PNF and Movement

Korea Proprioceptive Neuromuscular Facilitation Association (대한고유수용성신경근촉진법학회)
권호 표지
DOI QR코드

DOI QR Code

Changes in Muscle Activity and Contraction Rate in Patients with Hallux Valgus Using Mulligan Taping

  • In-Young Kong (Department of Physical Therapy, Wooriyunhap Hospital) ;
  • Ju-Ri Eom (Biomedical Research Institute, Pusan National University Hospital) ;
  • Sung-Hee Chae (Department of Physical Therapy, Yangsan Jaeil Hospital) ;
  • Jong-Soon Kim (Department of Physical Therapy, College of Health Science, Catholic University of Pusan)
  • Received : 2024.07.05
  • Accepted : 2024.08.02
  • Published : 2024.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: Although foot muscle imbalance has been confirmed in patients with hallux valgus deformity, there is insufficient information on how corrective taping affects muscle activity and contraction rate of the foot muscles. The purpose of this study was to confirm the effectiveness of Mulligan taping as a treatment method for hallux valgus deformity by examining changes in muscle activity and contraction rate when Mulligan taping with inelastic tape was applied to these patients. Methods: Thirty-two patients with hallux valgus deformity were randomly divided into two groups, experimental and control. In the experimental group, Mulligan taping with inelastic tape was applied to correct the hallux valgus angle of the big toe, and in the control group, placebo taping was performed in which inelastic tape was applied in a straight line without modifying the angle of the big toe. Muscle activity and muscle contraction rate were measured before and after the intervention, and changes were compared and analyzed. Results: In the experimental group where Mulligan taping was applied, the muscle activity and muscle contraction rate of the abductor hallucis muscle significantly increased after the intervention (P < 0.05). On the other hand, the muscle activity and muscle contraction rate of the adductor hallucis muscle and tibialis posterior muscle significantly decreased (P < 0.05). There was no significant difference in muscle activity and muscle contraction rate in the control group, where placebo taping was applied (P > 0.05). Conclusion: Mulligan taping significantly changed muscle activity and contraction rates compared to placebo taping. By correcting the position of the big toe, the activity and contraction rate of the abductor hallucis muscle increased, while the activity and contraction rate of the adductor hallucis muscle and tibialis posterior muscle decreased. Therefore, Mulligan taping is considered an intervention that can prevent symptom worsening and enhance foot function by improving muscle imbalance in patients with hallux valgus deformity.

