scholarly journals EFFECTS OF THE APPLICATION PROGRAMME OF CORRECTIVE EXERCISES ON FOOT CONDITION

2021 ◽  
Vol 6 (11) ◽  
Author(s):  
Slaviša Lazuta ◽  
Nikolina Gerdijan ◽  
Željko Vukić
Keyword(s):  
Statistical Significance ◽  
Exercise Programme ◽  
Foot Deformities ◽  
Foot Deformity ◽  
Flat Foot ◽  
Positive Effects ◽  
Significant Difference ◽  
Foot Arch ◽  
Exercise Programmes ◽  
Banja Luka

The aim of this study was to determine the effects of corrective exercise programmes on the foot condition. The research was attended by 66 subjects (students of the Jovan Cvijić elementary school, Banja Luka) aged 11-12 years. Of the total number of subjects on initial testing, 44 subjects (72.7%) had flat foot deformity (first, second and third degree) and they participated in further research. The Footplate currex platform was used to assess the arch of the foot. The programme of flat foot corrective exercises lasted a total of 4 months. Exercises were performed twice a week for 20 minutes. The programme included a total of 13 exercises and each exercise was repeated 20 times. A Chi-squared test was applied to determine if there was a difference in the frequency of foot deformities between the initial and final measurements, as well as gender differences, i.e. whether the applied exercise programme affected the reduction of foot arch deformity (p <0.05). The obtained results showed a statistically significant difference between the initial and final measurement (p= 0.008). At the initial measurement, most subjects had the first degree of flat foot deformity (33 subjects or 75%), the second degree (9 subjects or 20.50%), and the third degree (2 subjects or 4.50%). Corrective exercises had positive effects in subjects with the established first-degree flat foot deformity. After the programme of corrective exercises, the deformity of the first degree disappeared in 10 subjects (22.7%). In subjects with established foot deformities of the second and third degree, no statistically significant difference was observed after the programme of corrective exercises. By analysing the statistically obtained data of flat foot deformities between male and female subjects, we concluded that there is a higher number of deformities in boys, although the result has no statistical significance. Based on the data, we can conclude that exercises are the most effective method for flat foot correction. If there is a higher degree of foot deformity, it is necessary to perform corrective exercises for a longer period of time and with a stronger intensity (several times a week). <p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/edu_01/0774/a.php" alt="Hit counter" /></p>

INFLUENCE OF FOOT INSOLE ON THE GAIT PERFORMANCE IN SUBJECTS WITH FLAT FOOT DISORDER

2019 ◽  
Vol 19 (06) ◽  
pp. 1950050
Author(s):  
M. T. KARIMI ◽  
R. B. TAHMASEBI ◽  
B. SATVATI ◽  
F. FATOYE
Keyword(s):  
Range Of Motion ◽  
Ankle Joint ◽  
Lower Limb ◽  
Walking Speed ◽  
Force Plate ◽  
Flat Foot ◽  
Gait Performance ◽  
Positive Effects ◽  
Significant Difference ◽  
Foot Disorder

Flat foot is the most common foot disorder that influences the alignment of the lower limb structure. It is controversial whether the use of foot insole influences kinetic and kinematic of the leg or not. Therefore, this study investigated the influence of foot insole on the gait performance in subjects with flat foot disorder. A group of flat foot subject was recruited into this study (the number of subjects was 15). The motion of the leg joints was determined using the Qualysis motion analysis system. Moreover, the force applied on the lower limb was recorded by a Kistler force plate. The range of motion of the lower limb joints, the moments applied on the lower limb joints and force transmitted through the leg were the parameters used in this study. The difference between these parameters during walking with and without insole was evaluated using the paired [Formula: see text]-test. Significant value was set at [Formula: see text]. There was no significant difference between the range of motion of ankle joint while walking with and without insole. However, the medial directed force applied on the leg decreased significantly [Formula: see text]. The use of foot insole did not influence the moments transmitted through the hip and knee joints. The walking speed of the subjects improved while walking with foot insole. Use of foot insole influenced the magnitude of the force applied on the leg and the adductor moment of ankle joint due to its influence on foot alignment. As the walking speed of the improved subjects follows the use of insole, it can be concluded that it may have a positive effects on the performance of flat foot subjects.

