A comparison of plantar pressure variables and muscular frequency content between individuals with anterior cruciate ligament reconstruction and pronated feet and healthy controls

Jafarnezhadgero, AmirAli; Fakhri Mirzanag, Ehsan; Alizadeh, Raziye; khezri, Davood

[Home ] [Archive]

[ فارسی ]

Journal of Ilam University of Medical Sciences

Main Menu

Home

Journal Information

Articles archive

Publication Ethics

Peer Review Process

Indexing Databases

For Authors

For Reviewers

Subscription

Contact us

Site Facilities

Google Scholar Metrics

	All	Since 2019
Citations	6725	3966
h-index	27	21
i10-index	201	95

Search in website

Receive site information

Registered in

Volume 32, Issue 3 (8-2024)

Journal of Ilam University of Medical Sciences 2024, 32(3): 1-11

Back to browse issues page

A comparison of plantar pressure variables and muscular frequency content between individuals with anterior cruciate ligament reconstruction and pronated feet and healthy controls

AmirAli Jafarnezhadgero ^*

¹, Ehsan Fakhri Mirzanag²

, Raziye Alizadeh³

, Davood Khezri⁴

1- Dept of Sport Biomechanics, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran , amiralijafarnezhad@gmail.com
2- Dept of Sport Biomechanics, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran
3- Dept of Sports Biomechanics, Islamic Azad University of Tehran, Tehran, Iran
4- Dept of Sports Biomechanics, Sport Sciences Research Institute, Tehran, Iran

Abstract: (269 Views)

Introduction: Asymmetrical gait mechanics after anterior cruciate ligament reconstruction (ACLR) are associated with the development of post-traumatic knee osteoarthritis. Current measures of gait mechanics have focused on peak magnitudes of knee kinematics, kinetics, and joint contact forces; nonetheless, they have seldom considered the plantar pressure and muscular frequency content in individuals with ACLR and pronate feet (PF). The present study aimed to compare ACLR and PF with healthy controls during walking.
Material & Methods: The present study was conducted based on a quasi-experimental and laboratory design. The sample of this study comprised 13 people with ACLR and PF and 13 subjects from the healthy group. The mean age scores of patients in the two groups of healthy and sick participants were 22.9±4.1 and 23.2±4.5 years, respectively. During the test, subjects walked barefoot on an 18-m runway. Peak plantar pressure variables in both groups were recorded by a foot scan system (sampling rate: 300 Hz). The electromyography activity of the tibialis anterior, gastrocnemius medialis, vastus lateralis, vastus medialis, rectus femoris, biceps femoris, semitendinosus, and gluteus medius were recorded during walking.
Results: The results demonstrated that the peak midfoot region plantar pressure values (P=0.018) were higher in the ACLR/PF group than in the healthy group during walking. In addition, the results highlighted a significant difference in the muscle frequency content of the rectus femoris (P=0.012, d=0.68) and vastus latelarlis (P=0.042) during the loading response and push-off phase in the ACLR/PF group compared to the healthy group during walking.
Discussion & Conclusion: Peak plantar pressure values at the midfoot region and rectus femoris and vastus lateralis muscular frequency content in the ACLR/PF group differed from that of the healthy group during walking.

Keywords: Anterior cruciate ligament, Electromyography, Pronate feet, Plantar pressure

Full-Text [PDF 1387 kb] (173 Downloads)

Type of Study: Research | Subject: Physical Education
Received: 2023/10/31 | Accepted: 2024/03/11 | Published: 2024/08/5

References

1. Shorter KA, Polk JD, Rosengren KS, Hsiao-Wecksler ET. A new approach to detecting asymmetries in gait. Clin Biomech 2008;23:459-67 doi: 10.1016/j.clinbiomech.2007.11.009.

2. Ardern CL, Webster KE, Taylor NF, Feller JA. Return to sport following anterior cruciate ligament reconstruction surgery: a systematic review and meta-analysis of the state of play. Br J Sports Med 2011;45:596-606. doi:10.1136/bjsm.2010.076364.

3. Ardern CL, Taylor NF, Feller JA, Webster KE. Fifty-five per cent return to competitive sport following anterior cruciate ligament reconstruction surgery: an updated systematic review and meta-analysis including aspects of physical functioning and contextual factors. Br J Sports Med 2014;48:1543-52. doi:10.1136/bjsports-2013-093398.

