Plantar Pressure Profiles and Possible Foot Syndromes of the Taiwanese College Elite Basketball Players

Author(s):  
Tong-Hsien Chow ◽  
Yih-Shyuan Chen ◽  
Wen-Cheng Tsai ◽  
Ming-Hsien Lin

Background: Plantar pressure assessment are useful for understanding the functions of the foot and lower limb and predicting injury incidence rates. Musculoskeletal fatigues are likely to affect the results of plantar pressure profiles. This study aimed at characterizing college elite basketball players' plantar pressure profiles and pain profiles during static standing and walking. Methods: Fifty-one male elite basketball players and eighty-five male recreational basketball players participated in this study. An optical plantar pressure measurement system was used for collecting the arch index (AI), regional plantar pressure distributions (PPDs), and footprint characteristics during static and dynamic activities. Elite basketball players' pain profiles were examined for evaluating their common musculoskeletal pain areas.Results: The AI values in recreational basketball players fell in the normal range, whereas was considerably lower in elite basketball players. Elite basketball players' static PPDs of both feet were mainly exerted on the lateral longitudinal arch and the lateral heel, and relatively lower on the medial longitudinal arch, the medial and lateral metatarsal bones. The PPDs mainly transferred to the lateral metatarsal bone and lateral longitudinal arch, and decreased at the medial heel during the midstance phase of walking. The footprint characteristics of elite basketball players illustrated the features of the calcaneal varus (supinated foot) of high arches and the dropped cuboid foot. The lateral ankle joints and anterior cruciate ligaments were the common musculoskeletal pain areas. Conclusions: Elite basketball players' AI values was found to be high arches, and their PPDs tended to parallel the features of the high-arched supinated and dropped cuboid foot. Their pain profiles not only resonated with the common basketball injuries, but also reflected the features of the Jones fracture and cuboid syndrome. The potential links among high-arched supinated foot, Jones fracture and cuboid syndrome are worth further studies.

2018 ◽  
Vol 108 (3) ◽  
pp. 215-224 ◽  
Author(s):  
Pui W. Kong ◽  
Wing K. Lam ◽  
Wei X. Ng ◽  
Luqman Aziz ◽  
Hin F. Leong

Background: Biomechanical analysis of foot loading characteristics may provide insights into the injury mechanisms and guide orthotic prescription for basketball players. This study aimed to quantify in-shoe plantar pressure profiles in amateur players when executing typical basketball movements. Methods: Twenty male university basketball players performed four basketball-specific movement tasks—running, maximal forward sprinting, maximal 45° cutting, and layup—in a pair of standardized basketball shoes fitted with an in-shoe plantar pressure measurement system. Peak pressure (PP) and pressure-time integral (PTI) data were extracted from ten plantar regions. One-way repeated-measures analysis of variance was performed across the tasks, with significance set at P < .05. Results: Distinct plantar pressure distribution patterns were observed among the four movements. Compared with running, significantly higher (P < .05) PP and PTI of up to approximately 55% were found in sprinting and layup, particularly at the forefoot region. Similarly, significantly higher (P < .05) PPs and PTIs, ranging from approximately 23% to 90%, were observed in 45° cutting compared with running at most foot regions. Conclusions: Compared with running, sprinting and layup demonstrated higher plantar loading in the forefoot region, and 45° cutting yielded increased plantar loading in most regions of the foot. Understanding the plantar pressure characteristics of different movements may be useful in optimizing footwear designs, orthosis use, or training strategies to minimize regional plantar loading during amateur basketball play.


2018 ◽  
Vol 3 (2) ◽  
pp. 2473011418S0001
Author(s):  
Woo-Chun Lee ◽  
Chihoon Ahn ◽  
Ji-Beom Kim ◽  
Mu Hyun Kim

