Comparison of Functional Lower Extremity Evaluation Scores in Active Adolescents with Normal and Flexible Flat Foot

Document Type : Original article

Authors

1 MSc, School of Sport Corrective Exercise, Kharazmi University, Tehran, Iran

2 Assistant Professor, School of Sport Biomechanics and Corrective Exercise Kharazmi University, Tehran, Iran

3 Associate Professor, School of Sport Biomechanics and Corrective Exercise, Kharazmi University, Tehran, Iran.

Abstract

Background and Aim: Abnormalities and muscular imbalance in lower limb can lead to poor performance in sports activities followed by injuries. The aim of the present study was comparison of the scores of functional lower extremity in active adolescents with normal and flexible flat foot.
Materials and Methods: In the present study, 60 active students (16-18 years-old) with normaland flexible flat foot participated and were divided into two groups (30 each). The participants' navicular drop, using the method described by Brady, and lower limb function, using functional tests including control sequence, hop test sequence, and endurance sequence, were evaluated. To analyze the research findings, descriptive (mean and standard deviation) and inferential (t-tests) statistical methods were applied.
Results: The results indicated significant differences between the two groups with normal and flat foot in all functional tests of lower limb (p≤ /05) and, in comparison with the normal group, the flat foot group obtained lower scores.
Conclusion: Based on the results, flexible flat foot as an abnormality can lead to poor performance in functional tests and sport activities that require balance, muscular endurance, and strength followed by sports injuries including plantar fascia inflammation, tibial stress fracture, anterior cruciate ligament rupture, and backache. So, it is recommended that flexible flat foot be considered as a risk factor in sports injuries.

