Effects of foot orthoses on the temporal pattern of muscular activity during walking

Dedieu, Philippe; Drigeard, Charlène; Gjini, Leila; Maso, Fabien Dal; Zanone, Pier–Giorgio

doi:10.1016/j.clinbiomech.2013.06.012

Cited by 26 publications

(13 citation statements)

References 37 publications

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“…When compared to no foot orthosis, foot orthosis use decreased activation of the tibialis posterior and shortened the activity duration, coupled with delayed onset, of the medial gastrocnemius and soleus during gait. 11,31 The authors hypothesized that the decrease in muscle activity may be due to improved foot stability provided by the foot orthosis, which could decrease the demand of these muscles to control and stabilize the foot during gait. 11,31 While foot orthoses have been shown to be effective in the management of PHP for less than 3 months, the effectiveness of foot orthoses was not different from that of a sham foot orthosis with 12 months of use.…”

Section: T T Methodsmentioning

confidence: 99%

“…11,31 The authors hypothesized that the decrease in muscle activity may be due to improved foot stability provided by the foot orthosis, which could decrease the demand of these muscles to control and stabilize the foot during gait. 11,31 While foot orthoses have been shown to be effective in the management of PHP for less than 3 months, the effectiveness of foot orthoses was not different from that of a sham foot orthosis with 12 months of use. 20,21 Therefore, long-term foot orthosis use may not provide additional benefits in pain and function, yet may contribute to foot plantar flexor muscle performance impairments due to a prolonged decrease in foot muscle demand during gait.…”

Section: T T Methodsmentioning

confidence: 99%

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Impaired Foot Plantar Flexor Muscle Performance in Individuals With Plantar Heel Pain and Association With Foot Orthosis Use

McClinton¹,

Collazo²,

Vincent³

et al. 2016

J Orthop Sports Phys Ther

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Study Design Controlled laboratory study. Background Plantar heel pain is one of the most common foot and ankle conditions seen in clinical practice, and many individuals continue to have persisting or recurrent pain after treatment. Impaired foot plantar flexor muscle performance is a factor that may contribute to limited treatment success, but reliable methods to identify impairments in individuals with plantar heel pain are needed. In addition, foot orthoses are commonly used to treat this condition, but the implications of orthosis use on muscle performance have not been assessed. Objectives To assess ankle plantar flexor and toe flexor muscle performance in individuals with plantar heel pain using clinically feasible measures and to examine the relationship between muscle performance and duration of foot orthosis use. Methods The rocker-board plantar flexion test (RBPFT) and modified paper grip test for the great toe (mPGTGT) and lesser toes (mPGTLT) were used to assess foot plantar flexor muscle performance in 27 individuals with plantar heel pain and compared to 27 individuals without foot pain who were matched according to age, sex, and body mass. Pain ratings were obtained before and during testing, and self-reported duration of foot orthosis use was recorded. Results Compared to the control group, individuals with plantar heel pain demonstrated lower performance on the RBPFT (P = .001), the mPGTGT (P = .022), and the mPGTLT (P = .037). Longer duration of foot orthosis use was moderately correlated to lower performance on the RBPFT (r = -0.52, P = .02), the mPGTGT (r = -0.54, P = .01), and the mPGTLT (r = -0.43, P = .03). Conclusion Ankle plantar flexor and toe flexor muscle performance was impaired in individuals with plantar heel pain and associated with longer duration of self-reported foot orthosis use. J Orthop Sports Phys Ther 2016;46(8):681-688. Epub 3 Jul 2016. doi:10.2519/jospt.2016.6482.

