Foot Muscle Strength, Muscle Shortness, Balance, and Shoe Preferences in Different Foot Postures
Foot Muscle Strength, Muscle Shortness, Balance, and Shoe Preferences in Different Foot Postures
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 (p0.05).
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
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- [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 handheld 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