Influence of orthotics on lower extremity function in cycling

Joganich, Timothy G.; Martin, Philip E.

doi:10.1016/0021-9290(92)90189-8

Cited by 4 publications

(3 citation statements)

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“…This study also highlighted the large variation in data between the cyclists and hinted that individual analysis and tailored treatment would be more important than trying to find a normal value. In addition, this study did not allow an adaptation period, in contrast to Joganich and Martin (1991) who allowed a 2 week adaptation for nine cyclists with knee pain. Kinetic and kinematic data however still did not significant alter any of the dependent variables such as tibial rotation or medial knee position.…”

Section: The Role Of Orthotics In Cyclingmentioning

confidence: 67%

Lower body problems and injury in cycling

Callaghan

2005

Journal of Bodywork and Movement Therapies

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Section: The Role Of Orthotics In Cyclingmentioning

confidence: 67%

Lower body problems and injury in cycling

Callaghan

2005

Journal of Bodywork and Movement Therapies

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“…There are unpublished data that investigated the effect of foot orthoses on lower limb kinematics [ 35 , 36 ], muscle activity [ 36 ] and power production [ 13 ] that would be relevant to this systematic review. However, as the studies and data have not undergone the process of peer review, it was not included in this review.…”

Section: Discussionmentioning

confidence: 99%

The effect of foot orthoses and in‐shoe wedges during cycling: a systematic review

Yeo

Bonanno

2014

Journal of Foot and Ankle Research

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BackgroundThe use of foot orthoses and in-shoe wedges in cycling are largely based on theoretical benefits and anecdotal evidence. This review aimed to systematically collect all published research on this topic, critically evaluate the methods and summarise the findings.MethodsStudy inclusion criteria were: all empirical studies that evaluated the effects of foot orthoses or in-shoe wedges on cycling; outcome measures that investigated physiological parameters, kinematics and kinetics of the lower limb, and power; and, published in English. Studies were located by data-base searching (Medline, CINAHL, Embase and SPORTDiscus) and hand-searching in February 2014. Selected studies were assessed for methodological quality using a modified Quality Index. Data were synthesised descriptively. Meta-analysis was not performed as the included studies were not sufficiently homogeneous to provide a meaningful summary.ResultsSix studies were identified as meeting the eligibility criteria. All studies were laboratory-based and used a repeated measures design. The quality of the studies varied, with Quality Index scores ranging from 7 to 10 out of 14. Five studies investigated foot orthoses and one studied in-shoe wedges. Foot orthoses were found to increase contact area in the midfoot, peak pressures under the hallux and were perceived to provide better arch support, compared to a control. With respect to physiological parameters, contrasting findings have been reported regarding the effect foot orthoses have on oxygen consumption. Further, foot orthoses have been shown to not provide effects on lower limb kinematics and perceived comfort. Both foot orthoses and in-shoe wedges have been shown to provide no effect on power.ConclusionIn general, there is limited high-quality research on the effects foot orthoses and in-shoe wedges provide during cycling. At present, there is some evidence that during cycling foot orthoses: increase contact area under the foot and increase plantar pressures under the hallux, but provide no gains in power. Based on available evidence, no definitive conclusions can be made about the effects foot orthoses have on lower limb kinematics and oxygen consumption, and the effect in-shoe wedges have on power during cycling. Future well-designed studies on this topic are warranted.

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“…Kellis and Liassou [36] highlighted that the knee and ankle angles during touch-down play a vital role in joint stability and are particularly crucial during toe-off. Bruggemann et al [42] observed increased rearfoot angle during touch-down and delayed attainment of its maximum value after fatigue. Furthermore, Christina et al [17] observed a decrease in the ankle angle following local muscle fatigue of the dorsiflexors, while fatigue of the plantar flexors contributed to a notable increase in the ankle angle.…”

Section: Introductionmentioning

confidence: 99%

The Influence of General and Local Muscle Fatigue on Kinematics and Plantar Pressure Distribution during Running: A Systematic Review and Meta-Analysis

Hazzaa,

Hottenrott,

Kamal

et al. 2023

Sports

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Fatigue has the potential to alter how impact forces are absorbed during running, heightening the risk of injury. Conflicting findings exist regarding alterations in both kinematics and plantar pressure. Thus, this systematic review and subsequent meta-analysis were conducted to investigate the impact of general and localized muscle fatigue on kinematics and plantar pressure distribution during running. Initial searches were executed on 30 November 2021 and updated on 29 April 2023, encompassing PubMed, The Cochrane Library, SPORTDiscus, and Web of Science without imposing any restrictions on publication dates or employing additional filters. Our PECOS criteria included cross-sectional studies on healthy adults during their treadmill running to mainly evaluate local muscle fatigue, plantar pressure distribution, biomechanics of running (kinematics, kinetics, and EMG results), and temporospatial parameters. The literature search identified 6626 records, with 4626 studies removed for titles and abstract screening. Two hundred and one articles were selected for full-text screening, and 20 studies were included in qualitative data synthesis. The pooled analysis showed a non-significant decrease in maximum pressure under the right forefoot’s metatarsus, which was more than the left rearfoot after local muscle fatigue at a velocity of 15 km/h (p-values = 0.48 and 0.62). The results were homogeneous and showed that local muscle fatigue did not significantly affect the right forefoot’s stride frequency and length (p-values = 0.75 and 0.38). Strength training for the foot muscles, mainly focusing on the dorsiflexors, is recommended to prevent running-related injuries. Utilizing a standardized knee and ankle joint muscle fatigue assessment protocol is advised. Future experiments should focus on various shoes for running and varying foot strike patterns for injury prevention.

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Influence of orthotics on lower extremity function in cycling

Cited by 4 publications

References 0 publications

Lower body problems and injury in cycling

Lower body problems and injury in cycling

The effect of foot orthoses and in‐shoe wedges during cycling: a systematic review

The Influence of General and Local Muscle Fatigue on Kinematics and Plantar Pressure Distribution during Running: A Systematic Review and Meta-Analysis

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