DOI QR코드

DOI QR Code

What is the Most Effective Way to Facilitate the Abductor Hallucis Muscle during PNF Leg Pattern-Emphasized Hallux Abduction?

엄지발가락벌림을 강조한 PNF 다리패턴 시 엄지발가락벌림근을 활성화시킬 수 있는 가장 효과적인 방법은?

  • Kim, Yong-Hun (Department of Physical Therapy, Masan University) ;
  • Park, Du-Jin (Department of Physical Therapy, College of Health Sciences, Catholic University of Pusan)
  • 김용훈 (마산대학교 물리치료학과) ;
  • 박두진 (부산가톨릭대학교 물리치료학과)
  • Received : 2020.01.28
  • Accepted : 2020.02.17
  • Published : 2020.04.30

Abstract

Purpose: This study aimed to determine the most effective way to facilitate the abductor hallucis muscle during PNF leg pattern-emphasized hallux abduction. Methods: The study recruited 18 healthy adults. All participants agreed voluntarily to take part in the study following an explanations of its purpose and procedures. They randomly performed the PNF leg pattern-emphasized hallux abduction variations in a hook-lying or sitting position. Activation of the abductor hallucis (AbH), adductor hallucis (AdH), extensor hallucis longus (EHL), and tibialis anterior (TA) muscles, and the ratio of AbH/AdH, were measured during PNF exercises using electromyography. One-way repeated ANOVA was used to compare the activation of foot intrinsic and extrinsic muscles during the four PNF exercises. Results: PNF leg pattern-emphasized hallux abduction using normal timing was significantly higher in TA compared to PNF leg pattern-emphasized hallux abduction using timing for emphasis, regardless of the starting position. The PNF leg pattern-emphasized hallux abduction using timing for emphasis in the hook-lying position was significantly higher in AbH than in other exercises. Although there was no statistically significant difference in the ratio of AbH/AdH, it was higher in the hook-lying position. Conclusion: PNF leg pattern-emphasized hallux abduction using timing for emphasis in the hook-lying position can be recommended as a method to optimize the activation of AbH and the ratio of AbH/AdH.

