Effects of a therapeutic foot exercise program on injury incidence, foot functionality and biomechanics in long-distance runners: Feasibility study for a randomized controlled trial

Taddei, Ulisses T.; Matias, Alessandra B.; Ribeiro, Fernanda I.A.; Inoue, Rafael S.; Bus, Sicco A.; Sacco, Isabel de Camargo Neves

doi:10.1016/j.ptsp.2018.10.015

Cited by 23 publications

(29 citation statements)

References 30 publications

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“…Previous investigations have reported measurements of cross-sectional area of these muscles of the rearfoot using lower eld strengths (1.5T) [20,31]. However, our ndings, and reports from others (using lower magnetic eld strengths) [12,29,32,33] of the di culty to clearly visualise borders of the smaller muscles in the forefoot, draws into question the clinical meaningfulness of individual muscle volumes previously reported from 3T or lower eld scanners [24,25,27,28,30]. For future studies using magnetic eld strengths of 3T or less, we caution the segmentation of individual intrinsic foot muscles in the forefoot, and recommend that 7T MRI is used to ensure segmentation precision in that regard.…”

Section: Discussioncontrasting

confidence: 71%

“…MRI of muscle of the foot has been used to evaluate intrinsic foot muscle morphology in several patient populations, such as individuals with diabetes [7][8][9][10][11][12][13][14][15][16][17], plantar heel pain [18,19], foot pain [20,21], Charcot-Marie-Tooth [22,23], and chronic ankle instability [24,25], as well as to evaluate the effect of interventions such as physical therapy [24], footwear [26,27] and foot exercise [28][29][30]. Table 1 provides a summary of published methods from studies that have evaluated intrinsic foot muscle morphology and composition.…”

Section: Introductionmentioning

confidence: 99%

“…abductor hallucis, exor hallucis brevis, etc. )[20,24,25,[27][28][29][30][31] or muscle regions (e.g. muscle tissue under the rst metatarsal head, Advanced MRI technologies and techniques, such as ultra-high-eld scanners and chemical-shift sequences, offer the opportunity to enhance current evaluation and understanding of intrinsic foot muscle morphology.…”

mentioning

confidence: 99%

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New insights into intrinsic foot muscle morphology and composition using ultra-high-field (7-Tesla) magnetic resonance imaging.

Smith

Elliott

Al-Najjar

et al. 2020

Preprint

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Background: The intrinsic muscles of the foot are key contributors to foot function and are important to evaluate in lower limb disorders. Magnetic resonance imaging (MRI), provides a non-invasive option to measure muscle morphology and composition, which are primary determinants of muscle function. Ultra-high-field (7-T) magnetic resonance imaging provides sufficient signal to evaluate the morphology of the intrinsic foot muscles, and, when combined with chemical-shift sequences, measures of muscle composition can be obtained. Here we aim to provide a proof-of-concept method for measuring intrinsic foot muscle morphology and composition with high-field MRI.Methods: One healthy female (age 39 years, mass 65 kg, height 1.73 m) underwent MRI. A T1-weighted VIBE – radio-frequency spoiled 3D steady state GRE – sequence of the whole foot was acquired on a Siemens 7T MAGNETOM scanner, as well as a 3T MAGNETOM Prisma scanner for comparison. A high-resolution fat/water separation image was also acquired using a 3D 2-point DIXON sequence at 7T. Coronal plane images from 3T and 7T scanners were compared. Using 3D Slicer software, regions of interest were manually contoured for each muscle on 7T images. Muscle volumes and percentage of muscle fat infiltration were calculated (muscle fat infiltration % = Fat/(Fat+Water) x100) for each muscle. Results: Compared to the 3T images, the 7T images provided superior resolution, particularly at the forefoot, to facilitate segmentation of individual muscles. Muscle volumes ranged from 1.5 cm3 and 19.8 cm3, and percentage muscle fat infiltration ranged from 9.2% to 15.0%. Conclusion: This proof-of-concept study demonstrates a feasible method of quantifying muscle morphology and composition for individual intrinsic foot muscles using advanced high-field MRI techniques. This method can be used in future studies to better understand intrinsic foot muscle morphology and composition in healthy individuals, as well as those with lower disorders.

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Section: Discussioncontrasting

confidence: 71%

Section: Introductionmentioning

confidence: 99%

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New insights into intrinsic foot muscle morphology and composition using ultra-high-field (7-Tesla) magnetic resonance imaging.

