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The immediate effects of foot pressure based insole on ankle dorsiflexion range of motion, postural sway, and muscle activation in healthy adults with genu varum

  • Chun, Hye-Lim (Department of Physical Therapy, Health and Welfare Graduate School, Sahmyook University) ;
  • Lee, Byoung-Hee (Department of Physical Therapy, College of Health Science and Social Welfare, Sahmyook University)
  • Received : 2018.11.20
  • Accepted : 2018.12.17
  • Published : 2018.12.31

Abstract

Objective: The purpose of this research was to determine the immediate effects of wearing a foot-pressure-based insole (FPBI) on ankle dorsiflexion range of motion (DFROM), postural sway, and muscle activation in healthy individuals with genu varum. Design: Cross-sectional study. Methods: This study was conducted on thirteen adults, with six male and seven females subjects. The mean age was 24.08 years. Foot pressure was measured to apply the FPBI and the weight bearing lunge test was performed with the application of a flat insole (FI) and FPBI. Examination was randomly performed in four conditions to measure both postural sway and muscle activation. All participants applied both the FI and FPBI with four conditions. The four conditions were as follows: 1) Romberg test posture with eyes closed, 2) Romberg test posture with eyes opened, 3) dominant single leg standing with eyes opened, and 4) non-dominant single leg standing with eyes opened. Results: For ankle DFROM between the FI and FPBI, a significant increase was observed in both the dominant and non-dominant leg (p<0.05). For postural sway between the FI and FPBI in the Romberg test posture with eyes closed and dominant single leg standing with eyes opened conditions, a significant decrease was observed (p<0.05). However, the postural sway between FI and FPBI in the Romberg test posture with eyes opened and non-dominant single leg standing with eyes opened, no significant decrease was observed. Also, there were no significant effects on muscle activation between the application of the FI and FPBI. Conclusions: The result showed that FPBI immediately improved ankle DFROM and postural sway. It seems that FPBI may improve genu varum in healthy individuals with genu varum.

