The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
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Effects of Weight-Bearing Posture During Heel Raise on Lower Extremity Muscle Activation in Adults with Chronic Ankle Instability

  • Gang-Hyun Moon (Department of Public Health Sciences, Graduate School, Dankook University) ;
  • Bo Gyeong Kim (Department of Public Health Sciences, Graduate School, Dankook University) ;
  • Yeon Su Kim (Department of Physical Therapy, College of Health and Welfare Sciences, Dankook University) ;
  • Eun Bin Park (Department of Physical Therapy, College of Health and Welfare Sciences, Dankook University) ;
  • Hyun Ji Lee (Department of Physical Therapy, College of Health and Welfare Sciences, Dankook University) ;
  • Ji Hee Han (Department of Physical Therapy, College of Health and Welfare Sciences, Dankook University) ;
  • Jung-Won Kwon (Department of Physical Therapy, College of Health and Welfare Sciences, Dankook University)
  • Received : 2024.07.19
  • Accepted : 2024.08.19
  • Published : 2024.08.31
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Abstract

Purpose: Muscle weakness of the lower extremity is one of the causes of chronic ankle instability, and the heel raise exercise has been proposed as a means of increasing ankle stability. This study sought to investigate the most effective weight-bearing posture for adults with chronic ankle instability during the heel raise exercise. Methods: Thirteen patients with chronic ankle instability participated in this study. Each subject performed the heel raise exercise in three postures: neutral weight-bearing posture, medial weight-bearing posture, and lateral weight-bearing posture. The participants performed 10 heel raises per posture. This routine was carried out for 3 days except on the first day for the measurement of % maximum voluntary isometric contraction (MVIC). The Cumberland Ankle Instability Tool (CAIT) was used for the data analysis. Results: The muscle activity assessed according to the weight-bearing posture was significant in the tibialis anterior, the peroneus longus, and the medial gastrocnemius, but not in the lateral gastrocnemius. In addition, there was a significant difference in the activity of all four muscles when compared in the lateral and neutral weight-bearing posture. However, in the comparison of neutral and medial weight-bearing posture, there was no significant difference in activity among the four muscles. Conclusion: For patients with chronic ankle instability, the heel raise exercise in the lateral weight-bearing posture increases the risk of ankle injury by inducing inversion and is ineffective in improving muscle strength. Therefore, we suggest using the neutral and medial weight-bearing postures during the heel raise exercise for the highest improvement in effective muscle strength.

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References

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