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Task-dependent Changes of Tibialis Anterior and Peroneus Longus Activity During Gait in Individuals With Functional Flatfoot

  • Journal of the Korean Society of Physical Medicine
  • Abbr : J Korean Soc Phys Med
  • 2026, 21(3), pp.121~130
  • Publisher : The Korean Society of Physical Medicine
  • Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy
  • Received : June 10, 2026
  • Accepted : July 7, 2026
  • Published : August 31, 2026

Songhee Cheon ORD ID 1

1영산대학교

Accredited

ABSTRACT

PURPOSE: This study examined the task-dependent alterations in the tibialis anterior (TA) and peroneus longus (PL) muscle activity during gait in individuals with a functional flatfoot. METHODS: Twenty-one young adults (14 with a functional flatfoot, 7 with normal foot posture) participated. Surface electromyography was used to record the TA and PL activity during six walking conditions: pelvic-width, tandem, back-wedge, front-wedge, shod normal, and barefoot normal walking. The gait cycle was divided into heel contact, toe touch, heel off, toe off, and swing phases. Linear mixed-effects models were used to examine the effects of the foot type, gait condition, gait phase, and their interactions. RESULTS: The TA activity was significantly lower in the functional flatfoot group than in the control group (β = −6.581, p = .028). Front-wedge walking increased TA activation (β = 11.752, p < .001), whereas individuals with a functional flatfoot showed a reduced response under this condition (β = −9.807, p = .004). No overall group difference in PL activity was observed (p = .101), whereas significant task- and phase-specific interaction effects were identified. Reduced PL activation in the functional flatfoot group was observed during front-wedge walking at toe touch and toe off, and during swing in back-wedge, front-wedge, and shod normal walking (all p < .05). CONCLUSION: Functional flatfoot was associated with lower TA activation and altered PL activation patterns during specific gait conditions. These findings suggest that the muscle activation patterns of the ankle-foot complex differ between individuals with and without a functional flatfoot.

Citation status

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