Association of navicular drop and selected lower-limb biomechanical measures during the stance phase of running.

There is evidence to suggest that navicular drop measures are associated with specific lower-extremity gait biomechanical parameters. The aim of this study was to examine the relationship between navicular drop and a) rearfoot eversion excursion, b) tibial internal rotation excursion, c) peak ankle inversion moment, and d) peak knee adduction moment during the stance phase of running. Sixteen able-bodied men having an average age of 28.1 (SD=5.30) years, weight of 81.5 (SD=10.40) kg, height of 179.1 (SD=5.42) cm volunteered and ran barefoot at 170 steps/minute over a force plate. Navicular drop measures were negatively correlated with tibial internal rotation excursion (r=-0.53, P=.01) but not with rearfoot eversion excursion (r=-0.19; P=.23). Significant positive correlations were found between navicular drop and peak knee adduction moment (r=.62, P<.01) and peak ankle inversion moment (r=.60, P<.01). These findings suggest that a low navicular drop measure could be associated with increasing tibial rotation excursion while high navicular drop measure could be associated with increased peak ankle and knee joint moments. These findings indicate that measures of navicular drop explained between 28% and 38% of the variability for measures of tibial internal rotation excursion, peak knee adduction moment and peak ankle inversion moments.

[1]  Darren J. Stefanyshyn Footwear traction and knee joint moments , 2006 .

[2]  E. Erdfelder,et al.  Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses , 2009, Behavior research methods.

[3]  P. Allard,et al.  Effect of foot orthoses on magnitude and timing of rearfoot and tibial motions, ground reaction force and knee moment during running. , 2009, Journal of science and medicine in sport.

[4]  Hartmut Witte,et al.  ISB recommendation on definitions of joint coordinate system of various joints for the reporting of human joint motion--part I: ankle, hip, and spine. International Society of Biomechanics. , 2002, Journal of biomechanics.

[5]  J. G. Andrews,et al.  Kinematic analysis of the talocalcaneal/talocrural joint during running support. , 1987, Medicine and science in sports and exercise.

[6]  K. Landorf,et al.  Efficacy of foot orthoses. What does the literature tell us? , 2000, Journal of the American Podiatric Medical Association.

[7]  Benno M Nigg,et al.  Orthotic comfort is related to kinematics, kinetics, and EMG in recreational runners. , 2003, Medicine and science in sports and exercise.

[8]  Paul Allard,et al.  Forefoot-rearfoot coupling patterns and tibial internal rotation during stance phase of barefoot versus shod running. , 2007, Clinical biomechanics.

[9]  Bowers Kd,et al.  Incidence of Hyperpronation in the ACL Injured Knee: A Clinical Perspective. , 1992 .

[10]  I. McClay Davis,et al.  Effect of inverted orthoses on lower-extremity mechanics in runners. , 2003, Medicine and science in sports and exercise.

[11]  M. Cornwall,et al.  The relationship between static lower extremity measurements and rearfoot motion during walking. , 1996, The Journal of orthopaedic and sports physical therapy.

[12]  I. McClay,et al.  The evolution of the study of the mechanics of running. Relationship to injury. , 2000, Journal of the American Podiatric Medical Association.

[13]  Laura C. Fields,et al.  The relationship between clinical measurements of lower extremity posture and tibial translation. , 2002, Clinical biomechanics.

[14]  G. Vagenas,et al.  Eversion and inversion muscle group peak torque in hyperpronated and normal individuals. , 2009, Foot.

[15]  E S Grood,et al.  A joint coordinate system for the clinical description of three-dimensional motions: application to the knee. , 1983, Journal of biomechanical engineering.

[16]  Irene S. McClay,et al.  Coupling Parameters in Runners With Normal and Excessive Pronation , 1997 .

[17]  P. Leva Adjustments to Zatsiorsky-Seluyanov's segment inertia parameters. , 1996 .

[18]  Catherine Busseuil,et al.  Rearfoot-Forefoot Orientation and Traumatic Risk for Runners , 1998, Foot & ankle international.

[19]  B. Nigg,et al.  Effects of arch height of the foot on angular motion of the lower extremities in running. , 1993, Journal of biomechanics.

[20]  M. Cornwall,et al.  Relative Movement of the Navicular Bone During Normal Walking , 1999, Foot & ankle international.

[21]  C. Saltzman,et al.  The effect of foot structure on the three-dimensional kinematic coupling behavior of the leg and rear foot. , 1998, Physical therapy.

[22]  Can running injuries be effectively prevented? , 1995, Sports medicine.

[23]  W A Wallace,et al.  The scientific basis for the use of biomechanical foot orthoses in the treatment of lower limb sports injuries--a review of the literature. , 1994, British journal of sports medicine.

[24]  T P Schmalzried,et al.  Injuries in Runners: A Prospective Study of Alignment , 1998, Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine.

[25]  S. Shultz,et al.  Identifying relationships among lower extremity alignment characteristics. , 2009, Journal of athletic training.

[26]  F. Delacerda A study of anatomical factors involved in shinsplints. , 1980, The Journal of orthopaedic and sports physical therapy.

[27]  M. J. Muêller,et al.  Navicular drop as a composite measure of excessive pronation. , 1993, Journal of the American Podiatric Medical Association.

[28]  M. E. Beckett,et al.  Incidence of Hyperpronation in the ACL Injured Knee: A Clinical Perspective. , 1992, Journal of athletic training.

[29]  J. Michelson,et al.  The Injury Risk Associated with Pes Planus in Athletes , 2002, Foot & ankle international.

[30]  J. Loudon,et al.  The relationship between static posture and ACL injury in female athletes. , 1996, The Journal of orthopaedic and sports physical therapy.

[31]  Brody Dm,et al.  Techniques in the evaluation and treatment of the injured runner. , 1982 .