scholarly journals An exploration of the effect of proprioceptive knee bracing on biomechanics during a badminton lunge to the net, and the implications to injury mechanisms

PeerJ ◽  
2018 ◽  
Vol 6 ◽  
pp. e6033 ◽  
Author(s):  
Raúl Valldecabres ◽  
Ana María de Benito ◽  
Greg Littler ◽  
Jim Richards
Keyword(s):  
Repeated Measures ◽  
Sagittal Plane ◽  
Rotation Velocity ◽  
Knee Extension ◽  
Knee Adduction Moment ◽  
Vertical Force ◽  
Balance Test ◽  
Assessment Scores ◽  
Peak Knee ◽  
Significant Difference

The aim of this study was to determine changes in knee biomechanics during badminton lunges due to fatigue, lunge strategy and knee bracing. Kinetic and kinematic data were collected from 16 experienced right-handed badminton players. Three factor repeated measures ANOVAs (lunge direction—fatigue—brace) were performed with Least Significant Difference pairwise comparisons. In addition, clinical assessments including; Y-balance test, one leg hop distance and ankle dorsiflexion range of motion were performed pre- and postfatigue. The knee showed significantly greater flexion during the forehand lunge compared to backhand. In contrast, the internal rotation velocity and the knee extension moment were greater during backhand. Knee angular velocity in the sagittal plane, peak knee moment and range of moment in the coronal plane and stance time showed significantly lower values postfatigue. In addition, the peak knee adduction moment showed significantly lower values in the braced condition in both the fatigued and nonfatigues states, and no significant differences were seen for peak vertical force, loading rate, approach velocity, or in any of the clinical assessment scores. There appears to be greater risk factors when performing a backhand lunge to the net compared to a forehand lunge, and proprioceptive bracing appears to reduce the loading at the knee.

scholarly journals Influence of Arch-Support Orthoses with Heel Lift Manipulation on Joint Moments and Forefoot Mechanics in Running

2021 ◽  
Vol 11 (4) ◽  
pp. 1613
Author(s):  
Jun-Xiang Pan ◽  
Wing-Kai Lam ◽  
Peter Lung-Wai Sze ◽  
Mohammad Farhan Tan ◽  
Aaron Kam-Lun Leung
Keyword(s):  
Repeated Measures ◽  
Loading Rate ◽  
Sagittal Plane ◽  
Joint Mechanics ◽  
Skin Marker ◽  
Peak Knee ◽  
Significant Difference ◽  
Arch Support ◽  
And Control ◽  
Heel Lift

While foot orthosis is suggested to improve rearfoot motion in running, little information is known about forefoot biomechanics. The objective of this study was to examine the effects of arch-support orthoses with various heel lift manipulation on the loading rate, spatiotemporal, and forefoot joint mechanics using a skin marker set model. Fifteen male habitual rearfoot strikers ran at their selected speeds on an instrumented treadmill in four foot orthoses conditions: flat-control, D2 (2 mm heel lift, arch-support), D6 (6 mm heel lift, arch-support), and D10 (10 mm heel lift, arch-support). A repeated measures ANOVA was performed to examine any significant difference in each of the tested variables, with α = 0.05. Wearing D10 led to smaller maximum loading rate than D2 (p < 0.001) and control (p = 0.002). For sagittal plane, D10 had larger rearfoot touchdown dorsiflexion than D2 (p = 0.027) and control (p = 0.007) and larger in D6 than control (p = 0.025). For frontal plane, wearing D10 demonstrated larger rearfoot frontal RoM than D2 (p = 0.018) and peak forefoot eversion than D6 (p = 0.047) and control (p = 0.048). Furthermore, the forefoot frontal range of motion was lowest when wearing D6. For joint moment, wearing control orthosis exhibited larger peak rearfoot eversion moment than D6 (p = 0.035), but smaller peak knee extension moment than D2 (p = 0.025) and D10 (p = 0.010). These findings indicate that the use of arch-support orthoses would alter the running mechanics that are related to injury potential. Lower heel lift orthoses led to alternations to most of the biomechanical variables than higher heel lift orthoses. Further longitudinal study seems necessary to optimize arch-support orthoses design in running.

