Studies in Sport Medicine

Foot Pressure Distribution Symmetry, Vertical Ground Reaction Force and Postural Sways in Professional Athletes with Proper or Poor Lumbopelvic Control

Document Type : Research Paper

Authors

1 Sport Injuries and Corrective Exercises, Razi University, Kermanshah, Iran

2 MSc, Department of Sports Injuries and Corrective Exercises, Faculty of Physical Education and Sport Sciences, Razi University, Kermanshah, Iran.

Abstract
The aim of this study was to investigate the effect of lumbopelvic control (LPC) weakness on the symmetry of foot pressure distribution, vertical ground reaction force (GRF) and postural sways of athletes with frequent landings. In this case-control study, 34 professional players participated. LPC was assessed by Knee Lift Abdominal, Bent Knee Fall Out, Active Straight Leg Raising, and PRONE tests by Pressure Biofeedback Unit. Based on the results, participants were divided into two groups: appropriate LPC (n=17) and poor LPC (n=17). Foot pressure data were collected using PT-scan. The results showed that there was a significant difference between the mean scores of the foot pressure distribution symmetry, depth force, second peak force, area of sways, anterior-posterior and medial-lateral sways. Thus, poor LPC affects the symmetry of the foot pressure, GRF, and the postural sways of athletes with frequent landings, so can be a risk factor for lower limb injuries.

