Effect of Fatigue at the Heart Rate Deflection Point on the Frequency Components of Ground Reaction Forces during Walking in Individuals with Pronated Feet

Document Type : Original article

Authors

1 PhD Student of Sport Physiology, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran

2 PhD, Professor of Sport Physiology, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran

3 MSc of Sport Biomechanics, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran

4 PhD, Assistant Professor of Sport Biomechanics, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran

Abstract

Background and Aims: A pronated foot is one of the lower limb malalignments which can lead to running related injuries. Another cause of running related injuries is running induced fatigue. The aim of the current study was to investigate the interaction effect of both pronated foot and fatigue at the heart rate deflection point on the frequency spectrum of ground reaction forces during walking.
Materials and Methods: Participants were assigned into two healthy (number=15) and pronated foot (number=15) groups. A Bertec force platform was used to record the ground reaction forces during barefoot walking before and after fatigue in heart rate deflection point. Ground reaction force was measured in vertical, anterior-posterior, and medio-lateral directions. Two way ANOVA with repeated measure was used for statistical analysis.
Results: The results showed significant Group by Fatigue interaction effect for the frequency with power 99.5% in the anterior-posterior ground reaction force (p=0.030, ƞ2=0.181). Also, the significant Group by Fatigue interaction effect for the frequency with the power 99.5% in the vertical direction (p=0.018, ƞ2=0.212) was observed. In addition, findings demonstrated significant Group by Fatigue interaction effect for the number of essential harmonics in the free moment curve (p=0.044, ƞ2=0.158).
Conclusion: According to the results, the interaction of both pronated foot and fatigue could be a risk factor for running injuries.

