Comparison of the effect of 4 weeks core stability training and foot intrinsic muscle training on foot posture
Keywords:
pronated foot, FPI-6, McGill Protocol, Zebris FDM-T treadmillAbstract
Persons with pronated feet may be prone to more injuries than these with normal feet. As it disrupts the body’s natural alignment and causes increased impact when the foot strikes the ground. The purpose of the present study was to compare the effects of 4-week core stability training and foot intrinsic muscle training on foot posture in females. Twenty-six females with pronated feet were randomly divided into two groups. The group A performed the core stability training (n=13) and the group B performed the foot intrinsic muscle training (n=13) for four weeks with frequency of 5 sessions per week. Foot Posture Index, McGill protocol, weight distribution and foot load response were assessed at the baseline and at the end of four weeks. Dependent t-test was used to check the differences within the group before and after the program. Independent t-test was used to compare the differences between groups after the intervention.
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References
Neumann, D. A. (2010). Kinesiology of the musculoskeletal system; Foundation for rehabilitation. Mosby & Elsevier.
Pandey, S., Pal, C. P., Kumar, D., & Singh, P. (2013). Flatfoot in Indian population. Journal of orthopaedic surgery, 21(1), 32-36. https://doi.org/10.1177/230949901302100110
Helfet, A. J. (1980). Disorders of the Foot. Lippincott Williams & Wilkins.
Huang, C. K., Kitaoka, H. B., An, K. N., & Chao, E. Y. (1993). Biomechanical evaluation of longitudinal arch stability. Foot & ankle, 14(6), 353-357. https://doi.org/10.1177/107110079301400609
Leung, A. K. L., Mak, A. F. T., & Evans, J. H. (1998). Biomechanical gait evaluation of the immediate effect of orthotic treatment for flexible flat foot. Prosthetics and orthotics international, 22(1), 25-34. https://doi.org/10.3109/03093649809164454
Murley, G. S., Menz, H. B., & Landorf, K. B. (2009). Foot posture influences the electromyographic activity of selected lower limb muscles during gait. Journal of foot and ankle research, 2(1), 1-9. https://doi.org/10.1186/1757-1146-2-35
Shumway-Cook, A., & Horak, F. B. (1986). Assessing the influence of sensory interaction on balance: suggestion from the field. Physical therapy, 66(10), 1548-1550.
a. https://doi.org/10.1093/ptj/66.10.1548
Franco, A. H. (1987). Pes cavus and pes planus: analyses and treatment. Physical therapy, 67(5), 688-694. https://doi.org/10.1093/ptj/67.5.688
Hertel, J. (2002). Functional anatomy, pathomechanics, and pathophysiology of lateral ankle instability. Journal of athletic training, 37(4), 364. https://www.ncbi.nlm.nih.gov/pubmed/12937557
Hillstrom, H. J., Song, J., Kraszewski, A. P., Hafer, J. F., Mootanah, R., Dufour, A. B., ... & Deland III, J. T. (2013). Foot type biomechanics part 1: structure and function of the asymptomatic foot. Gait & posture, 37(3), 445-451. https://doi.org/10.1016/j.gaitpost.2012.09.007
Tsai, L. C., Yu, B., Mercer, V. S., & Gross, M. T. (2006). Comparison of different structural foot types for measures of standing postural control. Journal of Orthopaedic & Sports Physical Therapy, 36(12), 942-953. https://doi.org/10.2519/jospt.2006.2336
Tong, J. W., & Kong, P. W. (2013). Association between foot type and lower extremity injuries: systematic literature review with meta-analysis. journal of orthopaedic & sports physical therapy, 43(10), 700-714. https://doi.org/10.2519/jospt.2013.4225
Neal, B. S., Griffiths, I. B., Dowling, G. J., Murley, G. S., Munteanu, S. E., Smith, M. M. F., ... & Barton, C. J. (2014). Foot posture as a risk factor for lower limb overuse injury: a systematic review and meta-analysis. Journal of foot and ankle research, 7(1), 1-13. https://doi.org/10.1186/s13047-014-0055-4
Cain, L. E., Nicholson, L. L., Adams, R. D., & Burns, J. (2007). Foot morphology and foot/ankle injury in indoor football. Journal of Science and Medicine in Sport, 10(5), 311-319.
