Does the weakening of intrinsic foot muscles cause the decrease of medial longitudinal arch height?

  • Okamura Kazunori
    Graduate School of Comprehensive Scientific Research, Prefectural University of Hiroshima, Japan
  • Kanai Shusaku
    Department of Physical Therapy, Faculty of Health and Welfare, Prefectural University of Hiroshima, Japan
  • Oki Sadaaki
    Department of Physical Therapy, Faculty of Health and Welfare, Prefectural University of Hiroshima, Japan
  • Tanaka Satoshi
    Department of Physical Therapy, Faculty of Health and Welfare, Prefectural University of Hiroshima, Japan
  • Hirata Naohisa
    Department of Rehabilitation, Kisaka Hospital, Japan
  • Sakamura Yoshiaki
    Department of Rehabilitation, National Hospital Organization, Hiroshima-Nishi Medical Center, Japan
  • Idemoto Norikatsu
    Graduate School of Comprehensive Scientific Research, Prefectural University of Hiroshima, Japan
  • Wada Hiroki
    Graduate School of Comprehensive Scientific Research, Prefectural University of Hiroshima, Japan
  • Otsuka Akira
    Hiroshima Cosmopolitan University, Japan

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<p> [Purpose] There are no reliable evidences that the weakening of intrinsic foot muscles causes the decrease of the medial longitudinal arch (MLA) height. The purpose of this study was to confirm whether the fatigue of intrinsic foot muscles decrease the MLA height during standing and gait using 3D motion analysis system. [Subjects and Methods] Twenty healthy male subjects participated in this study. Foot kinematics was measured using an Oxford Foot Model before and after fatigue-inducing exercises of the abductor hallucis and flexor hallucis brevis muscles. [Results] Following fatigue-inducing exercise, in both standing and gait, the MLA height did not decrease but slightly increased. In addition, the reduction of a rear foot eversion angle was noted. [Conclusion] Fatigue of the abductor hallucis and flexor hallucis brevis muscles did not cause a change associated with collapsing of the MLA during both standing and gait. This suggested that the MLA support force from these muscles would be compensated by other MLA support structures, such as extrinsic foot muscles.</p>

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