4. Nepple JJ, Dunn WR, Wright RW. Meniscal repair outcomes at greater than five years: a systematic literature review and meta-analysis. J Bone Joint Surg Am 2012;94:2222. doi: 10.2106/JBJS.K.01584.

5. Jafarnezhadgero A, Fatollahi A, Sheykholeslami A, Dionisio VC, Akrami M. Long-term training on sand changes lower limb muscle activities during running in runners with over-pronated feet. Biomed Eng Online 2021;20:1-18. doi: 10.1186/s12938-021-00955-8.

6. Feagin Jr JA, Wills RP, Lambert KL, Mott HW, Cunningham RR. Anterior Cruciate Ligament Reconstruction; Bone-Patella Tendon-Bone Versus Semitendinosus Anatomic Reconstruction. Clin Orthop Relat Res 1997;341:69-72.

7. Loudon JK, Jenkins W, Loudon KL. The relationship between static posture and ACL injury in female athletes. J Orthop Sports Phys Ther 1996;24:91-7. doi: 10.2519/jospt.1996.24.2.91.

8. Sanford BA, Williams JL, Zucker-Levin A, Mihalko WM. Asymmetric ground reaction forces and knee kinematics during squat after anterior cruciate ligament (ACL) reconstruction. Knee 2016;23:820-5. doi: 10.1016/j.knee.2015.11.001.

9. Vairo GL, Myers JB, Sell TC, Fu FH, Harner CD, Lephart SM. Neuromuscular and biomechanical landing performance subsequent to ipsilateral semitendinosus and gracilis autograft anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 2008;16:2-14. doi: 10.1007/s00167-007-0427-4.

10. Baumgart C, Schubert M, Hoppe MW, Gokeler A, Freiwald J. Do ground reaction forces during unilateral and bilateral movements exhibit compensation strategies following ACL reconstruction? Knee Surg Sports Traumatol Arthrosc 2017;25:1385-94. doi: 10.1007/s00167-015-3623-7.

11. De Cock A, De Clercq D, Willems T, Witvrouw E. Temporal characteristics of foot roll-over during barefoot jogging: reference data for young adults. Gait Posture 2005;21:432-9. doi: 10.1016/j.gaitpost.2004.05.004.

12. Menz HB. Two feet, or one person? Problems associated with statistical analysis of paired data in foot and ankle medicine. Foot 2004;14:2-5. doi: 10.1016/S0958-2592(03)00047-6.

13. Robertson DGE, Caldwell GE, Hamill J, Kamen G, Whittlesey S. Research methods in biomechanics: Human kinetics; 2013.

14. Sugawara K, Okada K, Saito I, Saito A, Wakasa M. Foot Pressure pattern during walking in individuals with anterior cruciate ligament injury. J Am Podiatr Med Assoc 2016;106:201-6. doi: 10.7547/15-006.

15. Redmond AC, Crosbie J, Ouvrier RA. Development and validation of a novel rating system for scoring standing foot posture: FPI. Clin Biomech 2006;21:89-98. doi: 10.1016/j.clinbiomech.2005.08.002.

16. Cavanagh P. The Running Shoe Book (Anderson World, CA: Mountain View). 1980.

17. Whittle MW. Gait analysis: an introduction: Butterworth-Heinemann; 2014.

18. Patil S, Thatte MA, Chaskar U. Development of planter foot pressure distribution system using flexi force sensors. Sens. transducers 2009;108:73.

19. Breniere Y, Do MC. When and how does steady state gait movement induced from upright posture begin? J Biomech 1986;19:1035-40. doi: 10.1016/0021-9290(86)90120-X .

20. Orendurff MS, Rohr ES, Segal AD, Medley JW, Green III JR, Kadel NJ. Regional foot pressure during running, cutting, jumping, and landing. Am J Sports Med 2008;36:566-71. doi: 10.1177/0363546507309315.

21. Farahpour N, Jafarnezhad A, Damavandi M, Bakhtiari A, Allard P. Gait ground reaction force characteristics of low back pain patients with pronated foot and able-bodied individuals with and without foot pronation. J Biomech 2016;49:1705-10. doi: 10.1016/j.jbiomech.2016.03.056.