Morrison, K. E., & Kaminski, T. W. (2007). Foot characteristics in association with inversion ankle injury. Journal of athletic training, 42(1), 135. https://www.ncbi.nlm.nih.gov/pubmed/17597955
Loudon, J. K., Jenkins, W., & Loudon, K. L. (1996). The relationship between static posture and ACL injury in female athletes. Journal of Orthopaedic & Sports Physical Therapy, 24(2), 91-97. https://doi.org/10.2519/jospt.1996.24.2.91
Hollander, K., Zech, A., Rahlf, A. L., Orendurff, M. S., Stebbins, J., & Heidt, C. (2019). The relationship between static and dynamic foot posture and running biomechanics: A systematic review and meta-analysis. Gait & posture, 72, 109-122. https://doi.org/10.1016/j.gaitpost.2019.05.031
Murley, G. S., Menz, H. B., & Landorf, K. B. (2009). Foot posture influences the electromyographic activity of selected lower limb muscles during gait. Journal of foot and ankle research, 2(1), 1-9. https://doi.org/10.1186/1757-1146-2-35
Cote, K. P., Brunet, M. E., II, B. M. G., & Shultz, S. J. (2005). Effects of pronated and supinated foot postures on static and dynamic postural stability. Journal of athletic training, 40(1), 41. http://www.ncbi.nlm.nih.gov/pmc/articles/pmc1088344/
Kim, J. A., Lim, O. B., & Yi, C. H. (2015). Difference in static and dynamic stability between flexible flatfeet and neutral feet. Gait & posture, 41(2), 546-550. https://doi.org/10.1016/j.gaitpost.2014.12.012
Ferber, R., Hreljac, A., & Kendall, K. D. (2009). Suspected mechanisms in the cause of overuse running injuries: a clinical review. Sports health, 1(3), 242-246. https://doi.org/10.1177/1941738109334272
Cowley, E., & Marsden, J. (2013). The effects of prolonged running on foot posture: a repeated measures study of half marathon runners using the foot posture index and navicular height. Journal of foot and ankle research, 6(1), 1-7. https://dx.doi.org/10.1186%2F1757-1146-6-20
Escamilla-Martínez, E., Martínez-Nova, A., Gómez-Martín, B., Sánchez-Rodríguez, R., & Fernández-Seguín, L. M. (2013). The effect of moderate running on foot posture index and plantar pressure distribution in male recreational runners. Journal of the American Podiatric Medical Association, 103(2), 121-125. https://doi.org/10.7547/1030121
Hintermann, B., & Nigg, B. M. (1998). Pronation in runners. Sports medicine, 26(3), 169-176. https://doi.org/10.2165/00007256-199826030-00003
Song, J. I. N. S. U. P., Hillstrom, H. J., Secord, D., & Levitt, J. (1996). Foot type biomechanics. comparison of planus and rectus foot types. Journal of the American Podiatric Medical Association, 86(1), 16-23. https://doi.org/10.7547/87507315-86-1-16
Buldt, A. K., Allan, J. J., Landorf, K. B., & Menz, H. B. (2018). The relationship between foot posture and plantar pressure during walking in adults: a systematic review. Gait & posture, 62, 56-67. https://doi.org/10.1016/j.gaitpost.2018.02.026
Ledoux, W. R., & Hillstrom, H. J. (2002). The distributed plantar vertical force of neutrally aligned and pes planus feet. Gait & posture, 15(1), 1-9. https://doi.org/10.1016/s0966-6362(01)00165-5
Buldt, A. K., Forghany, S., Landorf, K. B., Levinger, P., Murley, G. S., & Menz, H. B. (2018). Foot posture is associated with plantar pressure during gait: A comparison of normal, planus and cavus feet. Gait & posture, 62, 235-240. https://doi.org/10.1016/j.gaitpost.2018.03.005
McKeon, P. O., & Fourchet, F. (2015). Freeing the foot: integrating the foot core system into rehabilitation for lower extremity injuries. Clinics in sports medicine, 34(2), 347-361. https://doi.org/10.1016/j.csm.2014.12.002
