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Lucy Whyte Ferguson
This article reports on an observational and treatment case series involving 22 adolescents and preadolescents treated over a 15 year period who had or appeared to be developing idiopathic scoliosis (IS). Common patterns of muscle and fascial asymmetry were observed and treated. Most of these individuals had spinal area pain and the trigger points (TrPs) apparently responsible for this pain were located in muscles at some distance from the spine, yet referred pain to locations throughout the thoracolumbar spine...
October 2017: Journal of Bodywork and Movement Therapies
Jukka Kosonen, Juha-Pekka Kulmala, Erich Müller, Janne Avela
Anti-pronation orthoses, like medially posted insoles (MPI), have traditionally been used to treat various of lower limb problems. Yet, we know surprisingly little about their effects on overall foot motion and lower limb mechanics across walking and running, which represent highly different loading conditions. To address this issue, multi-segment foot and lower limb mechanics was examined among 11 overpronating men with normal (NORM) and MPI insoles during walking (self-selected speed 1.70±0.19m/s vs 1.72±0...
March 21, 2017: Journal of Biomechanics
K Karzis, M Kalogeris, D Mandalidis, N Geladas, K Karteroliotis, S Athanasopoulos
The purpose of this study was to investigate Achilles tendon blood flow in individuals with overpronated feet during non-weight- and weight-bearing positions. Achilles tendon blood flow was measured by means of the pulsatility index (PI) and the resistance index (RI) in 15 male individuals with overpronated feet and 15 counterparts with normal feet, using power Doppler ultrasonography (PDI). Achilles tendon ultrasonographic (US) assessment was performed at its musculo-tendinous junction (MTJ), mid-tendon (MT), and osseotendinous junction (OTJ) at a non-weight-bearing relaxed position (RP) and during two-leg stance (TLS) and one-leg upright stance (OLS)...
October 2017: Scandinavian Journal of Medicine & Science in Sports
Hong-Jae Lee, Kil-Byung Lim, JeeHyun Yoo, Sung-Won Yoon, Hyun-Ju Yun, Tae-Ho Jeong
OBJECTIVE: To evaluate the effect of custom-molded foot orthoses on foot pain and balance in children with symptomatic flexible flat foot 1 month and 3 months after fitting foot orthosis. METHOD: A total of 24 children over 6 years old with flexible flat feet and foot pain for at least 6 months were recruited for this study. Their resting calcaneal stance position and calcaneal pitch angle were measured. Individual custom-molded rigid foot orthoses were prescribed using inverted orthotic technique to control foot overpronation...
December 2015: Annals of Rehabilitation Medicine
Hong-Jae Lee, Kil-Byung Lim, JeeHyun Yoo, Sung-Won Yoon, Tae-Ho Jeong
OBJECTIVE: To evaluate the effect of custom molded foot orthoses on children with growing pains of the lower extremities. METHODS: Children with growing pains were recruited during a clinic visit. None had any bony deformities, inflammatory joint disease or depression. Resting calcaneal stance position (RCSP) and calcaneal pitch angle were measured, and individual custom molded rigid foot orthoses were prescribed using the inverted orthotic technique to control for foot overpronation using the RCSP angle...
April 2015: Annals of Rehabilitation Medicine
Nick Webborn, Dylan Morrissey, Kasthuri Sarvananthan, Otto Chan
BACKGROUND: The fascia cruris encloses the posterior structures of the calf and connects to the paratenon and the Achilles tendon. We describe the clinical presentation, ultrasound imaging characteristics and the time to the recovery of tears of the fascia cruris at the attachment to the Achilles tendon. METHODS: Retrospective review of 11 tears of the fascia cruris in the different legs as separate events in 9 patients (6 male and 3 female, mean age 35.52 years, range 11-48) identified using diagnostic ultrasound, after presenting with Achillodynia...
November 2015: British Journal of Sports Medicine
Ohjeoung Kwon, Mijung Yun, Wanhee Lee
[Purpose] The purpose of this study was to evaluate the correlation between intrinsic patellofemoral pain syndrome (PFPS) in young adults and lower extremity biomechanics. [Subjects] This experiment was carried out with sixty (24 men and 32 women), who are normal university students as subjects. [Methods] All subjects underwent 3 clinical evaluations. For distinguishing the intrinsic PFPS from controls, we used the Modified Functional Index Questionnaire (MFIQ), Clarke's test and the Eccentric step test. Based on the results of the tests, subjects who were classified as positive for 2 more tests were allocated to the bilateral or unilateral intrinsic PFPS group (n=14), and the others were allocated to the control group (n=42)...
