Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
권호 표지

Comparison of Abductor Hallucis Muscle Activity During Toe Curl Exercises According to the Position of the Interphalangeal Joint

발가락 감기 운동 시 지절관절 자세에 따른 무지외전근의 근 활성도 비교

  • Published : 2009.05.21
Download PDF
⟨ Previous Next ⟩

Abstract

The purposes of this study were to compare abductor hallucis (AbdH) muscle activity during toe curl exercise according to position of interphalangeal joint (IPJ). Fifteen healthy subjects with neutral foot were recruit for this study. All subjects performed toe curl exercise with towel while maintaining the IPJ in flexion (condition 1) and extension (condition 2). Toe curl exercise with towel was perform three trials for five second periods in each condition. Surface electromyography (EMG) activities were recorded from three muscles (AbdH, tibialis anterior, peroneous longus) in each condition. EMG activity was normalized to the value of maximal voluntary isometric contraction (%MVIC). The EMG activities acoording to position of IPJ were compared using a paired t-test. This study showed that the EMG activity of AbdH during toe curl exercise with IPJ extension significantly increased compared to those during toe curl exercise with IPJ flexion (p<.05). However, the EMG activity of tibialis anterior and peroneus longus were not significantly different between the conditions (p>.05). These results suggest that toe curl exercise with towel must be performed with extension of IPJ in order to strengthen intrinsic muscle in subjects with overuse injuries related to excessive pronation.