Ankle Stabilizers Affect Agility but Not Vertical Jump or Dynamic Balance Performance

2011 ◽  
Vol 4 (6) ◽  
pp. 354-360 ◽  
Author(s):  
Jatin P. Ambegaonkar ◽  
Charles J. Redmond ◽  
Christa Winter ◽  
Nelson Cortes ◽  
Shruti J. Ambegaonkar ◽  
...  
Keyword(s):  
Repeated Measures ◽  
Sagittal Plane ◽  
Dynamic Balance ◽  
Vertical Jump ◽  
Plane Motion ◽  
Balance Performance ◽  
Level Of Evidence ◽  
Balance Test ◽  
Jump Test ◽  
Significant Difference

Ankle stabilizers can reduce ankle sprain incidence and severity by limiting range of motion. Still whether using them affects performance remains unclear. The authors compared effects of 3 ankle stabilizers, tape, lace-up (Swede-O Ankle Lok), and semirigid (Air-Cast Air-Stirrup) braces, and a nonsupport control on vertical jump (Sargent Jump Test), agility (Right-Boomerang Run test), and dynamic balance (Modified Bass Test) in 10 volunteers (4 males, 6 females; 25.6 ± 2.8 years, 167.8 ± 13.7 cm, 61.4 ± 10.7 kg) using repeated-measures ANOVAs. Participants had similar vertical jump ( P = .27; control = 41.40 ± 11.89 cm, tape = 37.90 ± 7.92 cm, Swede-O = 41.40 ± 11.89 cm, Air-Cast = 39.29 ± 10.85 cm) and dynamic balance ( P = .08; control = 92.50 ± 2.46, tape = 91.55 ± 3.53, Swede-O = 97.00 ± 5.32, Air-Cast = 89.40 ± 6.08) but differing agility scores ( P = .03; control = 13.55 ± 1.35 seconds, tape = 14.03 ± 1.5 seconds, Swede-O = 14.10 ± 1.36 seconds, Air-Cast = 14.14 ± 1.41 seconds). Post hoc tests revealed a significant difference ( P = .03) between control and Air-Cast but not between Swede-O ( P = .06) or tape ( P = .07). Effect size ( d) analyses indicated that compared with control, all stabilizers trended to increase agility run times (tape, d = 0.33; Swede-O, d = 0.40; Air-Cast, d = 0.43). Since participants primarily required sagittal plane motion when jumping vertically and had relatively slow directional changes in the dynamic balance test, wearing ankle stabilizers did not hamper jump or balance. However, ankle stabilizers hindered participants’ ability to perform quick directional changes required in the agility test, with the most rigid stabilizer (Air-Cast) affecting agility the most. Clinicians should be aware that ankle stabilizers may affect some performance measures (agility) but not others (jumping, balance) and continue examinations in larger cohorts. Level of Evidence: Therapeutic, Level II

“Going Backward”: Effects of age and fatigue on posterior-directed falls in Parkinson disease

2021 ◽  
pp. 1-9
Author(s):  
Evan V. Papa ◽  
Rita M. Patterson ◽  
Nicoleta Bugnariu
Keyword(s):  
Postural Control ◽  
Parkinson Disease ◽  
Repeated Measures ◽  
Center Of Pressure ◽  
Angular Displacement ◽  
Reaction Times ◽  
Older Individuals ◽  
Peak Knee ◽  
Significant Difference ◽  
Fatiguing Exercise

BACKGROUND: Nearly half of persons with Parkinson disease (PD) report fatigue as a factor in their fall history. However, it is unknown whether these self-reported falls are caused by a sensation of fatigue or performance fatigue. OBJECTIVE: We sought to investigate the influences of performance fatigue and age on postural control in persons with PD. METHODS: Individuals with PD (n = 14) underwent postural control assessments before (T0) and immediately after (T1) fatiguing exercise. Biomechanical data were gathered on participants completing a treadmill-induced, posterior-directed fall. Performance fatigue was produced using lower extremity resistance exercise on an isokinetic ergometer. Repeated measures ANCOVAs were used with age as a covariate to determine the effects of performance fatigue on biomechanical variables. RESULTS: After adjustment for age, there was a statistically significant difference in peak center of pressure (COP) latency during the support phase of recovery. Pairwise comparisons demonstrated a decrease in peak ankle displacement from T0 to T1. Age was also found to be significantly related to reaction time and peak knee displacement while participants were fatigued. CONCLUSIONS: The decreased peak COP latency, along with decreased ankle angular displacement, suggest that persons with PD adopt a stiffening strategy in response to backward directed falls. Postural stiffening is not uncommon in persons with PD and could be a risk factor for falls. Older individuals with PD demonstrate slower mobility scores and decreased reaction times in the setting of fatigue, suggesting a combined effect of the aging and fatigue processes.

