6533b85afe1ef96bd12b95ea

RESEARCH PRODUCT

Immediate effects of shoes inducing ankle-destabilization around Henke's axis during challenging walking gaits: Gait kinematics and peroneal muscles activities

Alexandre KubickiChristos PaizisChristos PaizisLilian FautrelleLilian FautrelleNicolas BabaultNicolas Babault

subject

Malemedicine.medical_specialtyKinematicsGait kinematics[ SDV.MHEP.AHA ] Life Sciences [q-bio]/Human health and pathology/Tissues and Organs [q-bio.TO]medicine.medical_treatmentBiophysicsKinematicsWalkingmedicine.disease_cause03 medical and health sciencesYoung Adult0302 clinical medicineJumpingPhysical medicine and rehabilitationEMGNeuromuscular controlFunctional stabilitymedicine[SDV.MHEP.AHA]Life Sciences [q-bio]/Human health and pathology/Tissues and Organs [q-bio.TO]HumansOrthopedics and Sports MedicineMuscle SkeletalGait030222 orthopedicsRehabilitationbusiness.industryRehabilitation030229 sport sciencesGaitHealthy VolunteersBiomechanical Phenomenamedicine.anatomical_structurePhysical therapyProper treatmentFemaleAnkleAnklebusinesshuman activitiesAnkle Joint

description

International audience; Due to its high frequency of occurrence, as well as possible residual symptoms, proper treatment of lateral ankle sprains (LAS) is important. From a physiological point of view, increasing the quantity of electromyographic (EMG) activity in the peroneal muscles will mechanically improve the functional stability of the ankle joint. The present study investigated the immediate effects of an ankle destabilization device (ADD) specifically designed to induce imbalances along the Henke’s axis during 3 challenging walking tasks. As the effects of such a device have to be tested on healthy participants before being implemented in rehabilitation programs, 12 healthy participants performed 3 different types of walking (normal, aligned, and jumping walking) while the EMG activities in four peroneal muscles and the main gait kinematics parameters were recorded. Our results clearly demonstrated that wearing the ADD during these different walking tasks significantly increased EMG activities in the four peroneal muscles (increases from 9 to 33% on average depending on the muscle and the walking condition) while maintaining previous gait kinematic patterns. Our study shows that an ADD coupled with walking or jumping tasks is able to improve neuromuscular activity. It should therefore be useful for ankle rehabilitation therapy and the prevention of LAS.

https://hal-univ-bourgogne.archives-ouvertes.fr/hal-01528814