한국전문물리치료학회지 (Physical Therapy Korea)

  • 제23권4호
  • /
  • Pages.27-37
  • /
  • 2016
  • /
  • 1225-8962(pISSN)
  • /
  • 2287-982X(eISSN)
한국전문물리치료학회 (Korean Research Society of Physical Therapy)
권호 표지
DOI QR코드

DOI QR Code

The Effects of Foot Intrinsic Muscle and Tibialis Posterior Strengthening Exercise on Plantar Pressure and Dynamic Balance in Adults Flexible Pes Planus

  • Lee, Da-bee (Rehabilitation Center, Chungnam University Hospital) ;
  • Choi, Jong-duk (Dept. of Physical Therapy, College of Health & Medical Science, Daejeon University)
  • 투고 : 2016.10.07
  • 심사 : 2016.11.10
  • 발행 : 2016.11.19
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Background: In previous studies regarding flexible pes planus, Foot orthosis, special shoes have been used as interventions for correcting malalignment and intrinsic muscles strengthening exercise have been regarded as interventions for foot function and supporting medial longitudinal arch during walking. However, some recent studies reported that strengthening extrinsic muscles as well as intrinsic muscles is more effective and active intervention for flexible pes planus. In particular, the tibialis posterior muscle of foot extrinsic muscles plays essential roles in maintaining the medial longitudinal arch during dynamic weight bearing and balance. In addition this muscle acts longer than other supination muscles during the stance phase in the gait cycle. Objects: This study aimed to investigate the effect of foot intrinsic muscle and tibialis posterior muscle strengthening exercise for plantar pressure and dynamic balance in adults with flexible pes planus. Methods: 16 young flexible pes planus adults (7 males, 9 females) were recruited and were randomized into two groups. The experimental group performed foot intrinsic muscle and tibialis posterior muscle strengthening training, the control group performed only foot intrinsic muscle strengthening training. All groups received strengthening training for 30 minutes five times a week for six weeks. Results: The experimental group had significantly lower plantar pressure of medial heel area than the control group in stand (p<.05). The experimental group had significantly higher dynamic balance ability than control group (p<.05). Conclusion: The results of this study provide evidence to suggest that foot intrinsic muscle and tibialis posterior muscle of extrinsic muscle strengthening exercises may improve plantar pressure distribution and dynamic balance ability in adults with flexible pes planus.