July 2014: Journal of Physical Therapy Science
Yvonne M Golightly, Marian T Hannan, Alyssa B Dufour, Howard J Hillstrom, Joanne M Jordan
BACKGROUND: The occurrence of musculoskeletal foot disorders differs by race and obesity, and these disorders may be related to pronated (low arch) or supinated (high arch) foot structure. This cross-sectional analysis examined relationships of foot disorders and foot function by race and obesity in a community-based observational study of adults 50+ years old with and without osteoarthritis. METHODS: Members of a prospective cohort study in North Carolina were included in this analysis (N = 1466, 67...
November 2014: Foot & Ankle International
Ryan Chang, Pedro A Rodrigues, Richard E A Van Emmerik, Joseph Hamill
BACKGROUND: Clinically, plantar fasciitis (PF) is believed to be a result and/or prolonged by overpronation and excessive loading, but there is little biomechanical data to support this assertion. The purpose of this study was to determine the differences between healthy individuals and those with PF in (1) rearfoot motion, (2) medial forefoot motion, (3) first metatarsal phalangeal joint (FMPJ) motion, and (4) ground reaction forces (GRF). METHODS: We recruited healthy (n=22) and chronic PF individuals (n=22, symptomatic over three months) of similar age, height, weight, and foot shape (p>0...
August 22, 2014: Journal of Biomechanics
Gabriel Gijon-Nogueron, Encarnacion Cortes-Jeronimo, Jose Antonio Cervera-Marin, Esther Diaz-Mohedo, Eva Lopezosa-Reca, Manuel Fernandez-Sanchez, Alejandro Luque-Suarez
BACKGROUND: Foot orthoses have been applied for the management of lower limb disorders, mainly for those who develop foot pain. The Central Stabilizer Element (CSE) is a new element that contains the midfoot laterally when a plantar insole is manufactured. OBJECTIVES: To determine the effect on foot pain of adding the Central Stabilizer Element during the manufacturing process of foot orthosis, and to describe the proportions of Central Stabilizer Element in terms of width and length of this element...
August 2015: Prosthetics and Orthotics International
Cynthia R LaBella, William Hennrikus, Timothy E Hewett
The number of anterior cruciate ligament (ACL) injuries reported in athletes younger than 18 years has increased over the past 2 decades. Reasons for the increasing ACL injury rate include the growing number of children and adolescents participating in organized sports, intensive sports training at an earlier age, and greater rate of diagnosis because of increased awareness and greater use of advanced medical imaging. ACL injury rates are low in young children and increase sharply during puberty, especially for girls, who have higher rates of noncontact ACL injuries than boys do in similar sports...
May 2014: Pediatrics
Jody L Riskowski, Alyssa B Dufour, Thomas J Hagedorn, Howard J Hillstrom, Virginia A Casey, Marian T Hannan
OBJECTIVE: Studies have implicated foot posture and foot function as risk factors for lower extremity pain. Empirical population-based evidence for this assertion is lacking; therefore, the purpose of this study was to evaluate cross-sectional associations of foot posture and foot function to lower extremity joint pain in a population-based study of adults. METHODS: Participants were members of the Framingham Foot Study. Lower extremity joint pain was determined by the response to the National Health and Nutrition Examination Survey-type question, "On most days do you have pain, aching or stiffness in your (hips, knees, ankles, or feet)?" The Modified Arch Index classified participants as having planus, rectus (referent), or cavus foot posture...
November 2013: Arthritis Care & Research
Farzin Halabchi, Reza Mazaheri, Tohid Seif-Barghi
Patellofemoral pain syndrome (PFPS) is a very common disorder of the knee. Due to multiple forces influencing the patellofemoral joint, clinical management of this ailment is particularly intricate. Patellofemoral pain syndrome has a multifactorial nature and multiple parameters have been proposed as potential risk factors, classified as intrinsic or extrinsic. Some of the intrinsic risk factors are modifiable and may be approached in treatment. A number of modifiable risk factors have been suggested, including quadriceps weakness, tightness of hamstring, iliopsoas and gastrosoleus muscles, hip muscles dysfunction, foot overpronation, tightness of iliotibial band, generalised joint laxity, limb length discrepancy, patellar malalignment and hypermobility...
