Objective: To prevent overuse injuries related to excessively pronated feet, the strengthening of the foot intrinsic muscles has been recommended. The purpose of this study was to examine the effects of foot orthoses and a short-foot exercise interve

Background and Objective: Muscle imbalance between the abductor hallucis (AbdH) and adductor hallucis (AddH) has been demonstrated in hallux valgus (HV). Clinically, the short-foot (SF) is performed for strengthening foot intrinsic muscle. The toes-s

A cross-sectional study to compare the kinematics and muscle activities during trunk flexion and return task in people with and without low back pain (LBP). To characterize the lumbopelvic rhythms during trunk flexion and return task in a group of healthy persons and 2 different subgroups of patients with LBP, identifying the flexion-relaxation (FR) responses in each group. The lumbopelvic rhythm is the coordinated movement of the lumbar spine and hip during trunk flexion and return and is a clinical sign of LBP. However, the reported patterns of lumbopelvic rhythm in patients with LBP are inconsistent, possibly because previous studies have examined a heterogeneous group of patients with LBP. To clarify the lumbopelvic rhythm patterns, it is necessary to study more homogeneous subgroups of patients with LBP. The study involved the following subjects: control group of healthy subjects (N = 16); lumbar flexion with rotation syndrome (LFRS) LBP subgroup (N = 17); and lumbar extension with rotation syndrome (LERS) LBP subgroup (N = 14). The kinematic parameters during the trunk flexion and return task were recorded using a 3-dimensional motion capture system, and the FR ratio of the erector spinae muscle was measured. The flexion angle of the lumbar spine was larger in the LFRS subgroup than in the control group and the LERS LBP subgroup, and the hip flexion angle was larger in the LERS LBP subgroup than in the control group and LFRS subgroup. The FR response of the erector spinae muscle disappeared in the LFRS and LERS LBP subgroups. These results show that the lumbopelvic rhythms are different among healthy subjects and patients assigned to 2 specific LBP subgroups. These results provide information on the FR response of the erector spinae muscle. Level of Evidence: N/A

The purpose of this study was to determine which variables of the range of motion (ROM) and strength of the hip, and ankle are associated with squat depth. In total, 101 healthy subjects (64 males, 37 females) participated in the study. Outcome measures consisted of the ROM of hip flexion, hip internal rotation, external rotation, ankle dorsiflexion with an extended and flexed knee joint, and strength of the hip flexor and ankle dorsiflexor. Squat depth was measured using SIMI motion analysis software. Pearson correlation was used to determine the relationship between variables and squat depth. Multiple stepwise regression analysis was performed to determine variables associated with squat depth. The multiple regression model indicated that ankle dorsiflexion with a flexed knee and the hip flexion ROM were significantly associated with squat depth in male subjects (R² = 0.435) and ankle dorsiflexion with an extended knee and dorsiflexor strength were significantly associated with squat depth in female subjects (R² = 0.324). Thus, exercises to increase the ROM of the ankle dorsiflexion, hip flexion, and dorsiflexor strength can be recommended to improve squat performance. Future studies should assess an increased ROM of the ankle dorsiflexion, hip flexion, or dorsiflexor strength effect on deep squat performance.

[Purpose] This study investigated whether the toe-spread-out exercise affects the hallux valgus angle, the cross-sectional area of the abductor hallucis muscle, and the hallux valgus angle during active abduction. [Subjects and Methods] Twenty-four subjects with hallux valgus were randomly assigned to orthosis and orthosis plus toe-spread-out exercise groups. The orthosis group wore the orthosis for 8 weeks, while the orthosis plus toe-spread-out group also performed the toe-spread-out exercise. The hallux valgus angle, the cross-sectional area of the abductor hallucis muscle, and the hallux valgus angle during active abduction were measured initially and after 8 weeks by radiography and ultrasonography. [Results] While there were no significant changes in the three parameters in the orthosis group, there were significant differences in the orthosis plus toe-spread-out exercise group after 8 weeks. In addition there were significant differences in the three measures between the two groups. [Conclusion] The toe-spread-out exercise reduces the hallux valgus angle and hallux valgus angle during active abduction, and increases the cross-sectional area of the abductor hallucis muscle. The toe-spread-out exercise is recommended for patients with mild to moderate hallux valgus.