Research Article
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Foot Muscle Strength, Muscle Shortness, Balance, and Shoe Preferences in Different Foot Postures

Year 2022, Volume: 12 Issue: 4, 939 - 944, 30.12.2022
https://doi.org/10.33808/clinexphealthsci.714950

Abstract

Objective: The aim of this study was to investigate the foot muscle strength, muscle shortness, tibialis posterior endurance, balance, and the shoe preference differences between the neutral and pronated foot posture.
Methods: Forty-nine participants consisting of 23 women and 26 men, and age of between 18 and 45 years were participated in the study. Foot posture, medial longitudinal arch height, height, gastrocnemius and hamstring muscle shortness, foot and ankle muscle strength, tibialis
posterior muscle endurance, static balance, and shoe preferences of the participants were evaluated. Subjects were recruited into two groups according to their foot posture evaluated with Foot Posture Index: as those with neutral and pronated foot posture.
Results: Navicular drop, gastrocnemius, and hamstring muscle shortness were significantly higher in participants with pronated foot posture compared to those with neutral foot (p<0.05). There were no significant differences in terms of tibialis posterior, tibialis anterior, peroneal, and
gastrocnemius muscle strength; tibialis posterior muscle endurance, balance, and shoe preferences between two groups (p>0.05).
Conclusion: Flexibility of gastrocnemius and hamstring muscles were reduced, but foot muscle strength, tibialis posterior muscle endurance, and balance remained unaffected in young individuals with excessive foot pronation. Moreover, shoe preferences may not affect the foot posture in young people. Although all age-related biomechanical effects of foot pronation are not well known yet, muscle shortness seems to arise earlier than muscle weakness and reduced balance in pronated foot posture

