fonseca ST. Bilateral and unilateral increases in calcaneal eversion affect pelvic alignment in standing position. Man Ther 2008;13:513-9. https://doi.org/10.1016/j.math.2007.06.004