Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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Changes in the Cross-Sectional Area of the Abductor Hallucis During the Toe-Spread-Out Exercise at Different Ankle Positions

다양한 발목각도에 따른 발가락벌리기 운동이 엄지벌림근 단면적에 미치는 영향

  • Kang, Seong-Tae (Department of Physical Therapy, College of Life & Health Science, Hoseo University) ;
  • Kang, Sun-Young (Department of Physical Therapy, College of Life & Health Science, Hoseo University) ;
  • Kim, Ki-Song (Department of Physical Therapy, College of Life & Health Science, Hoseo University) ;
  • Jeon, In-Cheol (Department of Physical Therapy, College of Life & Health Science, Hoseo University) ;
  • Choung, Sung-Dae (Department of Physical Therapy, Division of Health Science, Baekseok University)
  • 강성태 (호서대학교 생명보건대학 물리치료학과) ;
  • 강선영 (호서대학교 생명보건대학 물리치료학과) ;
  • 김기송 (호서대학교 생명보건대학 물리치료학과) ;
  • 전인철 (호서대학교 생명보건대학 물리치료학과) ;
  • 정성대 (백석대학교 보건학부 물리치료학과)
  • Received : 2020.01.30
  • Accepted : 2020.03.27
  • Published : 2020.05.31
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Abstract

PURPOSE: This study examined the changes in the cross-sectional area (CSA) of the abductor hallucis muscle during various ankle positions while performing toespread-out (TSO) exercise. METHODS: Thirty subjects with an average age of 22.1 years were recruited for this study. All subjects were firstly measured for the angle of their first metatarsophalangeal joint using a goniometer. Those with angles greater than 15° were allocated to the HV group. The remaining subjects were placed in the normal group. The CSA of the abductor hallucis was measured by ultrasound in the resting position with no movement and three ankle positions: neutral (0°), plantarflexion (30°), and dorsiflexion (30°). All data were analyzed using a two-way mixed analysis of variance between the groups (normal and HV group) and within the groups (resting, neutral, plantarflexion, and dorsiflexion) to determine the group x position interaction effects. RESULTS: During TSO exercise in the normal group, the CSA of the abductor hallucis was significantly greater in both the plantarflexion and neutral positions compared to the resting position (padj < .01), and plantarflexion was significantly greater than the dorsiflexion position (padj < .01). During the TSO exercise in the HV group, the CSA of the abductor hallucis for plantarflexion was significantly greater than it was for the resting, neutral, and dorsiflexion positions (padj < .01). CONCLUSION: Based on the above results, the TSO exercise in plantarflexion is an effective rehabilitation exercise for subjects with HV.