scholarly journals CORRELATES OF NON-ADHERENCE TO HOME EXERCISE PROGRAMMES IN PATIENTS WITH LOW BACK PAIN

2020 ◽  
Vol 8 (6) ◽  
pp. 280-292
Author(s):  
DO ODEBIYI ◽  
OA FAPOJUWO ◽  
BF OLALEYE ◽  
AS OLANIYAN
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Exercise Programme ◽  
Home Exercise ◽  
Daily Routine ◽  
Low Back ◽  
Chi Square ◽  
Home Exercise Programme ◽  
Significant Difference ◽  
Exercise Programmes

Background: Non-adherence to home exercise programmes may lead to delayed progress in recovery and diminished clinical outcomes in patients. Aims of Study: To determine the adherence rate and attributing factors to non-adherence to home exercise programmes in patients with low back pain (LBP). Method: A total of 250 patients with LBP receiving treatment in 5 different out-patient physiotherapy clinics in Lagos State South West, Nigeria participated in this survey. They were required to complete a 27- item questionnaire which collected information on characteristics of participants and home exercise programme, adherence with treatment programme and instructions for carrying out the exercises. Gamma correlation and Chi-square were used to detect the correlation and significant difference of selected variables respectively. The level of significance was set at p< 0.05 Result: Ninety-four (37.6%) respondents performed home exercise programme the recommended number of times daily. There was no significant relationship (p> 0.05) of participants’ characteristics, frequency and duration of exercise per session, total number and manner of recommending the home exercise programme and pain rating respectively with adherence to home exercise programme. Eighty-nine (35.6%) respondents complained of tiredness after the day’s work. Chi-square showed significant association (p<0.05) of the prescribed home exercises programme, the actual exercise carried out at home with their perception to home exercise programme Conclusion: Home exercise programmes may interfere with normal life and daily routine in patients with LBP. It is recommended that home exercise programme be patient centred I.e. fit into individual daily routine to overcome identified barriers.

scholarly journals Anterior talofibular ligament lesion is associated with increased flat foot deformity but does not affect correction by lateral calcaneal lengthening

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Stephan H. Wirth ◽  
Arnd F. Viehöfer ◽  
Sarvpreet Singh ◽  
Stefan M. Zimmermann ◽  
Tobias Götschi ◽  
...  
Keyword(s):  
Lateral Ligament ◽  
Anterior Talofibular Ligament ◽  
Foot Deformity ◽  
Mri Findings ◽  
Flat Foot ◽  
Postoperative Result ◽  
Operative Correction ◽  
Significant Difference ◽  
Adult Acquired Flatfoot Deformity ◽  
Calcaneal Lengthening

Abstract Background Several risk factors for adult acquired flatfoot deformity (AAFD) have been identified in literature. To this date, little attention has been paid to the lateral ligament complex and its influence on AAFD, although its anatomic course and anatomic studies suggest a restriction to flatfoot deformity. The aim of this study was to assess the influence of the anterior talofibular ligament (ATFL) on AAFD and on radiologic outcome following common operative correction by lateral calcaneal lengthening. Methods We reviewed all patients that underwent lateral calcaneal lengthening for correction of AAFD between January 2008 and July 2018 at our clinic. Patients were grouped according to the preoperative MRI findings into those with an intact ATFL and those with an injured ATFL. Two independent readers assessed common radiographic flatfoot parameters on preoperative and postoperative radiographs. Results Sixty-four flatfoot corrections in 63 patients were included, whereby the ATFL was intact in 29 cases, and in 35 cases the ligament was injured. An ATFL lesion was overall radiologically associated with increased flatfoot deformity with a statistically significant difference between the two groups for preoperative talometatarsal-angle (p = 0.002), talocalcaneal-angle (p = 0.000) and talonavicular uncoverage-angle (p = 0.005). No difference between the two groups could be observed regarding the success of operative correction or operative consistency after lateral calcaneal lengthening. Conclusion The ATFL seems to influence the extent of AAFD. In patients undergoing lateral calcaneal lengthening, the integrity of the ligament seems not to influence the degree of correction or the consistency of the postoperative result.

