Bilateral foot pronation (measured as calcaneal eversion) may lead to an increase in anterior tilt of the pelvis. MAS, Heel Raise and MAS plus Heel Raise on the angle of pelvic tilt in asymptomatic subjects with bilaterally pronated feet.
Bilateral foot pronation (measured as calcaneal eversion) may lead to an increase in anterior tilt of the pelvis. MAS, Heel Raise and MAS plus Heel Raise on the angle of pelvic tilt in asymptomatic subjects with bilaterally pronated feet.
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Bilateral foot pronation (measured as calcaneal eversion) may lead to an increase in anterior tilt of the pelvis. MAS, Heel Raise and MAS plus Heel Raise on the angle of pelvic tilt in asymptomatic subjects with bilaterally pronated feet.
Copyright:
Attribution Non-Commercial (BY-NC)
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Download as DOC, PDF, TXT or read online from Scribd
SUBJECTS WITH BILATERALLY PRONATED FEET By Ruchi Murarka, Master In Physiotherapy (Musculoskeletal), SVNIRTAR Guide - Ms. Monalisa Pattnaik Assistant Professor, P. G. Coordinator, Department Of Physiotherapy, SVNIRTAR Co – Guide- Mr. Patitapaban Mohanty Associate Professor And Head Of Department Of Physiotherapy, SVNIRTAR
Bilateral foot pronation (measured as calcaneal eversion) may lead to an increase in
anterior tilt of the pelvis. Since hyperpronation has been suggested as a cause of anterior pelvic tilt, it is speculated that foot orthoses could be used to correct the anteriorly tilted position of the pelvis. However, there is paucity of literature describing the affect of foot orthoses on pelvic alignment. OBJECTIVE- To compare the immediate effect of MAS, Heel Raise and MAS plus Heel Raise on the angle of pelvic tilt in asymptomatic subjects with bilaterally pronated feet. METHODOLOGY – STUDY DESIGN-Repeated measures, within subject experimental design SAMPLE SIZE-30 subjects (15 M, 15 F), with the mean age of 21.56 SD ± 2.35 who fulfilled the inclusion and exclusion criteria, were selected through a sample of convenience. OUTCOME MEASURES - Calcaneal eversion angle, Medial longitudinal arch angle and Angle of anterior pelvic tilt. DATA COLLECTION-Measurements of all outcome measures were taken for all the subjects initially barefeet and then with each orthoses (MAS, Heel Raise and MAS plus heel Raise)in a random order. At each step three readings were taken. DATA ANALYSIS-The data were analysed using Repeated Measures ANOVA taking orthoses as factor with four levels: Barefoot, MAS, Heel Raises and MAS plus Heel Raise, for all the outcome measures. Tukeys Post Hoc analysis was done for pair wise comparisons. Paired t test was done to find out the difference between the amount of heel raises given in Heel Raise and MAS plus Heel Raise condition. P was set at 0.05 for all statistical analysis. RESULT-There was main effect for orthoses for Calcaneal eversion angle (F(3,87,0.05)=1.84,P ≤ 0.000); Medial longitudinal arch angle (F(3,87,0.05)=311.58, P ≤ 0.000) and Angle of anterior pelvic tilt (F(3,87,0.05)=887.80,P ≤ 0.000). Tukey’s HSD showed that the change in Calcaneal eversion angle, Medial longitudinal arch angle and Angle of anterior pelvic tilt achieved with the three orthoses was significantly different from each other. Results of Paired sample t-test showed significant difference in number of heel raises used in Heel Raise & MAS plus Heel Raise. (t = 15.832, P ≤ 0.000). CONCLUSION-The findings of the study show that all the three orthoses are effective in correcting excessive anterior pelvic tilt, calcaneal eversion and medial longitudinal arch angle. However, medial arch support plus heel raise was found to be more effective than Heel raise than medial arch support in correcting the abnormal alignment. Thus medial arch support, Heel raise and medial arch support plus heel raise can be used as an intervention for foot and lumbo-pelvic mal-alignments.