Keywords

Main Subjects

References

1. Twomey D, McIntosh AS, Simon J, Lowe K, Wolf SI SI. Kinematic differences between normal and low arched feet in children using the Heidelberg foot measurement method. Gait & posture. 2010; 32(1): 1-5.##
2. Daneshmandi H, Alizade MH, GHarakhanlou R. Corrective Exercises. 2012 [In Persian] ##
3. Jankowicz SA, Mikolajczyk E, Wardzala R. Arch of the foot and postural balance in young judokas and peers. Journal of Pediatric Orthopaedics B. 2015; 24(5): 456-460. ##
4. Petrović M, Obradović B, Golik-Perić D, Bubanj S. Jumping abilities are not related to foot shape. Facta universitatis-series: Physical Education and Sport. 2013; 11(3): 299-305. ##
5. Powella DW, Longb B, Milnerc C E, Zhangc S. Frontal plane multi-segment foot kinematics in high-and low-arched females during dynamic loading tasks. Human movement science. 2011: 30(1): 105-114. ##
6. Magee DJ. Orthopedic physical assessment. Elsevier Health Sciences. 2014. ##
7. Alter MJ. Science of flexibility. Human Kinetics. 2004##
8. Tryfonidis M, Jackson W, Mansour R, Cooke PH, Teh J, Ostlere S, Sharp RJ. Acquired adult flat foot due to isolated plantar calcaneonavicular (spring) ligament insufficiency with a normal tibialis posterior tendon. Foot and ankle surgery. 2008; 14(2): 89-95##
9. Spahn G, Schiele R, Hell AK, Klinger HM. The prevalence of pain and deformities in the feet of adolescents. Results of a cross-sectional study. Zeitschrift fur Orthopadie und ihre Grenzgebiete. 2003; 142(4): 389-396. ##
10. Toolan BC. The treatment of failed reconstruction for adult acquired flat foot deformity. Foot and ankle clinics. 2003; 8(3): 647-654. ##
11. Forriol F, Pascual J. Footprint analysis between three and seventeen years of age. Foot & Ankle International. 1990; 11(2): 101-104. ##
12. Queen RM, Mall NA, Hardaker WM, Nunley JA. Describing the medial longitudinal arch using footprint indices and a clinical grading system. Foot & ankle international. 2007; 28(4): 456-462. ##
13. Silva BAR, Martinez FG, Pacheco AM. Effects of the exercise-induced muscular fatigue on the time of muscular reaction of the fibularis in healthy individuals. Revista Brasileira de Medicina do Esporte. 2006; 12(2): 85-89. ##
14. Allison G, Henry S. The influence of fatigue on trunk muscle responses to sudden arm movements, a pilot study. Clinical Biomechanics. 2002; 17(5): 414-417. ##
15. Cubukcu S, Alimoglu MK, Balci N, Beyazova M. Plantar arch type and strength profile of the major ankle muscle groups: A morphometric-isokinetic study. Isokinetics and exercise science. 2005; 13(3): 217-222. ##
16. López López D, Ángeles B P, Requeijo C, Jesús L S C, Adolfo B C, Francisco A T. The impact of foot arch height on quality of life in 6-12 year olds. Colombia Médica. 2014; 45(4): 168-172. ##
17. Vařeka I, Vařeková R. The height of the longitudinal foot arch assessed by Chippaux-Šmiřák index in the compensated and uncompensated foot types according to Root. Acta Univ. Palacki. Olomuc. 2008; 38(1): 35. ##
18. Tudor A, Ruzic L, Sestan B, Sirola L, Prpic T. Flat-footedness is not a disadvantage for athletic performance in children aged 11 to 15 years. Pediatrics. 2009; 123(3): 386-e392. ##
19. Neely FG. Biomechanical risk factors for exercise-related lower limb injuries. Sports medicine. 1998; 26(6): 395-413. ##
20. Nashner LM, Black FO, Wall C. Adaptation to altered support and visual conditions during stance: patients with vestibular deficits. The Journal of Neurosc ience. 1982; 2(5): 536-544##
21. Haitz K, Shultz R, Hodgins M, Matheson GO. Test-retest and interrater reliability of the functional lower extremity evaluation. The Journal of orthopaedic and sports physical therapy. 2014; 44(12): 947-954. ##
22.  Brumitt J, Heiderscheit BC, Manske RC, Niemuth PE, Rauh MJ. Lower extremity functional tests and risk of injury in Division III collegiate athletes. Int J Sports Phys Ther. 2013; 8: 216-227##
23. Caffrey E, Docherty CL, Schrader J, Klossner J. The ability of 4 single-limb hopping tests to detect functional performance deficits in individuals with functional ankle instability. J Orthop Sports Phys Ther. 2009; 39: 799-806. ##
24. Noyes FR, Barber SD, Mangine RE. Abnormal lower limb symmetry determined by function hop tests after anterior cruciate ligament rupture. Am J Sports Med. 1991; 19: 513-518##
25.  Post WR, Teitge R, Amis A. Patellofemoral malalignment: looking beyond the viewbox. Clinics in sports medicine. 2002; 21(3): 521-546. ##
26. Burns J, Crosbie J. Weight bearing ankle dorsiflexion range of motion in idiopathic pes cavus compared to normal and pes planus feet. The Foot. 2005; 15(2): 91-94. ##
27. Wang R, Gutierrez-Farewik EM. The effect of subtalar inversion/eversion on the dynamic function of the tibialis anterior, soleus, and gastrocnemius during the stance phase of gait. Gait & posture. 2011; 34(1): 29-35. ##
28. Beinabaji H, Anbarian M, Sokhangouei Y. The effect of flat foot on lower limb muscles activity pattern and plantar pressure characteristics during walking. Journal of Research in Rehabilitation Sciences. 2013; 1328-1341. ##
29. Levangie PK, Norkin CC. Joint structure and function: a comprehensive analysis. 2011. ##
30. Ali MMI, Mohamed MSE. Dynamic Postural Balance in Subjects with and without Flat Foot. Bulletin of Faculty of Physical Therapy. 2011; 16(1) ##
31. Harrison PL, Littlewood C. Relationship between pes planus foot type and postural stability. Indian Journal of Physiotherapy and Occupational Therapy. 2010; 4(3): 21-24. ##
  32. Lin CH, Lee HY, Chen JJ, Lee HM, Kuo MD. Development of a quantitative assessment system for correlation analysis of footprint parameters to postural control in children. Physiological measurement. 2005; 27(2): 119. ##
33. Babak NR, Soheila H, Azar A. The effect of flexible flat-footedness on selected physical fitness factors in female students aged 14 to 17 years. 2013; 8)3) ##
34. Marchado M, Miragaya dSM, Pereira L, Pereira Rl. Muscle activation sequence compromises vertical jump performance. Serbian Journal of Sports Sciences. 2008; 1(2): 85-89##
35. McLean SG, Fellin RE, Suedekum N, Calabrese G, Passerallo A, Joy S. Impact of fatigue on gender-based high-risk landing strategies.  Medicine and science in sports and exercise. 2007; 39(3): 502. ##
The Scientific Journal of Rehabilitation Medicine
Volume 7, Issue 4
January and February 2019
Pages 198-207

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History

  • Receive Date: 29 April 2018
  • Revise Date: 24 June 2018
  • Accept Date: 19 July 2018
  • First Publish Date: 22 December 2018

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