scholarly journals Examination of basic motoric characteristics with different stretching exercises in football playersFutbolcularda farklı germe egzersizleri ile temel motorik özelliklerinin incelenmesi

2017 ◽  
Vol 14 (2) ◽  
pp. 1255 ◽  
Author(s):  
Öznur Akyüz
Keyword(s):  
Repeated Measures ◽  
Dynamic Balance ◽  
Football Players ◽  
Balance Test ◽  
Significant Difference ◽  
Package Program ◽  
Explosive Force ◽  
Bonferroni Test ◽  
And Performance ◽  
Stretching Exercises

To investigate acutely the effects of different stretching exercises on football players on the basic motoric properties (strength, flexibility, speed, balance and explosive force). 10 volunteer football players with an average age of 17 participated in the study. Three different measurements protocols were used in the study. The first measurement was performed without stretching exercise, the second measurement was performed after the static stretching exercise and the third measurement was performed after the dynamic stretching exercise. All measurements were carried out at Manisa Tarık Almış sports facilities. To determine the performances of volunteers; back strength, leg strength, hand grip strength, flexibility, 20 m. sprint and flamingo balance test. The Repeated Measures ANOVA test and the Bonferroni Test were used using the SPSS 23.0 package program to analyze the relationship between the performance of the study group and performance tests on different days and different protocols. When the three different methods applied to participants were compared; there is a statistically significant difference between sit and reach, speed and balance tests. As a result, there is a positive effect of stretching exercises on flexibility, sprint and dynamic balance skills. ÖzetFutbolcularda farklı germe egzersizlerinin temel motorik özellikler (kuvvet, esneklik, sürat, denge ve patlayıcı kuvvet) üzerine etkilerini akut olarak incelemektir. Çalışmaya yaş ortalamaları 17 olan 10 gönüllü futbolcu katılmıştır. Çalışmada 3 farklı ölçüm protokolü kullanılmıştır. Birinci ölçüm germe egzersizi yapmadan, ikinci ölçüm statik germe egzersizinden sonra ve üçüncü ölçüm dinamik germe egzersizinden sonra gerçekleştirildi. Tüm ölçümler Manisa Tarık Almış Spor Tesislerinde yapılmıştır. Katılımcıların performanslarını belirlemek için sırt kuvveti, bacak kuvveti, el kavrama kuvveti, esneklik, 20 m. sprint, flamingo denge testi uygulanmıştır. Araştırma grubunun farklı günlerde ve farklı germe egzersizlerini takiben uygulanan performans testlerinin aralarındaki ilişkiyi analiz etmek için SPSS 23.0 paket programından, Repeated Measures Testi ve Bonferroni Testi kullanılmıştır. Katılımcılara uygulanan three farklı ölçüm metodu karşılaştırıldığında; otur-eriş, sürat ve denge testleri arasında istatistiksel olarak anlamlı farklılık vardır (p<0.05). Sonuç olarak, germe egzersizlerinin esneklik, sürat ve denge üzerinde olumlu etkisi vardır.

scholarly journals Dynamic Balance in Athletes With Intellectual Disability: Effect of Dynamic Stretching and Plyometric Warm-Ups

2020 ◽  
pp. 1-7
Author(s):  
Ghada Jouira ◽  
Selim Srihi ◽  
Fatma Ben Waer ◽  
Haithem Rebai ◽  
Sonia Sahli
Keyword(s):  
Intellectual Disability ◽  
Repeated Measures ◽  
Dynamic Balance ◽  
Preventive Measure ◽  
Composite Score ◽  
Balance Test ◽  
Warm Up ◽  
Dynamic Stretching ◽  
Significant Difference ◽  
Composite Scores

