Effect of the Arch Support on the Strength of the Abductor Hallucis During the Toe Spread Out Exercise in Standing Position in Individuals With Pes Planus
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Background: The longitudinal arch is important for individuals with pes planus. The toe spread out exercise (TSO) has been widely used to continuously support the longitudinal arch by increasing the abductor hallucis (AbdH) muscle activation. However, the AbdH muscle is commonly lack of the sufficient activation during the TSO especially in individuals with pes planus. Objects: This study was performed to investigate the effect of arch support on the muscle activity and strength of the AbdH during TSO in standing position in individuals with pes planus. Methods: Twenty subjects with pes planus between 20 and 30 years of age participated in this study. The muscle activity and strength of the AbdH were measured using surface EMG system and the Smart KEMA tensiometer system. The AbdH muscle was evaluated during TSO between individuals with and without longitudinal arch support in standing position. The longitudinal arch was supported by using the insole. The paired t-test was used. The level of statistical significance was set at α = 0.05. Results: The muscle activity and strength of the AbdH during TSO with arch support in standing position was significantly greater than that without arch support. Conclusion: The muscle activity and strength of the AbdH during TSO in standing position can be influenced by the longitudinal arch support in individuals with pes planus. The AbdH strengthening during TSO in standing with arch support can be recommended especially in individuals with pes planus in the clinical settings.
Abstract
Background: The longitudinal arch is important for individuals with pes planus. The toe spread out exercise (TSO) has been widely used to continuously support the longitudinal arch by increasing the abductor hallucis (AbdH) muscle activation. However, the AbdH muscle is commonly lack of the sufficient activation during the TSO especially in individuals with pes planus. Objects: This study was performed to investigate the effect of arch support on the muscle activity and strength of the AbdH during TSO in standing position in individuals with pes planus. Methods: Twenty subjects with pes planus between 20 and 30 years of age participated in this study. The muscle activity and strength of the AbdH were measured using surface EMG system and the Smart KEMA tensiometer system. The AbdH muscle was evaluated during TSO between individuals with and without longitudinal arch support in standing position. The longitudinal arch was supported by using the insole. The paired t-test was used. The level of statistical significance was set at α = 0.05. Results: The muscle activity and strength of the AbdH during TSO with arch support in standing position was significantly greater than that without arch support. Conclusion: The muscle activity and strength of the AbdH during TSO in standing position can be influenced by the longitudinal arch support in individuals with pes planus. The AbdH strengthening during TSO in standing with arch support can be recommended especially in individuals with pes planus in the clinical settings.
참고문헌 (24)
- Neumann DA, "Kinesiology of the musculoskeletal system:foundations for rehabilitation" (2010), Mosby
- Barton CJ, "Foot and ankle characteristics in patellofemoral pain syndrome : a case control and reliability study", J Orthop Sports Phys Ther, 40(5), pp.286~296 (2010)
- Gray EG, "Electromyography and cinematography of leg and foot("normal"and flat)during walking", Anat Rec, 161(1), pp.1~15 (1968)
- Murley GS, "Effect of foot posture, foot orthoses and footwear on lower limb muscle activity during walking and running: a systematic review", Gait Posture, 29(2), pp.172~187 (2009)
- Sahrmann SA, "Diagnosis and treatment of movement impairment syndromes" (2001), Mosby
- Ekstrom RA, "Electromyographic analysis of core trunk, hip, and thigh muscles during 9 rehabilitation exercises", J Orthop Sports Phys Ther, 37(12), pp.754~762 (2007)
- Leetun DT, "Core stability measures as risk factors for lower extremity injury in athletes", Med Sci Sports Exerc, 36(6), pp.926~934 (2004)
- Kisner C, "Therapeutic exercise: foundations and techniques" (2012), F.A. Davis
- Jung DY, "A comparison in the muscle activity of the abductor hallucis and the medial longitudinal arch angle during toe curl and short foot exercises", Phys Ther Sport, 12(1), pp.30~35 (2011)
- Coughlin MJ, "Angular measurements in the evaluation of hallux valgus deformities: a report of the ad hoc committee of the American Orthopaedic Foot & Ankle Society on angular measurements", Foot Ankle Int, 23(1), pp.68~74 (2002)
- Mann RA, "Surgery of the foot and ankle", pp.100~128 (1999), Mosby
- Headlee DL, "Fatigue of the plantar intrinsic foot muscles increases navicular drop", J Electromyogr Kinesiol, 18(3), pp.420~425 (2008)
- Sahrmann S., "Movement system impairment syndromes of the extremities, cervical and thoracic spines" (2010), Elsevier Health Sciences
- Kendall FP, "Muscles: testing and function with posture and pain" (2005), Lippincott Williams & Wilkins
- Tehraninasr A, "Effects of insole with toe-separator and night splint on patients with painful hallux valgus : a comparative study", Prosthet Orthot Int, 32(1), pp.79~83 (2008)
- Kim MH, "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", J Back Musculoskelet Rehabil, 26(2), pp.163~168 (2013)
- Lee JE, "A comparison of muscle activities in the lower extremity between flat and normal feet during one-leg standing", J Phys Ther Sci, 25(9), pp.1059~1061 (2013)
- Heo HJ, "Comparison of selective activation of the abductor hallucis during various exercises", J Phys Ther Sci, 23(6), pp.915~918 (2011)
- 전인철, "Comparison of Tibialis Anterior Muscle Activity and Dorsiflexor Strength according to Toe Postures", 근골격계과학기술학회, 4(1), pp.13~17 (2020), KEMA학회[DOI]
- Lee JH, "Differences in the angle of the medial longitudinal arch and muscle activity of the abductor hallucis and tibialis anterior during sitting short-foot exercises between subjects with pes planus and subjects with neutral foot", J Back Musculoskelet Rehabil, 29(4), pp.809~815 (2016)
- 차상민, "근전도 바이오피드백을 이용한 숏 풋 운동이 정적으로 선 자세 동안 발의 안쪽 세로활 유지에 미치는 영향", 한국전문물리치료학회지, 24(1), pp.9~18 (2017), 한국전문물리치료학회[DOI]
- Arinci Incel N, "Muscle imbalance in hallux valgus : an electromyographic study", Am J Phys Med Rehabil, 82(5), pp.345~349 (2003)
- 윤혜빈, "Comparison of the Foot Muscle EMG and Medial Longitudinal Arch Angle During Short Foot Exercises at Different Ankle Position", 한국전문물리치료학회지, 24(4), pp.46~53 (2017), 한국전문물리치료학회[DOI]
- 강성태, "다양한 발목각도에 따른 발가락벌리기 운동이 엄지벌림근 단면적에 미치는 영향", 대한물리의학회지, 15(2), pp.121~128 (2020), 대한물리의학회[DOI]
