Immediate effect of insoles on the components of reaction forces during gait in people with ankle instability

Document Type : Research Paper

Authors

1 هیات علمی

2 Physical education and sport science department, Humanities science faculty, Malayer University, Malayer, Iran

Abstract

Purpose: The amount and distribution of ground reaction forces(GRF) and loading rates during gait are related to the injuries of the lower limb joints. One of the methods to change GRF and loading rates is using insoles. The aim of this study was to analyze the effect of insoles on GRF and loading rates during gait in individuals with ankle instability.
Method: Eleven healthy male soccer players and eleven patients with functional ankle instability participated in this study. Using force plates, the components of GRF were measured during gait under the two conditions of with and without insoles. Maximum GRF and their related peak time, loading rate were recorded.. ANOVA and MANOVA was used to analyze the data (α = 0.05).
Findings: Compared to the group without insoles, in the other group, wearing an insole caused an increase in the initial peak of the vertical reaction force (p = 0.01) at the moment of the heel’s contact with the ground (p <0.05). There was no significant difference in the loading rates of the two groups. In the mid stance phase, the maximum vertical GRF of the group wearing insole was significantly lower than that of the control group.
Conclusion: The results showed that the insole did not modify the GRF it did not reduce loading rates. Therefore, therapists should pay particular attention to reducing these forces by modifying motor strategies and designing appropriate shoes and exercise programs for strengthening muscles.
Keywords: ground reaction forces, loading rates, ankle instability, insoles, gait