키워드

참고문헌

  1. Abdo RV, Iorio LJ. Rheumatoid arthritis of the foot and ankle. J Am Acad Orthop Surg. 1994;2(6): 326-332. https://doi.org/10.5435/00124635-199411000-00004
  2. Allen MK, Glasoe WM. Metrecom measurement of navicular drop in subjects with anterior cruciate ligament injury. J Athl Train. 2000;35(4):403-406.
  3. Beattie P, Isaacson K, Riddle DL, et al. Validity of derived measurements of leg-length differences obtained by use of a tape measure. Phys Ther. 1990;70(3):150-157. https://doi.org/10.1093/ptj/70.3.150
  4. Brown GP, Donatelli R, Catlin PA, et al. The effect of two types of foot orthoses on rearfoot mechanics. J Orthop Sports Phys Ther. 1995; 21(5):258-267. https://doi.org/10.2519/jospt.1995.21.5.258
  5. Chang JS, Park JW, Kim CS. The changes of plantar foot pressure by external loads during walking in flatfoot. J Korean Soc Phys Med. 2010;5(4):543-549.
  6. Cote KP, Brunet II ME, Gansneder BM, et al. Effects of pronated and supinated foot postures on static and dynamic postural stability. J Athl Train. 2005;40(1):41-46.
  7. Franco AH. Pes cavus and pes planus. Analyses and treatment. Phys Ther. 1987;67(5):688-694. https://doi.org/10.1093/ptj/67.5.688
  8. Freiberger E, Menz HB, Abu-Omar K, et al. Preventing falls in physically active community-dwelling older people: A comparison of two intervention techniques. Gerontology. 2007;53(5): 298-305. https://doi.org/10.1159/000103256
  9. Gribble PA, Hertel J, Denegar CR, et al. The effects of fatigue and chronic ankle instability on dynamic postural control. J Athl Train. 2004; 39(4):321-329.
  10. Hertel J. Functional anatomy, pathomechanics, and pathophysiology of lateral ankle instability. J Athl Train. 2002;37(4):364-375.
  11. 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
  12. Huang CK, Kitaoka HB, An KN, et al. Biomechanical evaluation of longitudinal arch stability. Foot Ankle. 1993;14(6):353-357. https://doi.org/10.1177/107110079301400609
  13. Hyong IH, Kim HS, Lee GC. The effect of muscle activities and dynamic balance ability with mobilization and active exercise on pronation foot. Journal of Sport and Leisure Studies. 2009; 37(2):1023-1032.
  14. Jam B. Evaluation and retraining of the intrinsic foot muscles for pain syndromes related to abnormal control of pronation. Advanced Physical Therapy Education Institute. 2006.
  15. Johanson MA, Donatelli R, Wooden MJ, et al. Effects of three different posting methods on controlling abnormal subtalar pronation. Phys Ther. 1994; 74(2):149-158. https://doi.org/10.1093/ptj/74.2.149
  16. Jonely H, Brismee JM, Sizer PS Jr, et al. Relationships between clinical measures of static foot posture and plantar pressure during static standing and walking. Clin Biomech (Bristol, Avon). 2011;26(8):873-879. https://doi.org/10.1016/j.clinbiomech.2011.04.008
  17. Jung DY, Kim MH, Koh EK, et al. 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(1):30-35. https://doi.org/10.1016/j.ptsp.2010.08.001
  18. Kamiya T, Uchiyama E, Watanabe K, et al. Dynamic effect of the tibialis posterior muscle on the arch of the foot during cyclic axial loading. Clin Biomech (Bristol, Avon). 2012;27(9):962-966. https://doi.org/10.1016/j.clinbiomech.2012.06.006
  19. Kelly LA, Cresswell AG, Racinais S, et al. Intrinsic foot muscles have the capacity to control deformation of the longitudinal arch. J R Soc Interface. 2014;11(93):20131188. https://doi.org/10.1098/rsif.2013.1188
  20. Kim G. Plantar pressure and gait ability analysis for foot deformities with arch support. Jeonnam, Dongshin University, Doctoral Dissertation. 2013.
  21. Kim YT, Lee JS. Normal pressures and reliability of the $Gaitview^{(R)}$ system in healthy adults. Prosthet Orthot Int. 2012;36(2):159-164. https://doi.org/10.1177/0309364611433444
  22. Kohls-Gatzoulis J, Angel JC, Singh D, et al. Tibialis posterior dysfunction: A common and treatable cause of adult acquired flatfoot. BMJ. 2004; 329(7478):1328-1333. https://doi.org/10.1136/bmj.329.7478.1328
  23. Kuhn DR, Shibley NJ, Austin WM, et al. Radiographic evaluation of weight-bearing orthotics and their effect on flexible pes planus. J Manipulative Physiol Ther. 1999;22(4):221-226. https://doi.org/10.1016/S0161-4754(99)70048-5