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Section: T T Methodsmentioning

confidence: 99%

Section: T T Methodsmentioning

confidence: 99%

Impaired Foot Plantar Flexor Muscle Performance in Individuals With Plantar Heel Pain and Association With Foot Orthosis Use

McClinton¹,

Collazo²,

Vincent³

et al. 2016

J Orthop Sports Phys Ther

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“…However, the restriction of the foot and ankle caused by the AFO can also obstruct the normal degree of movement of the foot and ankle joints. It has been suggested that AFO may impede the advancement of the tibia over the foot during the stance phase and prevent normal gait from occurring [ 37 ]. Combined with the results of this study, we suggest that better plantar rigidity combined with a foot adduction-abduction angle appropriate for the wearer may provide better lateral gait stability for the orthotic wearer.…”

Section: Discussionmentioning

confidence: 99%

Effect of Different Ankle-Foot Immobility on Lateral Gait Stability in the Stance Phase

Fan

Hatanaka

2022

Applied Bionics and Biomechanics

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Background. This study aimed to investigate the effect of limited foot and ankle mobility on the lateral stability of gait through the observation of the mediolateral margin of stability and related kinematic parameters. Methods. Thirty young, healthy participants walked at a fixed gait velocity on a level surface. Participants achieved different degrees of restricted mobility by wearing soft-soled shoes (S), an ankle-foot orthosis with unrestricted dorsiflexion-plantarflexion activity only (A), and an ankle-foot orthosis with unrestricted dorsiflexion-plantarflexion and adjustable horizontal rotation of the foot (OU/OR). Furthermore, the spatiotemporal parameters, mediolateral margin of stability, center of pressure, angle of the fore and hind foot relative to the tibia, and correlation coefficients of the factors were analyzed. Regression analysis was also performed. Results. At right heel strike, group A had a significantly lower mediolateral margin of stability than group S and group OU. Meanwhile, forefoot adduction (0.2 < | r | <0.4) and plantarflexion (0.2 < | r | <0.4), as well as hindfoot internal rotation (0.2 < | r | <0.6) and inversion (0.2 < | r | <0.4), correlated negatively with lateral stability. Regression analysis revealed forefoot dorsiflexion and supination were the main independent variables for group A. At right heel off, groups OU and OR had a significantly lower mediolateral margin of stability than those in groups A and S. Forefoot adduction (0.2 < | r | <0.4) and dorsiflexion (0.4 < | r | <0.6) were correlated with lateral stability, as were hindfoot dorsiflexion (0.2 < | r | <0.4) and inversion (0.2 < | r | <0.4). Regression analysis revealed forefoot abduction and plantarflexion were the main independent variables for groups OU and OR. Conclusions. The present study verified from gait data that forefoot dorsiflexion and supination at the initial contact of the stance phase were relevant factors for the differences in lateral gait stability, whereas abduction and plantar flexion of the forefoot at the terminal stance phase were the main influencing factors of lateral gait stability.

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“…In contrast, Superfeet insoles support the hind legs and the sustentaculum tali, without stabilizing the lateral part of the foot. When the insoles provide arch support, activities of the tibialis anterior, soleus, gastrocnemius medialis, gastrocnemius lateralis, and peroneus longus facilitate arch retention and alignment correction 12) . The arch of the foot is retained by the insole even when standing for a long time 5) .…”

Section: Discussionmentioning

confidence: 99%

Stabilization of postural sway on a sideward slope using cuboid support insoles

Takata

Fukaki²,

Matsuoka

et al. 2021

J Phys Ther Sci

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The purpose of this study was to elucidate whether insoles alter postural sway on a sideward slope rather than on level ground. [Participants and Methods] This study involved 20 flat-footed individuals and 20 normal-footed individuals. The postural sway was determined based on the total length of the locus and the body sway area, which were measured using the Zebris system. The participants were divided into three groups: the BMZ insoles, Superfeet insoles, and no insole groups. These insoles were worn by the participants with their normal shoes worn daily. [Results] The total length of the locus of the BMZ group was significantly lower than those of the Superfeet and no-insole groups. The body sway area did not significantly differ based on the insole condition.[Conclusion] BMZ insoles improve postural sway in both normal-footed and flat-footed individuals on a sideward slope.

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Effects of foot orthoses on the temporal pattern of muscular activity during walking

Cited by 26 publications

References 37 publications

Impaired Foot Plantar Flexor Muscle Performance in Individuals With Plantar Heel Pain and Association With Foot Orthosis Use

Impaired Foot Plantar Flexor Muscle Performance in Individuals With Plantar Heel Pain and Association With Foot Orthosis Use

Effect of Different Ankle-Foot Immobility on Lateral Gait Stability in the Stance Phase

Stabilization of postural sway on a sideward slope using cuboid support insoles

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