Supporting Institution

Scientific Research Projects Department of İstanbul Aydın University

References

  • [1] Griffin NL, Miller E, Schmitt D, D’Août K. Understanding the evolution of the windlass mechanism of the human foot from comparative anatomy: Insights, obstacles, and future directions. Am. J. Phys. Anthropol. 2015;156(1):1-10.
  • [2] Gates LS, Arden NK, Hannan MT, Roddy E, Gill TK, Hill CL, Dufour AB, Rathod-Mistry T, Thomas MJ, Menz HB, Bowen CJ, Golightly YM. Prevalence of foot pain across an international Consortium of Population-Based cohorts. Arthritis Care Res. 2019;71(5):661-670.
  • [3] 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. J Back Musculoskelet Rehabil. 2011;24:225-231.
  • [4] Wiewiorski M, Valderrabano V. Painful flatfoot deformity. Acta Chir Orthop Traumatol Cech. 2011;78(1):20-26.
  • [5] Tang SFT, Chen CH, Wu CK, Hong WH, Chen KJ, Chen CK. The effects of total contact insole with forefoot medial posting on rearfoot movement and foot pressure distributions in patients with flexible flatfoot. Clin Neurol Neurosurg. 2015;129:8-11.
  • [6] Vulcano E, Deland JT, Ellis SJ. Approach and treatment of the adult acquired flatfoot deformity. Curr Rev Musculoskelet Med. 2013;6(4):294-303.
  • [7] Kabak B, Kocahan T, Akınoğlu B, Genç A, Hasanoğlu A. Does pes planus influence balance performance in athletes?. Turk J Sports Med. 2019:54(3):195-201.
  • [8] Imhauser CW, Siegler S, Abidi NA, Frankel DZ. The effect of posterior tibialis tendon dysfunction on the plantar pressure characteristics and the kinematics of the arch and the hindfoot. Clin Biomech. 2004;19(2):161-169.
  • [9] Kulig K, Lee S, Reischl S, Noceti-DeWit L. Effect of tibialis posterior tendon dysfunction on unipedal standing balance test. Foot Ankle Int. 2014:83-89.
  • [10] Tunç AR, Tunç Y, Bek N. The effect of tibialis posterior muscle fatique protocol on the static and dynamic foot parameters. Ann Rheum Dis. 2019;78(Suppl 2):1926.
  • [11] Barton CJ, Bonanno D, Menz HB. Development and evaluation of a tool for the assessment of footwear characteristics. J Foot Ankle Res. 2009;2(1):10.
  • [12] Murley GS, Menz HB, Landorf KB. Foot posture influences the electromyographic activity of selected lower limb muscles during gait. J Foot Ankle Res. 2009;2(1):35.
  • [13] Unver B, Suner Keklik S, Yildirim Sahan T, Bek N. An investigation of the effects of pes planus on distal and proximal lower extremity biomechanical parameters and low back pain. Turk J Physiother Rehabil. 2019;30(2):119-125.
  • [14] McRitchie M, Branthwaite H, Chockalingam N. Footwear choices for painful feet– an observational study exploring footwear and foot problems in women. J Foot Ankle Res. 2018;11(1):1-7.
  • [15] Branthwaite H, Chockalingam N. Everyday footwear: an overview of what we know and what we should know on ill-fitting footwear and associated pain and pathology. Foot. 2019;39:11-14.
  • [16] Buldt AK, Menz HB. Incorrectly fitted footwear, foot pain and foot disorders: a systematic search and narrative review of the literature. J Foot Ankle Res. 2018;11(1):1-11.
  • [17] Redmond AC, Crane YZ, Menz HB. Normative values for the foot posture index. J Foot Ankle Res. 2008;1(1):1-9.
  • [18] Redmond AC, Crosbie J, Ouvrier RA. Development and validation of a novel rating system for scoring standing foot posture: the Foot Posture Index. Clin Biomech. 2006;21(1):89- 98.
