PNF and Movement

  • 제16권3호
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  • Pages.441-449
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  • 2018
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  • 2508-6227(pISSN)
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  • 2508-6472(eISSN)
대한고유수용성신경근촉진법학회 (Korea Proprioceptive Neuromuscular Facilitation Association)
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엄지발가락 벌림을 강조한 PNF 하지 패턴이 엄지발가락가쪽휨증을 지닌 대상자의 발의 내재근 근활성도에 미치는 영향

The Impact of PNF Leg Patterns Hallux Abduction on the Intrinsic Foot Muscles of Participants with Hallux Valgus

  • 김병조 (동의대학교 물리치료학과) ;
  • 박두진 (가야대학교 물리치료학과)
  • Kim, Byeong-Jo (Department of Physical Therapy, Dongeui University) ;
  • Park, Du-Jin (Department of Physical Therapy, Kaya University)
  • 투고 : 2018.11.07
  • 심사 : 2018.11.12
  • 발행 : 2018.12.31
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초록

Purpose: This study aimed to compare the impact of proprioceptive neuromuscular facilitation leg patterns emphasizing hallux abduction (PNF-LPHA) on the intrinsic foot muscles of participants with hallux valgus (HV) using the toe-spread-out exercise (TSO). Methods: The present study recruited 12 individuals with HV. All the participants voluntarily agreed to participate in the study after hearing explanations of its purpose and process. All participants performed the TSO, PNF-LPHA 1, and PNF-LPHA 2. The participants' abductor hallucis (AbH), adductor hallucis (AdH), extensor hallucis longus (EHL), and flexor hallucis brevis (FHB) activity was measured, and the ratio of AbH:AdH was measured during the three interventions using electromyography. Additionally, the participants' AbH thickness was measured by ultrasonography. An intraclass correlation coefficient (ICC) was used to verify the intra-rater reliability of ultrasonography at rest and during contraction. Results: The intra-rater reliability was excellent at rest and during contraction ($ICC_{3,1}=0.90$ and $ICC_{3,1}=0.83$, respectively). There were no statistically significant differences in the activity of the AbH, the ratio of AbH: AdH, and the thickness of AbH between the TSO and PNF-LPHA2 groups. Additionally, EHL activity was significantly higher in the PNF-LPHA2 group than in the TSOgroup. Conclusion: PNF-LPHA 2 can be recommended as a method to optimize AbH and EHL activity, the ratio of AbH:AdH, and the thickness of AbH in individuals with HV.

키워드

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Fig. 1. Foot print.

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Fig. 2. Placements of surface electrodes on foot. EHL: extensor hallucis longus, AbH: abductor hallucis, AdH: adductor hallucis, FHB: flexor hallucis brevis.

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Fig. 3. Ultrasonography for abductor hallucis.

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Fig. 4. Toe spread out exercise. (A) Start position, (B)End position.

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Fig. 5. PNF leg pattern emphasized hallux abduction 1.(A) Start position, (B) End position.

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Fig. 6. PNF leg pattern emphasized hallux abduction 2.(A) Start position, (B) End position.

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Fig. 7. Ratio of muscle activity among interventions.

Table 1. Comparison of activity of foot intrinsic muscles among exercises (n=12)

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Table 2. Comparison of thickness of abductor hallucis and ratio of muscle activity among exercises (n=12)

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Table 3. Intra-rater reliability of thickness measurement of abductor hallucis (n=6)