Sudhakar, S., Kirthika, S. V., Padmanabhan, K., Ramachandran, S., Nathan, C. S., Kumar, G. M., ... & Samuel, A. J. (2018). WITHDRAWN: Efficacy of plantar short foot muscle exercise among middle distance runners: A single blind randomized controlled, pilot study. https://doi.org/10.1123/jsr.2018-0363
Mulligan, E. P., & Cook, P. G. (2013). Effect of plantar intrinsic muscle training on medial longitudinal arch morphology and dynamic function. Manual therapy, 18(5), 425-430. https://doi.org/10.1016/j.math.2013.02.007
Sulowska, I., Oleksy, Ł., Mika, A., Bylina, D., & Sołtan, J. (2016). The influence of plantar short foot muscle exercises on foot posture and fundamental movement patterns in long-distance runners, a non-randomized, non-blinded clinical trial. PloS one, 11(6), e0157917. https://doi.org/10.1371/journal.pone.0157917
Fiolkowski, P., Brunt, D., Bishop, M., Woo, R., & Horodyski, M. (2003). Intrinsic pedal musculature support of the medial longitudinal arch: an electromyography study. The Journal of foot and ankle surgery, 42(6), 327-333. https://doi.org/10.1053/j.jfas.2003.10.003
Kelly, L. A., Cresswell, A. G., Racinais, S., Whiteley, R., & Lichtwark, G. (2014). Intrinsic foot muscles have the capacity to control deformation of the longitudinal arch. Journal of The Royal Society Interface, 11(93), 20131188. https://doi.org/10.1098/rsif.2013.1188
Angin, S., Crofts, G., Mickle, K. J., & Nester, C. J. (2014). Ultrasound evaluation of foot muscles and plantar fascia in pes planus. Gait & posture, 40(1), 48-52. https://doi.org/10.1016/j.gaitpost.2014.02.008
Redmond, A. C., Crosbie, J., & Ouvrier, R. A. (2006). Development and validation of a novel rating system for scoring standing foot posture: the Foot Posture Index. Clinical biomechanics, 21(1), 89-98. https://doi.org/10.1016/j.clinbiomech.2005.08.002
Kahle, N. L., & Gribble, P. A. (2009). Core stability training in dynamic balance testing among young, healthy adults. Athletic Training & Sports Health Care, 1(2), 65-73. https://doi.org/10.3928/19425864-20090301-03
McGill, S. (2015). Low back disorders: evidence-based prevention and rehabilitation. Human Kinetics.
Khamooshi, R., Mohammadi Mohammadieh, S., Rahnama, N. R., & Rostami Zalani, F. (2016). Comparing the Effects of Simultaneous Eight-Week Stretching/Strengthening Trainings with Core Stability Exercises on the Flat Foot Deformity of 9- to 13-Year-Old Female Students. International Journal of Musculoskeletal Pain Prevention, 1(4), 149-156.
Hill, J., & Leiszler, M. (2011). Review and role of plyometrics and core rehabilitation in competitive sport. Current sports medicine reports, 10(6), 345-351. https://doi.org/10.1249/jsr.0b013e31823b3b94
McCaskey, A. (2011). The effects of core stability training on star excursion balance test and global core muscular endurance (Doctoral dissertation, University of Toledo).
Marshall, P. W., & Murphy, B. A. (2005). Core stability exercises on and off a Swiss ball. Archives of physical medicine and rehabilitation, 86(2), 242-249. https://doi.org/10.1016/j.apmr.2004.05.004
Yoon, S. D., Sung, D. H., & Park, G. D. (2015). The effect of active core exercise on fitness and foot pressure in Taekwondo club students. Journal of physical therapy science, 27(2), 509-511. https://dx.doi.org/10.1589%2Fjpts.27.509
Moon, D. C., Kim, K., & Lee, S. K. (2014). Immediate effect of short-foot exercise on dynamic balance of subjects with excessively pronated feet. Journal of physical therapy science, 26(1), 117-119. https://dx.doi.org/10.1589%2Fjpts.26.117
Unver, B., Erdem, E. U., & Akbas, E. (2019). Effects of short-foot exercises on foot posture, pain, disability, and plantar pressure in Pes Planus. Journal of sport rehabilitation, 29(4), 436-440. https://doi.org/10.1123/jsr.2018-0363
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