Effects of a 12-week gait retraining program combined with foot core exercise on morphology, muscle strength, and kinematics of the arch: A randomized controlled trial

Shen, Bin; Zhang, Shen; Cui, Kedong; Zhang, Xini; Fu, Weijie

doi:10.3389/fbioe.2022.1022910

Cited by 7 publications

(8 citation statements)

References 63 publications

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“…The main literature search yielded a total of 4562 from which 1702 items remained after duplicate removal. A total of 1688 studies were excluded due to not meeting the inclusion criteria and 15 were included after screening of titles and abstracts for further eligibility check [17,37,[41][42][43][44][45][50][51][52][53][54][55][56][57]. (Fig 1 ) shows the flow diagram, summarizing the selection process and the number of studies excluded at each stage.…”

Section: Resultsmentioning

confidence: 99%

“…Table 2 summarizes the characteristics of the included studies. There were 12 cross-sectional studies [17,37,41,42,44,45,[50][51][52][53][54]57] and 3 RCTs [43,52,58] assessing the effects of gait retraining on foot pronation.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Three studies investigated the effect of forefoot strike training. Shen et al [43] investigated the effect of a 12-week forefoot strike training combined with foot core exercise and Laughton et al [45] assessed forefoot and rearfoot strike while William III [44] compared forefoot strikers with those who were instructed to run with a forefoot strike pattern.…”

Section: Changing Foot Strikementioning

confidence: 99%

“…Besides, altering step width has reduced foot pronation [41,42]. Forefoot strike training has also demonstrated promising results in increasing foot arch [43][44][45].…”

Section: Introductionmentioning

confidence: 99%

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Gait retraining targeting foot pronation: A systematic review and meta-analysis

Mousavi,

Khorramroo,

Jafarnezhadgero

2024

PLoS ONE

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Foot pronation is a prevalent condition known to contribute to a range of lower extremity injuries. Numerous interventions have been employed to address this issue, many of which are expensive and necessitate specific facilities. Gait retraining has been suggested as a promising intervention for modifying foot pronation, offering the advantage of being accessible and independent of additional materials or specific time. We aimed to systematically review the literature on the effect of gait retraining on foot pronation. We searched four databases including PubMed, Web of Science, Scopus and Embase from their inception through 20 June 2023. The Downs and Black appraisal scale was applied to assess quality of included studies. Two reviewers screened studies to identify studies reporting the effect of different methods of gait-retraining on foot pronation. Outcomes of interest were rearfoot eversion, foot pronation, and foot arch. Two authors separately extracted data from included studies. Data of interest were study design, intervention, variable, sample size and sex, tools, age, height, weight, body mass index, running experience, and weekly distance of running. Mean differences and 95% confidence intervals (CI) were calculated with random effects model in RevMan version 5.4. Fifteen studies with a total of 295 participants were included. The results of the meta-analysis showed that changing step width does not have a significant effect on peak rearfoot eversion. The results of the meta-analysis showed that changing step width does not have a significant effect on peak rearfoot eversion. Results of single studies indicated that reducing foot progression angle (MD 2.1, 95% CI 0.62, 3.58), lateralizing COP (MD -3.3, 95% CI -4.88, -1.72) can effectively reduce foot pronation. Overall, this study suggests that gait retraining may be a promising intervention for reducing foot pronation; Most of the included studies demonstrated significant improvements in foot pronation following gait retraining. Changing center of pressure, foot progression angle and forefoot strike training appeared to yield more favorable outcomes. However, further research is needed to fully understand its effectiveness and long-term benefits.