Keywords

References

  1. Kendall FP, McCreary EK, Provance PG, Rodgers M, Romani W. Muscles: testing and function with posture and pain. Philadelphia: Lippincott Williams & Wilkins; 2005.
  2. Sharma L, Song J, Felson DT, Cahue S, Shamiyeh E, Dunlop DD. The role of knee alignment in disease progression and functional decline in knee osteoarthritis. JAMA 2001;286:188-95. https://doi.org/10.1001/jama.286.2.188
  3. Matsumoto T, Hashimura M, Takayama K, Ishida K, Kawakami Y, Matsuzaki T, et al. A radiographic analysis of alignment of the lower extremities--initiation and progression of varus-type knee osteoarthritis. Osteoarthritis Cartilage 2015;23:217-23. https://doi.org/10.1016/j.joca.2014.11.015
  4. Johnson F, Leitl S, Waugh W. The distribution of load across the knee. A comparison of static and dynamic measurements. J Bone Joint Surg Br 1980;62:346-9.
  5. Tetsworth K, Paley D. Malalignment and degenerative arthropathy. Orthop Clin North Am 1994;25:367-77.
  6. Van Gheluwe B, Kirby KA, Hagman F. Effects of simulated genu valgum and genu varum on ground reaction forces and subtalar joint function during gait. J Am Podiatr Med Assoc 2005;95:531-41. https://doi.org/10.7547/0950531
  7. Sattari S, Ashraf AR. Comparison the effect of 3 point valgus stress knee support and lateral wedge insoles in medial compartment knee osteoarthritis. Iran Red Crescent Med J 2011;13:624-8.
  8. Penny P, Geere J, Smith TO. A systematic review investigating the efficacy of laterally wedged insoles for medial knee osteoarthritis. Rheumatol Int 2013;33:2529-38. https://doi.org/10.1007/s00296-013-2760-x
  9. Tokunaga K, Nakai Y, Matsumoto R, Kiyama R, Kawada M, Ohwatashi A, et al. Effect of foot progression angle and lateral wedge insole on a reduction in knee adduction moment. J Appl Biomech 2016;32:454-61.
  10. Jones RK, Nester CJ, Richards JD, Kim WY, Johnson DS, Jari S, et al. A comparison of the biomechanical effects of valgus knee braces and lateral wedged insoles in patients with knee osteoarthritis. Gait Posture 2013;37:368-72. https://doi.org/10.1016/j.gaitpost.2012.08.002
  11. Sawada T, Kito N, Yukimune M, Tokuda K, Tanimoto K, Anan M, et al. Biomechanical effects of lateral and medial wedge insoles on unilateral weight bearing. J Phys Ther Sci 2016;28:280-5. https://doi.org/10.1589/jpts.28.280
  12. Ganesan M, Lee YJ, Aruin AS. The effect of lateral or medial wedges on control of postural sway in standing. Gait Posture 2014;39:899-903. https://doi.org/10.1016/j.gaitpost.2013.11.019
  13. Hunt MA, Takacs J, Krowchuk NM, Hatfield GL, Hinman RS, Chang R. Lateral wedges with and without custom arch support for people with medial knee osteoarthritis and pronated feet: an exploratory randomized crossover study. J Foot Ankle Res 2017;10:20. https://doi.org/10.1186/s13047-017-0201-x
  14. Cote KP, Brunet ME, Gansneder BM, Shultz SJ. Effects of pronated and supinated foot postures on static and dynamic postural stability. J Athl Train 2005;40:41-6.
  15. Tsai LC, Yu B, Mercer VS, Gross MT. Comparison of different structural foot types for measures of standing postural control. J Orthop Sports Phys Ther 2006;36:942-53. https://doi.org/10.2519/jospt.2006.2336
  16. Samaei A, Bakhtiary AH, Elham F, Rezasoltani A. Effects of genu varum deformity on postural stability. Int J Sports Med 2012;33:469-73. https://doi.org/10.1055/s-0031-1301331
  17. Hogan KK, Powden CJ, Hoch MC. The influence of foot posture on dorsiflexion range of motion and postural control in those with chronic ankle instability. Clin Biomech (Bristol, Avon) 2016;38:63-7. https://doi.org/10.1016/j.clinbiomech.2016.08.010
  18. Powden CJ, Hoch JM, Hoch MC. Reliability and minimal detectable change of the weight-bearing lunge test: a systematic review. Man Ther 2015;20:524-32. https://doi.org/10.1016/j.math.2015.01.004
  19. Hertel J. Functional instability following lateral ankle sprain. Sports Med 2000;29:361-71. https://doi.org/10.2165/00007256-200029050-00005
  20. Basnett CR, Hanish MJ, Wheeler TJ, Miriovsky DJ, Danielson EL, Barr JB, et al. Ankle dorsiflexion range of motion influences dynamic balance in individuals with chronic ankle instability. Int J Sports Phys Ther 2013;8:121-8.
  21. Guillen-Rogel P, San Emeterio C, Marin PJ. Associations between ankle dorsiflexion range of motion and foot and ankle strength in young adults. J Phys Ther Sci 2017;29:1363-7.
  22. Bok SK, Lee TH, Lee SS. The effects of changes of ankle strength and range of motion according to aging on balance. Ann Rehabil Med 2013;37:10-6. https://doi.org/10.5535/arm.2013.37.1.10
  23. Neumann DA. Kinesiology of the musculoskeletal system: foundations for rehabilitation. St Louis, MO: Mosby; 2010.
  24. Park S, Ko YM, Jang GU, Hwang YT, Park JW. A study on the differences of quadriceps femoris activities by knee alignment during isometric contraction. J Phys Ther Sci 2014;26:1685-8. https://doi.org/10.1589/jpts.26.1685
  25. Sogabe A, Mukai N, Miyakawa S, Mesaki N, Maeda K, Yamamoto T, et al. Influence of knee alignment on quadriceps cross-sectional area. J Biomech 2009;42:2313-7. https://doi.org/10.1016/j.jbiomech.2009.06.022
  26. Russell EM, Hamill J. Lateral wedges decrease biomechanical risk factors for knee osteoarthritis in obese women. J Biomech 2011;44:2286-91. https://doi.org/10.1016/j.jbiomech.2011.05.033
  27. Magee DJ. Orthopedic physical assessment. Saint Louis: Saunders Elsevier; 2006.
  28. Collins N, Teys P, Vicenzino B. The initial effects of a Mulligan's mobilization with movement technique on dorsiflexion and pain in subacute ankle sprains. Man Ther 2004;9:77-82. https://doi.org/10.1016/S1356-689X(03)00101-2
  29. Beazell JR, Grindstaff TL, Sauer LD, Magrum EM, Ingersoll CD, Hertel J. Effects of a proximal or distal tibiofibular joint manipulation on ankle range of motion and functional outcomes in individuals with chronic ankle instability. J Orthop Sports Phys Ther 2012;42:125-34. https://doi.org/10.2519/jospt.2012.3729
  30. Abe Y, Sakamoto M, Nakazawa R, Shirakura K. Relationship between joint motion and acceleration during single-leg standing in healthy male adults. J Phys Ther Sci 2015;27:1251-6. https://doi.org/10.1589/jpts.27.1251
  31. Sorensen RR, Jorgensen MG, Rasmussen S, Skou ST. Impaired postural balance in the morning in patients with knee osteoarthritis. Gait Posture 2014;39:1040-4. https://doi.org/10.1016/j.gaitpost.2014.01.002
  32. Bateni H. Changes of postural steadiness following use of prefabricated orthotic insoles. J Appl Biomech 2013;29:174-9. https://doi.org/10.1123/jab.29.2.174
  33. Kalron A, Pasitselsky D, Greenberg-Abrahami M, Achiron A. Do textured insoles affect postural control and spatiotemporal parameters of gait and plantar sensation in people with multiple sclerosis? PM R 2015;7:17-25. https://doi.org/10.1016/j.pmrj.2014.08.942
  34. Tahmasebi R, Karimi MT, Satvati B, Fatoye F. Evaluation of standing stability in individuals with flatfeet. Foot Ankle Spec 2015;8:168-74. https://doi.org/10.1177/1938640014557075
  35. Herdman SJ, Clendaniel RA. Vestibular rehabilitation. Philadelphia: FA Davis; 2014.
  36. Kluge F, Krinner S, Lochmann M, Eskofier BM. Speed dependent effects of laterally wedged insoles on gait biomechanics in healthy subjects. Gait Posture 2017;55:145-9. https://doi.org/10.1016/j.gaitpost.2017.04.012
  37. Giffin JR, Stanish WD, MacKinnon SN, MacLeod DA. Application of a lateral heel wedge as a nonsurgical treatment for varum gonarthrosis. J Prosthet Orthot 1995;7:23-8.
  38. Ntousis T, Mandalidis D, Chronopoulos E, Athanasopoulos S. EMG activation of trunk and upper limb muscles following experimentally-induced overpronation and oversupination of the feet in quiet standing. Gait Posture 2013;37:190-4. https://doi.org/10.1016/j.gaitpost.2012.06.028