Effect of active foot positioning on the outcome of a balance training program

ROTHERMEL, S; Hale, Sheri A.; Hertel, Jay; Denegar, Craig R.

doi:10.1016/j.ptsp.2004.02.002

Cited by 25 publications

(33 citation statements)

References 13 publications

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“…In another study, healthy individuals who completed 4 weeks of short foot exercises demonstrated improved dynamic balance compared to those who performed 4 weeks of towel curl exercises 58. However, postural control gains following a 4-week balance training home exercise programme were equivalent between healthy training groups that did and did not perform the short foot positioning during their balance exercises 59. In healthy young adults with pes planus, there were significant increases in great toe flexion strength and the cross-sectional area of the abductor hallucis muscle after 4 weeks of short foot exercises and foot orthotic intervention compared to foot orthotic intervention alone 57.…”

Section: Foot Core Trainingmentioning

confidence: 97%

The foot core system: a new paradigm for understanding intrinsic foot muscle function

et al. 2014

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The foot is a complex structure with many articulations and multiple degrees of freedom that play an important role in static posture and dynamic activities. The evolutionary development of the arch of the foot was coincident with the greater demands placed on the foot as humans began to run. The movement and stability of the arch is controlled by intrinsic and extrinsic muscles. However, the intrinsic muscles are largely ignored by clinicians and researchers. As such, these muscles are seldom addressed in rehabilitation programmes. Interventions for foot-related problems are more often directed at externally supporting the foot rather than training these muscles to function as they are designed. In this paper, we propose a novel paradigm for understanding the function of the foot. We begin with an overview of the evolution of the human foot with a focus on the development of the arch. This is followed by a description of the foot intrinsic muscles and their relationship to the extrinsic muscles. We draw the parallels between the small muscles of the trunk region that make up the lumbopelvic core and the intrinsic foot muscles, introducing the concept of the foot core. We then integrate the concept of the foot core into the assessment and treatment of the foot. Finally, we call for an increased awareness of the importance of the foot core stability to normal foot and lower extremity function.

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Section: Foot Core Trainingmentioning

confidence: 97%

The foot core system: a new paradigm for understanding intrinsic foot muscle function

et al. 2014

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“…27,30 Several investigators have found improvements in both trained and untrained limbs after a unilateral balance training intervention. 27,37,38 Based on this evidence, we recommend implementation of balance training for the uninjured limb and training the proximal musculature during the period of restricted weight-bearing and function for the injured ankle, as well as closed chain exercises to challenge the entire injured limb once full weight-bearing is possible in an effort to prevent recurrent ankle sprains.…”

Section: Was Postural Control Adversely Affected After Acute Lateral mentioning

confidence: 99%

Systematic Review of Postural Control and Lateral Ankle Instability, Part I: Can Deficits Be Detected With Instrumented Testing?

McKeon

Hertel

2008

Journal of Athletic Training

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Objective: To answer the following clinical questions: (1) Is poor postural control associated with increased risk of a lateral ankle sprain? (2) Is postural control adversely affected after acute lateral ankle sprain? (3) Is postural control adversely affected in those with chronic ankle instability?Data Sources: PubMed and CINAHL entries from 1966 through October 2006 were searched using the terms ankle sprain, ankle instability, balance, chronic ankle instability, functional ankle instability, postural control, and postural sway.Study Selection: Only studies assessing postural control measures in participants on a stable force plate performing the modified Romberg test were included. To be included, a study had to address at least 1 of the 3 clinical questions stated above and provide adequate results for calculation of effect sizes or odds ratios where applicable.Data Extraction: We calculated odds ratios with 95% confidence intervals for studies assessing postural control as a risk factor for lateral ankle sprains. Effect sizes were estimated with the Cohen d and associated 95% confidence intervals for comparisons of postural control performance between healthy and injured groups, or healthy and injured limbs, respectively.Data Synthesis: Poor postural control is most likely associated with an increased risk of sustaining an acute ankle sprain. Postural control is impaired after acute lateral ankle sprain, with deficits identified in both the injured and uninjured sides compared with controls. Although chronic ankle instability has been purported to be associated with altered postural control, these impairments have not been detected consistently with the use of traditional instrumented measures.Conclusions: Instrumented postural control testing on stable force plates is better at identifying deficits that are associated with an increased risk of ankle sprain and that occur after acute ankle sprains than at detecting deficits related to chronic ankle instability.