  • [19] Morrison S, Durward B, Watt G, Donaldson M. A literature review evaluating the role of the navicular in the clinical and scientific examination of the foot. Br J Pod. 2004;7(4):110-114.
  • [20] Kendal FP, Mc Creary EK, Provance PG, Rodgers MM, Romani WA. Muscle testing and function; with posture and pain. 5th edBaltimore: Lipincott Williams & Wilkins; 2005.
  • [21] Clarkson HM. Musculoskeletal assessment: joint range of motion and manual muscle strength. Lippincott Williams & Wilkins; 2000.
  • [22] Kelln BM, Mckeon PO, Gontkof LM, Hertel J. Hand-held dynamometry: reliability of lower extremity muscle testing in healthy, physically active, young adults. J Sport Rehabil. 2008;17(2):160–170.
  • [23] Hébert LJ, Maltais DB, Lepage C, Saulnier J, Crête M, Perron M. Isometric muscle strength in youth assessed by hand held dynamometry: a feasibility, reliability, and validity study. Pediatr Phys Ther. 2011;23(3):289-299.
  • [24] Carroll M, Joyce W, Brenton-Rule A, Dalbeth N, Rome K. Assessment of foot and ankle muscle strength using hand held dynamometry in patients with established rheumatoid arthritis. J Foot Ankle Res. 2013;6(1):10.
  • [25] Hébert-Losier K, Newsham-West RJ, Schneiders AG, Sullivan SJ. Raising the standards of the calf-raise test: a systematic review. J Sci Med Sport. 2009;12(6):594-602.
  • [26] Möller M, Lind K, Styf J, Karlsson J. The reliability of isokinetic testing of the ankle joint and a heel-raise test for endurance. Knee Surg Sports Traumatol Arthrosc. 2005;13(1):60-71.
  • [27] Finnoff JT, Peterson VJ, Hollman JH, Smith J. Intrarater and interrater reliability of the Balance Error Scoring System (BESS). PM R 2009;1(1):50-54.
  • [28] Ellis S, Branthwaite H, Chockalingam N. Evaluation and optimisation of a footwear assessment tool for use within a clinical environment. J Foot Ankle Res. 2022;15(1):1-9.
  • [29] Mosca VS. Flexible flatfoot in children and adolescents. J Child Orthop. 2010;4(2):107-121.
  • [30] Kızılcı H, Erbahçeci F. Assessment of pysical fitness in men with and without pes planus. Turk J Physiother Rehabil. 2016;27(2):25-33.
  • [31] DiGiovanni CW, Langer P. The role of isolated gastrocnemius and combined Achilles contractures in the flatfoot. Foot Ankle Clin. 2007;12(2):363-379.
  • [32] Gougoulias N. Adult acquired flatfoot deformity. Acta Orthop Traumatol Hellenica. 2018;69(2):85-98.
  • [33] Snook AG. The relationship between excessive pronation as measured by navicular drop and isokinetic strength of the ankle musculature. Foot Ankle Int. 2001;22(3):234-240.
  • [34] Harrison PL, Littlewood C. Relationship between pes planus foot type and postural stability. Indian J Physiother Occup. 2010;4(3):21-24.
  • [35] Neville C, Nguyen H, Ross K, Wingood M, Peterson EW, Dewitt JE, Moore J, King MJ, Atanelov L, White J, Najafi B. Lower-limb factors associated with balance and falls in older adults: a systematic review and clinical synthesis. J Am Podiatric Med Assoc. 2020;110(5):1-29.
  • [36] Nix SE. Vicenzino BT, Collins NJ, Smith MD. Characteristics of foot structure and footwear associated with hallux valgus: a systematic review. Osteoarthr Cartil. 2012;20(10):1059-1074.
  • [37] Kurup HV, Clark CIM, Dega RK. Footwear and orthopaedics. Foot Ankle Surg. 2012;18(2):79-83.
  • [38] Menz HB, Morris ME. Footwear characteristics and foot
Year 2022, Volume: 12 Issue: 4, 939 - 944, 30.12.2022
https://doi.org/10.33808/clinexphealthsci.714950