Category: Basic Sciences/Biologics, Midfoot/Forefoot Introduction/Purpose: In the flatfoot patients, collapsed medial longitudinal arch during gait induced pain and it results decreased center of progression excursion index(CPEI) in dynamic pedobarography. Although the CPEI decreased is pathologic gait of flatfoot patients, range of the CPEIs is wide even in similar severity of flatfoot patients. We hypothesized that some flatfoot patients inverted forefoot or elevated first metatarsal head during gait for avoiding the pain from collapsed medial longitudinal arch, which resulted wide range of the CPEIs in flatfoot patients. The purposes of this study were to investigate the incidence of forefoot inversion and 1st metatarsal head elevation during gait in severe symptomatic flatfoot patients, and to confirm whether forefoot inversion and 1st metatarsal head elevation increases the CPEI, by using the dynamic pedobarography. Methods: We retrospectively evaluated patients who underwent surgery for flatfoot in our clinic from January, 2017 to May, 2017. Before surgery, all patients underwent plain weight-bearing radiographs and dynamic pedobarography by using in-shoe plantar pressure assessment system (Tekscan, Inc., South Boston, MA). Radiographic parameters, talonavicular coverage angle, Meary angle and moment arm, and the CPEI in dynamic pedobarogrpahy were measured. The forefoot inversion and the 1st metatarsal head elevation were defined when sum of 3rd-4th and 5th submetatarsal plantar pressure was higher than sum of 1st and 2nd submetatarsal plantar pressure, and when 2nd submetatarsal plantar pressure was higher than 1st submetatarsal plantar pressure, respectively. Correlations between the radiographic parameters and the CPEI were investigated. Incidence of the forefoot inversion and the 1st metatarsal head elevation was investigated. The CPEIs in flatfeet with forefoot inversion or 1st metatarsal head elevation were compared with those in flatfeet without these pain avoidance gait. Results: Twenty-eight flatfeet from 28 patients were included in the present study. The average age of patients was 42.3 years (range: 19-71). Means of the three radiographic parameters and the CPEI of the 28 flatfeet were listed at table.1. There was no significant correlation between the CPEI and the three radiographic parameters.(Table.2) The incidence of forefoot inversion and 1st metatarsal head elevation were 11%(3 feet), 54%(15 feet) respectively. The mean CPEI of the flatfeet with forefoot inversion or 1st metatarsal head elevation was 8(range: -10 – 18), and the mean CPEI of the flatfeet without these two compensations was 5 (range: -3 – 12). The CPEI in the flatfeet with the two compensations was significant larger than that of the flatfeet without the two compensations. (P=0.027) Conclusion: In the present study, forefoot inversion or 1st metatarsal head elevation were happened in 65% of symptomatic flatfoot patients. These two pain avoidance gait shifts weight-bearing load laterally, which decreases collapsing medial longitudinal arch and pain on the flatfoot. Because lateral shifting of weight-bearing load increases the CPEI, flatfoot patients with these two gaits showed high the CPEI. Therefore, the degree of the CPEIs are various even in similar severity of flatfoot and are not correlated with the severity of the flatfoot. Clinicians should consider these pain avoidance gait of flatfoot patients when they interpret a dynamic pedobarography of flatfoot.


Author(s):  
OJS Admin

Musculoskeletal pain is very common complaint in the workplace and about billions of dollars yearly are spending on work-related musculoskeletal issue. Elbow pain is one of the common complaints in healthcare professionals nowadays. Few studies have been conducted on musculoskeletal pain among healthcare professionals in Pakistan, but not specifically on elbow pain.


Author(s):  
Lucas Villalta Santos ◽  
Mateus Francisco Rossi ◽  
Claudia Santos Oliveita ◽  
Hugo Pasin Neto

Background: The leg length inequality (LLI) creates postural changes collaborating with the emergence of functional limitations and musculoskeletal disorders. In a sport like basketball inequality of the lower limbs may be added to the demands of the sport and generate an increase in the incidence of injuries. The aim of this study was to identify  young basketball players from with structural or functional LLI and its influence in injury incidence in a period of 6 months. Methods: 18 players were followed with an average age of 14.50 ± 1.86 of a basketball team from the city of Sorocaba for a period of 6 months. At the beginning and end of that period were applied tests from the Morbidity Survey Report modified for basketball to obtain data such as physical characteristics, training time, incidence of injuries, quantitative and qualitative measurement of the length of the lower limbs. Results: 72.2% of players had LLI and 50% had some kind of injury during this period, among the most common, sprains and muscle strains. Conclusions: There was a high rate of players with LLI and a positive relationship between this inequality with the incidence of injury.


Foot & Ankle ◽  
1993 ◽  
Vol 14 (6) ◽  
pp. 353-357 ◽  
Author(s):  
Ching-Kuei Huang ◽  
Harold B. Kitaoka ◽  
Kai-Nan An ◽  
Edmund Y. S. Chao

In spite of the common occurrence of pes planus and multiple operations that have been reported to relieve the associated symptoms, there is little published on the relative contribution of various structures to stabilization of the arch of the foot. Twelve fresh-frozen human cadaveric feet were loaded along the tibial axis with compressive loads of 230, 460, and 690 newtons with the specimens intact and after sequential sectioning of plantar fascia, plantar ligaments, and spring ligament. Structures were sectioned in six different sequences and changes in vertical and horizontal dimensions of the medial arch were measured. The highest relative contribution to arch stability was provided by the plantar fascia, followed by plantar ligaments and spring ligament. Plantar fascia was a major factor in maintenance of the medial longitudinal arch. Its division in the cadaveric feet decreased arch stiffness by 25%.


2020 ◽  
Author(s):  
Cláudio Gregório Nuernberg Back ◽  
Richard Eloin Liebano ◽  
Mariana Arias Avila

Aim: To propose actions to organize healthcare of people with chronic musculoskeletal pain (CMP) into a biopsychosocial approach. Materials & methods: Narrative overview with the Brazilian Unified Health System as archetype to propose the implementation of a biopsychosocial approach to manage CMP. Results: Healthcare systems often use biomedical model for CMP management, which may explain the increase of demand and costs of CMP management. This is significant in Primary Health Care, where the healthcare professionals have difficulty with evaluating and treating psychosocial factors. Conclusion: The present perspective selected some actions that are part of the common procedures in Brazil’s Primary Health Care and proposed a protocol of amplified care for CMP management in all levels: orientation, health promotion, prevention and rehabilitation.


1996 ◽  
Vol 29 (7) ◽  
pp. 979-983 ◽  
Author(s):  
Brian L. Davis ◽  
Robert M. Cothren ◽  
Peter Quesada ◽  
Shaun B. Hanson ◽  
Julie E. Perry

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