scholarly journals Patient-Reported Outcomes and Radiographic Assessment in Primary and Revision Stage II, III, and IV Progressive Collapsing Foot Deformity Surgery

2021 ◽  
Vol 6 (1) ◽  
pp. 247301142199211
Author(s):  
Rusheel Nayak ◽  
Milap S. Patel ◽  
Anish R. Kadakia
Keyword(s):  
Patient Reported Outcomes ◽  
Statistical Significance ◽  
Stage Ii ◽  
Foot Deformity ◽  
Primary Stage ◽  
Radiographic Outcomes ◽  
Metatarsal Angle ◽  
Medial Cuneiform ◽  
Significant Difference ◽  
Patient Reported

Background: Progressive collapsing foot deformity (PCFD) is a progressive hindfoot and midfoot deformity causing pain and disability. Although operative treatment is stage dependent, few studies have looked at patient-reported and radiographic outcomes stratified by primary vs revision stage II, III, and IV reconstruction surgery. Our goal was to assess operative improvement using Patient-Reported Outcomes Measurement Information System (PROMIS) and to determine whether radiographic parameter improvement correlates with patient-reported outcomes. Methods: PROMIS Physical Function (PF) and Pain Interference (PI) scores were prospectively obtained on 46 consecutive patients who underwent PCFD reconstruction between November 2013 and January 2019. Thirty-six patients completed pre- and postoperative PROMIS surveys, 6 patients completed only preoperative PROMIS surveys, and 4 patients completed 12-month postoperative PROMIS surveys but did not complete preoperative PROMIS surveys. Minimum follow-up was 12 (average, 23) months. Radiographic correction was measured with pre- and postoperative weightbearing radiographs and correlated with PROMIS scores. Measurements included the talonavicular uncoverage angle, talonavicular uncoverage percentage, anteroposterior talo–first metatarsal angle, Meary angle, medial cuneiform height (MCH), and medial cuneiform–fifth metatarsal height. Results: For the overall cohort, PROMIS PF increased significantly from 37.5±5.6 to 42.3±7.1 ( P = .0014). PROMIS PI improved significantly from 64.5±6.0 to 55.1±9.8 ( P < .0001). Preoperative, postoperative, and change in PROMIS scores were not statistically different between PCFD stages. Change in PROMIS PI was significantly greater in primary (–12.3) vs revision (–3.7) surgery ( P = .0157). Change in PROMIS PF was greater in primary (+6.0) vs revision surgery (+2.3) but did not reach statistical significance. All radiographic measurements improved significantly ( P < .05). In primary stage II PCFD, postoperative PROMIS scores correlated with postoperative MCH (PF: r = 0.7725, P = .0020; PI: r = –0.5692, P = .0446). Conclusion: Patient-reported and radiographic outcomes improved significantly after PCFD reconstruction. We found no significant difference in preoperative, postoperative, or change in PROMIS scores between PCFD stages. However, stage III patients had smaller improvements in PROMIS PF, which we feel may be secondary to change in function after arthrodesis. Primary operations had better patient-reported outcomes compared to revision operations. In primary stage II PCFD, reconstructing the medial arch height correlated significantly with improvement in pain and functionality. Level of Evidence: Level II, prospective cohort study.

scholarly journals EVALUATION OF THE EFFECT OF ELASTIC BANDAGE ON THE ANKLE BASKETBALL PLAYERS WITH AND WITHOUT CHRONIC INSTABILITY

2018 ◽  
Vol 24 (6) ◽  
pp. 460-464 ◽  
Author(s):  
Henrique Hahn Souza ◽  
Ivan Pacheco ◽  
Luiza Cammerer Gehrke ◽  
Gabriel Pizetta de Freitas ◽  
Renata Fanfa Loureiro-Chaves ◽  
...  
Keyword(s):  
Motor Coordination ◽  
Ankle Instability ◽  
Statistical Significance ◽  
Chronic Ankle Instability ◽  
Basketball Players ◽  
Chronic Instability ◽  
Positive Effects ◽  
Significant Difference ◽  
The Difference ◽  
And Control