Abstract

References

  • [1] Griffin NL, Miller E, Schmitt D, D’Août K. Understanding the evolution of the windlass mechanism of the human foot from comparative anatomy: Insights, obstacles, and future directions. Am. J. Phys. Anthropol. 2015;156(1):1-10.
  • [2] Gates LS, Arden NK, Hannan MT, Roddy E, Gill TK, Hill CL, Dufour AB, Rathod-Mistry T, Thomas MJ, Menz HB, Bowen CJ, Golightly YM. Prevalence of foot pain across an international Consortium of Population-Based cohorts. Arthritis Care Res. 2019;71(5):661-670.
  • [3] 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. J Back Musculoskelet Rehabil. 2011;24:225-231.
  • [4] Wiewiorski M, Valderrabano V. Painful flatfoot deformity. Acta Chir Orthop Traumatol Cech. 2011;78(1):20-26.
  • [5] Tang SFT, Chen CH, Wu CK, Hong WH, Chen KJ, Chen CK. The effects of total contact insole with forefoot medial posting on rearfoot movement and foot pressure distributions in patients with flexible flatfoot. Clin Neurol Neurosurg. 2015;129:8-11.
  • [6] Vulcano E, Deland JT, Ellis SJ. Approach and treatment of the adult acquired flatfoot deformity. Curr Rev Musculoskelet Med. 2013;6(4):294-303.
  • [7] Kabak B, Kocahan T, Akınoğlu B, Genç A, Hasanoğlu A. Does pes planus influence balance performance in athletes?. Turk J Sports Med. 2019:54(3):195-201.
  • [8] Imhauser CW, Siegler S, Abidi NA, Frankel DZ. The effect of posterior tibialis tendon dysfunction on the plantar pressure characteristics and the kinematics of the arch and the hindfoot. Clin Biomech. 2004;19(2):161-169.
  • [9] Kulig K, Lee S, Reischl S, Noceti-DeWit L. Effect of tibialis posterior tendon dysfunction on unipedal standing balance test. Foot Ankle Int. 2014:83-89.
  • [10] Tunç AR, Tunç Y, Bek N. The effect of tibialis posterior muscle fatique protocol on the static and dynamic foot parameters. Ann Rheum Dis. 2019;78(Suppl 2):1926.
  • [11] Barton CJ, Bonanno D, Menz HB. Development and evaluation of a tool for the assessment of footwear characteristics. J Foot Ankle Res. 2009;2(1):10.
  • [12] Murley GS, Menz HB, Landorf KB. Foot posture influences the electromyographic activity of selected lower limb muscles during gait. J Foot Ankle Res. 2009;2(1):35.
  • [13] Unver B, Suner Keklik S, Yildirim Sahan T, Bek N. An investigation of the effects of pes planus on distal and proximal lower extremity biomechanical parameters and low back pain. Turk J Physiother Rehabil. 2019;30(2):119-125.
  • [14] McRitchie M, Branthwaite H, Chockalingam N. Footwear choices for painful feet– an observational study exploring footwear and foot problems in women. J Foot Ankle Res. 2018;11(1):1-7.
  • [15] Branthwaite H, Chockalingam N. Everyday footwear: an overview of what we know and what we should know on ill-fitting footwear and associated pain and pathology. Foot. 2019;39:11-14.
  • [16] Buldt AK, Menz HB. Incorrectly fitted footwear, foot pain and foot disorders: a systematic search and narrative review of the literature. J Foot Ankle Res. 2018;11(1):1-11.
  • [17] Redmond AC, Crane YZ, Menz HB. Normative values for the foot posture index. J Foot Ankle Res. 2008;1(1):1-9.
  • [18] Redmond AC, Crosbie J, Ouvrier RA. Development and validation of a novel rating system for scoring standing foot posture: the Foot Posture Index. Clin Biomech. 2006;21(1):89- 98.
  • [19] Morrison S, Durward B, Watt G, Donaldson M. A literature review evaluating the role of the navicular in the clinical and scientific examination of the foot. Br J Pod. 2004;7(4):110-114.
  • [20] Kendal FP, Mc Creary EK, Provance PG, Rodgers MM, Romani WA. Muscle testing and function; with posture and pain. 5th edBaltimore: Lipincott Williams & Wilkins; 2005.
  • [21] Clarkson HM. Musculoskeletal assessment: joint range of motion and manual muscle strength. Lippincott Williams & Wilkins; 2000.
  • [22] Kelln BM, Mckeon PO, Gontkof LM, Hertel J. Hand-held dynamometry: reliability of lower extremity muscle testing in healthy, physically active, young adults. J Sport Rehabil. 2008;17(2):160–170.
  • [23] Hébert LJ, Maltais DB, Lepage C, Saulnier J, Crête M, Perron M. Isometric muscle strength in youth assessed by hand held dynamometry: a feasibility, reliability, and validity study. Pediatr Phys Ther. 2011;23(3):289-299.
  • [24] Carroll M, Joyce W, Brenton-Rule A, Dalbeth N, Rome K. Assessment of foot and ankle muscle strength using hand held dynamometry in patients with established rheumatoid arthritis. J Foot Ankle Res. 2013;6(1):10.
  • [25] Hébert-Losier K, Newsham-West RJ, Schneiders AG, Sullivan SJ. Raising the standards of the calf-raise test: a systematic review. J Sci Med Sport. 2009;12(6):594-602.
  • [26] Möller M, Lind K, Styf J, Karlsson J. The reliability of isokinetic testing of the ankle joint and a heel-raise test for endurance. Knee Surg Sports Traumatol Arthrosc. 2005;13(1):60-71.
  • [27] Finnoff JT, Peterson VJ, Hollman JH, Smith J. Intrarater and interrater reliability of the Balance Error Scoring System (BESS). PM R 2009;1(1):50-54.
  • [28] Ellis S, Branthwaite H, Chockalingam N. Evaluation and optimisation of a footwear assessment tool for use within a clinical environment. J Foot Ankle Res. 2022;15(1):1-9.
  • [29] Mosca VS. Flexible flatfoot in children and adolescents. J Child Orthop. 2010;4(2):107-121.
  • [30] Kızılcı H, Erbahçeci F. Assessment of pysical fitness in men with and without pes planus. Turk J Physiother Rehabil. 2016;27(2):25-33.
  • [31] DiGiovanni CW, Langer P. The role of isolated gastrocnemius and combined Achilles contractures in the flatfoot. Foot Ankle Clin. 2007;12(2):363-379.
  • [32] Gougoulias N. Adult acquired flatfoot deformity. Acta Orthop Traumatol Hellenica. 2018;69(2):85-98.
  • [33] Snook AG. The relationship between excessive pronation as measured by navicular drop and isokinetic strength of the ankle musculature. Foot Ankle Int. 2001;22(3):234-240.
  • [34] Harrison PL, Littlewood C. Relationship between pes planus foot type and postural stability. Indian J Physiother Occup. 2010;4(3):21-24.
  • [35] Neville C, Nguyen H, Ross K, Wingood M, Peterson EW, Dewitt JE, Moore J, King MJ, Atanelov L, White J, Najafi B. Lower-limb factors associated with balance and falls in older adults: a systematic review and clinical synthesis. J Am Podiatric Med Assoc. 2020;110(5):1-29.
  • [36] Nix SE. Vicenzino BT, Collins NJ, Smith MD. Characteristics of foot structure and footwear associated with hallux valgus: a systematic review. Osteoarthr Cartil. 2012;20(10):1059-1074.
  • [37] Kurup HV, Clark CIM, Dega RK. Footwear and orthopaedics. Foot Ankle Surg. 2012;18(2):79-83.
  • [38] Menz HB, Morris ME. Footwear characteristics and foot
There are 38 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Banu Ünver 0000-0001-9758-6607