Keywords

Main Subjects

  1. Chaudhari AM, McKenzie CS, Borchers JR, Best TM. Lumbopelvic control and pitching performance of professional baseball pitchers. The Journal of Strength & Conditioning Research. 2011; 25(8): 2127-32. https://doi.org/10.1519/JSC.0b013e31820f5075
  2. Sasaki S, Tsuda E, Yamamoto Y, Maeda S, Kimura Y, Fujita Y, et al. Core-muscle training and neuromuscular control of the lower limb and trunk. Journal of athletic training. 2019; 54(9): 959-69. https://doi.org/10.4085/1062-6050-113-17
  3. Leetun DT, Ireland ML, Willson JD, Ballantyne BT, Davis IM. Core stability measures as risk factors for lower extremity injury in athletes. Medicine & Science in Sports & Exercise. 2004; 36(6): 926-34. https://doi.org/10.1249/01.MSS.0000128145.75199.C3
  4. Chaudhari AM, McKenzie CS, Pan X, Oñate JA. Lumbopelvic control and days missed because of injury in professional baseball pitchers. The American journal of sports medicine. 2014; 42(11): 2734-40. https://doi.org/10.1177%2F0363546514545861.
  5. Chuter VH, de Jonge XA. Proximal and distal contributions to lower extremity injury: a review of the literature. Gait & posture. 2012 May 1; 36(1): 7-15.62. https://doi.org/10.1016/j.gaitpost.2012.02.001
  6. Barwick A, Smith J, Chuter V. The relationship between foot motion and lumbopelvic–hip function: A review of the literature. The foot. 2012 Sep 1; 22(3):224-31. https://doi.org/10.1016/j.foot.2012.03.006
  7. Perrott MA, Pizzari T, Cook J. Lumbopelvic exercise reduces lower limb muscle strain injury in recreational athletes. Physical Therapy Reviews. 2013; 18(1): 24-33. https://doi.org/10.1179/1743288X12Y.0000000055
  8. De Blaiser C, Roosen P, Willems T, Danneels L, Bossche LV, De Ridder R. Is core stability a risk factor for lower extremity injuries in an athletic population? A systematic review. Physical therapy in sport. 2018; 30: 48-56. https://doi.org/10.1016/j.ptsp.2017.08.076
  9. Tasoojian E, Dizaji E, Memar R, Alizade F. The comparison of plantar pressure and ground reaction force in male and female elite karate practitioners. Journal of Paramedical Sciences & Rehabilitation. 2016; 5(3): 42-54. (In Persian) https://dx.doi.org/10.22038/jpsr.2016.7343
  10. Rostami A, Letafatkar A, Khaleghi Tazji M. The effects of feedback exercises on peak vertical Ground Reaction force and Rate of Loading associated with lower extremity injury in landing after volleyball blocks. Journal of Exercise Science and Medicine. 2019;10(2): 197-211. (In Persian) https://dx.doi.org/10.22059/jsmed.2019.258996.901
  11. Araujo S, Cohen D, Hayes L. Six weeks of core stability training improves landing kinetics among female capoeira athletes: a pilot study. Journal of human kinetics. 2015; 45: https://dx.doi.org/10.1515%2Fhukin-2015-0004
  12. Inan M, Alkan A, Harma A, Ertem K. Evaluation of the gluteus medius muscle after a pelvic support osteotomy to treat congenital dislocation of the hip. J Bone Joint Surg Am. 2005; 87: 2246-52. https://doi.org/10.1016/j.jse.2018.07.015
  13. Fujitaka K, Taniguchi A, Isomoto S, Kumai T, Otuki S, Okubo M, et al. Pathogenesis of Fifth Metatarsal Fractures in College Soccer Players. 2015;3(9):2325967115603654. https://doi.org/10.1177%2F2325967115603654
  14. Almazán-Polo J, López-López D, Romero-Morales C, Rodríguez-Sanz D, Becerro-de-Bengoa-Vallejo R, et al. Quantitative Ultrasound Imaging Differences in Multifidus and Thoracolumbar Fasciae between Athletes with and without Chronic Lumbopelvic Pain: A Case-Control Study. Journal of clinical medicine. 2020; 9(8): https://doi.org/10.3390/jcm9082647
  15. Roussel N, Nijs J, Truijen S, Vervecken L, Mottram S, Stassijns G. Altered breathing patterns during lumbopelvic motor control tests in chronic low back pain: a case–control study. European Spine Journal. 2009; 18(7): 1066-73. https://doi.org/10.1007/s00586-009-1020-y
  16. Grosdent S, Demoulin C, Rodriguez de La Cruz C, Giop R, Tomasella M, Crielaard J-M, et al. Lumbopelvic motor control and low back pain in elite soccer players: a cross-sectional study. Journal of sports sciences. 2016; 34(11): 1021-9. https://doi.org/10.1080/02640414.2015.1085077
