Relationship between Lumbar curvatures and Foot Pressure Pattern in Sagittal Plane in Healthy Individuals with a Normal BMI

Document Type : Original article

Authors

1 Student Research Committee, ePT Candidate, Department of Physiotherapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2 Full Professor of Physiotherapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran. Iran

3 Professor, Department of Physiotherapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran

4 Professor, Department of Basic Sciences, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Abstract

Background and Aims: A review of the literature reveals an enormous number of studies focused on the relationship between the frontal plane deviations and the plantar pressure pattern. However, no study was found on the relationship between the sagittal plane deviations and the plantar pressure pattern. The current study aimed to find out if there is any relationship between the lumbar curvature changes in sagittal plane and the foot pressure pattern in individuals with a normal BMI.
Materials and Methods: A total of 64 university female students, aged 21.8±1.6 years, with an average BMI of 21.8±1.8, with different lumbar lordosis angles were recruited in the current descriptional-analytical study. The lumbar lordosis angle was measured using a flexible ruler and the plantar pressure pattern was studied making use of a Zebris platform (Zebris, Germany). The data was analyzed running ANOVA and paired t-tests (α=0.05).
Results: No significant relationship was found between the lumbar lordosis angle and the plantar pressure pattern in these participants (p>0.05).
Conclusion: The results of our study revealed that a normal plantar pressure pattern exists in individuals with different lumbar lordosis angles. Therefore, more studies are needed while prescribing therapeutic exercises to patients with normal BMI and low or high lumbar angles.

Keywords

Main Subjects


1.   Evcik D, Yücel A. Lumbar Lordosis In Acute And Chronic Low Back Pain Patients. Rheumatology International. 2003;23(4):163-5.##
2.   Ledoux WR, Hillstrom HJ. The Distributed Plantar Vertical Force Of Neutrally Aligned And Pes Planus Feet. Gait & Posture. 2002;15(1):1-9. ##
3.   Kennedy B, Mark S. Biomechanical Problems: Foot/Spine Relationships In Youth. Australian Journal Of Physiotherapy. 1977;23(3):107-14. ##
4.   Błaszczyk JW, Cieślinska-Świder J, Plewa M, Zahorska-Markiewicz B, Markiewicz A. Effects Of Excessive Body Weight On Postural Control. Journal Of Biomechanics. 2009;42(9):1295-300. ##
5.  Orlin M, Mcpoil T. Plantar Pressure Assessment. Physical Therapy. 2000;80(4):399-409. ##
6.   Pirozzi K, Mcguire J, Meyr AJ. Effect Of Variable Body Mass On Plantar Foot Pressure And Off-Loading Device Efficacy. The Journal Of Foot And Ankle Surgery. 2014;53(5):588-97. ##
7. Nyska M, Sofer D, Porat A, Howard C, Levia, Meizner I. Planter Foot Pressures In Pregnant Women. Israel Journal Of Medical Sciences. 1997;33(2):139-46. ##
8. Norbakhsh M, Mosavi S. An Investigation Into Reliability And Validity Of  Flexible Ruler In Lumbar Lordosis Measurment. Journal Of Mazandaran University Of Medical Scienc. 2002;12(36):46-51. ##
9. Youdasj, Suman V, Garrett T. Reliability Of Measurements Of Lumbar Spine Sagittal Mobility Obtained With The Flexible Curve. The Journal Of Orthopaedic And Sports Physical Therapy. 1995;21(1):13. ##
10. Periyasamy R, Mishra A, Anand S, Ammini A. Preliminary Investigation Of Foot Pressure Distribution Variation In Men And Women Adults While Standing. The Foot. 2011;21(3):142-8. ##
11. Birtane M, Tuna H. The Evaluation Of Plantar Pressure Distribution In Obese And Non-Obese Adults. Clinical Biomechanics. 2004;19(10):1055-9. ##
12. Fernand R, Fox D E. Evaluation of Lumbar Lordosis. A Prospective And Retrospective Study. Spine 1985; 10(9): 799-803. ##
13. Vismara L, Menegoni F, Zaina F, Galli M, Negrini S, Capodaglio P. Effect Of Obesity And Low Back Pain On Spinal Mobility: A Cross Sectional Study In Women. Journal Of Neuroengineering And Rehabilitation. 2010;7(1):3. ##
14. Hills A, Hennig E, Mcdonald M, Bar-Or O. Plantar Pressure Differences Between Obese And Non-Obese Adults: A Biomechanical Analysis. International Journal Of Obesity. 2001;25(11):1674. ##
15. Rosenbaum D, Becker HP. Plantar Pressure Distribution Measurements. Technical Background And Clinical Applications. Foot And Ankle Surgery. 1997;3(1):1-14. ##
Volume 8, Issue 3
October 2019
Pages 51-56
  • Receive Date: 27 November 2018
  • Revise Date: 31 December 2018
  • Accept Date: 19 January 2019
  • First Publish Date: 23 September 2019