A Comparison of the Stiffness of Ankle Joint in Individuals with Normal Feet, Flat Feet and Pes Cavus in Gait Initiation

Document Type : Research Paper

Authors

1 PhD Student, Department of Sport Biomechanics, Faculty of Physical Education and Sports Sciences, University of Mazandaran, Babolsar, Iran

2 Assistant Professor, Department of Sport Biomechanics, Faculty of Physical Education and Sports Sciences, University of Mazandaran, Babolsar, Iran

3 M.Sc. in Sport Biomechanics, Faculty of Physical Education and Sports Sciences, University of Mazandaran, Babolsar, Iran

Abstract

The aim of this study was to compare the stiffness of ankle joint in individuals with normal feet, flat feet and pes cavus in gait initiation. 30 female students (10 subjects with flat feet, 10 subjects with pes cavus, 10 subjects with normal feet, mean age 23±1.7 yr, height 165±2.5 cm and weight 53±2.5 kg) participated in this study. Stiffness was calculated using the ratio of muscle torque to the angular displacement of the joint. Navicular-drop test was used to measure the arch rate of the foot. One-way analysis of variance (ANOVA) was used to test the hypotheses (P<0.05). The statistical results showed a significant difference among three groups in the stiffness of the ankle joint (P<0.001). Results of Tukey post hoc test showed that mean stiffness of ankle joint in subjects with pes cavus was 61.97% more than those with flat feet and 43.9% more than those with normal feet and mean stiffness of ankle joint in subjects with normal feet was 41.72% more than those with flat feet. Findings showed that a change in the arch of foot change changed the stiffness as well. Since the stiffness can affect the incidence of vulnerability of soft and hard tissues, coaches are recommended to pay attention to this biomechanical factor in training programs for individuals with foot deformities.
 

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    1. Aurélio Faria ,Ronaldo Gabriel, João Abrantes, Rui Brás, Helena Moreira. (2010). "The relationship of body mass index, age and triceps-surae musculotendinous stiffness with the foot arch structure of postmenopausal women". Journal of Clinical Biomechanics, 31(3), PP:588–593.
    2. Brody D. (1982). "Techniques in the evaluation and treatment of the injured runner". Journal of Orthop Clin North Am, 13(2), PP:542-558.
    3. Brughelli M. Cronin J. (2008). "A review of research on the mechanical stiffness in running and jumping: methodology and implications". Journal of Scand J Med Sci Sports ,18(3) PP:417–426.
    4. Burns J, Crosbie J, Hunt A, Ouvrier R. (2005). "The effect of pes cavus on foot pain and plantar pressure". Journal of Clin, Biomech, 20(9), PP:877–882.
    5. Charalambous, Irwin.L.G, Bezodis.I.N, Kerwin.D. (2012). "Lower Limb Joint Kinetics and Ankle Joint Stiffness in the Sprint Start Push-off". Journal of Sports Sciences, 30(1) ,PP: 1–9.

     

    1. Chen CH, Huang MH, Chen TW, Weng MC, Lee CL, Wang GJ. (2006). "The correlation between selected measurements from footprint and radiograph of flatfoot". Journal of Physical Medicine and Rehabilitation, 87(2), PP:235-40.

     

    1. Dorsey S. Williams III , Irene McClay Davis, John P. Scholz,Joseph Hamill, Thomas S. Buchanan. (2004). "High-arched runners exhibit increased leg stiffness compared to low-arched runners". Journal of Gait & Posture, 19(3), PP:263–269.
    2. Gabriel,R.C., Abrantes,J., Granata,K., Bulas-Cruz,J., Melo-Pinto,P., Filipe,V. (2008). "Dynamic joint stiffness of the ankle during walking:Gender-related differences". Journal of Physical Therapy in Sport, 50(2),PP:16–24.
    3. Guinn,L.D., Takahashi,K., Razzook,A.R., Stanhope,S.J. (2010). "Natural ankle pseudo-stiffness during gait initiation".Conference Proceedings of the Annual Meeting of the American Soc, P:789.
    4. Kaufman KR, Brodine SK, Shaffer RA, Johnson CW, Cullison TR. (1999). "The effect of foot structure and range of motion on musculoskeletal overuse injuries". Journal of Am J Sports , 27(5), PP:585–93.