ABSTRACT Introduction: Basketball is a sport that requires good motor coordination as well as intense and multidirectional movements. Chronic ankle instability affects about 40% of patients who have sustained a sprain injury. In order to minimize the effects of this dysfunction, functional elastic tape has been widely used due to its mechanical properties, having some positive effects on athletes’ functional performance. Objective: To evaluate the effect of elastic tapes on the ankles of basketball players with and without chronic instability. Method: Thirteen athletes from a varsity basketball team of both sexes, aged between 18 and 30 years (23.2 ± 3.2 years), who had been playing the sport for at least one year and trained at least twice a week. The subjects were assessed using the anterior drawer test for the presence or absence of chronic ankle instability and in three different situations: placebo, elastic tape and control, and the order of use of the implements was randomly determined, using the Star Excursion Balance Test (SEBT) to assess the ankle stability of these athletes. Results: Among the eight directions proposed in the SEBT, there was statistical significance in the difference in three directions for the placebo method in comparison to elastic taping and control. There was no statistical significance in the difference in four directions between the assessments, and there was no statistical significance in the difference in all directions between the control and elastic tapes. Conclusion: It can be inferred from the study that elastic taping does not have positive effects on joint stability in athletes with and without chronic instability, taking into account their functionality. Levef of Evidence I; High quality randomized trial with statistically significant difference or no statistically significant difference but narrow confidence intervals.

scholarly journals The Role of the Anterior Talofibular Ligament in Acquired Flat Foot Deformity and in the Operative Correction by Lateral Calcaneal Lengthening

2019 ◽  
Vol 4 (4) ◽  
pp. 2473011419S0023
Author(s):  
Lukas Jud ◽  
Arnd Viehöfer ◽  
Sarvpreet Singh ◽  
Stefan Zimmermann ◽  
Tobias Götschi ◽  
...  
Keyword(s):  
Surgical Outcome ◽  
The Other ◽  
Lateral Ligament ◽  
Anterior Talofibular Ligament ◽  
Foot Deformity ◽  
Flat Foot ◽  
Postoperative Result ◽  
Significant Difference ◽  
Calcaneal Lengthening

Category: Hindfoot Introduction/Purpose: Different factors are well known influencing the development of adult acquired flatfoot (AAF) deformity. So far less attention was paid to the lateral ligament complex. The idea that the anterior talofibular ligament (ATFL) probably influences AAF could be obvious concerning its anatomical course. Goal of this study is to assess the influence of ATFL on AAF and on operative AAF correction by lateral calcaneal. Methods: We reviewed all patients that undergone lateral calcaneal lengthening in AAF from 01/01/2008 to 07/31/2018 in our clinic. Patients were grouped in patients with intact ATFL and in those with injured ligament. Two independent readers performed assessment of common radiographic flatfoot parameters in preoperative and postoperative radiographs. Results: Statistical significant difference between two groups could be observed for preoperative talonavicular uncoverage angle (p=0.018) and talocalcaneal angle (p=0.032), with more severe AAF in patients with injured ATFL. The other common radiographic parameters showed no significant difference, although a tendency to a more severe AAF could be observed within the group with damaged ATFL. No difference could be observed in surgical outcome or consistency after lateral calcaneal lengthening between two groups. Conclusion: ATFL seems to take impact in AAF concerning talonavicular uncoverage angle and talocalcaneal angle. In patients undergoing lateral calcaneal lengthening the integrity of the ligament seems not to influence the degree of correction or the consistency of the postoperative result.

scholarly journals Older adults preferences for, adherence to and experiences of two self-management falls prevention home exercise programmes: A comparison between a digital programme and a paper booklet

