The immediate effects of foot orthoses on hip and knee kinematics and muscle activity during a functional step-up task in individuals with patellofemoral pain

Lack, Simon; Barton, Christian J; Woledge, Roger C.; Laupheimer, Markus W.; Morrissey, Dylan

doi:10.1016/j.clinbiomech.2014.08.005

Cited by 29 publications

(31 citation statements)

References 34 publications

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“…During the single-legged squat, we did observe significant correlations between improved knee-extensor muscle activation and pain reduction and a trend toward significance for muscle activation of the GM and BF. Our findings are similar to those of Lack et al, 19 who found a relationship between improved GM muscle activation and self-reported pain during stair ambulation.…”

Section: Discussionsupporting

confidence: 82%

Immediate Effect of Patterned Electrical Neuromuscular Stimulation on Pain and Muscle Activation in Individuals With Patellofemoral Pain

Glaviano

Saliba

2016

Journal of Athletic Training

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For individuals with patellofemoral pain (PFP), altered muscle activity and pain are common during functional tasks. Clinicians often seek interventions to improve muscle activity and reduce impairments. One intervention that has not been examined in great detail is electrical stimulation.Context: To determine whether a single patterned electrical neuromuscular stimulation (PENS) treatment would alter muscle activity and pain in individuals with PFP during 2 functional tasks, a single-legged squat and a lateral step down.Objective: Cohort study.Design: Sports medicine research laboratory.Setting: A total of 22 individuals with PFP (15 women, 7 men; age = 26.0 ± 7.9 years, height = 173.8 ± 8.1 cm, mass = 75.1 ± 17.9 kg).Patients of Other Participants: Participants were randomized into 2 intervention groups: a 15-minute PENS treatment that produced a strong motor response or a 15-minute 1-mA subsensory (sham) treatment.Intervention(s): Before and immediately after the intervention, we assessed normalized electromyography amplitude, percentage of activation time across functional tasks, and onset of activation for the vastus medialis oblique, vastus lateralis, gluteus medius, adductor longus, biceps femoris, and medial gastrocnemius muscles during a single-legged squat and a lateral step down. Scores on the visual analog scale for pain were recorded before and after the intervention.Main Outcome Measure(s): After a single treatment of PENS, the percentage of gluteus medius activation increased (0.024) during the lateral step down. Visual analog scores decreased during both the single-legged squat (PENS: preintervention = 2.7 ± 1.9, postintervention = 0.9 ± 0.7; sham: preintervention = 3.2 ± 1.6, postintervention = 2.8 ± 1.9; group × time interaction: P = .041) and lateral step down (PENS: preintervention = 3.4 ± 2.4, postintervention = 1.1 ± 0.8; sham: preintervention = 3.9 ± 1.7, postintervention = 3.3 ± 2.0; group × time interaction: P = .023). No changes in electromyography or pain measures were noted in the sham group.Results: The PFP participants who received PENS had immediate improvement in gluteus medius activation and a reduction in pain during functional tasks.Conclusions:

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Section: Discussionsupporting

confidence: 82%

Immediate Effect of Patterned Electrical Neuromuscular Stimulation on Pain and Muscle Activation in Individuals With Patellofemoral Pain

Glaviano

Saliba

2016

Journal of Athletic Training

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“…Possible conservative interventions to control abnormal hip adduction include gait retraining [76][77][78][79], foot orthoses [80,81], exercise approaches [82][83][84], gluteal strengthening [57,85], and femoral rotational taping [86]. These interventions have been shown to be effective in modifying increased hip adduction in lower limb injuries and might be helpful toward controlling increased hip adduction when managing ITBS too.…”

Section: Discussionmentioning

confidence: 99%

“…These interventions have been shown to be effective in modifying increased hip adduction in lower limb injuries and might be helpful toward controlling increased hip adduction when managing ITBS too. Likewise, foot orthoses, which have been shown to be effective in reducing knee internal rotation in healthy [81] and patellofemoral pain syndrome individuals [80], might be effective in controlling knee internal rotation when managing ITBS.…”

Section: Discussionmentioning

confidence: 99%

Kinematic risk factors for lower limb tendinopathy in distance runners: A systematic review and meta-analysis

et al. 2019

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“…15 Foot pronation is caused by malfunction of muscles connected to the adjacent joint, and is closely associated with both adduction of the hip joint and internal rotation of the knee joint. 16,17,18 Previous studies reported that these movements of proximal segments which is associated with excessive foot pronation was caused by predominance of tensor fascia lata during walking or stair-climbing. 17,18 Then, although the amount of foot pronation was not measured in this study, it can be expected that asymmetric foot pronation may effect on the difference of iliotibial band flexibility in subjects with asymmetric HVAs.…”

Section: Discussionmentioning

confidence: 99%

Between-side Comparisons of Iliotibial Band Flexibility and the Tibial Torsion Angle in Subjects with an Asymmetric Hallux Valgus Angle

Kim¹,

You²,

Jung³

2018

J KEMA

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This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons. org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Purpose We examined the hip joint range of motion and muscle strength in subjects with asymmetric hallux valgus angles. Study design A cross-sectional study. Methods Fifteen participants with asymmetric hallux valgus angles were recruited. Two examiners measured the hallux valgus, intermetatarsal and tibial torsion angles, and the iliotibial band flexibility. The independent t-test was used to compare the differences between the two sides. Results The side with the greater hallux valgus angle also had a larger intermetatarsal angle. The iliotibial band was significantly less flexible on this side. The tibial torsion angles did not differ significantly between the two sides. Conclusions We suggest that the hallux valgus angle is associated with iliotibial band flexibility. Therefore, stretching of the iliotibial band should be considered during rehabilitation of the hallux valgus.

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The immediate effects of foot orthoses on hip and knee kinematics and muscle activity during a functional step-up task in individuals with patellofemoral pain

Cited by 29 publications

References 34 publications

Immediate Effect of Patterned Electrical Neuromuscular Stimulation on Pain and Muscle Activation in Individuals With Patellofemoral Pain

Immediate Effect of Patterned Electrical Neuromuscular Stimulation on Pain and Muscle Activation in Individuals With Patellofemoral Pain

Kinematic risk factors for lower limb tendinopathy in distance runners: A systematic review and meta-analysis

Between-side Comparisons of Iliotibial Band Flexibility and the Tibial Torsion Angle in Subjects with an Asymmetric Hallux Valgus Angle

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