     

    1. Khamis S, Yizhar Z. (2007). "Effect of feet hyperpronation on pelvic alignment in a standing position". Journal of Gait & Posture, 25(1), PP:127-34.
    2. 12. Lusardi MM, Nilsen CC. (2007). "Orthotics and prosthetics in rehabilitation. 2ed."Publisher: Butterworth-Heinemann. Saunders Elsevier;182-3.

     

    1. McPoil TG, Cornwall MW. (1996). "The relationship between static lower extremity measurements and rearfoot motion during walking". Journal of Orthop_Sports Phys Ther, 24(5) , PP:309 –314.

     

    1. Michelson JD, Durant DM, McFarland E. )2003 .( "Injury risk associated with pes planus in athletes". Journal of Foot Ankle Int, 23(70) ,PP:629–933.

     

    1. Michael S. Lee, DPM,John V. Vanore, DPM, James L. Thomas, DPM, Alan R. Catanzariti, DPM, Geza Kogler, PhD, Steven R. Kravitz, DPM, Stephen J. Miller, DPM, Susan Couture Gassen. (2005)."Diagnosis and Treatment of Adult Flatfoot".Journal of foot and ankle surgery, 44(2),PP:78-113.
    2. Mortazavi J, Espandar R, Baghdadi T. (2007). "Flat foot in children". Journal of Iran J Ped,17(2),PP: 163-70.
    3. Nissan M and Whittle MW. (1990). "Initiation of gait in normal subjects: a preliminary study".  Journal of Biomed Eng. Mar; 12(2),PP:165-71.
    4. Sandhiran Patchay, Yves Gahe´ry. (2003). "Effect of asymmetrical limb loading on early postural adjustments associated with gait initiation in young healthy adults". Journal of Gait & Posture; 18(6),PP: 85-94.
    5. Stefanyshyn. D, Nigg .B. (1998). "Dynamic Angular Stiffness of the Ankle Joint During Running and Sprinting". Journal of Appl Biomech,14(3),PP:292–299.
    6. Steven M. Zinder, Kevin P,Granata, Sandra J, Shultz, Bruce M. Gansneder.(2009). "Ankle Bracing and the Neuromuscular Factors Influencing Joint Stiffness". Journal of Athletic Training, 44(4),PP:363-369.
    7. Pazit Levinger, George S. Murley, Christian J. Barton, Matthew P. Cotchett, Simone R. McSweeney, Hylton B. Menz. (2010). "A comparison of foot kinematics in people with normal- and flat-arched feet using the Oxford Foot Model". Journal of Gait & Posture, 32(2),PP:519–523.
    8. Robert J. Butler, Harrison. Crowell III, Irene McClay Davis. (2003). "Lower extremity stiffness: implications for performance and injury". Journal of Clinical Biomechanics, 18(4),PP:511–517.
    9. Robin M. Queen, Nathan A. Mall, James A. Nunley, Bavornrit Chuckpaiwong. (2009).  "Differences in plantar loading between flat and normal feet during different athletic tasks". Journal of Gait & Posture, 29(4),PP:582–586.
    10. Williams DS, Mc Clay IS. (2000). "Measurements used to characterize the foot and the medial longitudinal arch: reliability and validity". Journal of Phys Ther, 80(9),PP:864–871.

    25. Williams III, D.S, McClay, I.S, Hamill, J. (2001). "Arch structure and injury patterns in runners". Journal of Clin, Biomech,16(4),PP:341–347.

    26. Winter, D.A. (2009). "Biomechanics and motor control of human movement.4ed". Publisher: New york wiley,PP:83-86.