Effects of Instrument Assisted Soft Tissue Mobilization and Foot Strengthening Exercise on Navicular Height and Ankle Range of Motion in College Students with Flexible Flat Feet: A Comparative Study
DOI:
https://doi.org/10.37506/bb13av45Keywords:
Instrument Assisted Soft Tissue Mobilization, Navicular Height, Flexible Flat Feet.Abstract
Background: The medial longitudinal arch (MLA) plays a major role in maintaining the biomechanics of the foot and is maintained with the help of active and passive systems. Dysfunction of active and passive support system can lead to a reduction of navicular height, leading to excessive pronation of the foot known as pes planus. Pes planus is caused by injury, prolonged stress on the foot, obesity, and faulty biomechanics which will result in posterior tibial tendon dysfunction, collapse of the foot archand flat foot.The patients with posterior tibial tendon dysfunction and pesplanus have reduced dorsiflexion and increased eversion.So, the aim was to study the effects of instrument assisted soft tissue mobilization and foot strengthening exercise on navicular height and ankle range of motion in college students with flexible flat feet.
Method: Total 40 students were recruited for the study as per selection criteria and were divided into two groups (20 in each group). Group A was treated with Instrument Assisted Soft Tissue Mobilization(IASTM)and group B was treated with Foot Strengthening Exercise for five days a week for 4 weeks. Inter-group analysis by Mann Whitney U-test showed statistically significant improvement in navicular height and ankle range of motion (P value ≤ 0.001).
Conclusion: This study showed statistically significant improvement in navicular height and ankle ROM with the use of IASTM and foot strengthening exercise. However, IASTM was found to be more effective in improving ankle ROM and foot strengthening exercise was found to be more effective inincreasingnavicular height.
Downloads
References
McKeon PO, Hertel J, Bramble D, Davis I. The foot core system: a new paradigm for understanding intrinsic foot muscle function. Br J Sports Med. 2015;49(5):290.
Mulligan EP, Cook PG. Effect of plantar intrinsic muscle training on medial longitudinal arch morphology and dynamic function. Man Ther. 2013;18(5):425-430.
Franco AH. Pescavus and pesplanus. Analyses and treatment. PhysTher. 1987;67(5):688-694.
Bek N, Simşek IE, Erel S, Yakut Y, Uygur F. Home-based general versus center-based selective rehabilitation in patients with posterior tibial tendon dysfunction. ActaOrthopTraumatolTurc. 2012;46(4):286-292.
Kaye RA, Jahss MH. Tibialis posterior: a review of anatomy and biomechanics in relation to support of the medial longitudinal arch. Foot Ankle. 1991;11(4):244- 247.
Martin bf. observations on the muscles and tendons of the medial aspect of the sole of the foot. j anat. 1964;98:437-453.
Kamiya T, Uchiyama E, Watanabe K, Suzuki D, Fujimiya M, Yamashita T. Dynamic effect of the tibialis posterior muscle on the arch of the foot during cyclic axial loading. ClinBiomech (Bristol, Avon). 2012;27(9):962-966.
Semple R, Murley GS, Woodburn J, Turner DE. Tibialis posterior in health and disease: a review of structure and function with specific reference to electromyographicstudies. J Foot Ankle Res. 2009;2:24.
Thordarson DB, Schmotzer H, Chon J, Peters J. Dynamic support of the human longitudinal arch. A biomechanical evaluation. ClinOrthopRelatRes.1995(316):165-172.
Bloome DM, Marymont JV, Varner KE. Variations on the insertion of the posterior tibialis tendon: a cadaveric study. Foot Ankle Int. 2003;24(10):780-783.
Allen RH, Gross MT. Toe flexors strength and passive extension range of motion of the first metatarsophalangeal joint in individuals with plantar fasciitis. J OrthopSportsPhysTher. 2003;33(8):468-478.