  17. Solana-Tramunt M, Ortegón A, Morales J, Nieto A, Nishishinya MB, Villafañe JH. Diagnostic accuracy of lumbopelvic motor control tests using pressure biofeedback unit in professional swimmers: A cross-sectional study. Journal of orthopaedics. 2019; 16(6): 590-5. https://doi.org/10.1016/j.jor.2019.06.002
  18. Jafarpesheh M, Sadeghi DE, Fereshtenejad N. The Effects of Metatarsal Pad on Plantar Pressure of the Forefoot in Individuals with Diabetic Peripheral Neuropathy: A Randomized Crossover Study. Journal of research in Rehabilitation sciences. 2016; 11(6): 407-12. (In Persian). http://dx.doi.org/10.22122/jrrs.v11i6.2561
  19. Braun BJ, Veith NT, Hell R, Döbele S, Roland M, Rollmann M, et al. Validation and reliability testing of a new, fully integrated gait analysis insole. Journal of foot and ankle research. 2015; 8(1): 1-7. https://doi.org/10.1186/s13047-015-0111-8
  20. Verrelst R, Van Tiggelen D, De Ridder R, Witvrouw E. Kinematic chain‐related risk factors in the development of lower extremity injuries in women: A prospective study. Scandinavian journal of medicine & science in sports. 2018; 28(2): 696-703. https://doi.org/10.1111/sms.12944
  21. Gilmer GG, Washington JK, Dugas JR, Andrews JR, Oliver GD. The role of lumbopelvic-hip complex stability in softball throwing mechanics. Journal of sport rehabilitation. 2019; 28(2):196-204. https://doi.org/10.1123/jsr.2017-0276
  22. Wafai L, Zayegh A, Woulfe J, Aziz SM, Begg R. Identification of foot pathologies based on plantar pressure asymmetry. Sensors. 2015; 15(8): 20392-408. https://doi.org/10.3390/s150820392
  23. Menz HB, Dufour AB, Riskowski JL, Hillstrom HJ, Hannan MT. Foot posture, foot function and low back pain: the Framingham Foot Study. Rheumatology. 2013; 52(12):2275-82. https://doi.org/10.1093/rheumatology/ket298
  24. Gobbi G, Galli D, Carubbi C, Pelosi A, Lillia M, Gatti R, et al. Assessment of body plantar pressure in elite athletes: an observational study. Sport Sciences for Health. 2013; 9(1):13-8. https://doi.org/10.1007/s11332-013-0139-8
  25. Maupas E, Paysant J, Martinet N, André J. Asymmetric leg activity in healthy subjects during walking, detected by electrogoniometry. Clinical Biomechanics. 1999; 14(6):403-11. https://doi.org/10.1016/S0268-0033(99)00005-4
  26. Sadeghi H, Allard P, Duhaime M. Functional gait asymmetry in ablebodied subjects. Human Movement Science. 1997; 16 (2): 243-58. https://doi.org/10.1016/S0167-9457(96)00054-1
  27. Wong P-l, Chamari K, Chaouachi A, Wisløff U, Hong Y. Difference in plantar pressure between the preferred and non-preferred feet in four soccer-related movements. British journal of sports medicine. 2007; 41(2):84-92. http://dx.doi.org/10.1136/bjsm.2006.030908
  28. Entezari S, Memar R, Kakavand M. Effect of taekwondo on plantar pressure distribution symmetry in dominant and none-dominant limb. Research in Sport Medicine and Technology Research in Sport Medicine and Technology. 2017; 15(13):17-24. (In Persian). http://dx.doi.org/10.29252/jsmt.18.20.1
  29. Azevedo RR, da Rocha ES, Franco PS, Carpes FP. Plantar pressure asymmetry and risk of stress injuries in the foot of young soccer players. Physical Therapy in Sport. 2017; 24: 39-43. https://doi.org/10.1016/j.ptsp.2016.10.001
  30. Ménard AL, Begon M, Barrette J, Green B, Ballaz L, Nault ML. Plantar pressure analysis: identifying risk of foot and ankle injury in soccer players. Translational Sports Medicine. 2021. https://doi.org/10.1002/tsm2.253
  31. Yoon S-D, Sung D-H, Park GD. The effect of active core exercise on fitness and foot pressure in Taekwondo club students. Journal of physical therapy science. 2015; 27(2): 509-11. https://doi.org/10.1589/jpts.27.509
  32. Bigouette J, Simon J, Liu K, Docherty CL. Altered vertical ground reaction forces in participants with chronic ankle instability while running. Journal of athletic training. 2016; 51(9):682-7. https://doi.org/10.4085/1062-6050-51.11.11
  33. Liu MQ, Anderson FC, Pandy MG, Delp SL. Muscles that support the body also modulate forward progression during walking. Journal of biomechanics. 2006; 39(14): 2623-30. https://doi.org/10.1016/j.jbiomech.2005.08.017
