Physical Therapy Rehabilitation Science

korean Academy of Physical Therapy Rehabilitation Science (물리치료재활과학회)
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The effects of increased unilateral and bilateral calcaneal eversion on pelvic and trunk alignment in standing position

  • Yi, Jaehoon (Division of Liberal Arts and Teaching, Sungkyul University)
  • Received : 2016.05.03
  • Accepted : 2016.06.07
  • Published : 2016.06.30
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Abstract

Objective: Generally, it is known that there is a correlation between excessive calcaneus eversion and a patient with low back pain and it also affects pelvic alignment. However, there are not enough studies that show calcaneal eversion having an effect on the alignment of the trunk. Design: Cross-sectional study. Methods: A 3-dimensional motion analysis system was used to assess the lower limbs, pelvic alignment, and trunk alignment with increased unilateral and bilateral calcaneal eversion in twenty-one subjects. All subjects were asked to maintain a static posture for seven seconds on a wedge three times per posture for measurement and analysis purposes. The wedge used in the process was a lateral wedge with a 10-degree tilt to the lateral direction. To unify all of the subjects' foot position, the front and inner side of the wedge were marked. The height of the tilted wedge's inner side and flat wedge were balanced equally in order to be able to maintain the lateral part of the foot to the same height when producing an increased calcaneal eversion. Results: Comparing the changes in trunk and pelvic alignment in accordance to calcaneal eversion for each posture, there was a significant different in the X and Y-axis for each posture, but not in the Z-axis (p<0.05). Thus, it can be confirmed that calcaneal eversion in the sagittal plane and frontal plane may have and effect on the pelvis and the trunk. Conclusions: Postures with increased bilateral and unilateral calcaneal eversion has an effect on pelvic alignment, but does not cause any changes in trunk alignment.

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References

  1. 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
  2. Levine D, Whittle MW. The effects of pelvic movement on lumbar lordosis in the standing position. J Orthop Sports Phys Ther 1996;24:130-5. https://doi.org/10.2519/jospt.1996.24.3.130
  3. Christie HJ, Kumar S, Warren SA. Postural aberrations in low back pain. Arch Phys Med Rehabil 1995;76:218-24. https://doi.org/10.1016/S0003-9993(95)80604-0
  4. Rockar PA Jr. The subtalar joint: anatomy and joint motion. J Orthop Sports Phys Ther 1995;21:361-72. https://doi.org/10.2519/jospt.1995.21.6.361
  5. Rothbart BA, Estabrook L. Excessive pronation: a major biomechanical determinant in the development of chondromalacia and pelvic lists. J Manipulative Physiol Ther 1988;11:373-9.
  6. Gurney B. Leg length discrepancy. Gait Posture 2002;15:195-206. https://doi.org/10.1016/S0966-6362(01)00148-5
  7. Aebi M. The adult scoliosis. Eur Spine J 2005;14:925-48. https://doi.org/10.1007/s00586-005-1053-9
  8. Botte RR. An interpretation of the pronation syndrome and foot types of patients with low back pain. J Am Podiatry Assoc 1981;71:243-53. https://doi.org/10.7547/87507315-71-5-243
  9. 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
  10. 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
  11. Wong L, Hunt A, Burns J, Crosbie J. Effect of foot morphology on center-of-pressure excursion during barefoot walking. J Am Podiatr Med Assoc 2008;98:112-7. https://doi.org/10.7547/0980112
  12. Karlsson D, Tranberg R. On skin movement artifact-resonant frequencies of skin markers attached to the leg. Hum Mov Sci 1999:18:627-35. https://doi.org/10.1016/S0167-9457(99)00025-1
  13. Fuller J, Lui LJ, Murphy MC, Mann RW. A comparison of lower-extremity skeletal kinematics measured using skin- and pin-mounted markers. Hum Mov Sci 1997;16:219-42. https://doi.org/10.1016/S0167-9457(96)00053-X
  14. Reinschmidt C, Van den Bogert AJ, Nigg BM, Lundberg A, Murphy N. Effect of skin movement on the analysis of skeletal knee joint motion during running. J Biomech 1997;30:729-32. https://doi.org/10.1016/S0021-9290(97)00001-8
  15. Zajac FE, Neptune RR, Kautz SA. Biomechanics and muscle coordination of human walking. Part I: introduction to concepts, power transfer, dynamics and simulations. Gait Posture 2002;16:215-32. https://doi.org/10.1016/S0966-6362(02)00068-1
  16. Shirazi-Adl A, Drouin G. Load-bearing role of facets in a lumbar segment under sagittal plane loadings. J Biomech 1987;20:601-13. https://doi.org/10.1016/0021-9290(87)90281-8
  17. Steinberg EL, Luger E, Arbel R, Menachem A, Dekel S. A comparative roentgenographic analysis of the lumbar spine in male army recruits with and without lower back pain. Clin Radiol 2003;58:985-9. https://doi.org/10.1016/S0009-9260(03)00296-4
  18. Legaye J, Duval-Beaupere G, Hecquet J, Marty C. Pelvic incidence: a fundamental pelvic parameter for three-dimensional regulation of spinal sagittal curves. Eur Spine J 1998;7:99-103. https://doi.org/10.1007/s005860050038
  19. Duncan NA, Ahmed AM. The role of axial rotation in the etiology of unilateral disc prolapse. An experimental and finite-element analysis. Spine (Phila Pa 1976) 1991;16:1089-98. https://doi.org/10.1097/00007632-199109000-00014
  20. Gordon SJ, Yang KH, Mayer PJ, Mace AH Jr, Kish VL, Radin EL. Mechanism of disc rupture. A preliminary report. Spine (Phila Pa 1976) 1991;16:450-6. https://doi.org/10.1097/00007632-199104000-00011
  21. Manning DP, Mitchell RG, Blanchfield LP. Body movements and events contributing to accidental and nonaccidental back injuries. Spine (Phila Pa 1976) 1984;9:734-9. https://doi.org/10.1097/00007632-198410000-00014
  22. Marras WS, Granata KP. A biomechanical assessment and model of axial twisting in the thoracolumbar spine. Spine (Phila Pa 1976) 1995;20:1440-51. https://doi.org/10.1097/00007632-199507000-00002
  23. Harris-Hayes M, Sahrmann SA, Norton BJ, Salsich GB. Diagnosis and management of a patient with knee pain using the movement system impairment classification system. J Orthop Sports Phys Ther 2008;38:203-13. https://doi.org/10.2519/jospt.2008.2584
  24. Mueller MJ, Maluf KS. Tissue adaptation to physical stress: a proposed "Physical Stress Theory" to guide physical therapist practice, education, and research. Phys Ther 2002;82:383-403.