McKeon PO, Hertel J, Bramble D, Davis I. The foot core system: a new paradigm for understanding intrinsic foot muscle function. Br J Sports Med. 2015;49(5):290.
Kelly LA, Kuitunen S, Racinais S, Cresswell AG. Recruitment of the plantar intrinsic foot muscles with increasing postural demand. ClinBiomech (Bristol, Avon). 2012;27(1):46-51.
Headlee DL, Leonard JL, Hart JM, Ingersoll CD, Hertel J. Fatigue of the plantar intrinsic
foot muscles increases navicular drop. J ElectromyogrKinesiol. 2008;18(3):420- 425.
Synder KR, Earl JE, O’Connor KM, et al. Resistance training is accompanied by increase in hip strength and changes in lower extremity biomechanics during running. ClinBiomech (Bristol Avon). 2009;24(1):26-34.
Panichawit C, Bovonsunthonchai S, Vachalathiti R et al. Effects of foot muscles training on planter pressure distribution during gait, foot muscle strength, and foot function in person with flexible flatfoot. J Med Assoc Thai. 2015:98 Suppl 5:S12-S17.
Toullec E. Adult flatfoot. Orthopedics & Traumatology: Surgery & Research. 2015 Feb 1;101(1): S11-7.
Kuhn DR, Shibley NJ, Austin WM, et al. Radiographic evaluation of weight- bearing orthotics and their effect on flexible pesplenus. J Manipulative PhysiolTher. 1999;22(4):221-226.
Chougala A, Phanse V, Khanna E, et al. Screening of body mass index and functional flatfoot in adult: an observational study. International Journal of Physiotherapy and Research. 2015;3(3):1037-1041.
Ness ME, Long J, Marks R, Harris G. Foot and ankle kinematics in patients with posterior tibial tendon dysfunction. Gait & posture. 2008 Feb 1;27(2):331-9.
Markovic G. Acute effects of instrument assisted soft tissue mobilization vs. foam rolling on knee and hip range of motion in soccer players. Journal of bodywork and movement therapies. 2015 Oct 1;19(4):690-6.
MacDonald N, Baker R, Cheatham SW. The effects of instrument assisted soft tissue mobilization on lower extremity muscle performance: a randomized controlled trial. International journal of sports physical therapy. 2016 Dec;11(7):1040.
Redmond AC, Crane YZ, Menz HB. Normative values for the foot posture index. Journal of Foot and Ankle research. 2008 Dec;1(1):6.
Okamoto T, Masuhara M, Ikuta K. Acute effects of self-myofascial release using a foam roller on arterial function. J Strength Cond Res. 2014;28:69–73.
Christensen BH, Andersen KS, Pedersen KS, et al. Reliability and concurrent validity of a novel method allowing for in-shoe measurement of navicular drop. Journal of Foot and Ankle Research. 2014;7(1):12.
Lynn SK, Padilla RA, Tsang KK. Differences in static- and dynamic-balance task performance after 4 weeks of intrinsic-foot-muscle training: the short-foot exercise versus the towel-curl exercise. J Sport Rehabil. 2012;21(4):327-333.
Howitt S, Jung S, Hammonds N. Conservative treatment of a tibialis posterior strain in a novice triathlete: a case report. J Can Chiropr Assoc. 2009;53(1):23-31.
TanajiDarshana, Dr. TejasBorkar. A comparative study of Instrument Assisted Soft Tissue Mobilization with conventional physiotherapy treatment in patients with flexible flat foot on ankle range of motion and foot posture index. International journal of scientific research.2020;9(2):21-23.
Hyong IH, Kim HS, Lee GC. The effect of muscle activities and dynamic balance ability with mobilization and active exercise on pronation foot. Journal of Sport and Leisure Studies. 2009; 37(2):1023-1032.
Neumann DA. Kinesiology of the Musculoskeletal System: Foundation for Rehabilitation. 2nd ed. St Louis, Mosby, 2011:628-638.
Downloads
Published
Issue
Section
License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.