"Arch support" and calf muscle stretching

NewsBot · Dec 23, 2009

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Effect of medial arch support on displacement of the myotendinous junction of the gastrocnemius during standing wall stretching.
Jung DY, Koh EK, Kwon OY, Yi CH, Oh JS, Weon JH.
J Orthop Sports Phys Ther. 2009 Dec;39(12):867-74.

STUDY DESIGN: Controlled laboratory study.

OBJECTIVES: To examine the effects of standing wall stretching with and without medial arch support (WMAS versus WOMAS) on the displacement of the myotendinous junction (DMTJ) of the medial gastrocnemius, rearfoot angle, and navicular height in subjects with neutral foot alignment and pes planus.

BACKGROUND: Standing wall stretching is often prescribed to increase ankle dorsiflexion range of motion for sports fitness and rehabilitation. However, the effect of standing wall stretching WMAS on DMTJ is unknown.

METHODS: Fifteen subjects with neutral foot alignment and 15 subjects with pes planus performed standing wall stretching under WMAS and WOMAS conditions. Measurements of DMTJ and rearfoot position were performed using ultrasonography and video imaging. Navicular height was measured using a ruler. Dependent variables were examined with a 2-way mixed-design analysis of variance. The 2 factors were foot type (neutral foot versus pes planus) and stretching condition (WMAS versus WOMAS).

RESULTS: There were significant interactions of medial arch support by foot type for DMTJ, rearfoot angle, and navicular drop (P<.001). A post hoc paired t test showed that standing wall stretching in the WMAS condition significantly increased the DMTJ, compared to stretching in the WOMAS condition, in subjects with neutral foot (mean +/- SD, 9.6 +/- 1.6 versus 10.5 +/- 1.6 mm; difference, 0.9 mm; 99% CI: 0.4-1.4 mm) and in those with pes planus (10.0 +/- 1.8 versus 12.7 +/- 2.0 mm; difference, 2.7 mm; 99% CI: 1.9-3.5 mm) (P<.001). When comparing WOMAS and WMAS, the difference in DMTJ (1.8 mm; 99% CI: 0.9-2.7 mm) was significantly greater in subjects with pes planus than in those with neutral foot (P<.001).

CONCLUSION: Standing wall stretching with medial arch support maintained subtalar joint neutral position and increased the length of the gastrocnemius in subjects with pes planus. When prescribing standing wall stretching, clinicians need to emphasize the use of medial arch support to effectively stretch the gastrocnemius in subjects with pes planus
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Griff · Dec 25, 2009

Does anyone have subscription to this journal - if so I'd love a copy of the full text as I have a few questions which the abstract doesn't answer

Thanks in advance

Ian

Scorpio622 · Dec 26, 2009

Ian,

Post your email address and I'll send off a copy.

Nick
:santa:

Kevin Kirby · Dec 26, 2009

Scorpio622 said: ↑

Ian,

Post your email address and I'll send off a copy.

Nick
:santa:
Click to expand...

Nick:

Please send the paper my way also to: kevinakirby@comcast.net

Merry Christmas!!:santa:

Griff · Dec 27, 2009

Nick,

Thanks in advance for this. I'm on: ian@sportspodiatryinfo.co.uk

Happy New Year

Ian

Sally Smillie · Dec 29, 2009

Ooh, i'd love it too please!

Thank you in anticipation,
sally.smillie@medwaypct.nhs.uk

Mart · Dec 29, 2009

quote=Sally Smillie;127813]Ooh, i'd love it too please!

Thank you in anticipation,
sally.smillie@medwaypct.nhs.uk[/quote]

here you go!

nice use of US in this paper.

cheers

Martin

View attachment Effect.pdf [

footsteps2 · Jan 5, 2010

Hi,

Could you please e mail me a copy of this to bioanatomy@aapt.net.au

Many thanks

Griff · Jan 5, 2010

Just click on the link at the botton of Mart's post and its there

Seamus McNally · Jan 8, 2010

Thanks for that. About 5 years ago I did a course with Prof Thomas McPoil and he suggested this as part of stretching programme for planter fasciitis, and I have used it since. I see he is included in the reference list

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