22. Hurd WJ, Snyder‐Mackler L. Knee instability after acute ACL rupture affects movement patterns during the mid‐stance phase of gait. J Orthop Res 2007;25:1369-77. doi: 10.1002/jor.20440.

23. Portero P, Dogadov AA, Servière C, Quaine F. Surface Electromyography in Physiotherapist Educational Program in France: Enhancing Learning sEMG in Stretching Practice. J Neurol 2020;11:584304. doi: 10.3389/fneur.2020.584304.

24. Farahpour N, Jafarnezhadgero A, Allard P, Majlesi MJ. Muscle activity and kinetics of lower limbs during walking in pronated feet individuals with and without low back pain. J Electromyogr Kinesiol 2018;39:35-41. doi: 10.1016/j.jelekin.2018.01.006.

25. Teitz CC, Harrington RM, Wiley H. Pressures on the foot in pointe shoes. Foot Ankle 1985;5:216-21. doi: 10.1177/107110078500500502.

26. Nagel A, Fernholz F, Kibele C, Rosenbaum D. Long distance running increases plantar pressures beneath the metatarsal heads: a barefoot walking investigation of 200 marathon runners. Gait Posture 2008;27:152-5. doi: 10.1016/j.gaitpost.2006.12.012.

27. Unver B, Erdem EU, Akbas E. Effects of short-foot exercises on foot posture, pain, disability, and plantar pressure in pes planus. J Sport Rehabil 2019;29:436-40. doi: 10.1123/jsr.2018-0363.

28. Cetin E, Deveci MA, Songür M, Özer H, Turanli SJTJoMS. Evaluation of plantar pressure distributions in patients with anteriorcruciate ligament deficiency: preoperative and postoperative changes. Turk J Med Sci 2017;47:587-91. doi: 10.3906/sag-1601-146.

29. Mittlmeier T, Weiler A, Söhn T, Kleinhans L, Mollbach S, Duda G, et al. Functional monitoring during rehabilitation following anterior cruciate ligament reconstruction. Clin Biomech 1999;14:576-84. doi: 10.1016/s0268-0033(99)00035-2.

30. Bulgheroni P, Bulgheroni M, Andrini L, Guffanti P, Giughello A. Gait patterns after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 1997;5:14-21. doi: 10.1007/s001670050018.

31. MG C. An electromyographic analysis of the knee during functional activities. II. The anterior cruciate ligament-deficient and-reconstructed profiles. Int J Sports Med 1994;22:651-8. doi: 10.1177/036354659402200513.

32. Kline PW, Morgan KD, Johnson DL, Ireland ML, Noehren B. Impaired quadriceps rate of torque development and knee mechanics after anterior cruciate ligament reconstruction with patellar tendon autograft. Am J Sports Med 2015;43:2553-8. doi: 10.1177/0363546515595834.

33. Drechsler WI, Cramp MC, Scott OM. Changes in muscle strength and EMG median frequency after anterior cruciate ligament reconstruction. Eur J Appl Physiol 2006;98:613-23. doi: 10.1007/s00421-006-0311-9.

34. Jordan MJ, Aagaard P, Herzog W. Rapid hamstrings/quadriceps strength in ACL-reconstructed elite alpine ski racers. Med Sci Sports Exerc 2015;47:109-19. doi: 10.1249/MSS.0000000000000375.

35. Gwinn DE, Wilckens JH, McDevitt ER, Ross G, Kao TC. The relative incidence of anterior cruciate ligament injury in men and women at the United States Naval Academy. Am J Sports Med 2000;28:98-102. doi: 10.1177/03635465000280012901.

Send email to the article author

Add your comments about this article

Ethics code: IR.SSRC.REC.1401.140

Mendeley

Zotero

RefWorks

Jafarnezhadgero A, Fakhri Mirzanag E, Alizadeh R, khezri D. A comparison of plantar pressure variables and muscular frequency content between individuals with anterior cruciate ligament reconstruction and pronated feet and healthy controls. J. Ilam Uni. Med. Sci. 2024; 32 (3) :1-11
URL: http://sjimu.medilam.ac.ir/article-1-8132-en.html

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

Volume 32, Issue 3 (8-2024)

Back to browse issues page

Persian site map - English site map - Created in 0.65 seconds with 41 queries by YEKTAWEB 4657