Keywords

References

  1. Adler SS, Beckers D, Buck M. PNF in practice: an illustrated guide, 4th ed. Berlin Heidelberg. Springer. 2014.
  2. Aiyer A, Stewart S, Rome K. The effect of age on muscle characteristics of the abductor hallucis in people with hallux valgus: a cross-sectional observational study. Journal of Foot and Ankle Research. 2015;8:19. https://doi.org/10.1186/s13047-015-0078-5
  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/10.1097/00002060-200305000-00003
  4. Chung KA, Lee ES, Lee SW. The effect of intrinsic foot muscle training on medial longitudinal arch and ankle stability in patients with chronic ankle sprain accompanied by foot pronation. Physical Therapy Rehabilitation Science. 2016;5(2):78-83. https://doi.org/10.14474/ptrs.2016.5.2.78
  5. Cram JR, Kasman GS, Holtz J. Introduction to surface electromyography. Gaithersburg. Aspen. 1998.
  6. 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
  7. Hedrick MR. The plantar aponeurosis. Foot and Ankle International. 1996;17(10):646-649. https://doi.org/10.1177/107110079601701012
  8. Hislop H, Avers D, Brown M. Daniels and Worthingham's muscle testing, 9th ed. St. Louis. Saunders. 2013.
  9. 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. Physical Therapy in Sport. 2011;12(1):30-35. https://doi.org/10.1016/j.ptsp.2010.08.001
  10. Kendall FP, McCreary EK, Provance PG, et al. Muscles; testing and function with posture and pain, 5th ed. Baltimore. Lippincott Williams & Wilkins. 2005.
  11. Khemlani MM, Carr JH, Crosbie WJ. Muscle synergies and joint linkages in sit-to-stand under two initial foot positions. Clinical Biomechanics. 1999;14(4):236-246. https://doi.org/10.1016/S0268-0033(98)00072-2
  12. Kim BJ, Park DJ. The impact of PNF leg patterns emphasizing hallux abduction on the intrinsic foot muscles of participants with hallux valgus. PNF and Movement. 2018;16(3):449-457.
  13. Kim JJ, Ann SY, Park SY. Comparison of diagonal shoulder exercises with and without visual trace. International Journal of Athletic Therapy and Training. 2014;20(1):52-56. https://doi.org/10.1123/ijatt.2014-0062
  14. 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
  15. Kim YH. Effect of intervention emphasized diagonal eccentric contraction on balance, ankle strength, joint position sense in subjects with chronic ankle instability or flat foot. Dong-eui University. Dissertation of Doctorate Degree. 2019.
  16. Knellwolf TP, Burton AR, Hammam E, et al. Firing properties of muscle spindles supplying the intrinsic foot muscles of humans in unloaded and freestanding conditions. Journal of Neurophysiology. 2019;121(1):74-84. https://doi.org/10.1152/jn.00539.2018
  17. Komatsu J, Sato K, Iwabuchi M, et al. Recovery of paraplegia following postoperative epidural hematomas in lumbar canal stenosis surgery by closed kinetic chain (CKC) exercises: a case report. Medicine. 2019;98(20):1-6.
  18. Lee E, Cho J, Lee S. Short-foot exercise promotes quantitative somatosensory function in ankle instability: a randomized controlled trial. Medical Science Monitor. 2019;25:618-626. https://doi.org/10.12659/MSM.912785
  19. Letafatkar A, Rajabi R, Minoonejad H, et al. Efficacy of perturbation-enhanced neuromuscular training on hamstring and quadriceps onset time, activation and knee flexion during a tuck-jump task. International Journal of Sports Physical Therapy. 2019;14(2):214-227. https://doi.org/10.26603/ijspt20190214
  20. Lim TH. The effects of short foot exercise on ankle strength, static and dynamic balance control in flat foot elderly. Korea University. Dissertation of Master's Degree. 2017.
  21. McKeon PO, Hertel J, Bramble D, et al. The foot core system: a new paradigm for understanding intrinsic foot muscle function. British Journal of Sports Medicine. 2015;49(5):290. https://doi.org/10.1136/bjsports-2013-092690
  22. Murley GS, Menz HB, Landorf KB. Foot posture influences the electromyographic activity of selected lower limb muscles during gait. Journal of Foot and Ankle Research. 2009;2:35. https://doi.org/10.1186/1757-1146-2-35
  23. Neumann DA. Kinesiology of the musculoskeletal system: foundations for rehabilitation, 3rd ed. St Louis. Mosby Elsevier. 2016.
  24. O'Connor KM, Hamill J. The role of selected extrinsic foot muscles during running. Clinical Biomechanics. 2004;19(1):71-77. https://doi.org/10.1016/j.clinbiomech.2003.09.001
  25. Park DJ, Park SY. Comparison of subjects with and without pes planus during short foot exercises by measuring muscular activities of ankle and navicular drop height. Journal of the Korean Society of Physical Medicine. 2018;13(3):107-113. https://doi.org/10.13066/kspm.2018.13.1.107
  26. Park SY, Bang HS, Park DJ. Potential for foot dysfunction and plantar fasciitis according to the shape of the foot arch in young adults. Journal of Exercise Rehabilitation. 2018;14(3):497-502. https://doi.org/10.12965/jer.1836172.086
  27. Saltzman CL, Nawoczenski DA. Complexities of foot architecture as a base of support. The Journal of Orthopaedic and Sports Physical Therapy. 1995;21(6):354-360. https://doi.org/10.2519/jospt.1995.21.6.354
  28. Satkunskiene D, Stasiulis A, Zaicenkoviene K, et al. Effect of muscle-damaging eccentric exercise on running kinematics and economy for running at different intensities. Journal of Strength and Conditioning Research. 2015:29(9):2404-2411. https://doi.org/10.1519/jsc.0000000000000908
  29. Sauer LD, Beazell J, Hertel J. Considering the intrinsic foot musculature in evaluation and rehabilitation for lower extremity injuries. Athletic Training and Sports Health Care. 2011;3(1):43-47. https://doi.org/10.3928/19425864-20100730-02
  30. Soysa A, Hiller C, Refshauge K, et al. Importance and challenges of measuring intrinsic foot muscle strength. Journal of Foot and Ankle Research. 2012;5(1):29. https://doi.org/10.1186/1757-1146-5-29
  31. Verhulst FV, Leeuwesteijn AE, Louwerens JW, et al. Quantitative ultrasound of lower leg and foot muscles: feasibility and reference values. Foot and Ankle Surgery. 2011;17(3):145-149. https://doi.org/10.1016/j.fas.2010.04.002
  32. Vlutters M, van Asseldonk EHF, van der Kooij H. Lower extremity joint-level responses to pelvis perturbation during human walking. Scientific Reports. 2018;8(1):1-12.
  33. Wong YS. Influence of the abductor hallucis muscle on the medial arch of the foot: a kinematic and anatomical cadaver study. Foot and Ankle International. 2007;28(5):617-620. https://doi.org/10.3113/FAI.2007.0617