Context: Athletes with intellectual disability (ID) have a high risk of injury while participating in various sports. Warm-up (WU) is the most preventive measure to reduce injuries in sports. Objective: To investigate the effects of dynamic stretching WU (DS-WU) and plyometric WU (PL-WU) on dynamic balance in athletes with ID. Design: Crossover study. Setting: Research laboratory. Participants: A total of 12 athletes with ID (age 24.5 [3.22] y, height 165.7 [8.4] cm, weight 61.5 [7.1] kg, intelligence quotient 61.1 [3.5]). Main Outcome Measures: Dynamic balance was assessed using the Star Excursion Balance Test (SEBT) at pre-WU, post-WU, and 15 minutes post-WU for both the DS-WU and the PL-WU. A 2-way analysis of variance (3 sessions × 2 WU methods) with repeated-measures was used in this study. Results: Following the DS-WU, participants demonstrated significant improvements in the SEBT composite score post-WU (89.12% [5.54%] vs 87.04% [5.35%]; P < .01) and at 15 minutes post-WU (89.55% [5.28%] vs 87.04%, P < .01) compared with pre-WU. However, no significant difference between these two post-WU scores (post-WU and 15 min post-WU) was found. For the PL-WU, participants demonstrated a significant decrease in the SEBT composite score at post-WU (85.95% [5.49%] vs 87.02% [5.73%]; P < .05); however, these scores increased significantly at 15 minutes post-WU (88.60% [5.42%] vs 87.02% [5.49%]; P < .05) compared with that at pre-WU. The SEBT composite scores are significantly higher in the DS-WU than in the PL-WU at both post-WU sessions (P < .05). Conclusion: Both DS-WU and PL-WU could improve dynamic balance and may be recommended as WUs in athletes with ID; however, particular caution should be exercised immediately after the PL-WU.

scholarly journals Biomechanical Analysis of Running in Shoes with Different Heel-to-Toe Drops

2021 ◽  
Vol 11 (24) ◽  
pp. 12144
Author(s):  
Masen Zhang ◽  
Huijuan Shi ◽  
Hui Liu ◽  
Xinglong Zhou
Keyword(s):  
Lower Extremity ◽  
Repeated Measures ◽  
Impact Force ◽  
Three Dimensional ◽  
Knee Extension ◽  
Biomechanical Analysis ◽  
Initial Contact ◽  
Vertical Loading ◽  
Peak Knee ◽  
Running Shoes

The heel-to-toe drop of running shoes is a key parameter influencing lower extremity kinematics during running. Previous studies testing running shoes with lower or larger drops generally used minimalist or maximalist shoes, where the factors outside of the drop may lead to the observed changes in running biomechanics. Therefore, our aim was to compare the strike patterns, impact force, and lower extremity biomechanics when running in shoes that varied only in their drops. Eighteen habitual rearfoot strikers performed trials wearing running shoes with four drop conditions: 15 mm, 10 mm, 5 mm, and without a drop. Three-dimensional (3D) tracks of the reflective markers and impact force were synchronously collected using a video graphic acquisition system and two force plates. The biomechanical parameters were compared among the four drop conditions using one-way ANOVA of repeated measures. A greater foot inclination angle (p = 0.001, ηp2 = 0.36) at initial contact and a lower vertical loading rate (p = 0.002, ηp2 = 0.32) during the standing phase were found when running in shoes with large drops compared with running in shoes without a drop. Running in shoes with large drops, as opposed to without, significantly increased the peak knee extension moment (p = 0.002, ηp2 = 0.27), but decreased the peak ankle eversion moment (p = 0.001, ηp2 = 0.35). These findings suggest that the heel-to-toe drop of running shoes significantly influences the running pattern and the loading on lower extremity joints. Running shoes with large drops may be disadvantageous for runners with knee weakness and advantageous for runners with ankle weakness.

Effects of gastrocnemius stretching with talus-stabilizing taping on ankle dorsiflexion and balance in individuals with limited ankle dorsiflexion: A randomized controlled trial

2021 ◽  
pp. 1-9
Author(s):  
Jong-Chul Jung ◽  
Yong-Il Shin ◽  
Da-In An ◽  
Won-Young Park ◽  
Soo-Yong Kim
Keyword(s):  
Repeated Measures ◽  
Controlled Trial ◽  
Ankle Dorsiflexion ◽  
Long Term Effects ◽  
Post Intervention ◽  
Balance Test ◽  
Randomized Controlled ◽  
Repeated Measures Analysis ◽  
Significant Difference