June 2013: Asian Journal of Sports Medicine
Theodoros Ntousis, Dimitris Mandalidis, Efstathios Chronopoulos, Spyros Athanasopoulos
Kinematic studies have shown that experimentally-induced overpronation or oversupination of the subtalar joint may alter the position of the legs, hips and pelvis and consequently the trunk and upper limb. The purpose of the present study was to examine whether such foot deformity affects the activity of muscles that act on the trunk and upper limb. Twenty-eight healthy individuals (11 males and 17 females) 21.4±1.9 years of age without skeletal deformity, leg length discrepancy (LLD), overpronated or oversupinated feet or excessive lateral pelvic inclination volunteered for the study...
February 2013: Gait & Posture
Erik Hohmann, Peter Reaburn, Andreas Imhoff
BACKGROUND: The use of correct individually selected running shoes may reduce the incidence of running injuries. However, the runner needs to be aware of their foot anatomy to ensure the "correct" footwear is chosen. OBJECTIVES: The purpose of this study was to compare the individual runner's knowledge of their arch type to the arch index derived from a static footprint. METHODS: We examined 92 recreational runners with a mean age of 35.4±11...
September 2012: Foot
Kristin E White
OBJECTIVE: The purpose of this case report is to describe and discuss the clinical presentation, diagnosis, and management of 3 female long distance runners with high hamstring tendinopathy. CLINICAL FEATURES: Three female runners presented to a chiropractic office with proximal hamstring pain that was aggravated by running. Increasing mileage, hills, and/or interval training preceded the onset of symptoms in each case. The subjects all displayed weakness of the hip abductors, pelvic joint dysfunction, hamstring tightness, and ischial tuberosity tenderness...
June 2011: Journal of Chiropractic Medicine
David W Jenkins, Kimbal Cooper, Rachel O'Connor, Liane Watanabe, Christine Wills
BACKGROUND: Podiatric conditions are frequently seen in persons with intellectual disabilities. Unfortunately, many are not detected or addressed. This study attempts to determine the prevalence of a variety of selected podiatric conditions in Special Olympics athletes and compare the findings to studies of a similarly matched general population. METHODS: Screenings from 1580 Special Olympics athletes participating in a sampling of United States competitions in 2004-2006 were used for the analysis...
March 2011: Foot
Roy T H Cheung, Gabriel Y F Ng
BACKGROUND: The motion control shoe is a well-developed technology in running shoe design for controlling excessive rearfoot pronation and plantar force distribution. However, there is little information on the leg muscle activation with different shoe conditions. HYPOTHESIS: The motion control shoe can prevent excessive shank muscle activation and delay fatigue. STUDY DESIGN: Controlled laboratory study. METHODS: Twenty female recreational runners with excessive rearfoot pronation were tested with running 10 km on a treadmill on 2 days...
March 2010: American Journal of Sports Medicine
L Nesbitt
Foot pronation-inward tilting of the ankles and flattening of the arches-is a normal part of walking and running. But when it's excessive, it can lead to foot, ankle, or even knee pain. Properly designed shoe inserts, called orthoses, can help correct overpronation.
May 1999: Physician and Sportsmedicine
Michael Ryan, Stefan Grau, Inga Krauss, Christian Maiwald, Jack Taunton, Thomas Horstmann
BACKGROUND: Despite anecdotal evidence linking overpronation to the onset of Achilles tendinopathy (AT), there is little conclusive evidence of a particular movement pattern of the lower extremity associated with this injury. Therefore, the objective of the present study was to observe differences in the kinematic profiles of healthy runners (CON) and runners with mid-portion Achilles tendinopathy (ATG). MATERIALS AND METHODS: In this cross-sectional analysis, 48 male height and weight matched subjects were invited to participate: 27 with mid-portion Achilles tendon pain and 21 asymptomatic controls...
December 2009: Foot & Ankle International
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