Background: Flatfoot can cause musculoskeletal disorders. There are two exercises for flatfoot: the short foot exercise(SFE)and toe curl exercise(TC). This study aimed to clarify the effective intervention for flatfoot by comparing the medial longitudinal arch and the activities of foot muscles during SFE and TC.
Methods: This cross-sectional study recruited participants with a foot posture index 6 more than 7. We assessed the medial longitudinal arch, pennation angle of the flexor hallucis longus, and abductor hallucis activity during the SFE and TC. A blinded assessor marked the first metatarsal head, navicular tuberosity, and calcaneus to assess the medial longitudinal arch. Images of the medial longitudinal arch during the SFE, TC, and static conditions were obtained using a digital camera. The pennation angles of the flexor hallucis longus during SFE, TC, and static conditions were measured by ultrasonography. Abductor hallucis activity during the SFE and TC was measured using surface electromyography. Mixed-model repeated-measures analysis of variance and Bonferroni collection were used to assess the medial longitudinal arch and pennation angle of the flexor hallucis longus. A paired t-test was conducted for the electromyography of the abductor hallucis.
Result: Fifteen participants underwent the assessments. In the medial longitudinal arch assessment, there was a significant difference between SFE and static condition(p = 0.001, 95% confidence interval[CI]: 2.22-9.38; effect size[d]: 0.97). In the pennation angle of flexor hallucis longus, there was a significant difference between TC and static condition(p ‹ 0.001, 95% CI: 2.36-7.81, d: 1.13), and SFE and TC(p = 0.001, 95% CI: 2.22-9.38, d: 0.97). SFE showed significantly greater abductor hallucis activity than TC(p ‹ 0.001, 95% CI: 31.0-68.1, d: 1.5).
Conclusion: These results suggest that SFE, which contracted the abductor hallucis, may
be more effective for flatfoot.
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