Comparison of the Activity of the Abductor Hallucis Muscle during Short-foot Exercises using Foot Orthosis and the Windlass Effect in Sitting and One-leg Standing Positions (앉은 자세와 한발로 선 자세에서의 발 보조기와 권양기 효과를 이용한 짧은 발 운동 시 엄지 벌림근의 근 활성도 비교)

김도현; Jung, Do-Young (정도영)

Comparison of the Activity of the Abductor Hallucis Muscle during Short-foot Exercises using Foot Orthosis and the Windlass Effect in Sitting and One-leg Standing Positions

Journal of the Korean Society of Physical Medicine
Abbr : J Korean Soc Phys Med
2017, 12(1), pp.75-81
Publisher : The Korean Society of Physical Medicine
Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy

김도현 ¹, Jung, Do-Young ¹

¹중부대학교

Accredited

ABSTRACT

PURPOSE: The purpose of this study was to compare the activity of the abductor hallucis (AbdH) muscle during short foot exercise (SFE) using foot orthosis (SFE-FO) and the windlass effect (SFO-WE) while sitting and in a one-leg standing position. METHODS: We recruited fourteen subjects with normal feet for this study. Surface electromyography (EMG) was used to measure the muscle activity of the AbdH muscle during SFE, SFE-FO, and SFE-WE while sitting and in a one-leg standing position. Three trials consisting of a 5 s hold for each of the three exercises were performed to measure the EMG activity of the AbdH muscle. Exercise type and position were randomly assigned. Two-way repeated-measures ANOVA was used to analyze the effects of exercise type (SFE vs. SFE-FO vs. SFE-WE) and position (sitting vs. one-leg standing position) on AbdH muscle activity. A statistical significance was set at α=.05. RESULTS: The EMG activity of AbdH muscle in the SFE-WE exercise was significantly greater than that during SFE and SFE-FO in both exercise positions (p<.001). In addition, the EMG activity of the AbdH muscle in the one-leg standing position was significantly higher than that while sitting (p<.001) during all three exercises. CONCLUSION: These results suggest that SFE-WE is a more effective strengthening exercise than SFE or SFE-FO for activating the AbdH muscle.

KEYWORDS

Abductor hallucis muscle, Plantar intrinsic muscles, Short-foot exercise, Windlass effect

Citation status

* References for papers published after 2023 are currently being built.

[journal] Allen RH / 2003 / Toe flexors strength and passive extension range of motion of the first metatarsophalangeal joint in individuals with plantar fasciitis / J Orthop Sports Phys Ther 33(8) : 468~479

[journal] Arinci Incel N / 2003 / Muscle imbalance in hallux valgus : an electromyographic study / Am J Phys Med Rehabil 82(5) : 345~349

[journal] 방현수 / 2015 / The Effects of Lumbar Stabilization Exercise on Muscle Activity and Isokinetic Muscle Strength of Female Patients with Chronic Low Back Pain / 대한물리의학회지 / 대한물리의학회 10(2) : 63~71

[journal] Banwell HA / 2014 / Foot orthoses for adults with flexible pes planus: a systematic review / J Foot Ankle Res 7 : 23~

[journal] Bolgla LA / 2004 / Plantar fasciitis and the windlass mechanism: a biomechanical link to clinical practice / J Athl Train 39(1) : 77~82

[journal] Chang R / 2012 / Use of MRI for volume estimation of tibialis posterior and plantar intrinsic foot muscles in healthy and chronic plantar fasciitis limbs / Clin Biomech 27(5) : 500~505

[journal] Evans AM / 2011 / Cochrane review of the evidence for non-surgical interventions for flexible pediatric flat feet / J Phys Rehabil Med 47(1) : 69~89

[journal] Fiolkowski P / 2003 / Intrinsic pedal musculature support of the medial longitudinal arch: an electromyography study / J Foot Ankle Surg 42(6) : 327~333

[journal] Goldmann JP / 2012 / The potential of human toe flexor muscles to produce force / J Anat 221 : 187~194

[journal] Headlee DL / 2008 / Fatigue of the plantar intrinsic foot muscles increases navicular drop / J Electromyogr and Kinesiol 18 : 420~425

[journal] Hicks JH / 1954 / The mechanics of the foot. in: II. The plantar aponeurosis and the arch / J Anat 88(1) : 25~30

[journal] Hume P / 2008 / Effectiveness of foot orthoses for treatment and prevention of lower limb injuries : a review / Sports Med 38(9) : 759~779

[journal] Jung DY / 2011 / A comparison in the muscle activity of the abductor halluces and the medial longitudinal arch angle during toe curl and short foot exercises / Phys Ther Sport 12(1) : 30~35

[journal] Jung DY / 2011 / 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 24(4) : 225~231

[journal] Kappel-Bargas A / 1998 / The windlass mechanism during normal walking and passive first metatarsalphalangeal joint extension / Clin Biomech 13(3) : 190~194

[journal] Kelly LA / 2012 / Recruitment of the plantar intrinsic foot muscles with increasing postural demand / Clin Biomech (Bristol. Avon) 27 : 46~51

[journal] Kim MH / 2013 / 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) : 163~168

[journal] Kwon OY / 2009 / Muscle imbalance and reduced ankle joint motion in people with hammer toe deformity / Clin Biomech 24(8) : 670~675

[journal] Lynn SK / 2012 / Differences in static- and dynamic-balance task performance after 4 weeks of intrinsic-foot-muscle training: the short-foot exercise versus the towel-curl exercise / J Sport Rehabil 21 : 327~333

[journal] Mahar SM / 2009 / Bilateral measurement of resting calcaneal stance position and tibial varum using digital photography and standardized positioning protocols / J Am Podiatr Med Assoc 99(3) : 198~205

[journal] Mickle KJ / 2009 / ISB Clinical Biomechanics Award 2009 : toe weakness and deformity increase the risk of falls in older people / Clin Biomech 24(10) : 787~791

[journal] Mulligan EP / 2013 / Effect of plantar intrinsic muscle training on medial longitudinal arch morphology and dynamic function / Man Ther 18(5) : 425~430

[journal] Myerson MS / 1989 / The pathological anatomy of claw and hammer toes / J Bone Joint Surg Am 71(1) : 45~49

[book] Neumann DA / 2002 / Kinesiology of the musculoskeletal system / Mosby

[book] Page P / 2009 / Assessment and Treatment of Muscle Imbalance: The Janda Approach / Human Kinetics

[journal] Razeghi M / 2002 / Foot type classification: A critical review of current methods / Gait Posture 15(3) : 282~291

[journal] Reinold MM / 2004 / Electromyographic analysis of the rotator cuff and deltoid musculature during common shoulder external rotation exercises / J Orthop Sports Phys Ther 34(7) : 385~394

[journal] Soysa A / 2012 / Importance and challenges of measuring intrinsic foot muscle strength / J Foot Ankle Res 5(1) : 29~

[journal] 윤세원 / 2014 / Effect of Shoes Sole Form on Knee and Ankle Muscle Activity / 대한물리의학회지 / 대한물리의학회 9(4) : 347~354

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