Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
권호 표지
DOI QR코드

DOI QR Code

Comparison of the Activity of the Abductor Hallucis Muscle during Short-foot Exercises using Foot Orthosis and the Windlass Effect in Sitting and One-leg Standing Positions

앉은 자세와 한발로 선 자세에서의 발 보조기와 권양기 효과를 이용한 짧은 발 운동 시 엄지 벌림근의 근 활성도 비교

  • Kim, Do-Hyun (Dept. of KEMA Therapy, Graduate School of Humanities Industry, Joongbu University) ;
  • Jung, Do-Young (Department of Physical Therapy, Kinesiopathologic Institute, Joongbu University)
  • 김도현 (중부대학교 인문산업대학 케마치료학과) ;
  • 정도영 (중부대학교 물리치료학과, 운동병리과학연구소)
  • Received : 2016.11.07
  • Accepted : 2016.11.28
  • Published : 2017.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

PURPOSE: The purpose of this study was to compare the activity of the abductor hallucis (AbdH) muscle during short foot exercise (SFE) using foot orthosis (SFE-FO) and the windlass effect (SFO-WE) while sitting and in a one-leg standing position. METHODS: We recruited fourteen subjects with normal feet for this study. Surface electromyography (EMG) was used to measure the muscle activity of the AbdH muscle during SFE, SFE-FO, and SFE-WE while sitting and in a one-leg standing position. Three trials consisting of a 5 s hold for each of the three exercises were performed to measure the EMG activity of the AbdH muscle. Exercise type and position were randomly assigned. Two-way repeated-measures ANOVA was used to analyze the effects of exercise type (SFE vs. SFE-FO vs. SFE-WE) and position (sitting vs. one-leg standing position) on AbdH muscle activity. A statistical significance was set at ${\alpha}=.05$. RESULTS: The EMG activity of AbdH muscle in the SFE-WE exercise was significantly greater than that during SFE and SFE-FO in both exercise positions (p<.001). In addition, the EMG activity of the AbdH muscle in the one-leg standing position was significantly higher than that while sitting (p<.001) during all three exercises. CONCLUSION: These results suggest that SFE-WE is a more effective strengthening exercise than SFE or SFE-FO for activating the AbdH muscle.