BACKGROUND: Various interventions have been recommended to increase ankle dorsiflexion range of motion (DFROM); however, few studies have investigated the long-term effects of applying gastrocnemius stretching with talus-stabilizing taping (GSTST). OBJECTIVE: To compare the effects of gastrocnemius stretching (GS) and GSTST on DFROM and balance in subjects with limited DFROM. METHODS: Twenty-six subjects with limited DFROM were randomly allocated to either the GS group (n= 13) or GSTST group (n= 13) for 6 weeks. Maximum DFROM before heel-off during gait, passive DFROM, posterior talar glide, flexibility of the gastrocnemius, and the lower-quarter Y-balance test (YBT-LQ) were assessed pre-intervention and post-intervention. Two-way repeated-measures analysis of variance was used to compare the changes in variables. RESULTS: The GSTST group had greater maximum DFROM before heel-off, passive DFROM, and posterior talar glide than the GS group. Gastrocnemius flexibility and YBT-LQ scores increased significantly post-intervention in both groups; however, there was no significant difference between the groups. CONCLUSIONS: GSTST is recommend for improving ankle DFROM and balance in subjects with limited DFROM.

scholarly journals The 2- and 8-week effects of decompressive brace use in people with medial compartment knee osteoarthritis

2015 ◽  
Vol 40 (4) ◽  
pp. 447-453 ◽  
Author(s):  
Eric M Lamberg ◽  
Robert Streb ◽  
Marc Werner ◽  
Ian Kremenic ◽  
James Penna
Keyword(s):  
Knee Osteoarthritis ◽  
Repeated Measures ◽  
Knee Adduction Moment ◽  
Knee Brace ◽  
Knee Motion ◽  
Noninvasive Treatment ◽  
Medial Knee ◽  
Medial Knee Osteoarthritis ◽  
Peak Knee ◽  
Second Peak

Background: Knee osteoarthritis is a prevalent disease. Unloading the affected compartment using a brace is a treatment option. Objectives: To determine whether a decompressive knee brace alters loading in medial knee osteoarthritis following 2 and 8 weeks of use. Study design: Within subjects; pre- and post-testing. Methods: A total of 15 individuals with medial knee osteoarthritis attended four sessions: baseline, fitting, 2 weeks after fitting (post), and 8 weeks after fitting (final). A gait analysis was performed at baseline (without knee brace), post and final. Knee adduction impulse, first and second peak knee adduction moment, knee motion, and walking velocity were calculated. Participants also recorded hours and steps taken while wearing the brace. Results: On average, the brace was worn for more than 6 h/day. Through use of repeated-measures analysis of variance, it was determined that the knee adduction impulse and second peak knee adduction moment were reduced ( p < 0.05) at post and final compared to baseline (36% and 34% reduction in knee adduction impulse, 26% reduction in second peak knee adduction moment for post and final, respectively). Furthermore, participants walked faster with increased knee motion during stance. Conclusion: The studied decompressive brace was effective in reducing potentially detrimental forces at the knee—knee adduction impulse and second peak knee adduction moment during the stance phase of gait. Clinical relevance The data from this study suggest that use of a medial unloading brace can reduce potentially detrimental adduction moments at the knee. Clinicians should use this evidence to advocate for use of this noninvasive treatment for people presenting with medial knee osteoarthritis.

scholarly journals Examination of basic motoric characteristics with different stretching exercises in football playersGenç basketbolcularda statik ve dinamik germe egzersizlerinin bazı fiziksel parametrelere etkisi

2017 ◽  
Vol 14 (2) ◽  
pp. 1492
Author(s):  
Murat Akyüz ◽  
Murat Özmaden ◽  
Yeliz Doğru ◽  
Evren Karademir ◽  
Yeşim Aydın ◽  
...  
Keyword(s):  
Repeated Measures ◽  
Performance Tests ◽  
Basketball Players ◽  
Balance Test ◽  
Dynamic Stretching ◽  
Leg Strength ◽  
Significant Difference ◽  
The Difference ◽  
And Performance ◽  
Stretching Exercises