Keywords

References

  1. Coughlin MJ. J Bone Joint Surg Am. 1996;78(6):932-66. https://doi.org/10.2106/00004623-199606000-00018
  2. Coughlin MJ, Jones CP. Hallux Valgus: Demographics, etiology, and radiographic assessment. Foot Ankle Int. 2007;28(7):759-77. https://doi.org/10.3113/FAI.2007.0759
  3. Munuera PV, Dominguez G, Reina M, et al. Bipartite hallucal sesamoid bones: Relationship with hallux valgus and metatarsal index. Skeletal Radiol. 2007;36(11):1043-50. https://doi.org/10.1007/s00256-007-0359-6
  4. Coughlin MJ. Hallux valgus in men: Effect of the distal metatarsal articular angle on hallux valgus correction. Foot Ankle Int. 1997;18(8):463-70. https://doi.org/10.1177/107110079701800802
  5. Coughlin MJ, Thompson FM. The high price of highfashion footwear. Instr Course Lect. 1995;44:371-7.
  6. Hardy RH, Clamp JCR. Observations of hallux Valgus. Bone Joint J.1951;30(3):376-91. https://doi.org/10.1302/0301-620X.33B3.376
  7. Piggott H. The natural history of hallux valgus in adolescence and early adult life. Bone Joint J.1960;42(4):749-60. https://doi.org/10.1302/0301-620X.42B4.749
  8. Pouliart N, Haentjens H, Opdecam P. Clinical and radiographic evaluation of wilson osteotomy for hallux valgus. Foot Ankle Int. 1996;17(7):388-94. https://doi.org/10.1177/107110079601700706
  9. Smith BW, Coughlin MJ. The First metatarsocuneiform joint, hypermobility, and hallux valgus: What does ia all mean? Foot Ankle Surg. 2008;14(3):138-41. https://doi.org/10.1016/j.fas.2008.05.006
  10. Arinci incel N, Genc H, Erdem HR, Et al. Muscle imbalance in hallux valgus: An electromyographic study. AM J Phys Rehabi. 2003;82(5):345-9.
  11. Groiso JA. A conservative approach to treatment. J Bone Jotint Surg AM. 1992;74(9):1367-74. https://doi.org/10.2106/00004623-199274090-00010
  12. Shimazaki K, Takebe K. Investigations on the origin of hallux valgus by electromyographic analysis. Kobe J Med Sci. 1981;27(4):139-58.
  13. Kim MH, Yi CH, Weon JH, et al. Effect of toe-spread-out exercise on hallux valgus angle and cross-sectional area of abductor hallucis muscle in subjects with hallux valgus. J Phys Ther Sci. 2015;27(4):1019-22. https://doi.org/10.1589/jpts.27.1019
  14. Neumann DA. Kinesiology of Musculoskeletal System. 2ed ed. 2011:53-8.
  15. Yoon HB, Kim JH, Park JH, Jeon HS. Comparison of the Foot Muscle EMG and Medial Longitudinal Arch Angle During Short Foot Exercises at Different Ankle Position. Phys Ther Korea. 2017;24(4):46-53. https://doi.org/10.12674/ptk.2017.24.4.046
  16. Potter CL, Cairns MC, Stokes M. Use of ultrasound imaging by physiotherapists: A pilot study to survey use, skills and training. Man Ther. 2012;17(1):39-46. https://doi.org/10.1016/j.math.2011.08.005
  17. Whittaker JL, Warner MB, Stokes MJ. Ultrasound imaging transducer motion during clinical maneuvers: Respiration, active straight leg raise test and abdominal drawing in. Ultrasound Med Biol. 2010;36(8):1288-97. https://doi.org/10.1016/j.ultrasmedbio.2010.04.020
  18. Hodes PW. Ultrasound imaging in rehabilitation: Just a fad? J Orthop Sports Phts Ther. 2005;35(6):333-7. https://doi.org/10.2519/jospt.2005.0106
  19. Takai Y, Katsumata Y, Kawakami Y, et al. Ultrasound method for estimating the cross-sectional area of the psoas major muscle. Med Sci Sports Exerc. 2011;43(10):2000-4. https://doi.org/10.1249/MSS.0b013e31821994cb
  20. Choung SD, Kang SY, Kim MH, et al. Reliability and validity of the goniometer for hallux valgus angle measurement. Phys Ther Korea. 2013;20(2):46-51. https://doi.org/10.12674/ptk.2013.20.2.046
  21. Kim MH, Kwon OY, Kim SH, et al. Comparison of muscle activities of abductor hallucis and adductor hallucis between the short foot and toe-spread-out exercises in subjects with mild hallux valgus. J Back Musculoskelet Rehabil. 2013;26(2):163-8. https://doi.org/10.3233/BMR-2012-00363
  22. Cameron AF, Rome K, Hing WA. Ultrasound evaluation of the abductor hallucis muscle: Reliability study. J Foot Ankle Res. 2008;1(1):12. https://doi.org/10.1186/1757-1146-1-12
  23. Kang SY, Choung SD, Kim MH. Relationship between angle of metatarsophalangeal joint and abductor hallucis in hallux valgus. J Korean Soc Phys Ther. 2014;26:56-61.
  24. Brenner E. Insertion of the abductor hallucis muscle in feet with and without hallux valgus. AnatRec. 1999;254(3):429-34.
  25. Fiolkowski P, Brunt D, Bishop M, et al. Intrinsic pedal musculature support of the medial longitudinal arch: An electromyography study. The Journal of foot and ankle surgery. 2003;42(6):327-33. https://doi.org/10.1053/j.jfas.2003.10.003
  26. Lee JH, Cynn HS, Yoon TL, et al. Differences in the angle of the medial longitudinal arch and muscle activity of the abductor hallucis and tibialis anterior during sitting short-foot exercises between subjects with pes planus and subjects with neutral foot. Journal of back and musculoskeletal rehabilitation. 2016;29(4):809-15. https://doi.org/10.3233/BMR-160693
  27. Sahrmann S. Diagnosis and Treatment of Movement Impairment Syndromes. 1st ed. St. Louis, Mosby, 2002:16.
  28. Lieber RL. Skeletal Muscle Structure, Function, and Plasticity: The physiological basis of rehabilitation. 3rd ed. Baltimore, Lippincott Williams & Wilkins, 2010:203-6.
  29. Stewart S, Ellis R, Heath M, et al. Ultrasonic evaluation of the abductor hallucis muscle in hallux valgus: a cross-sectional observational study. BMC Musculoskelet Disord. 2013;14:45. https://doi.org/10.1186/1471-2474-14-45
  30. Franco AH. Pes cavus and pes planus: Analyses and treatment. Physical Therapy. 1987;67(5):688-94. https://doi.org/10.1093/ptj/67.5.688
  31. Jung DY, Kim MH, Koh EK, et al. A comparison in the muscle activity of the abductor hallucis and the medial longitudinal arch angle during toe curl and short foot exercises. Physical Therapy in Sport. 2011;12(1):30-5. https://doi.org/10.1016/j.ptsp.2010.08.001
  32. Murley GS, Landorf KB, Menz HB, et al. Effect of foot posture, foot orthoses and footwear on lower limb muscle activity during walking and running: A systematic review. Gait & posture. 2009a;29(2):172-187. https://doi.org/10.1016/j.gaitpost.2008.08.015
  33. O'connor KM, Hamill J. The role of selected extrinsic foot muscles during running. Clinical Biomechanics. 2004;19(1):71-7. https://doi.org/10.1016/j.clinbiomech.2003.09.001

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