Muscle activity and kinetics of lower limbs during walking in pronated feet individuals with and without low back pain

被引:37
作者
Farahpour, Nader [1 ]
Jafarnezhadgero, AmirAli [2 ]
Allard, Paul [3 ]
Majlesi, Mahdi [4 ]
机构
[1] Bu Ali Sina Univ, Dept Kinesiol, Hamadan, Iran
[2] Univ Mohaghegh Ardabili, Dept Phys Educ & Sport Sci, Ardebil, Iran
[3] Univ Montreal, Dept Kinesiol, Montreal, PQ, Canada
[4] Islamic Azad Univ, Hamedan Branch, Dept Kinesiol, Fac Humanities, Hamadan, Iran
关键词
Muscle; Electromyography; Joint moment; Gait; Low back pain; Foot pronation; ERECTOR-SPINAE; ELECTROMYOGRAPHIC ACTIVITY; STANCE PHASE; FOOT POSTURE; LUMBAR SPINE; TRUNK; KINEMATICS; PELVIS; MOMENTS; GAIT;
D O I
10.1016/j.jelekin.2018.01.006
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
The objectives of this study were to investigate whether excessive feet pronation alters the joints' kinematics, kinetics and the activity of involved muscles during gait in low back pain patients. Methods: The lower limb joints' motion, moment and power, as well as the activity of involved muscles during walking were measured in a control group, and two experimental groups including a group with excessive feet pronation only, and another group of low back pain patients with excessive feet pronation. Results: In both experimental groups, ankle inversion, knee flexion and internal rotation, hip internal rotation, plantar flexors' moment, hip flexors' moment, and peak positive ankle power were lower than those in control group (p < .05). Besides, in patients, higher activity of gastrocnemius medialis, gluteus medius, erector spinae, and internal oblique muscles, and lower negative power at the ankle and peak positive power at the knee were observed (p < .05). In conclusion, pronated feet with low back pain was associated with less ankle inversion and knee flexion, higher knee and hip internal rotation, higher muscle activity, less energy absorption at the ankle, and reduced positive power at the knee. This study reveals that strengthening of the muscles especially knee extensors are of great importance in low back pain patients with feet pronation.
引用
收藏
页码:35 / 41
页数:7
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