  24. Kulig K, Burnfield JM, Requejo SM, et al. Selective activation of tibialis posterior: Evaluation by magnetic resonance imaging. Med Sci Sports Exerc. 2004;36(5):862-867.
  25. Ledoux WR, Hillstrom HJ. The distributed plantar vertical force of neutrally aligned and pes planus feet. Gait Posture. 2002;15(1):1-9. https://doi.org/10.1016/S0966-6362(01)00165-5
  26. Leung AK, Mak AF, Evans JH. Biomedical gait evaluation of the immediate effect of orthotic treatment for flexible flat foot. Prosthet Orthot Int. 1998;22(1):25-34.
  27. Liebenson C. Self-help advice for the clinician: Sensory-motor training. J Bodyw Mov Ther. 2001;5(1):21-27. https://doi.org/10.1054/jbmt.2000.0206
  28. Lynn SK, Padilla RA, Tsang KK. Differences in static- and dynamic-balance task performance after 4 weeks of intrinsic-foot-muscle training: The shortfoot exercise versus the towel-curl exercise. J Sport Rehabil. 2012;21(4):327-333. https://doi.org/10.1123/jsr.21.4.327
  29. Murley GS, Menz HB, Landorf KB. Foot posture influences the electromyographic activity of selected lower limb muscles during gait. J Foot Ankle Res. 2009;2:35. https://doi.org/10.1186/1757-1146-2-35
  30. Nigg BM, Khan A, Fisher V, et al. Effect of shoe insert construction on foot and leg movement. Med Sci Sports Exerc. 1998;30(4):550-555. https://doi.org/10.1097/00005768-199804000-00013
  31. Neumann DA. Kinesiology of the Musculoskeletal System: Foundation for Rehabilitation. 2nd ed. St Louis, Mosby, 2011:628-638.
  32. Pandey S, Pal CP, Kumar D et al. Flatfoot in Indian population. J Orthop Surg (Hong Kong). 2013; 21(1):32-36. https://doi.org/10.1177/230949901302100110
  33. Panichawit C, Bovonsunthonchai S, Vachalathiti R, et al. Effects of foot muscles training on plantar pressure distribution during gait, foot muscle strength, and foot function in persons with flexible flatfoot. J Med Assoc Thai. 2015;98 Suppl 5:S12-S17.
  34. Picciano AM, Rowlands MS, Worrell T. Reliability of open and closed kinetic chain subtalar joint neutral positions and navicular drop test. J Orthop Sports Phys Ther. 1993;18(4):553-558. https://doi.org/10.2519/jospt.1993.18.4.553
  35. Sun SK, Jung DC, Ko KJ, et al. A comparison of physical fitness in people with normal foot and pes planus. Korea Sport Research. 2006;17(6):687-694.
  36. Shrader JA, Popovich JM Jr, Gracey GC, et al. Navicular drop measurement in people with rheumatoid arthritis: Interrater and intrarater reliability. Phys Ther. 2005;85(7):656-664.
  37. Shumway-Cook A, Horak FB. Assessing the influence of sensory interaction on balance. Suggestion from the field. Phys Ther. 1986;66(10):1548-1550. https://doi.org/10.1093/ptj/66.10.1548
  38. Snyder KR, Earl JE, O'Connor KM, et al. Resistance training is accompanied by increases in hip strength and changes in lower extremity biomechanics during running. Clin Biomech (Bristol, Avon). 2009;24(1):26-34. https://doi.org/10.1016/j.clinbiomech.2008.09.009
  39. Tang SF, Chen CH, Wu CK, et al. The effects of total contact insole with forefoot medial posting on rearfoot movement and foot pressure distributions in patients with flexible flatfoot. Clin Neurol Neurosurg. 2015;129 Suppl 1:S8-S11. https://doi.org/10.1016/S0303-8467(15)30004-4
  40. Tsai LC, Yu B, Mercer VS, et al. Comparison of different structural foot types for measures of standing postural control. J Orthop Sports Phys Ther. 2006;36(12):942-953. https://doi.org/10.2519/jospt.2006.2336
  41. Vicenzino B, Griffiths SR, Griffiths LA, et al. Effect of antipronation tape and temporary orthotic on vertical navicular height before and after exercise. J Orthop Sports Phys Ther. 2000; 30(6):333-339. https://doi.org/10.2519/jospt.2000.30.6.333
  42. Won KH, Lee MG. Effects of a strength exercise training for foot intrinsic muscle on height of medial longitudinal arch and balance in females aged 20's. Exercise Science. 2010;19(4):351-360. https://doi.org/10.15857/ksep.2010.19.4.351

피인용 문헌

  1. Effects of Short-Foot Exercises on Foot Posture, Pain, Disability, and Plantar Pressure in Pes Planus vol.29, pp.4, 2020, https://doi.org/10.1123/jsr.2018-0363
  2. Effects of Short-Foot Exercises on Foot Posture, Pain, Disability, and Plantar Pressure in Pes Planus vol.29, pp.4, 2020, https://doi.org/10.1123/jsr.2018-0363