Keywords

Main Subjects


1.             Burnfield M. Gait analysis: normal and pathological function. Journal of Sports Science and Medicine. 2010;9(2):353.##
2.             Lovell WW, Winter RB, Morrissy RT, Weinstein SL. Lovell and Winter's pediatric orthopaedics: Lippincott Williams & Wilkins; 2006. ##
3.             Van DB, Sangeorzan BJ. Biomechanics and pathophysiology of flat foot. Foot and ankle clinics. 2003;8(3):419-30. ##
4.             Lee MS, Vanore JV, Thomas JL, Catanzariti AR, Kogler G, Kravitz SR, et al. Diagnosis and treatment of adult flatfoot. The Journal of Foot and Ankle Surgery. 2005;44(2):78-113. ##
5.             Seidi F, Rajabi R, Ebrahimi E, Alizadeh M, Daneshmandi H. Influence of 10 weeks corrective exercise on positional kyphosis deformities. Sport Medicine Journal. 2013;5(1):5-22. ##
6.             Kothari A, Dixon P, Stebbins J, Zavatsky A, Theologis T. Are flexible flat feet associated with proximal joint problems in children? Gait & posture. 2016;45:204-10. ##
7.             Farahpour N, Jafarnezhad A, Damavandi M, Bakhtiari A, Allard P. Gait ground reaction force characteristics of low back pain patients with pronated foot and able-bodied individuals with and without foot pronation. Journal of biomechanics. 2016;49(9):1705-10. ##
8.             Hunt AE, Smith RM. Mechanics and control of the flat versus normal foot during the stance phase of walking. Clinical biomechanics. 2004;19(4):391-7. ##
9.             Murley GS, Landorf KB, Menz HB, Bird AR. Effect of foot posture, foot orthoses and footwear on lower limb muscle activity during walking and running: a systematic review. Gait & posture. 2009;29(2):172-87. ##
10.          Buldt AK, Murley GS, Butterworth P, Levinger P, Menz HB, Landorf KB. The relationship between foot posture and lower limb kinematics during walking: A systematic review. Gait & posture. 2013;38(3):363-72. ##
11.          Erdogan A, Cetin C, Karatosun H, Baydar M. Non-invasive indices for the estimation of the anaerobic threshold of oarsmen. Journal of International Medical Research. 2010;38(3):901-15. ##
12.          Conconi F, Ferrari M, Ziglio PG, Droghetti P, Codeca L. Determination of the anaerobic threshold by a noninvasive field test in runners. Journal of Applied Physiology. 1982;52(4):869-73. ##
13.          ÖZÇELİK O, Keleştimur H. Effects of Aerobic Exercise Training on the Heart rate-Work rate Relationship and Estimation of Anaerobic Threshold in Obese Females. Turkish Journal of Medical Sciences. 2006;36(3):165-70. ##
14.          Ghosh AK. Anaerobic threshold: Its concept and role in endurance sport. The Malaysian journal of medical sciences: MJMS. 2004;11(1):24. ##
15.          Vuillerme N, Nougier V, Prieur J-M. Can vision compensate for a lower limbs muscular fatigue for controlling posture in humans? Neuroscience letters. 2001;308(2):103-6. ##
16.          Borg GA. Psychophysical bases of perceived exertion. Med sci sports exerc. 1982;14(5):377-81. ##
17.          Mohr M, Krustrup P, Bangsbo J. Fatigue in soccer: a brief review. Journal of sports sciences. 2005;23(6):593-9. ##
18.          Kluka DA. Motor behavior: From learning to performance: Morton; 1999. ##
19.          Zech A, Steib S, Hentschke C, Eckhardt H, Pfeifer K. Effects of localized and general fatigue on static and dynamic postural control in male team handball athletes. The Journal of Strength & Conditioning Research. 2012;26(4):1162-8. ##
20.          Hedayatpour N, Hamedinia M. Fatigue Induced Changes in Knee Joint Force, Angular Velocity and Joint Moments During Saggital Perturbations of Single-Leg Stance. World. 2012;6(3):321-7. ##
21.          Bini RR, Diefenthaeler F, Mota CB. Fatigue effects on the coordinative pattern during cycling: Kinetics and kinematics evaluation. Journal of Electromyography and Kinesiology. 2010;20(1):102-7. ##
22.          Cheung RT, Rainbow MJ. Landing pattern and vertical loading rates during first attempt of barefoot running in habitual shod runners. Human movement science. 2014;34:120-7. ##
23.          Chockalingam N, Dangerfield PH, Rahmatalla A, Ahmed E-N, Cochrane T. Assessment of ground reaction force during scoliotic gait. European spine journal. 2004;13(8):750-4. ##
24.          Giakas G. Power spectrum analysis and filtering. Innovative Analyses of Human Movement, Champaign, IL: Human Kinetics. 2004. ##
25.          Duarte R, Fernandes O, Folgado H. Single camera analyses in studying pattern-forming dynamics of player interactions in team sports.  Complex systems in sport: Routledge; 2013. p. 186-200. ##
26.          Madadi-Shad M, Jafarnezhadgero A, Zago M, Granacher U. Effects of varus knee alignment on gait biomechanics and lower limb muscle activity in boys: a cross sectional study. Gait & posture. 2019. ##
27.          Crowe A, Schiereck P, De Boer R, Keessen W. Characterization of human gait by means of body center of mass oscillations derived from ground reaction forces. IEEE Transactions on biomedical engineering. 1995;42(3):293-303. ##
