Muscle activity and kinetics of lower limbs during walking in pronated feet individuals with and without low back pain

Farahpour, Nader; Jafarnezhadgero, AmirAli; Allard, Paul; Majlesi, Mahdi

doi:10.1016/j.jelekin.2018.01.006

Cited by 42 publications

(52 citation statements)

References 51 publications

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“…Our findings of lower gluteus medius mean and peak amplitude in participants with planus foot types are in contrast to previous research that has shown higher levels of activity in people with chronic low back pain and pronated feet [5]. However, a recent systematic review found the relationship between low back pain and gluteus medius muscle activity to be inconclusive [42].…”

Section: Discussioncontrasting

confidence: 99%

“…This relationship between foot type and range of motion is also suggested to influence muscle activity of more proximal muscles such as the gluteus medius [5,12,13]. This is supported by evidence of increased gluteus medius muscle activity in people with chronic nonspecific low back pain and excessively pronated feet [5]. In people with cavus type feet, the lack of motion has been shown to result in increased lower leg muscle activity compared to planus and neutral foot types [14].…”

Section: Introductionmentioning

confidence: 89%

“…Dysfunction of the gluteus medius muscle has been linked with both reduced frontal and transverse plane control of the pelvis and femur [2]. These changes have been shown to manifest in a dynamic knee valgus, increased anterior pelvic tilt, and greater lumbar lordosis, all of which have been linked to musculoskeletal pathologies including patellofemoral pain syndrome (PFPS) [3,4] and low back pain [5]. More distally, weakness of the hip muscles, resulting in a Trendelenburg gait pattern [6], as well as altered activation patterns have been implicated in the presence of dynamic excessive foot pronation [3,7,8].…”

Section: Introductionmentioning

confidence: 99%

“…Previous research has demonstrated that the increased motion associated with a planus foot type is associated with increased invertor and decreased evertor lower leg muscle activity [ 11 ]. This relationship between foot type and range of motion is also suggested to influence muscle activity of more proximal muscles such as the gluteus medius [ 5 , 12 , 13 ]. This is supported by evidence of increased gluteus medius muscle activity in people with chronic nonspecific low back pain and excessively pronated feet [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

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An exploratory study investigating the effect of foot type and foot orthoses on gluteus medius muscle activity

Sadler

Spink

Jonge

et al. 2020

BMC Musculoskelet Disord

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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.

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Section: Discussioncontrasting

confidence: 99%

Section: Introductionmentioning

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

An exploratory study investigating the effect of foot type and foot orthoses on gluteus medius muscle activity

Sadler

Spink

Jonge

et al. 2020

BMC Musculoskelet Disord

View full text Add to dashboard Cite

show abstract

“…GMax, GMin, and Piri muscle size were significantly decreased on the affected side compared with the contralateral side Farahpour N et al 98) Patients with LBP and pronated-foot EMG activation of GMed was significantly higher during walking Aboufazeli M et al 99) Female patients with LBP (n=30) GMed contraction was significantly decreased in the LBP group on US Viggiani D et al 100) Healthy participants without LBP after standing loading test (n=40)…”

Section: Gluteal Tendon Repairsmentioning

confidence: 99%

Does low back pain or leg pain in gluteus medius syndrome contribute to lumbar degenerative disease and hip osteoarthritis and vice versa? A literature review

Kameda

Tanimae²,

Kihara³

et al. 2020

J Phys Ther Sci

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Gluteus medius syndrome is one of the major causes of back pain or leg pain and is similar to greater trochanteric pain syndrome, which also presents with back pain or leg pain. Greater trochanteric pain syndrome is associated with lumbar degenerative disease and hip osteoarthritis. The objective of this review was to demonstrate gluteus medius syndrome as a disease entity by reviewing relevant articles to elucidate the condition. [Methods] Gluteus medius syndrome was defined as myofascial pain syndrome arising from the gluteus medius. We performed a search of the literature using the following keywords: "back pain", "leg pain", "greater trochanteric pain syndrome", "degenerative lumbar disease", "hip osteoarthritis", and "gluteus medius". We reviewed articles related to gluteus medius syndrome and described the findings in terms of diagnosis and treatment based on the underlying pathology. [Results] A total of 135 articles were included in this review. Gluteus medius syndrome is similar as a disease entity to greater trochanteric pain syndrome, which presents with symptoms of low back pain and leg pain. Gluteus medius syndrome is also related to lumbar degenerative disease, hip osteoarthritis, knee osteoarthritis, and failed back surgery syndrome. [Conclusion] Accurate diagnosis of gluteus medius syndrome and appropriate treatment could possibly improve lumbar degenerative disease and osteoarthritis of the hip and knee, as well as hip-spine syndrome and failed back surgery syndrome.

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The effect of pelvic floor muscle-strengthening exercises on low back pain: a systematic review and meta-analysis on randomized clinical trials

Kazeminia

Rajati

2022

Neurol Sci

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Muscle activity and kinetics of lower limbs during walking in pronated feet individuals with and without low back pain

Cited by 42 publications

References 51 publications

An exploratory study investigating the effect of foot type and foot orthoses on gluteus medius muscle activity

An exploratory study investigating the effect of foot type and foot orthoses on gluteus medius muscle activity

Does low back pain or leg pain in gluteus medius syndrome contribute to lumbar degenerative disease and hip osteoarthritis and vice versa? A literature review

The effect of pelvic floor muscle-strengthening exercises on low back pain: a systematic review and meta-analysis on randomized clinical trials

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