  34. Laudner KG, Wong R, Meister K. The influence of lumbopelvic control on shoulder and elbow kinetics in elite baseball pitchers. Journal of shoulder and elbow surgery. 2019; 28(2): 330-4. https://doi.org/10.1016/j.jse.2018.07.015
  35. Tyler TF, Nicholas SJ, Mullaney MJ, McHugh MP. The role of hip muscle function in the treatment of patellofemoral pain syndrome. The American journal of sports medicine. 2006; 34(4):630-6. https://doi.org/10.1177%2F0363546505281808
  36. Zazulak BT, Hewett TE, Reeves NP, Goldberg B, Cholewicki J. Deficits in neuromuscular control of the trunk predict knee injury risk: prospective biomechanical-epidemiologic study. The American journal of sports medicine. 2007; 35(7):1123-30. https://doi.org/10.1177%2F0363546507301585
  37. Ekstrom RA, Donatelli RA, Carp KC. Electromyographic analysis of core trunk, hip, and thigh muscles during 9 rehabilitation exercises. J Orthop Sports Phys Ther. 2007; 37(12): 754-62. https://www.jospt.org/doi/10.2519/jospt.2007.2471
  38. Winter DA. Medial-lateral and anterior-posterior motor responses associated with center of pressure changes in quiet standing. Neurosci Res Commun. 1993; 12(5): 141-8. https://ci.nii.ac.jp/lognavi?name=crossref&id=info:doi/10.20718/jjpa.10.3_109
  39. Winter DA. Human balance and posture control during standing and walking. Gait and posture. 1995; 3(4): 193-214. https://doi.org/10.1016/0966-6362(96)82849-9
  40. Szafraniec R, Barańska J, Kuczyński M. Acute effects of core stability exercises on balance control. Acta of bioengineering and biomechanics. 2018; 20(3). http://dx.doi.org/10.5277/ABB-01178-2018-02
  41. Sato K, Mokha M. Does core strength training influence running kinetics, lower-extremity stability, and 5000-M performance in runners? The Journal of Strength & Conditioning Research. 2009; 23(1): 133-40. https://doi.org/10.1519/JSC.0b013e31818eb0c5
  42. Long M. The Effects of a Six Week Lumbopelvic Control and Balance Training Program in High School Basketball Players. 2017. https://doi.org/10.33915/etd.6109
  43. Peterka RJ. Sensorimotor integration in human postural control. Journal of neurophysiology. 2002; 88(3): 1097-118. https://doi.org/10.1152/jn.2002.88.3.1097
  44. Parreira RB, Grecco LAC, Oliveira CS. Postural control in blind individuals: A systematic review. Gait & posture. 2017; 57: 161-7. https://doi.org/10.1016/j.gaitpost.2017.06.008
  45. Kaji A, Sasagawa S, Kubo T, Kanehisa H. Transient effect of core stability exercises on postural sway during quiet standing. The Journal of Strength & Conditioning Research. 2010; 24(2): 382-8. https://doi.org/10.1519/JSC.0b013e3181c06bdd
  46. Moradik, Minoonejad H, Rajabi R. The immediate effect of core stability exercises on postural sway in athletes with functional ankle instability. 2015. https://doi.org/10.22037/JRM.2015.1100154
  47. Van Der Does H, Brink M, Benjaminse A, Visscher C, Lemmink K. Jump landing characteristics predict lower extremity injuries in indoor team sports. International journal of sports medicine. 2016; 37(03): 251-6. https://doi.org/ 10.1055/s-0035-1559688
  48. Perrott MA, Pizzari T, Opar MS, Cook J. Athletes with a clinical rating of good and poor lumbopelvic stability have different kinematic variables during single leg squat and dip test. Physiotherapy theory and practice. 2019:1-10. https://doi.org/10.1080/09593985.2019.1655823
  49. Hodges PW, Moseley GL. Pain and motor control of the lumbopelvic region: effect and possible mechanisms. Journal of electromyography and kinesiology. 2003; 13(4): 361-70. https://doi.org/10.1016/S1050-6411(03)00042-7
  50. Cesar GM, Pereira VS, Santiago PRP, Benze BG, da Costa PHL, Amorim CF, et al. Variations in dynamic knee valgus and gluteus medius onset timing in non-athletic females related to hormonal changes during the menstrual cycle. The Knee. 2011; 18(4): 224-30. https://doi.org/10.1016/j.knee.2010.05.004
Studies in Sport Medicine
Volume 12, Issue 28
October 2021
Pages 203-232

  • Receive Date 07 June 2021
  • Revise Date 01 August 2021
  • Accept Date 10 August 2021

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