The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
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The Effect of Calf Stiffness on Gait, Foot Pressure and Balance in Adults

  • Lee, JeonHyeong (Department of Physical Therapy, Daegu Health College) ;
  • Chang, JongSung (Department of Physical Therapy, Yeungnam University College)
  • Received : 2019.11.04
  • Accepted : 2019.12.05
  • Published : 2019.12.31
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Abstract

Purpose: The purpose of this study was to investigate the effects of calf tightness on gait, plantar pressure, and balance in adults. Methods: A total of 60 participants were divided into a normal group of 30 subjects with normal dorsiflexion angle (20-25 degrees) and an experimental group of 30 subjects with limited dorsiflexion angle (0-15 degrees) due to calf tightness. Gait ability and foot pressure of the subjects was measured with a treadmill, and the balance ability was measured by PROKIN system. Results: A significant difference in COP length, loading response, and single limb support was observed between groups. The COP length and single limb support ratio in the normal group was greater than in the experimental group, but the experimental group showed a higher ratio for loading response in the gait ratio. Conclusion: Our results indicated that calf tightness was negative effects on balance and gait ability, so assessment of the muscle tightness should be considered during exercise and treatment.

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References

  1. Jacobs JV, Horak FB. External postural perturbations induce multiple anticipatory postural adjustments when subjects cannot pre-select their stepping foot. Exp Brain Res. 2007;179(1):29-42. https://doi.org/10.1007/s00221-006-0763-5
  2. Jeon HS, Hwang S, Woo YK. The effect of ankle and knee immobilization on postural control during standing. Knee. 2013;20(6):600-4. https://doi.org/10.1016/j.knee.2012.09.001
  3. Shah C. The effect of hamstring and calf tightness on static, dynamic balance and mobility - a correlation study. Indian J Pysiother & Occup Ther. 2013;7(4):17-22. https://doi.org/10.5958/j.0973-5674.7.4.115
  4. Murphy DF, Connolly DA, Beynnon BD. Risk factors for lower extremity injury: A review of the literature. Br J Sports Med. 2003;37(1):13-29. https://doi.org/10.1136/bjsm.37.1.13
  5. Lima YL, Ferreira V, de Paula Lima PO et al. The association of ankle dorsiflexion and dynamic knee valgus: a systematic review and meta-analysis. Phys Ther Sport. 2018;29:61-9. https://doi.org/10.1016/j.ptsp.2017.07.003
  6. Johnson E, Bradley B, Witkowski K et al. Effect of a static calf muscle-tendon unit stretching program on ankle dorsiflexion range of motion of older women. J Geriatr Phys Ther. 2007;30(2):49-52. https://doi.org/10.1519/00139143-200708000-00003
  7. Hunter GR, McCarthy JP, Bamman MM. Effects of resistance training on older adults. Sports Med. 2004;34(5):329-48. https://doi.org/10.2165/00007256-200434050-00005
  8. Karas M, Hoy D. Compensatory midfoot dorsiflexion in the individual with heelcord tightness: Implications for orthotic device designs. J Prosthet Orthot. 2002;14(2):82-93. https://doi.org/10.1097/00008526-200206000-00011
  9. Gajdosik RL. Relation of age and passive properties of an ankle dorsiflexion stretch to the timed one-leg stance test in older women. Percept Mot Skills. 2006;103(1):177-82. https://doi.org/10.2466/pms.103.1.177-182
  10. Power K, Behm D, Cahill F et al. An acute bout of static stretching: Effects on force and jumping performance. Med Sci Sports Exerc. 2004; 36(8):1389-96. https://doi.org/10.1249/01.MSS.0000135775.51937.53
  11. Samukawa M, Hattori M, Sugama N et al. The effects of dynamic stretching on plantar flexor muscle-tendon tissue properties. Man Ther. 2011;16(6):618-22. https://doi.org/10.1016/j.math.2011.07.003
  12. Thacker SB, Gilchrist J, Stroup DF et al. The impact of stretching on sports injury risk: A systematic review of the literature. Med Sci Sports Exerc. 2004;36(3):371-8. https://doi.org/10.1249/01.MSS.0000117134.83018.F7
  13. Elveru RA, Rothstein JM, Lamb RL. Goniometric reliability in a clinical setting. Subtalar and ankle joint measurements. Phys Ther. 1988;68(5): 672-7. https://doi.org/10.1093/ptj/68.5.672
  14. Novacheck TF. The biomechanics of running. Gait Posture. 1998;7(1): 77-95. https://doi.org/10.1016/S0966-6362(97)00038-6
  15. Martin RL, McPoil TG. Reliability of ankle goniometric measurements: A literature review. J Am Podiatr Med Assoc. 2005;95(6):564-72. https://doi.org/10.7547/0950564
  16. Kim SG. The effect of action observation exercise and cognitive therapy exercise on balance and gait in stroke patients. Daegu University, Dissertation of Doctorate Degree. 2014.
  17. Faude O, Donath L, Roth R et al. Reliability of gait parameters during treadmill walking in community-dwelling healthy seniors. Gait Posture. 2012;36(3):444-8. https://doi.org/10.1016/j.gaitpost.2012.04.003
  18. Amico AP, Nisi M, Covelli I et al. Efficacy of proprioceptive training with prokin system in balance disorders from multiple sclerosis. J Mult Scler. 2014;1(2):1-10.
  19. Jeon IC, Kwon OY, Yi CH et al. Ankle-dorsiflexion range of motion after ankle self-stretching using a strap. J Athl Train. 2015;50(12):1226-32. https://doi.org/10.4085/1062-6050-51.1.01
  20. Kuzma SA, McNeil SP. A comparison of $prostretch^{(R)}$ versus incline board stretching on active ankle dorsiflexion range of motion. UW-L Journal of Undergraduate Research VIII. 2005;1:1-6.
  21. Jeong HC, Lim NY. Effect of taping therapy on the rom, pain, and discomfort of adults with ankle pain. J Muscle Joint Health. 2010;17(2): 124-31. https://doi.org/10.5953/JMJH.2010.17.2.124
  22. Roh HL. Effects of calf muscle massage on the balance. J Kor Clini Health Scie. 2015;3(4):490-4. https://doi.org/10.15205/kschs.2015.3.4.490
  23. Smajla D, Garcia-Ramos A, Tomazin K et al. Selective effect of static stretching, concentric contractions, and a balance task on ankle force sense. PLoS One. 2019;14(1):e0210881. https://doi.org/10.1371/journal.pone.0210881
  24. Divya J, Kiruthika, Kumaresan. Influence of ankle exercise on balance among community dwelling older adults. Res J Pharm & Tech. 2018; 11(7):2935-9. https://doi.org/10.5958/0974-360x.2018.00542.5

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