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Section: Resultsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Changing Foot Strikementioning

confidence: 99%

“…Besides, altering step width has reduced foot pronation [41,42]. Forefoot strike training has also demonstrated promising results in increasing foot arch [43][44][45].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Gait retraining targeting foot pronation: A systematic review and meta-analysis

Mousavi,

Khorramroo,

Jafarnezhadgero

2024

PLoS ONE

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“…As a result, runners who struggle with weak arch muscles are urged to adopt this combination of interventions to strengthen their arch. 27 There is limited research on plantar fasciitis, which shows the effect of proprioceptive neuromuscular facilitation technique on strength and balance.…”

Section: Discussionmentioning

confidence: 99%

Effect of foot core exercises vs ankle proprioceptive neuromuscular facilitation on pain, range of motion, and dynamic balance in individuals with plantar fasciitis: a comparative study

Boob

Phansopkar

2023

F1000Res

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Plantar fasciitis is generally described as an inflammation of the plantar fascia and adjacent tissues around calcaneus tuberosity. Plantar fasciitis onset has been proposed to have an internal mechanical cause, even though this is inadequately recognized. Studies related to alternation in lower-extremity biomechanics that leads to reduced domes of the foot are hypothesized to cause tension in the underlying fascia. Similarly, despite a wealth of anecdotal data suggesting a direct connection between foot mechanism and disability. This condition typically leads to calf muscular stiffness, soreness in the bottom of the feet, decreased range and foot function, strength, and balance impairment. These results in interference with the normal biomechanics of ambulation. A total of (n=66) individuals with plantar fasciitis will be selected for the trial. Subjects will be allocated to Groups A and B at equal allocation with randomization. Group A will undergo foot core exercises, while Group B will undergo ankle proprioceptive neuromuscular facilitation, with both groups receiving conventional treatment. The regimen lasts for 40 minutes, 5 days, for 6 weeks. The outcome measures will be assessed on Foot Functional Index, modified Star Excursion Balance Test (mSEBT), Visual Analogue Scale (VAS), and Weight Bearing Lunge Test (WBLT) be assessed at the initiation and completion of the entire treatment protocol. Prior and after therapeutic intervention results will be analyzed. Based on the comparison of the two treatments' effects on measuring outcomes in individuals with plantar fasciitis, an analysis will be conducted.

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Current Concepts in the Evaluation, Management, and Prevention of Common Foot and Ankle Injuries in the Runner

Tingan,

Bowen,

Salas-Tam

et al. 2024

Curr Phys Med Rehabil Rep

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Purpose of Review Running-related injuries (RRIs) are a common cause of dysfunction among runners. Foot and ankle injuries are among the most common RRIs. The purpose of this review is to detail current concepts in the pathophysiology, evaluation, management, and prevention of foot and ankle RRIs. Recent Findings Running gait analyses are helpful in identifying biomechanical and kinematic abnormalities that can be targeted in rehabilitation. Musculoskeletal ultrasonography is now being used to both qualitatively and quantitatively assess tissue integrity to guide diagnosis, prognosis, and return to run decision-making. Recent treatment analyses have demonstrated that rehabilitation exercises are vital for restoring tissue function. The effectiveness of gait retraining and shoe modification is unclear. There is emerging evidence that training the foot core muscles is preventative against RRIs. Although injections such as orthobiologics have recently gained popularity, their long-term effectiveness in the management of foot and ankle RRIs remains inconclusive. Summary A comprehensive review of RRI risk factors and a thorough physical examination are vital for identifying RRIs. Ultrasonography is an emerging diagnostic modality for RRIs. Treatment should center around extrinsic risk factor reduction, activity modification, rehabilitative exercise, and a gradual return to run progression. Caution should be used when considering injections, particularly orthobiologics, for the management of RRIs. Future research should be performed to investigate the effectiveness of gait modification and the effectiveness of orthobiologics in the treatment of RRIs.

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Effects of a 12-week gait retraining program combined with foot core exercise on morphology, muscle strength, and kinematics of the arch: A randomized controlled trial

Cited by 7 publications

References 63 publications

Gait retraining targeting foot pronation: A systematic review and meta-analysis

Gait retraining targeting foot pronation: A systematic review and meta-analysis

Effect of foot core exercises vs ankle proprioceptive neuromuscular facilitation on pain, range of motion, and dynamic balance in individuals with plantar fasciitis: a comparative study

Current Concepts in the Evaluation, Management, and Prevention of Common Foot and Ankle Injuries in the Runner

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