Hanifegül Taşkıran This is me 0000-0002-6134-6262

Ahmet Cüneyt Akgöl This is me 0000-0002-0686-4657

Publication Date December 30, 2022
Submission Date November 15, 2021
Published in Issue Year 2022 Volume: 12 Issue: 4

Cite

APA Ünver, B., Taşkıran, H., & Akgöl, A. C. (2022). Foot Muscle Strength, Muscle Shortness, Balance, and Shoe Preferences in Different Foot Postures. Clinical and Experimental Health Sciences, 12(4), 939-944. https://doi.org/10.33808/clinexphealthsci.714950
AMA Ünver B, Taşkıran H, Akgöl AC. Foot Muscle Strength, Muscle Shortness, Balance, and Shoe Preferences in Different Foot Postures. Clinical and Experimental Health Sciences. December 2022;12(4):939-944. doi:10.33808/clinexphealthsci.714950
Chicago Ünver, Banu, Hanifegül Taşkıran, and Ahmet Cüneyt Akgöl. “Foot Muscle Strength, Muscle Shortness, Balance, and Shoe Preferences in Different Foot Postures”. Clinical and Experimental Health Sciences 12, no. 4 (December 2022): 939-44. https://doi.org/10.33808/clinexphealthsci.714950.
EndNote Ünver B, Taşkıran H, Akgöl AC (December 1, 2022) Foot Muscle Strength, Muscle Shortness, Balance, and Shoe Preferences in Different Foot Postures. Clinical and Experimental Health Sciences 12 4 939–944.
IEEE B. Ünver, H. Taşkıran, and A. C. Akgöl, “Foot Muscle Strength, Muscle Shortness, Balance, and Shoe Preferences in Different Foot Postures”, Clinical and Experimental Health Sciences, vol. 12, no. 4, pp. 939–944, 2022, doi: 10.33808/clinexphealthsci.714950.
ISNAD Ünver, Banu et al. “Foot Muscle Strength, Muscle Shortness, Balance, and Shoe Preferences in Different Foot Postures”. Clinical and Experimental Health Sciences 12/4 (December 2022), 939-944. https://doi.org/10.33808/clinexphealthsci.714950.
JAMA Ünver B, Taşkıran H, Akgöl AC. Foot Muscle Strength, Muscle Shortness, Balance, and Shoe Preferences in Different Foot Postures. Clinical and Experimental Health Sciences. 2022;12:939–944.
MLA Ünver, Banu et al. “Foot Muscle Strength, Muscle Shortness, Balance, and Shoe Preferences in Different Foot Postures”. Clinical and Experimental Health Sciences, vol. 12, no. 4, 2022, pp. 939-44, doi:10.33808/clinexphealthsci.714950.
Vancouver Ünver B, Taşkıran H, Akgöl AC. Foot Muscle Strength, Muscle Shortness, Balance, and Shoe Preferences in Different Foot Postures. Clinical and Experimental Health Sciences. 2022;12(4):939-44.

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