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참고문헌

  1. Adler SS, Decker D, Buck M. PNF in practive: an illustrated guide, 3rd ed. Heidelberg. Springer. 2014.
  2. Angin S, Crofts G, Mickle KJ, et al. Ultrasound evaluation of foot muscles and plantar fascia in pes planus. Gait and Posture. 2014;40(1):48-52. https://doi.org/10.1016/j.gaitpost.2014.02.008
  3. Arinci Incel N, Genc H, Erdem HR, et al. Muscle imbalance in hallux valgus: an electromyographic study. American Journal of Physical Medicine and Rehabilitation. 2003;82(5):345-349. https://doi.org/10.1097/01.PHM.0000064718.24109.26
  4. Coughlin MJ, Jones CP. Hallux valgus: demographics, etiology, and radiographic assessment. Foot and Ankle International. 2007;28(7):759-777. https://doi.org/10.3113/FAI.2007.0759
  5. Coughlin MJ, Saltzman CL, Nunley JA 2nd. Angular measurements in the evaluation of hallux valgus deformities: a report of the ad hoc committee of the American orthopaedic foot & ankle society on angular measurements. Foot and Ankle International. 2002;23(1):68-74. https://doi.org/10.1177/107110070202300114
  6. Deschamps K, Birch I, Desloovere K, et al. The impact of hallux valgus on foot kinematics: a cross-sectional, comparative study. Gait and Posture. 2010;32(1):102-106. https://doi.org/10.1016/j.gaitpost.2010.03.017
  7. Eustace S, Williamson D, Wilson M, et al. Tendon shift in hallux valgus: observations at MR imaging. Skeletal Radiology. 1996;25(6):519-524. https://doi.org/10.1007/s002560050128
  8. Faldini C, Nanni M, Traina F, et al. Surgical treatment of hallux valgus associated with flexible flatfoot during growing age. International Othopaedics. 2016;40(4):737-743. https://doi.org/10.1007/s00264-015-3019-9
  9. Fiolkowski P, Brunt D, Bishop M, et al. Intrinsic pedal musculature support of the medial longitudinal arch: an electromyography study. The Journal of Foot and Ankle Surgery. 2003;42(6):327-333. https://doi.org/10.1053/j.jfas.2003.10.003
  10. Headlee DL, Leonard JL, Hart JM, et al. Fatigue of the plantar intrinsic foot muscles increases navicular drop. Journal of Electromyography and Kinesiology. 2008;18(3):420-425. https://doi.org/10.1016/j.jelekin.2006.11.004
  11. Hislop H, Avers D, Brown M. Daniels and Worthingham's muscle testing, 9th ed. St. Louis. Saunders Elsevier. 2013.
  12. Jang MC. A study on the release of female hallux valgus. Westminster Theological Seminary. Dissertation of Doctorate Degree. 2016.
  13. 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. Journal of Back and Musculoskeletal Rehabilitation. 2011;24(4):225-231. https://doi.org/10.3233/BMR-2011-0299
  14. Kahle W, Leonhardt H, Platzer W. Color atlas and text of human anatomy volume 1 locmotor system. Ludwigsburg. Thieme. 1992.
  15. Keller D. Yoga plus joyful living magazine. Himalayan Institute. 2008.
  16. Kendall FP, McCreary EK, Provance PG, et al. Muscles: testing and function, with posture and pain. Philadelphia. Lippincott Williams & Wilkins. 2005.
  17. Kim MH. Effects of toe-spread-out exercise in subjects with hallux valgus. Yonsei University. Dissertation of Doctorate Degree. 2015.
  18. Kim MH, Kwon OY, Kim SH, et al. 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. Journal of Back and Musculoskeletal Rehabilitation. 2013;26(2):163-168. https://doi.org/10.3233/BMR-2012-00363
  19. Park JH. The effect of trunk and foot strengthening exercise to young with flexible flatfoot and hallux valgus. Daegu University. Dissertation of Master's Degree. 2011.
  20. Rose GK, Welton EA, Marshall T. The diagnosis of flat foot in the child. The Journal of Bone and Joint Surgery. British Volume. 1985;67(1):71-78.
  21. Scott G, Menz HB, Newcombe L. Age-related differences in foot structure and function. Gait and Posture. 2007;26(1):68-75. https://doi.org/10.1016/j.gaitpost.2006.07.009
  22. Sim-fook L, Hodgson AR. A comparison of foot forms among the non-shoe and shoe-wearing Chinese population. The Journal of Bone and Joint Surgery. American Volume. 1958;40-A(5):1058-1062.
  23. Xiang L, Mei Q, Fernandez J, et al. Minimalist shoes running intervention can alter the plantar loading distribution and deformation of hallux valgus: a pilot study. Gait and Posture. 2018;65:65-71.