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Comparison of the Electromyographic Activity of the Tibialis Anterior and Isometric Dorsiflexor Strength during Dorsiflexion According to Toe Postures in Individuals with Ankle Dorsiflexor Weakness

  • Jeon, In-Cheol (Department of Physical Therapy, College of Life and Health Science, Hoseo University, Research Institute for Basic Sciences, Hoseo University)
  • Received : 2020.07.16
  • Accepted : 2020.08.06
  • Published : 2020.08.31

Abstract

Purpose: This study compared the electromyographic activity of the tibialis anterior (TA) and isometric dorsiflexor strength during dorsiflexion according to the toe postures in individuals with ankle dorsiflexor weakness. Methods: Twenty subjects with ankle dorsiflexor weakness participated in this study. The electromyographic activity of the TA and isometric dorsiflexor strength during dorsiflexion between with toe flexion, extension, and neutral postures were measured using an electromyography device and a hand-held dynamometer in individuals with ankle dorsiflexor weakness. One-way repeated measured analysis of variance, and a Bonferroni post hoc test was used. The level of statistical significance was set to α=0.01. Results: The electromyographic activity of the TA was greater with toe flexion during dorsiflexion than with toe extension and neutral postures (p<0.01). The isometric dorsiflexor strength was smaller with toe flexion during dorsiflexion than with toe extension and neutral postures (p<0.01). Conclusions: In individuals with ankle dorsiflexor weakness, the dorsiflexion with toe flexion can help improve the TA electromyographic activity. The toe posture during dorsiflexion for selective TA activation should be considered, especially in individuals with ankle dorsiflexor weakness.

Keywords

References

  1. Krause DA, Cloud BA, Forster LA et al. Measurement of ankle dorsiflexion: A comparison of active and passive techniques in multiple positions. J Sport Rehabil. 2011;20(3):333-44. https://doi.org/10.1123/jsr.20.3.333
  2. Tiedemann A, Sherrington C, Lord SR. Physiological and psychological predictors of walking speed in older community-dwelling people. Gerontology. 2005;51(6):390-5. https://doi.org/10.1159/000088703
  3. Keysor JJ, Dunn JE, Link CL et al. Are foot disorders associated with functional limitation and disability among community-dwelling older adults? J Aging Health. 2005;17(6):734-52. https://doi.org/10.1177/0898264305280998
  4. Burns J, Redmond A, Ouvrier R et al. Quantification of muscle strength and imbalance in neurogenic pes cavus, compared to health controls, using hand-held dynamometry. Foot Ankle Int. 2005;26(7):540-4. https://doi.org/10.1177/107110070502600708
  5. PG Macrae, M Lacourse, R Moldavon. Physical performance measures that predict fall status in community-dwelling older adults. J Orthop Sports Phys Ther. 1992;16(3):123-8. https://doi.org/10.2519/jospt.1992.16.3.123
  6. Spink MJ, Fotoohabadi MR, Menz HB. Foot and ankle strength assessment using hand-held dynamometry: reliability and age-related differences. Gerontology. 2010;56(6):525-32. https://doi.org/10.1159/000264655
  7. Sahrmann SA. Movement system impairment syndromes of the extremities, cervical and thoracic spines. Amsterdam, Elsevier, 2010:533-46.
  8. Kisner C, Colby LA. Therapeutic Exercise: foundations and techniques. Philadelphia, FA Davis Company, 2012:764-6.
  9. Franck WM, Olk A, Hennig FF. Combined rupture of the tibialis anterior and the extensor hallucis longus tendons-functional reconstruction. Arch Orthop Trauma Surg. 2005;125(4):277-80. https://doi.org/10.1007/s00402-004-0722-1
  10. Jeon IC, Jang JH. Comparison of Tibialis Anterior Muscle Activity and Dorsiflexor Strength according to Toe Postures. JMST. 2020;4(1):13-7.
  11. Hislop H, Avers D, Brown M. Daniels and Worthingham's muscle testing: Techniques of manual examination and performance testing. Philadelphia, Elsevier, 2013:283-96.
  12. Page, P, Frank C, Lardner R. Assessment and treatment of muscle imbalance: The Janda approach. Champaign, Human Kinetics, 2010:799-800.
  13. Scheck M. Etiology of acquired hammertoe deformity. Clin Orthop Relat Res. 1977;(123):63-9.
  14. Hansen ST. Functional reconstruction of the foot and ankle. Philadelphia, Lippincott Williams & Wilkins, 2000:455-62.
  15. Kwon OY, Tuttle LJ, Johnson JE et al. Muscle imbalance and reduced ankle joint motion in people with hammer toe deformity. Clin Biomech. 2009;24(8):670-5. https://doi.org/10.1016/j.clinbiomech.2009.05.010
  16. Wernbom M, Augustsson J, Thomee R. The influence of frequency, intensity, volume and mode of strength training on whole muscle cross-sectional area in humans. Sports Med. 2007;37(3):225-64. https://doi.org/10.2165/00007256-200737030-00004
  17. O'Shea S, Grafton K. The intra and inter-rater reliability of a modified weight-bearing lunge measure of ankle dorsiflexion. Man Ther. 2013;18(3):264-8. https://doi.org/10.1016/j.math.2012.08.007
  18. Soderberg GL, Knutson LM. A guide for use and interpretation of kinesiologic electromyographic data. Phys Ther. 2000;80(5):485-98. https://doi.org/10.1093/ptj/80.5.485
  19. Ayotte NW, Stetts DM, Keenan G et al. Electromyographical analysis of selected lower extremity muscles during 5 unilateral weight-bearing exercises. J Orthop Sports Phys Ther. 2007;37(2):48-55. https://doi.org/10.2519/jospt.2007.2354
  20. Criswell E. Cram's introduction to surface electromyography. Sudbury, Jones & Bartlett, 2010:371-3.
  21. Kendall FP, McCreary EK, Provance PG et al. Muscles testing and function, with posture and pain. Baltimore, Lippincott Williams & Wilkins, 2005:410.
  22. Condon SM, Hutton RS. Soleus muscle electromyographic activity and ankle dorsiflexion range of motion during four stretching procedures. Phys Ther. 1987;67(1):24-30. https://doi.org/10.1093/ptj/67.1.24
  23. Sady SP, Wortman M, Blanke D. Flexibility training: Ballistic, static or proprioceptive neuromuscular facilitation. Arch Phys Med Rehabil 1982;63(6)261-3.
  24. Jeon IC, Jang JH. Comparison of Prone Hip Extension Exercise and Prone Hip Extension Exercise after Iliopsoas Stretching on Lumbopelvic Control and Gluteus Maximus Activity in Subjects with Short Iliopsoas. JMST. 2017;1(1):19-25.
  25. Lee JE, Park GH, Lee YS et al. A comparison of muscle activities in the lower extremity between flat and normal feet during one-leg standing. J Phys Ther Sci. 2013;25(9):1059-61. https://doi.org/10.1589/jpts.25.1059

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