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“…Las mejoras en el control postural son comúnmente alcanzadas a través de programas de entrenamiento del balance, los cuales han mostrado ser efectivos en sujetos saludables y lesionados (Rothermel et al, 2004). La herramienta de entrenamiento para la rehabilitación del balance ha sido por excelencia con el Plato de Freeman o Wobble board, que es comúnmente usado en la rehabilitación de tobillos funcionalmente inestables.…”

Section: Introductionunclassified

Impacto del Entrenamiento del Balance a través de Realidad Virtual en una Población de Adultos Mayores

et al. 2010

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RESUMEN:La tercera edad tanto en Chile como en el mundo es una población creciente, que se caracteriza por que sus habilidades motoras sufren un deterioro progresivo y natural, destaca la pérdida del balance como una más afectadas; facilitando las caídas y por consiguiente lesiones traumáticas graves, como es la fractura de cadera. Este trabajo persigue reeducar el balance y control postural en los adultos mayores a través del uso de realidad virtual. El estudio se llevo a cabo en el Laboratorio de Biomecánica de la Universidad de Talca. Participaron 20 sujetos adultos mayores (edad promedio 69 años). Se utilizo un modelo de intervención de 8 semanas con una frecuencia de 3 veces a la semana, 20 minutos cada sesión. Se evaluó el balance y control postural a partir de una plataforma posturográfica estática (Estandar y Tándem) antes de comenzar la intervención, a las 3, 6 y 8 semanas de tratamiento. El área y velocidad promedio disminuyeron de manera significativa en la fase de vista al frente en la prueba de apoyo Bipodal o Estandar lo que representa una disminución del 30% respecto de los valores iniciales. La velocidad promedio se redujo un 4% respecto al inicio (p<0,01). En la prueba Tándem, él área de desplazamiento del centro de presión (COP) disminuyo de manera significativa en la fase de vista al frente, lo que significa una disminución progresiva del 28% (p<0,01). El entrenamiento con RV (Nintendo Wii Fit) contribuye de manera significativa en mejorar el balance y el control postural en los adultos mayores. Aspectos observados en la variables posturograficas tales como: área de desplazamiento del COP en vista al frente para la prueba Estándar y Tándem, en la velocidad promedio de excursión del COP para la fase de vista al frente en la prueba Estandar y ojos cerrados para Tándem.PALABRAS CLAVE: Balance; centro de presión; Adulos mayores; Realidad virtual. INTRODUCCIÓNLa alteración en el sistema de control postural en edad avanzada, se ha asociado a la degeneración progresiva de los sistemas responsables de la postura, entre ellos los sistemas somatosensorial (propioceptores y mecanorreceptores), visual y vestibular (van Asten et al., 1988a). Este tipo de alteración es una de las principales causas que llevan a la pérdida del balance, facilitando las caídas en la población con una importante prevalencia en los adultos mayores (van Asten et al., 1988b).Por otro parte, la degeneración del balance en el adulto mayor (AM) ha estimulado la investigación en los últi-mos años sobre cómo interactúan los sistemas de control postural y cómo cuantificarlos en cualquier etapa de la vida (Gage et al., 2004). Los estudios muestran que el balance se pierde cuando el desplazamiento del centro de presión (COP) cae fuera de los límites de estabilidad, es decir, fuera de la óptima posición del COP dentro de la base de sustentación. Se ha demostrado que el envejecimiento está asociado con un incremento del desplazamiento del COP (afectando las variables de área y velocidad promedio) durante la posición de pie (Onambele et al.,...

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Effect of active foot positioning on the outcome of a balance training program

Cited by 25 publications

References 13 publications

The foot core system: a new paradigm for understanding intrinsic foot muscle function

The foot core system: a new paradigm for understanding intrinsic foot muscle function

Systematic Review of Postural Control and Lateral Ankle Instability, Part I: Can Deficits Be Detected With Instrumented Testing?

Impacto del Entrenamiento del Balance a través de Realidad Virtual en una Población de Adultos Mayores

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