D A Nawoczenski1, P M Ludewig. 1. Department of Physical Therapy, Ithaca College-University of Rochester campus, NY 14623, USA.
Abstract
OBJECTIVE: To study the effects of foot orthotics on the mean electromyographic amplitude of proximal and distal lower extremity muscle groups during the first 50% of the stance phase during treadmill running. DESIGN: Repeated measures. SETTING:Subjects were recruited from the general community. PARTICIPANTS: Twelve recreational runners who were symptomatic for lower extremity pain. Clinical and radiographic findings confirmed the presence of structural malalignment of the foot. INTERVENTION: Semirigid orthotics were fabricated for each subject, and like footwear provided. MAIN OUTCOME MEASURES: Surface electromyogram activity from the tibialis anterior, medial gastrocnemius, vastus medialis, vastus lateralis, and biceps femoris was collected during treadmill running at self-selected speeds for orthotic and nonorthotic conditions. Root mean square values were averaged across 10 cycles, normalized to time and expressed as a percentage of the nonorthotic condition. RESULTS: Paired t test results showed statistically significant changes (p<.05) for the biceps femoris (-11.1%) and tibialis anterior (+37.5%) muscle groups during the orthotic condition. Electromyographic activity in the medial gastrocnemius, vastus medialis, and vastus lateralis with orthotic use was not significantly different from the nonorthotic condition. CONCLUSION: Although subjects' electromyographic responses to orthotic use were highly individualized, the findings of this study may enhance our understanding of muscle activity changes associated with positive outcomes from orthotic use.
RCT Entities:
OBJECTIVE: To study the effects of foot orthotics on the mean electromyographic amplitude of proximal and distal lower extremity muscle groups during the first 50% of the stance phase during treadmill running. DESIGN: Repeated measures. SETTING: Subjects were recruited from the general community. PARTICIPANTS: Twelve recreational runners who were symptomatic for lower extremity pain. Clinical and radiographic findings confirmed the presence of structural malalignment of the foot. INTERVENTION: Semirigid orthotics were fabricated for each subject, and like footwear provided. MAIN OUTCOME MEASURES: Surface electromyogram activity from the tibialis anterior, medial gastrocnemius, vastus medialis, vastus lateralis, and biceps femoris was collected during treadmill running at self-selected speeds for orthotic and nonorthotic conditions. Root mean square values were averaged across 10 cycles, normalized to time and expressed as a percentage of the nonorthotic condition. RESULTS: Paired t test results showed statistically significant changes (p<.05) for the biceps femoris (-11.1%) and tibialis anterior (+37.5%) muscle groups during the orthotic condition. Electromyographic activity in the medial gastrocnemius, vastus medialis, and vastus lateralis with orthotic use was not significantly different from the nonorthotic condition. CONCLUSION: Although subjects' electromyographic responses to orthotic use were highly individualized, the findings of this study may enhance our understanding of muscle activity changes associated with positive outcomes from orthotic use.
Authors: Shannon E Munteanu; Karl B Landorf; Hylton B Menz; Jill L Cook; Tania Pizzari; Lisa A Scott Journal: J Foot Ankle Res Date: 2009-10-24 Impact factor: 2.303
Authors: Ruth Barn; Mhairi Brandon; Daniel Rafferty; Roger D Sturrock; Martijn Steultjens; Deborah E Turner; James Woodburn Journal: Rheumatology (Oxford) Date: 2013-10-03 Impact factor: 7.580