This study was conducted to examine the effects of static and dynamic stretching exercises on strength, flexibility, speed and balance in young basketball players. 10 volunteers from the 16 year old male basketball team of Pınar Karsiyaka Sports Club participated in the study. The average age of the athletes is 16 ± 0,0 (year) and the average of the height is 188 ± 0,08 (cm). The study consists of three parts. On the first day, dynamic stretching exercises were performed on the second day and static stretching exercises and performance tests were performed on the third day without performing any exercise. Applied performance tests were hand grip strength, back-leg strength, sit-in flexibility test, 20 m. Sprint test and flamingo balance test. The obtained data were analyzed with the variance analysis (ANOVA test) in the repeated measures using the SPSS 23.0 package program. As a result of the study, the flexibility of the static and dynamic stretching exercises in the data obtained, the difference in the left handed claw strength and the speed of the dynamic stretching exercises were significant (p <0.05). On the other hand, no statistically significant difference was found between static and dynamic stretching exercises and back leg strength and balance (p> 0.05). As a result, it can be said that static and dynamic stretching exercises have a positive effect on flexibility, strength and speed. ÖzetBu çalışma genç basketbolcularda statik ve dinamik germe egzersizlerinin kuvvet, esneklik, sürat ve denge üzerindeki etkisini incelemek amacıyla yapılmıştır. Çalışmaya Pınar Karşıyaka Spor Kulübünün 16 yaş erkek basketbol takımından 10 gönüllü katılmıştır. Sporcuların yaş ortalamaları 16±0,0 (yıl), boy ortalamaları 188±0,08 (cm)’dir. Çalışma üç bölümden oluşmaktadır. Birinci gün herhangi bir egzersiz uygulanmadan, ikinci gün dinamik germe egzersizleri ve üçüncü gün statik germe egzersizleri ile performans testleri uygulanmıştır. Uygulanan performans testleri sırasıyla el kavrama kuvveti, sırt-bacak kuvveti, otur-eriş esneklik testi, 20 m. sprint testi ve flamingo denge testinden oluşmaktadır. Elde edilen veriler SPSS 23.0 paket programı kullanılarak tekrarlı ölçümlerde Varyans Analizi (Anova Testi) ile analiz edilmiştir. Çalışma sonucunda elde edilen verilerde statik ve dinamik germe egzersizlerinin esnekliğe, dinamik germe egzersizlerinin sol el pençe kuvveti ve sürat üzerinde anlamlı bir farklılık meydana gelmiştir (p<0.05). Diğer yandan, statik ve dinamik germe egzersizleri ile sırt bacak kuvveti ve denge üzerinde anlamlı bir farklılık bulunamamıştır (p>0.05). Sonuç olarak, statik ve dinamik germe egzersizlerinin esneklik, kuvvet ve sürat üzerinde olumlu etkisi olduğu söylenebilir.

Sagittal plane kinematics of the foot during passive ankle dorsiflexion

2011 ◽  
Vol 35 (4) ◽  
pp. 425-431 ◽  
Author(s):  
Alfred Gatt ◽  
Nachiappan Chockalingam ◽  
Thierry Larose Chevalier
Keyword(s):  
Repeated Measures ◽  
Sagittal Plane ◽  
Movement Analysis ◽  
Range Of Movement ◽  
Repeated Measures Design ◽  
Significant Difference ◽  
Background Measurement ◽  
Foot Posture ◽  
Foot Model ◽  
Analysis System

Background: Measurement of ankle joint dorsiflexion is an essential examination technique that needs to be performed prior to prescription of foot orthoses since the presence or absence of ankle equinus will affect the design of such devices. The purpose of this study was to investigate the effect of foot posture on sagittal plane kinematics of various foot segments during passive dorsiflexion. Study Design: Comparative repeated measures design. Objectives: To determine the effect of foot posture on inter segmental kinematics during passive dorsiflexion. Methods: An optoelectronic movement analysis system was employed to collect kinematic data. A validated marker set (Oxford Foot Model) was applied to 16 subjects (12 males, 4 females) with a mean age of 35.5 years (range 20–56 years), who provided informed consent. An upward force was applied to the forefoot until maximum resistance. Sagittal movement of the hindfoot and forefoot segments along with the whole foot movement were analyzed in the pronated, neutral and supinated foot postures. Results: While maximum foot dorsiflexion angle showed a significant difference between the three postures ( p=0.000) the actual recorded difference between the neutral and supinated postures was only 2.49°. For the hindfoot and forefoot segments, mean angle range of movement for the pronated foot posture was significantly higher than the other foot postures. The forefoot to hindfoot angle demonstrated a significant ( p=0.005) increase during dorsiflexion between the pronated and supinated postures. These results indicate that during passive dorsiflexion, the forefoot travels through a greater degree of movement than the hindfoot. Conclusions: While the maximum foot dorsiflexion angle differs significantly between the pronated and supinated foot postures, hindfoot movement also varies significantly between foot postures. Furthermore, the forefoot to tibia angle travels through a greater range than the hindfoot to tibia angle, in all three foot postures. The hindfoot to forefoot angle does not remain constant during passive dorsiflexion, but increases upon application of a dorsiflexing force, indicating that the forefoot movement cannot be eliminated completely by placing the foot in any particular posture.

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