Keywords

References

  1. Agrawal SS, Deshpande MG. Effectiveness of mulligans taping for the short term management of plantar heel pain Randomised control trial. International Journal of Biomedical and Advance Research. 2015;6(7):531-536.
  2. Akaras E, Guzel NA, Kafa N, et al. The acute effects of two different rigid taping methods in patients with hallux valgus deformity. Journal of Back and Musculoskeletal Rehabilitation. 2020;33(1):91-98. https://doi.org/10.3233/BMR-181150
  3. Albright A, Franz M, Hornsby G, et al. American College of Sports Medicine position stand. Exercise and type 2 diabetes. Medicine and Science in Sports and Exercise. 2000; 32(7):1345-60.
  4. Arcella L, Petitdant B. Expansions inconstantes du tendon du tibial posterieur: anatomie, biomecanique et physiopathologieen lien avec l'hallux valgus. Kinesitherapie, la Revue. 2020;20(221):22-28. https://doi.org/10.1016/j.kine.2020.02.009
  5. Arinci Incel, Nurgul MD, Genc H, et al. Muscle imbalance in hallux valgus: an electromyographic study. American Journal of Physical Medicine & Rehabilitation. 2003;82(5):345-349. https://doi.org/10.1097/01.PHM.0000064718.24109.26
  6. Barotsis N, Tsiganos P, Kokkalis Z, et al. Reliability of muscle thickness measurements in ultrasonography. International Journal of Rehabilitation Research. 2020;43(2):123-128. https://doi.org/10.1097/MRR.0000000000000390
  7. Benvenuti F, Ferrucci L, Guralnik JM, et al. Foot pain and disability in older persons: an epidemiologic survey. Journal of the American Geriatrics Society. 1995;43(5):479-484. https://doi.org/10.1111/j.1532-5415.1995.tb06092.x
  8. Brantingham JW, Bonnefin D, Perle SM, et al. Manipulative therapy for lower extremity conditions: update of a literature review. Journal of manipulative and physiological therapeutics. 2012;35(2):127-166. https://doi.org/10.1016/j.jmpt.2012.01.001
  9. Choi JH. Effects of kinesio taping and stretching on hallux valgus angle and balance in female hallux valgus patients. Research Journal of Pharmacy and Technology. 2017;20(1):21-02.
  10. Crofts G, Angin S, Mickle K J, et al. Reliability of ultrasound for measurement of selected foot structures. Gait & Posture. 2014;39(1):35-39. https://doi.org/10.1016/j.gaitpost.2013.05.022
  11. Deenik AR, Visser E, Louwerens JWK, et al. Hallux valgus angle as main predictor for correction of hallux valgus. BMC Musculoskeletal Disorders. 2008;9:1-6. https://doi.org/10.1186/1471-2474-9-1
  12. Demirdel E, Karaduman AA. The Immediate Effects of Rigid Taping on Physical Performance in Women with Hallux Valgus Deformity. Turkish Journal of Science and Health. 2022;3(3):185-191. https://doi.org/10.51972/tfsd.1106562
  13. Dufour M. Anatomie de l'appareil locomoteur-Tome 1. Membre inferieur. Elsevier Health Sciences. 2023. Ferrari J, Hopkinson DA, Linney AD. Size and shape differences between male and female foot bones: is the female foot predisposed to hallux abducto valgus deformity?. Journal of the American Podiatric Medical Association. 2004;94(5):434-452. https://doi.org/10.7547/0940434
  14. Glasoe WM. Treatment of progressive first metatarsophalangeal hallux valgus deformity: a biomechanically based muscle-strengthening approach. Journal of Orthopaedic & Sports Physical Therapy. 2016;46(7): 596-605. https://doi.org/10.2519/jospt.2016.6704
  15. Golightly YM, Hannan MT, Dufour AB, et al. Foot disorders associated with overpronated and oversupinated foot function: the Johnston osteoarthritis project. Foot Ankle International. 2014;35(11):1159-1165. https://doi.org/10.1177/1071100714543907
  16. Gur G, Ozkal O, Dilek B, et al. Effects of corrective taping on balance and gait in patients with hallux valgus. Foot & Ankle International. 2017;38(5):532-540. https://doi.org/10.1177/1071100716683347
  17. Hwang SJ. The analysis of detailed foot motion of the normal and hallux valgus during the gait through the development of the multi-segment foot model. Yonsei University. Dissertation of Master's Degree. 2005.
  18. Incel A, Genc H, Erdem HR, et al. Muscle imbalance in hallux valgus: an electromyographic study. Am Journal Physical Medicine & Rehabilitation. 2003;82(5):345-9. https://doi.org/10.1097/01.PHM.0000064718.24109.26
  19. 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
  20. Kim TW, Kong SJ, Gil SG, et al. Electromyography Analysis: Theory and Application. Hanmi Medical. 2013.
  21. Kurihara T, Yamauchi J, Otsuka M, et al. Maximum toe flexor muscle strength and quantitative analysis of human plantar intrinsic and extrinsic muscles by a magnetic resonance imaging technique. Journal of Foot and Ankle Research. 2014;7(1):1-6. https://doi.org/10.1186/1757-1146-7-1
  22. Laura Bohman DPM, Adam Landsman DPM. Emerging Insights On First Ray Hypermobility. Podiatry Today. 2015;28(12).
  23. Lobo CC, Marin AG, Sanz DR, et al. Ultrasound evaluation of intrinsic plantar muscles and fascia in hallux valgus: A case-control study. Medicine. 2016;95(45):5243.
  24. Menz HB, Fotoohabadi MR, Wee E, et al. Validity of self-assessment of hallux valgus using the Manchester scale. BMC musculoskeletal disorders. 2010;11:1-6. https://doi.org/10.1186/1471-2474-11-1
  25. Mulligan BR. Mobilisations with movement (MWM'S). Journal of Manual & Manipulative Therapy. 1993;1(4):154-6 https://doi.org/10.1179/jmt.1993.1.4.154
  26. Myerson MS, Badekas A. Hypermobility of the first ray. Foot and ankle clinics. 2000;5(3):469-484.
  27. Potter CL, Cairns MC, Stokes M. Use of ultrasound imaging by physiotherapists: a pilot study to survey use, skills and training. Manual Therapy. 2012;17(1):39-46. https://doi.org/10.1016/j.math.2011.08.005
  28. Robinson AHN, Limbers JP. Modem concepts in the treatment of hallux valgus. The Journal of Bone & Joint Surgery British Volume. 2005;87(8):1038-1045.
  29. Seo JH, Lee JH, Lee MY. Effect of Heel Raise Exercise with NMES on Peroneus Longus Muscle Strength and Postural Control Ability in Subjects with Functional Ankle Instability: Randomized Controlled Trial. The Journal of Korean Physical Therapy. 2021;33(1):28-33. https://doi.org/10.18857/jkpt.2021.33.1.28
  30. Shadegani R, Khanmohammadi R, Olyaei G. Comparison of effects of Mulligan taping and Kinesio taping on ankle neuromuscular control in response to a sudden inversion perturbation in individuals with chronic ankle instability. Physical Therapy in Sport. 2023;63:58-66. https://doi.org/10.1016/j.ptsp.2023.07.004
  31. Stewart S, Ellis R, Heath M, et al. Ultrasonic evaluation of the abductor hallucis muscle in hallux valgus: a cross-sectional observational study. BMC Musculoskeletal Disorders. 2013;14(1):1-6. https://doi.org/10.1186/1471-2474-14-1
  32. Thomas S, Barrington R. Hallux valgus. Current Orthopaedics. 2003;17(4):299-307. https://doi.org/10.1016/S0268-0890(02)00184-6
  33. Yoo TG, Cho HS, Lee MG. Effects of a single corrective exercise and taping on gait patterns, plantar pressure, balance, and pain in female moderate hallux valgus patients. Korean Journal of Sport Science. 2020;31(2):153-168. https://doi.org/10.24985/KJSS.2020.31.2.153