Smith

Elliott

Al-Najjar

et al. 2020

Preprint

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“…The participants were satisfied with the exercise therapeutic program as shown by the mean score of 4.57 based on a 5-point scale. In general, foot-ankle exercise programs are well-accepted [ 51 ]. This outcome seems directly related to adherence; an 80% adherence can be considered high and it falls within the range that indicates feasibility [ 52 ].…”

Section: Discussionmentioning

confidence: 99%

Feasibility and Preliminary Efficacy of a Foot-Ankle Exercise Program Aiming to Improve Foot-Ankle Functionality and Gait Biomechanics in People with Diabetic Neuropathy: A Randomized Controlled Trial

Monteiro

Ferreira

Silva

et al. 2020

Sensors

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Foot-ankle strengthening and mobility exercises are part of international guideline recommendations for people at risk of diabetic foot disease. We examined the feasibility and preliminary efficacy of a 12-week foot-ankle exercise program on clinical, functional and biomechanical outcomes in people with diabetic neuropathy (DPN). We randomly allocated 30 people with DPN to usual care (control) or usual care plus a supervised exercise program (intervention). For feasibility, we assessed recruitment rate and participant adherence and satisfaction. For program efficacy, we assessed baseline to 12-week changes in daily physical activity level, gait speed, tactile sensitivity, ankle range of motion, DPN symptoms, quality of life, foot health and functionality, foot strength and plantar pressure during gait, using paired t-tests (p < 0.05). In 52 weeks, we recruited 45 eligible participants (0.90/week). Program adherence was 80% and participants’ satisfaction had a mean (SD) of 4.57 (0.70) out of 5. The intervention group significantly improved on toes strength, contact time during gait and DPN symptoms, and peak forefoot pressures increased over time; controls showed significantly increased heel peak pressures and force. The exercise program was feasible, based on a moderate recruitment rate and an adherent and satisfied population, and the intervention showed several positive preliminary effects over time compared to usual care.

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“…La combinación de ejercicios de diferente naturaleza destinada a proteger a los atletas de diferentes tipos de lesiones podrían ser un método eficaz para evitar lesiones "Effects of a therapeutic foot exercise program on injury incidence, foot functionality and biomechanics in longdistance runners: Feasibility study for a randomized controlled trial." (Taddei et al, 2018) Ensayo clínico N: 30 C: corredores sin lesiones de tobillo o dolor en los últimos dos meses Edad: 18-55 GC: calentamiento, placebo y elongaciones. GI: entrenamiento de resistencia y movilidad de tobillo.…”

Section: Estrategia De Búsquedaunclassified

Efectividad en programas preventivos de lesiones deportivas músculo esqueléticas en adultos sedentarios que inician actividad física (Effectiveness in preventive programs of skeletal muscle injuries in sedentary adults who begin a sports activity)

Pulgar

Reyes

Carrasco

et al. 2020

Retos

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El comportamiento sedentario conlleva al aumento de la fatiga muscular, esto debido a que existe menor producción de óxido nítrico, menor flujo sanguíneo, predisponiendo a la generación de lesiones músculos esqueléticas. En Chile la población sedentaria mayor de 18 años alcanza el 86,7% según la última Encuesta Nacional De Salud 2016-2017. Objetivo: demostrar el efecto de los programas de intervención realizados para prevenir lesiones músculo esqueléticasen personas sedentarias que inician una actividad deportiva. Método: se efectuó una revisión de la literatura científica en bases de datosy en función de criterios de elegibilidad se seleccionaron nueve artículos. Resultados: se escogieron el 18% de los artículos seleccionados obteniendo nueve artículos de un total de 49 artículos atingentes encontrados en la búsqueda.Conclusiones: se destacan como efectivos aquellos programas con una frecuencia de tres a cinco días; con un volumen de intensidad semanal bajo o medio, según la frecuencia escogida; en los cuales el plan de entrenamiento considera ejercicios de movilidad articular, ejercicios excéntricos y entrenamiento propioceptivo; no se define una duración determinada para la sesión de entrenamiento,para conseguir cambios significativos. Abstract. Sedentary behaviors lead to increased muscle fatigue, this due to lower nitric oxide production, lower blood flow, predisposing to the generation of skeletal muscle injuries. In Chile, sedentary population over the age of 18 years reaches 86.7% according to the latest National Health Survey 2016-2017.Objective: to demonstrate the effect of intervention programs performed to prevent skeletal muscle injuries. Method: A review of the scientific literature was carried out in databases and nine articles were selected based on eligibility criteria. Results: 18% of the articles were chosen from a total of 49 in the list of items found in the search. Conclusions: programs with a frequency of three to five days are highlighted as effective; with low or medium weekly intensity volume, it depends on the chosen frequency; the training plans include joint mobility exercises, eccentric exercises, and proprioceptive training; there is no fixed duration for the training session to achieve significant changes.

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Effects of a therapeutic foot exercise program on injury incidence, foot functionality and biomechanics in long-distance runners: Feasibility study for a randomized controlled trial

Cited by 23 publications

References 30 publications

New insights into intrinsic foot muscle morphology and composition using ultra-high-field (7-Tesla) magnetic resonance imaging.

New insights into intrinsic foot muscle morphology and composition using ultra-high-field (7-Tesla) magnetic resonance imaging.

Feasibility and Preliminary Efficacy of a Foot-Ankle Exercise Program Aiming to Improve Foot-Ankle Functionality and Gait Biomechanics in People with Diabetic Neuropathy: A Randomized Controlled Trial

Efectividad en programas preventivos de lesiones deportivas músculo esqueléticas en adultos sedentarios que inician actividad física (Effectiveness in preventive programs of skeletal muscle injuries in sedentary adults who begin a sports activity)

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