2019 ◽  
Author(s):  
Linda Mansson ◽  
Lillemor Lundin-Olsson ◽  
Dawn A Skelton ◽  
Rebecka Janols ◽  
Helena Lindgren ◽  
...  
Keyword(s):  
Fall Prevention ◽  
Exercise Programme ◽  
Community Dwelling ◽  
Falls Prevention ◽  
Attrition Rate ◽  
Home Exercise ◽  
Intervention Period ◽  
Exercise Interventions ◽  
Significant Difference ◽  
Exercise Programmes

Abstract Background: Fall prevention exercise programmes are known to be effective, but access to these programmes is not always possible. The use of eHealth solutions might be a way forward to increase access and reach to a wider population. In this feasibility study the aim was to explore the choice of programme, adherence, and self-reported experiences comparing two exercise programmes – a digital programme and a paper booklet. Methods: A participant preference trial of two self-managed fall prevention exercise interventions. Community-dwelling adults aged 70 years and older exercised independently for four months after one introduction meeting. Baseline information was collected at study start at the introduction meeting, including a short introduction of the exercise programme, a short physical assessment and completion of questionnaires. During the four months intervention period, participants self-reported their performed exercises in an exercise diary. At a final meeting, questionnaires about their experiences as well as post-assessments were completed. For adherence analyses data from diaries were used and four subgroups for different levels of participation were compared. Exercise maintenance was followed up with a survey 12 months after study start. Results: Sixty-seven participants, with a mean age of 77±4 years were included, 72% were women, and 43% chose the digital programme. Attrition rate was 17% in the digital programme group and 37% in the paper booklet group. In both groups 50-59% reported exercise at least 75% of the intervention period. The only significant difference for adherence was in the subgroup that completed ≥75% of exercise duration, the digital programme users exercised more minutes per week (p=.001). Participants in both groups were content with their programme but digital programme users reported a significantly higher (p=.026) degree of being content, and feeling supported by the programme (p=.044). At 12 months follow-up 67% of participants using the digital programme continued to exercise regularly compared with 35% for the paper booklet (p=.036). Conclusions: This study showed that both the digital and paper programme could be used as a self-managed, independent fall prevention exercise programme. The digital programme seems to facilitate long-term maintenance in regular exercise.

scholarly journals Effects of an exercise programme on non-insulin dependant diabetes mellitus

2004 ◽  
Vol 60 (4) ◽  
Author(s):  
N. Mshunqane ◽  
D. Cohen ◽  
J. K. Kalk
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Exercise Capacity ◽  
Plasma Lipids ◽  
Exercise Programme ◽  
Home Based ◽  
Significant Difference ◽  
Exercise Programmes

Introduction: The best approach in minimising or delaying thecomplications associated with type 2 diabetes mellitus (NIDDM) in South African physiotherapy rehabilitation services has not been established. Physiotherapists continue to rehabilitate amputees as a result of diabetes mellitus. As hospital costs continue to rise every year, it becomes very costly to keep the patients for longerperiods. A study was undertaken at the Bethlehem Regional Hospital in the Free State to determine the effects of supervised and unsupervised exercise programmes in patients with non insulin dependant (type 2) diabetes mellitus. Aim: The purpose of this study was to evaluate the effects of the two different exercise programmes i.e. hospital based and home based exercise programmes on patients with type 2 diabetes mellitus. Methodology: The hospital based programme consisted of supervised walking and cycling whilst the home based programme consisted of walking only. Changes in measures of obesity, exercise capacity, glycaemic control and  plasma lipids were monitored before the exercise programme and 3 months after graded exercise programmes.Results: The exercise programmes significantly improved exercise capacity, anthropometric measurements and bloodglucose levels but had no effect on lipid profiles. There was similar improvements in all the groups but no differencewas found when comparing the results between the groups.Conclusion: Although there was no significant difference between the groups, it is concluded that, any form of low endurance exercise programme, whether supervised or unsupervised is beneficial for patients with type 2 diabetesmellitus.

scholarly journals Effect of a common exercise programme with an individualised progression criterion based on the measurement of neuromuscular capacity versus current best practice for lower limb tendinopathies (MaLaGa trial): a protocol for a randomised clinical trial