28.          Stergiou N, Giakas G, Byrne JE, Pomeroy V. Frequency domain characteristics of ground reaction forces during walking of young and elderly females. Clinical Biomechanics. 2002;17(8):615-7. ##
29.          Wurdeman SR, Huisinga JM, Filipi M, Stergiou N. Multiple sclerosis affects the frequency content in the vertical ground reaction forces during walking. Clinical biomechanics. 2011;26(2):207-12. ##
30.          Giakas G, Baltzopoulos V, Dangerfield PH, Dorgan JC, Dalmira S. Comparison of gait patterns between healthy and scoliotic patients using time and frequency domain analysis of ground reaction forces. Spine. 1996;21(19):2235-42. ##
31.          Tsepis E, Giakas G, Vagenas G, Georgoulis A. Frequency content asymmetry of the isokinetic curve between ACL deficient and healthy knee. Journal of biomechanics. 2004;37(6):857-64. ##
32.          Stergiou N. Innovative analyses of human movement: Human Kinetics Publishers; 2004. ##
33.          Faul F, Erdfelder E, Lang A-G, Buchner A. G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior research methods. 2007;39(2):175-91. ##
34.          Jafarnezhadgero AA, Shahverdi M, Madadi Shad M. The effectiveness of a novel Kinesio Taping technique on the ground reaction force components during bilateral drop landing in athletes with concurrent pronated foot and patella-femoral pain syndrome. Journal of Advanced Sport Technology. 2017;1(1):22-9. ##
35.          Jafarnezhadgero AA, Shad MM, Majlesi M. Effect of foot orthoses on the medial longitudinal arch in children with flexible flatfoot deformity: A three-dimensional moment analysis. Gait & posture. 2017;55:75-80. ##
36.          Pamukoff DN, Lewek MD, Blackburn JT. Greater vertical loading rate in obese compared to normal weight young adults. Clinical Biomechanics. 2016;33:61-5. ##
37.          Willwacher S, Goetze I, Fischer KM, Brüggemann G-P. The free moment in running and its relation to joint loading and injury risk. Footwear Science. 2016;8(1):1-11. ##
38.          McGrath D, Judkins TN, Pipinos II, Johanning JM, Myers SA. Peripheral arterial disease affects the frequency response of ground reaction forces during walking. Clinical Biomechanics. 2012;27(10):1058-63. ##
39.          Zifchock R, Parker R, Wan W, Neary M, Song J, Hillstrom H. The relationship between foot arch flexibility and medial-lateral ground reaction force distribution. Gait & posture. 2019;69:46-9. ##
40.          Khodadadeh S, Welton EA. Gait studies of patients with flat feet. The foot. 1993;3(4):189-93. ##
41.          Chang JS, Kwon YH, Kim CS, Ahn S-H, Park SH. Differences of ground reaction forces and kinematics of lower extremity according to landing height between flat and normal feet. Journal of back and musculoskeletal rehabilitation. 2012;25(1):21-6. ##
42.          Pauk J, editor Analysis and assessment of foot posture in children with flat feet. PAMM: Proceedings in Applied Mathematics and Mechanics; 2009: Wiley Online Library. ##
43.          Giakas G, Baltzopoulos V. Optimal digital filtering requires a different cut-off frequency strategy for the determination of the higher derivatives. Journal of biomechanics. 1997;30(8):851-5. ##
44.          Jafarnezhadgero A, Majlesi M, Madadi-Shad M. The effects of low arched feet on lower limb joints moment asymmetry during gait in children: A cross sectional study. The Foot. 2018;34:63-8. ##
45.          Simmonds MJ, Lee CE, Etnyre BR, Morris GS. The influence of pain distribution on walking velocity and horizontal ground reaction forces in patients with low back pain. Pain research and treatment. 2012;2012. ##
46.          White LJ, Dressendorfer RH. Exercise and multiple sclerosis. Sports medicine. 2004;34(15):1077-100. ##
47.          Robertson DGE, Caldwell GE, Hamill J, Kamen G, Whittlesey SN. Research methods in biomechanics 2nd edition: Human Kinetics; 2013. ##
48.          Milner CE, Davis IS, Hamill J. Free moment as a predictor of tibial stress fracture in distance runners. Journal of biomechanics. 2006;39(15):2819-25. ##
49.          Nigg BM, Nurse MA, Stefanyshyn DJ. Shoe inserts and orthotics for sport and physical activities. Medicine and science in sports and exercise. 1999;31:S421-S8. ##
50.          Landorf KB, Keenan A-M. Efficacy of foot orthoses. What does the literature tell us? Journal of the American Podiatric Medical Association. 2000;90(3):149-58. ##
51.          Vanicek N, Kingman J, Hencken C. The effect of foot orthotics on myoelectric fatigue in the vastus lateralis during a simulated skier’s squat. Journal of Electromyography and Kinesiology. 2004;14(6):693-8. ##
52.          Jafarnezhadgero A, Madadi-Shad M, Alavi-Mehr SM, Granacher U. The long-term use of foot orthoses affects walking kinematics and kinetics of children with flexible flat feet: A randomized controlled trial. PloS one. 2018;13(10):e0205187. ##
Volume 9, Issue 2
July 2020
Pages 228-238
  • Receive Date: 22 May 2019
  • Revise Date: 18 August 2019
  • Accept Date: 02 October 2019
  • First Publish Date: 21 June 2020