Keywords

References

  1. Andersen H. Gjerstad MD, Jakobsen J. Atrophy of foot muscles: A measure of diabetic neuropathy. Diabetes Care. 2004;27(10):2382-2385. https://doi.org/10.2337/diacare.27.10.2382
  2. Arinci Incel N, Genc H, Erdem HR. et al. Muscle imbalance in hallux valgus: An electromyographic study. Am J Phys Med Rehabil. 2003;82(5)345-349. https://doi.org/10.1097/00002060-200305000-00003
  3. Brenner E. Insertion of the abductor hallucis muscle in feet with and without hallux valgus. Anat Rec. 1999;254(3):429-434. https://doi.org/10.1002/(SICI)1097-0185(19990301)254:3<429::AID-AR14>3.0.CO;2-5
  4. Brody DM. Techniques in the evaluation and treatment of the injured runner. Orthop Clin North Am 1982;13(3);541-558.
  5. Brown GP, Donatelli R. Catlin PA et al. The effect of two types of foot orthoses on rearfoot mechanics. J Orthop Sports Phys Ther. 1995;21(5):258-267. https://doi.org/10.2519/jospt.1995.21.5.258
  6. Cheung JT, Zhang M. An KN. Effects of plantar fascia stiffness on the biomechanical responses of the ankle-foot complex. Clin Biomech (Bristol. Avon). 2004;19(8):839-846. https://doi.org/10.1016/j.clinbiomech.2004.06.002
  7. Davis WH, Sobel M. DiCarlo EF, et al. Gross, histological, and microvascular anatomy and biomechanical testing of the spring ligament complex. Foot Ankle Int. 1996;17(2):95-102. https://doi.org/10.1177/107110079601700207
  8. Drake R Vogl W, Mitchell AWM Gray's Anatomy fa-Students. 2nd ed. Philadelpia, Elsevier/Churchill Livingstone. 2005.
  9. Fiolkowski P, Brunt D. Bishop M. et al. Intrinsic pedal musculature support of the medial longitudinal arch: An electromyography study. J Foot Ankle Surg. 2003:42(6):327-333. https://doi.org/10.1053/j.jfas.2003.10.003
  10. Franco AH. Pes cavus and pes planus. Analyses and treatment. Phys Ther. 1987:67(5):688-694. https://doi.org/10.1093/ptj/67.5.688
  11. Greenman PE. Principles of Manual Medicine. 3rd ed. Baltimore, Lippincott Williams & Wilkins, 2003.
  12. Greenman RL, Khaodhiar L. Lima C. et al. Foot small muscle atrophy is present before the detection of clinical neuropathy. Diabetes Care. 2005;28(6): 1425-1430. https://doi.org/10.2337/diacare.28.6.1425
  13. Headlee DL, Leonard JL, Hart JM et al. Fatigue of the plantar intrinsic foot muscles increases navicular drop. J Electromyogr Kinesiol. 2008;18(3):420-425. https://doi.org/10.1016/j.jelekin.2006.11.004
  14. Huang CK, Kitaoka HB. An KN. et al. Biomechanical evaluation of longitudinal arch stability. Fool Ankle. 1993:14(6):353-357. https://doi.org/10.1177/107110079301400609
  15. Jam B. Evaluation and retraining of the intrinsic foot muscles for pain syndromes related to abnormal control of pronation. Advanced Physical Therapy Education Institute. http://www.aptei.com/ar-ticles/pdf/Intrinsic Muscle. pdf. Accessed January 22. 2006.
  16. Johanson MA. Donatelli R, Wooden MJ, et al. Effects of three different posting methods on controlling abnormal subtalar pronation. Phys Ther. 1994;74(2):149-161. https://doi.org/10.1093/ptj/74.2.149
  17. Kitaoka HB. Luo ZP. An KN. Effect of the posterior tibial tendon on the arch of the foot during simulated weightbearing: Biomechanical analysis. Foot Ankle Int. 1997;18(1):43-46. https://doi.org/10.1177/107110079701800109
  18. Kitaoka HB, Luo ZP, An KN. Reconstruction operations for acquired flatfoot: Biomechanical evaluation. Foot Ankle Int. 1998;19(4):203-207. https://doi.org/10.1177/107110079801900403
  19. Kulig K, Reischl SF, Pomrantz AB. et al. Nonsurgical management of posterior tibial ten don dysfunction with orthoses and resistive exercise: A randomized controlled trial. Phys Ther. 2009;89(1):26-37. https://doi.org/10.2522/ptj.20070242
  20. Kura H, Luo ZP, Kitaoka HB, et al. Quantitative analysis of the intrinsic muscles of the foot Anat Rec. 1997;249(1):143-151. https://doi.org/10.1002/(SICI)1097-0185(199709)249:1<143::AID-AR17>3.0.CO;2-P
  21. Mann R, Inman VT. Phasic activity of intrinsic muscles of the foot. J Bone Joint Surg Am 1964;46:469-481. https://doi.org/10.2106/00004623-196446030-00001
  22. Nigg BM, Khan A, Fisher V. et al. Effect of shoe insert construction on foot and leg movement. Med Sci Sports Exerc. 1998;30(4):550-555. https://doi.org/10.1097/00005768-199804000-00013
  23. O'Connor KM, Hamill J. The role of selected extrinsic foot muscles during running. Clin Biomech (Bristol, Avon). 2004:19(1):71-77. https://doi.org/10.1016/j.clinbiomech.2003.09.001
  24. Reeser LA, Susman RL. Stern JT Jr. Electromyographic studies of the human foot: Experimental approaches to hominid evolution. Foot Ankle. 1983;3(6):391-407. https://doi.org/10.1177/107110078300300607
  25. Rothermel SA, Hale SA, Hertel. J. et al. Effect of active foot positioning on the outcome of a balacne training progarm Phys Ther Sport. 2004;5:98-103. https://doi.org/10.1016/S1466-853X(04)00027-6
  26. Sherman KP. The foot in sport. Br J Sports Med. 1999;33(1):6-13. https://doi.org/10.1136/bjsm.33.1.6
  27. Snyder KR, Earl JE, O'Connor KM, et al. Resistance training is accompanied by increases in hip strength and changes in lower extremity biomechanics during running. Clin Biomech (Bristol, Avon). 2009;24(1):26-34. https://doi.org/10.1016/j.clinbiomech.2008.09.009
  28. Thordarson DB, Schrnotzer H, Chon J, et al. Dynamic support of the human longitudinal arch. A bio-mechanical evaluation. Clin Orthop Relat Res. 1995;31(6):165-172.
  29. Wong YS. Influence of the abductor hallucis muscle on the medial arch of the foot: a kinematic and anatomical cadaver study. Foot Ankle Int. 2007;28(5):617-620. https://doi.org/10.3113/FAI.2007.0617