BMJ Open ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. e046729
Author(s):  
Adrian Escriche-Escuder ◽  
Antonio I Cuesta-Vargas ◽  
Jose Casaña
Keyword(s):  
Lower Limb ◽  
Best Practice ◽  
Randomised Clinical Trial ◽  
Load Resistance ◽  
Exercise Programme ◽  
Control Group ◽  
Positive Effects ◽  
Registration Number ◽  
Exercise Programmes ◽  
And Function

IntroductionHigh-load resistance training has shown positive effects in pain and function in lower limb tendinopathies. However, some authors suggest that current exercise programmes produce an increase in tolerance to load and exercise in general but without fixing some existing issues in tendinopathy. This may indicate the need to include training aspects not currently taken into account in the current programmes. The main objective of this study will be to compare the effect of a common exercise protocol for the three predominant lower limb tendinopathies (Achilles, patellar and gluteal), based on an individualised control of the dose and training of specific aspects of the neuromuscular system versus the current best practice for each location.Methods and analysisThis study will be conducted among people with mid-portion Achilles, patellar or gluteal tendinopathy. The participants allocated to the experimental group will perform a 14-week innovative common therapeutic exercise programme. Participants allocated to the control group will carry out a 14-week exercise programme based on the best current practice for each of the studied locations. The Victorian Institute of Sports Assessment questionnaire will be considered the primary outcome. Pain, central sensitisation, fear avoidance behaviour, quality of life, treatment satisfaction, lower-limb strength and function, and high-density electromyography profile will be evaluated as secondary outcomes. Outcomes will be assessed at baseline, 7 weeks, after the intervention (week 14), 26 weeks and 52 weeks.Ethics and disseminationThe study has been approved by the Portal de Ética de la Investigación Biomédica de Andalucía Ethics Committee (1221-N-19). All participants will be informed about the purpose and content of the study and written informed consent will be completed. The results of this study will be published in a peer-reviewed journal and will be disseminated electronically and in print.Trial registration numberNCT03853122; Pre-results.

Comparative study of Clinical Characteristics in Patients with Mild and Severe Reflux Esophagitis

2020 ◽  
Vol 66 (1) ◽  
pp. 19-22
Author(s):  
Melania Macarie ◽  
Simona Maria Bataga ◽  
Monica Pantea ◽  
Razvan Opaschi ◽  
Simona Mocan ◽  
...  
Keyword(s):  
Risk Factors ◽  
Sex Ratio ◽  
Hiatal Hernia ◽  
Statistical Significance ◽  
Erosive Esophagitis ◽  
Male Gender ◽  
Consecutive Series ◽  
Study Group ◽  
Entire Study ◽  
Significant Difference

AbstractObjective: This study aims to determine the correlation between risk factors and erosive esophagitis development.Methods: We conducted a retrospective observational study on a consecutive series of 19.672 patients who underwent upper gastrointestinal endoscopy between 01.01.2011-31.12.2017. A total of 3005 patients, diagnosed with erosive esophagitis, were included in the present study and stratified according to Los Angeles classification.Results: During the studied period we found 3005 patients with erosive esophagitis, sex ratio male to female was 1.3/1, the most common forms of esophagitis being grade A and B: 74.54% patients with esophagitis grade A, 14.80% patients with grade B; 5.29% patients were with grade C and 5.35% patients with esophagitis grade D. In severe esophagitis the male predominance was more prevalent (249 males, 71 female), with a sex ratio 3.50/1. The correlation of male gender with severe esophagitis was highly statistically significant (p < 0.0001, OR 2.97; 95% CI 2.25-3.91). Hiatal hernia was diagnosed in 1171 patients, the presence of large hiatal hernias, being an important predictor, with statistical significance (p < 0.0001, OR 3.41; 95% CI 2.22-5.21), for severe esophagitis development. Incidence of Helicobacter pylori infection was 11.51%, in the entire study group, with no statistical significant difference between patients with mild or severe esophagitis (12.02% vs 7.18%).Conclusion: Erosive esophagitis is a frequent disease, the most common forms being grade A and B. Male gender and the presence of hiatal hernia are the most important risk factors for erosive esophagitis development, in our study group.

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