Keywords

References

  1. Allen RH, Gross MT. Toe flexors strength and passive extension range of motion of the first metatarsophalangeal joint in individuals with plantar fasciitis. J Orthop Sports Phys Ther. 2003;33(8):468-79. https://doi.org/10.2519/jospt.2003.33.8.468
  2. Arinci Incel N, Genc H, Erdem HR, et al. Muscle imbalance in hallux valgus: an electromyographic study. Am J Phys Med Rehabil. 2003;82(5):345-9. https://doi.org/10.1097/01.PHM.0000064718.24109.26
  3. Bang HS. The Effects of Lumbar Stabilization Exercise on Muscle Activity and Isokinetic Muscle Strength of Female Patients with Chronic Low Back Pain. J Korean Soc Phys Med. 2015;10:63-71.
  4. Banwell HA, Mackintosh S, Thewlis D. Foot orthoses for adults with flexible pes planus: a systematic review. J Foot Ankle Res. 2014;7:23 https://doi.org/10.1186/1757-1146-7-23
  5. Bolgla LA, Malone TR. Plantar Fasciitis and the Windlass Mechanism: A Biomechanical Link to Clinical Practice. J Athl Train. 2004;39(1):77-82.
  6. Chang R, Kent-Braun JA, Hamill J. Use of MRI for volume estimation of tibialis posterior and plantar intrinsic foot muscles in healthy and chronic plantar fasciitis limbs. Clin Biomech. 2012;27(5):500-5. https://doi.org/10.1016/j.clinbiomech.2011.11.007
  7. Evans AM, Rome KA. Cochrane review of the evidence for non-surgical interventions for flexible pediatric flat feet. J Phys Rehabil Med. 2011;47(1):69-89.
  8. Fiolkowski P, Brunt D, Bishop M, et al. Intrinsic pedal musculature support of the medial longitudinal arch: an electromyography study. J Foot Ankle Surg. 2003;42(6):327-33. https://doi.org/10.1053/j.jfas.2003.10.003
  9. Goldmann JP, Bruggemann GP. The potential of human toe flexor muscles to produce force. J Anat. 2012;221: 187-94. https://doi.org/10.1111/j.1469-7580.2012.01524.x
  10. Headlee DL, Leonard JL, Hart JM, et al. Fatigue of the plantar intrinsic foot muscles increases navicular drop. J Electromyogr and Kinesiol. 2008;18:420-5. https://doi.org/10.1016/j.jelekin.2006.11.004
  11. Hicks JH. The mechanics of the foot. J Anat. 1954;88(1):25-30.
  12. Hume P, Hopkins W, Rome K, et al. Effectiveness of foot orthoses for treatment and prevention of lower limb injuries : a review. Sports Med. 2008;38(9):759-79. https://doi.org/10.2165/00007256-200838090-00005
  13. Jung DY, Kim MH, Koh EK, et al. A comparison in the muscle activity of the abductor halluces and the medial longitudinal arch angle during toe curl and short foot exercises. Phys Ther Sport. 2011a;12(1):30-5. https://doi.org/10.1016/j.ptsp.2010.08.001
  14. Jung DY, Koh EK, Kwon OY. Effect of foot orthoses and short-foot exercise on the cross-sectional area of the abductor hallucis muscle in subjects with pes planus: A randomized controlled trial. J Back Musculoskelet Rehabil. 2011b;24(4):225-31. https://doi.org/10.3233/BMR-2011-0299
  15. Kappel-Bargas A, Woolf RD, Cornwall MW, et al. The windlass mechanism during normal walking and passive first metatarsalphalangeal joint extension. Clin Biomech. 1998;13(3):190-4. https://doi.org/10.1016/S0268-0033(97)00038-7
  16. Kelly LA, Kuitunen S, Racinais S, et al. Recruitment of the plantar intrinsic foot muscles with increasing postural demand. Clin Biomech (Bristol. Avon). 2012;27: 46-51. https://doi.org/10.1016/j.clinbiomech.2011.07.013
  17. Kim MH, Kwon OY, Kim SH. Comparison of muscle activities of abductor hallucis and adductor hallucis between the short foot and toe-spread-out exercises in subjects with mild hallux valgus. J Back Musculoskelet Rehabil. 2013;26(2):163-8. https://doi.org/10.3233/BMR-2012-00363
  18. Kwon OY, Tuttle LJ, Johnson JE, et al. Muscle imbalance and reduced ankle joint motion in people with hammer toe deformity. Clin Biomech. 2009;24(8):670-5. https://doi.org/10.1016/j.clinbiomech.2009.05.010
  19. 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
  20. Mahar SM, Livinqston LA. Bilateral measurement of resting calcaneal stance position and tibial varum using digital photography and standardized positioning protocols. J Am Podiatr Med Assoc. 2009;99(3):198-205. https://doi.org/10.7547/0980198
  21. Mickle KJ, Munro BJ, Lord SR, et al. ISB Clinical Biomechanics Award 2009: toe weakness and deformity increase the risk of falls in older people. Clin Biomech. 2009;24(10):787-91. https://doi.org/10.1016/j.clinbiomech.2009.08.011
  22. Mulligan EP, Cook RG. Effect of plantar intrinsic muscle training on medial longitudinal arch morphology and dynamic function. Man Ther. 2013;18(5):425-30. https://doi.org/10.1016/j.math.2013.02.007
  23. Myerson MS, Shereff MJ. The pathological anatomy of claw and hammer toes. J Bone Joint Surg Am. 1989; 71(1):45-9. https://doi.org/10.2106/00004623-198971010-00008
  24. Neumann DA. Kinesiology of the musculoskeletal system (1st ed). Mosby. 2002.
  25. Page P, Frank C, Lardner R. Assessment and Treatment of Muscle Imbalance: The Janda Approach (1st ed). Human Kinetics. 2009.
  26. Razeghi M, Batt Me. Foot type classification: a critical review of current methods. Gait Posture. 2002;15(3):282-91. https://doi.org/10.1016/S0966-6362(01)00151-5
  27. Reinold MM, Wilk KE, Fleisig GS, et al. Electromyographic analysis of the rotator cuff and deltoid musculature during common shoulder external rotation exercises. J Orthop Sports Phys Ther. 2004;34(7):385-94. https://doi.org/10.2519/jospt.2004.34.7.385
  28. Soysa A, Hiller C, Refshauge K, et al. Importance and challenges of measuring intrinsic foot muscle strength. 2012;5(1):29. https://doi.org/10.1186/1757-1146-5-29
  29. Yoon SW, Lee JW, Choi MS. Effect of Shoes Sole Form on Knee and Ankle Muscle Activity. J Korean Soc Phys Med. 2014;9:347-54. https://doi.org/10.13066/kspm.2014.9.4.347

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