Keywords

Main Subjects


Anandacoomarasamy, A., & Barnsley, L. (2005). “Long term outcomes of inversion ankle injuries”. British journal of sports medicine, 39(3), e14-e14.
Brown C, Padua D, Marshall S W, & Guskiewicz K. (2008). “Individuals with mechanical ankle instability exhibit different motion patterns than those with functional ankle instability and ankle sprain copers”. Clinical biomechanics, 23(6), 822-831.‏
Brughelli M, & Cronin J. “Influence of running velocity on vertical, leg and joint stiffness”. (2008).Sports Medicine, 38(8), 647-657.
Castro, M. P., Figueiredo, M. C., Abreu, S., Sousa, H., Machado, L., Santos, R., & Vilas-Boas, J. P. (2015). “The influence of gait cadence on the ground reaction forces and plantar pressures during load carriage of young adults”. Applied ergonomics, 49, 41-46.
Cordova, M. L., Ingersoll, C. D., & LeBlanc, M. J. (2000). “Influence of ankle support on joint range of motion before and after exercise”: a meta-analysis. Journal of Orthopaedic and Sports physical therapy, 30(4), 170-182.
Dayakidis, M. K., & Boudolos, K. (2006). “Ground reaction force data in functional ankle instability during two cutting movements”. Clinical Biomechanics, 21(4), 405-411.
 De Castro, M. P., Abreu, S., Pinto, V., Santos, R., Machado, L., Vaz, M., & Vilas-Boas, J. P. (2014). “Influence of pressure-relief insoles developed for loaded gait (backpackers and obese people) on plantar pressure distribution and ground reaction forces”. Applied ergonomics, 45(4), 1028-1034.
Eslami, M., Begon, M., Hinse, S., Sadeghi, H., Popov, P., & Allard, P. (2009). “Effect of foot orthoses on magnitude and timing of rearfoot and tibial motions, ground reaction force and knee moment during running”. Journal of Science and Medicine in Sport, 12(6), 679-684.
Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G* Power 3: “A flexible statistical power analysis program for the social, behavioral, and biomedical sciences”. Behavior researchmethods, 39(2), 175-191.
Frederick, E. C., & Hagy, J. L.( 1986). “Factors affecting peak vertical ground reaction forces in running”. International journal of sport biomechanics, 2(1), 41-49.‏
Gerber, J. P., Williams, G. N., Scoville, C. R., Arciero, R. A., & Taylor, D. C. (1998). “Persistent disability associated with ankle sprains: a prospective examination of an athletic population”. Foot & ankle international, 19(10), 653-660.
Gross, P., & Marti, B. (1999). “Risk of degenerative ankle joint disease in volleyball players: study of former elite athletes”. International journal of sports medicine, 20(01), 58-63.
Hamill, J., & Knutzen, K. M. (2006). Biomechanical basis of human movement. Lippincott Williams & Wilkins.
Harrington, K. D. (1979). “Degenerative arthritis of the ankle secondary to long-standing lateral ligament instability”. The Journal of bone and joint surgery. American volume, 61(3), 354-361.
Henry, B., McLoda, T., Docherty, C. L., & Schrader, J. (2010). “The effect of plyometric training on peroneal latency”. Journal of sport rehabilitation, 19(3), 288-300.
Hertel, J.(2002).“Functional anatomy, pathomechanics, and pathophysiology of lateral ankle instability”. Journal of athletic training, 37(4), 364.
Hosea, T. M., Carey, C. C., & Harrer, M. F. (2000). “The gender issue:epidemiology of ankle injuries in athletes who participate in basketball”. Clinical Orthopaedics and Related Research®, 372, 45-49.
Hoseney, K., Ginley, S., Hale, B., & Knight, A. (2012). “Difference in landing kinetics during simulated ankle sprain motion between chronic ankle instability and healthy participants”. American college of sports medicine. In 40th Annual meeting.
Kaminski, T. W., Buckley, B. D., Powers, M. E., Hubbard, T. J., & Ortiz, C. (2003). “Effect of strength and proprioception training on eversion to inversion strength ratios in subjects with unilateral functional ankle instability”. British journal of sports medicine, 37(5), 410-415.
 Khanmohammad, F., Ghasemi, M. S., Jafari, H., Hajiaghaie, B., & Sanjari, M. A. (2012). “The effect of poron layered insole on ground reaction force in comparison with common insole on subjects with flexible flat foot”. Journal of Modern Rehabilitation, 5(4), 55-63. (In Persian)
Kulin R M, Jiang F, & Vecchio K S. (2011). “Effects of age and loading rate on equine cortical bone failure”. Journal of the Mechanical Behavior of Biomedical Materials, 4(1), 57-75.‏
Matsusaka, N., Yokoyama, S., Tsurusaki, T., Inokuchi, S., & Okita, M. (2001). “Effect of ankle disk training combined with tactile stimulation to the leg and foot on functional instability of the ankle”. The American journal of sports medicine, 29(1), 25-30.
Mckay, G. D., Goldie, P. A., Payne, W. R., & Oakes, B. W. (2001). “Ankle injuries in basketball: injury rate and risk factors”. British journal of sports medicine, 35(2), 103-108.
McKeon, P. O., Ingersoll, C. D., Kerrigan, D. C., Saliba, E., Bennett, B. C., & Hertel, J. (2008). “Balance training improves function and postural control in those with chronic ankle instability”. Medicine & science in sports & exercise, 40(10), 1810-1819.
Miller, C. D., Laskowski, E. R., & Suman, V. J. (1996, August). Effect of corrective rearfoot orthotic devices on ground reaction forces during ambulation. In Mayo Clinic Proceedings (Vol. 71, No. 8, pp. 757-762). Elsevier.
Nigg, B. M., Herzog, W., & Read, L. J. (1988). “Effect of viscoelastic shoe insoles on vertical impact forces in heel-toe running”. The American journal of sports medicine, 16(1), 70-76.
Olsen, O. E., Myklebust, G., Engebretsen, L., & Bahr, R. (2004). "Injury mechanisms for anterior cruciate ligament injuries in team handball: a systematic video analysis". The American journal of sports medicine, 32(4), 1002-1012.
Osborne, M. D., Chou, L. S., Laskowski, E. R., Smith, J., & Kaufman, K. R. (2001). “The effect of ankle disk training on muscle reaction time in subjects with a history of ankle sprain”. The American journal of sports medicine, 29(5), 627-632.
Queen R M, Mall N A, Nunley JA, & Chuckpaiwong B.( 2009). “Differences in plantar loading between flat and normal feet during different athletic tasks”. Gait & posture, 29(4), 582-586.
Radin EL, Yang K H, Riegger C, Kish VL, & O'Connor J J. (1991). “Relationship between lower limb dynamics and knee joint pain”. Journal of orthopedic research, 9(3), 398-405.‏
Robertson, G. E., Caldwell, G. E., Hamill, J., Kamen, G., & Whittlesey, S. (2018). Research methods in biomechanics. Human kinetics.
Ross, S. E., Guskiewicz, K. M., Gross, M. T., & Yu, B. (2008). “Assessment tools for identifying functional limitations associated with functional ankle instability”. Journal of athletic training, 43(1), 44-50.
Ruano, C. R. Y. S. T. A. L., Powell, D., Chalambaga, E. T., & Renshaw, D. O. U. G. (2009). “The effects of tempur insoles on ground reaction forces and loading rates in running. International Journal of Exercise Science”, 2(3), 186-190.‏
Simpson KJ, Yom JP, Fu YC, Arnett SW, O’Rourke S, & Brown C N.( 2013). “Does wearing a prophylactic ankle brace during drop landings affect lower extremity kinematics and ground reaction forces? Journal of applied biomechanics”, 29(2), 205-213.‏
Windle, C., Gregory, S., & Dixon, S. (1999). “The shock attenuation characteristics of four different insoles when worn in a military boot during running and marching”. Gait & posture, 9(1), 31-37.
Winter, D. A. (1991). Biomechanics and motor control of human gait: normal, elderly and pathological.
Yeow, C. H., Lee, P. V. S., & Goh, J. C. H. (2009)." Effect of landing height on frontal plane kinematics, kinetics and energy dissipation at lower extremity joints". Journal of biomechanics, 42(12), 1967-1973.
Yu, B., Lin, C. F., & Garrett, W. E. (2006). “Lower extremity biomechanics during the landing of a stop-jump task”. Clinical Biomechanics, 21(3), 297-305.‏
Zadpoor, A. A., & Nikooyan, A. A. (2011). “The relationship between lower-extremity stress fractures and the ground reaction force: a systematic review”. Clinical biomechanics, 26(1), 23-28.
Zhang, S., Wortley, M., Chen, Q., & Freedman, J. (2009). "Efficacy of an ankle brace with a subtalar locking system in inversion control in dynamic movements". Journal of orthopaedic & sports physical therapy, 39(12), 875-883.