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An exploratory study investigating the effect of foot type and foot orthoses on gluteus medius muscle activity
BACKGROUND: Abnormal gluteus medius muscle activity is associated with a number of musculoskeletal conditions. Research investigating the effect of foot type and foot orthoses on gluteus medius muscle activity is both conflicting and limited. The primary aim was to investigate the relationship betwe...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7542334/ https://www.ncbi.nlm.nih.gov/pubmed/33028280 http://dx.doi.org/10.1186/s12891-020-03683-7 |
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author | Sadler, Sean Spink, Martin de Jonge, Xanne Janse Chuter, Vivienne |
author_facet | Sadler, Sean Spink, Martin de Jonge, Xanne Janse Chuter, Vivienne |
author_sort | Sadler, Sean |
collection | PubMed |
description | BACKGROUND: Abnormal gluteus medius muscle activity is associated with a number of musculoskeletal conditions. Research investigating the effect of foot type and foot orthoses on gluteus medius muscle activity is both conflicting and limited. The primary aim was to investigate the relationship between foot type and gluteus medius muscle activity during shod walking. The secondary aims of this study were to explore the effect and amount of usage of a pair of unmodified prefabricated foot orthoses on gluteus medius muscle activity during shod walking. METHODS: Foot type was determined using the foot posture index and gluteus medius muscle activity was measured with surface electromyography in 50 healthy adults during shod walking. Participants were then fitted with prefabricated foot orthoses and required to return after 4 weeks. Pearson’s correlation and one-way ANOVA were used to determine effect of foot type. Paired t-tests and ANCOVA were used to determine effect of foot orthoses. RESULTS: Participants with a cavus foot type demonstrated significantly more gluteus medius mean (p = 0.04) and peak amplitude (p = 0.01), and a greater range in amplitude (p = 0.01) compared to participants with a neutral foot type. Compared to a planus foot type, participants with a cavus foot type demonstrated significantly larger mean (p = 0.02) and peak amplitude (p = 0.01), and a greater range in amplitude (p = 0.01). Prefabricated foot orthoses did not change the gluteus medius muscle activity. CONCLUSION: When assessing healthy adults with a cavus foot type, clinicians and researchers should be aware that these participants may display higher levels of gluteus medius muscle activity during gait compared to neutral and planus type feet. Additionally, clinicians and researchers should be aware that the type of prefabricated foot orthoses used did not change gluteus medius muscle activity over 4 weeks. Future research should aim to explore this relationship between foot type and gluteus medius muscle activity in larger sample sizes, consider the potential role of other lower extremity muscles and biomechanical variables, and investigate if these findings also occur in people with pathology. |
format | Online Article Text |
id | pubmed-7542334 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-75423342020-10-08 An exploratory study investigating the effect of foot type and foot orthoses on gluteus medius muscle activity Sadler, Sean Spink, Martin de Jonge, Xanne Janse Chuter, Vivienne BMC Musculoskelet Disord Research Article BACKGROUND: Abnormal gluteus medius muscle activity is associated with a number of musculoskeletal conditions. Research investigating the effect of foot type and foot orthoses on gluteus medius muscle activity is both conflicting and limited. The primary aim was to investigate the relationship between foot type and gluteus medius muscle activity during shod walking. The secondary aims of this study were to explore the effect and amount of usage of a pair of unmodified prefabricated foot orthoses on gluteus medius muscle activity during shod walking. METHODS: Foot type was determined using the foot posture index and gluteus medius muscle activity was measured with surface electromyography in 50 healthy adults during shod walking. Participants were then fitted with prefabricated foot orthoses and required to return after 4 weeks. Pearson’s correlation and one-way ANOVA were used to determine effect of foot type. Paired t-tests and ANCOVA were used to determine effect of foot orthoses. RESULTS: Participants with a cavus foot type demonstrated significantly more gluteus medius mean (p = 0.04) and peak amplitude (p = 0.01), and a greater range in amplitude (p = 0.01) compared to participants with a neutral foot type. Compared to a planus foot type, participants with a cavus foot type demonstrated significantly larger mean (p = 0.02) and peak amplitude (p = 0.01), and a greater range in amplitude (p = 0.01). Prefabricated foot orthoses did not change the gluteus medius muscle activity. CONCLUSION: When assessing healthy adults with a cavus foot type, clinicians and researchers should be aware that these participants may display higher levels of gluteus medius muscle activity during gait compared to neutral and planus type feet. Additionally, clinicians and researchers should be aware that the type of prefabricated foot orthoses used did not change gluteus medius muscle activity over 4 weeks. Future research should aim to explore this relationship between foot type and gluteus medius muscle activity in larger sample sizes, consider the potential role of other lower extremity muscles and biomechanical variables, and investigate if these findings also occur in people with pathology. BioMed Central 2020-10-07 /pmc/articles/PMC7542334/ /pubmed/33028280 http://dx.doi.org/10.1186/s12891-020-03683-7 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Sadler, Sean Spink, Martin de Jonge, Xanne Janse Chuter, Vivienne An exploratory study investigating the effect of foot type and foot orthoses on gluteus medius muscle activity |
title | An exploratory study investigating the effect of foot type and foot orthoses on gluteus medius muscle activity |
title_full | An exploratory study investigating the effect of foot type and foot orthoses on gluteus medius muscle activity |
title_fullStr | An exploratory study investigating the effect of foot type and foot orthoses on gluteus medius muscle activity |
title_full_unstemmed | An exploratory study investigating the effect of foot type and foot orthoses on gluteus medius muscle activity |
title_short | An exploratory study investigating the effect of foot type and foot orthoses on gluteus medius muscle activity |
title_sort | exploratory study investigating the effect of foot type and foot orthoses on gluteus medius muscle activity |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7542334/ https://www.ncbi.nlm.nih.gov/pubmed/33028280 http://dx.doi.org/10.1186/s12891-020-03683-7 |
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