The effects of short foot exercises and arch support insoles on improvement in the medial longitudinal arch and dynamic balance of flexible flatfoot patients

Eun-Kyung Kim, Jin Seop Kim, Eun-Kyung Kim, Jin Seop Kim

Abstract

[Purpose] The purpose of the present study is to apply short foot exercises and arch support insoles in order to improve the medial longitudinal arch of flatfoot and compare the results to identify the effects of the foregoing exercises on the dynamic balance of the feet and the lower limbs. [Subjects and Methods] Fourteen university students with flexible flatfoot were selected by conducting navicular drop tests and randomly assigned to a short foot exercise group of seven subjects and an arch support insoles group of seven subjects. The intervention in the experiment was implemented for 30 minutes per time, three times per week for five weeks in total. [Results] In inter-group comparison conducted through navicular drop tests and Y-balance tests, the short foot exercise group showed significant differences. Among intra-group comparisons, in navicular drop tests, the short foot exercise group showed significant decreases. In Y-balance tests, both the short foot exercise group and the arch support insoles group showed significant increases. [Conclusion] In the present study, it could be seen that to improve flatfoot, applying short foot exercises was more effective than applying arch support insoles in terms of medial longitudinal arch improvement and dynamic balance ability.

Keywords: Arch support insoles; Flatfoot; Short foot exercise.

References

    1. Hillstrom HJ, Song J, Kraszewski AP, et al. : Foot type biomechanics part 1: structure and function of the asymptomatic foot. Gait Posture, 2013, 37: 445–451.
    1. Flemister AS, Neville CG, Houck J: The relationship between ankle, hindfoot, and forefoot position and posterior tibial muscle excursion. Foot Ankle Int, 2007, 28: 448–455.
    1. Korpelainen R, Orava S, Karpakka J, et al. : Risk factors for recurrent stress fractures in athletes. Am J Sports Med, 2001, 29: 304–310.
    1. Abouaesha F, van Schie CH, Griffths GD, et al. : Plantar tissue thickness is related to peak plantar pressure in the high-risk diabetic foot. Diabetes Care, 2001, 24: 1270–1274.
    1. Citaker S, Gunduz AG, Guclu MB, et al. : Relationship between foot sensation and standing balance in patients with multiple sclerosis. Gait Posture, 2011, 34: 275–278.
    1. Albert S, Rinoie C: Effect of custom orthotics on plantar pressure distribution in the pronated diabetic foot. J Foot Ankle Surg, 1994, 33: 598–604.
    1. Telfer S, Abbott M, Steultjens M, et al. : Dose-response effects of customised foot orthoses on lower limb muscle activity and plantar pressures in pronated foot type. Gait Posture, 2013, 38: 443–449.
    1. Coughlin MJ, Roger A: Mann Award. Juvenile hallux valgus: etiology and treatment. Foot Ankle Int, 1995, 16: 682–697.
    1. Maki BE, Perry SD, Norrie RG, et al. : Effect of facilitation of sensation from plantar foot-surface boundaries on postural stabilization in young and older adults. J Gerontol A Biol Sci Med Sci, 1999, 54: M281–M287.
    1. Hrysomallis C: Relationship between balance ability, training and sports injury risk. Sports Med, 2007, 37: 547–556.
    1. Razeghi M, Batt ME: Foot type classification: a critical review of current methods. Gait Posture, 2002, 15: 282–291.
    1. Fiolkowski P, Brunt D, Bishop M, et al. : Intrinsic pedal musculature support of the medial longitudinal arch: an electromyography study. J Foot Ankle Surg, 2003, 42: 327–333.
    1. Saeki J, Tojima M, Torii S: Clarification of functional differences between the hallux and lesser toes during the single leg stance: immediate effects of conditioning contraction of the toe plantar flexion muscles. J Phys Ther Sci, 2015, 27: 2701–2704.
    1. Janda V, Vavrova M: Sensory motor stimulation. In: Rehabilitation of the Spine. Liebenson C (ed.), Baltimore: Williams & Wilkins, 1996, pp 319–328.
    1. Jung DY, Kim MH, Koh EK, et al. : A comparison in the muscle activity of the abductor hallucis and the medial longitudinal arch angle during toe curl and short foot exercises. Phys Ther Sport, 2011, 12: 30–35.
    1. Jones RK, Nester CJ, Richards JD, 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: 368–372.
    1. Plisky PJ, Gorman PP, Butler RJ, et al. : The reliability of an instrumented device for measuring components of the star excursion balance test. N Am J Sports Phys Ther, 2009, 4: 92–99.
    1. Neumann DA: Kinesiology of the musculoskeletal system: foundations for physical rehabilitation. St Louis: Mosby, 2009.
    1. Snyder KR, Earl JE, O’Connor KM, et al. : Resistance training is accompanied by increases in hip strength and changes in lower extremity biomechanics during running. Clin Biomech (Bristol, Avon), 2009, 24: 26–34.
    1. Allen MK, Glasoe WM: Metrecom measurement of navicular drop in subjects with anterior cruciate ligament injury. J Athl Train, 2000, 35: 403–406.
    1. Lynn SK, Padilla RA, Tsang KK: 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, 2012, 21: 327–333.

Source: PubMed

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