Are closed chain exercises more effective in neutralising subtalar pronation than open chain and five finger shoes?

Item

Title
Are closed chain exercises more effective in neutralising subtalar pronation than open chain and five finger shoes?
Author(s)
Ferreira Fernandes, D
Abstract
Background: Subtalar joint motion is composed of pronation and supination movement, which will lower and raise the arch height of the foot. An unstable subtalar joint cannot be ignored and as it has been shown to be a common cause for many types of injuries amongst runners. The lower extremity muscles are used to maintain balance by using the plantar aspect of the foot to maintain its stability. Objective: The purpose of this study was to examine the differences between open chain exercises (OCE), close chain exercises (CCE) and five finger shoes, in order to identify the most effective way to neutralize subtalar pronation compared to control group. Design: Randomized controlled experimental study using independent measures. Methods: Participants were randomly allocated to one of the four groups. The experiment was run over five weeks to test the experimental procedure, including the data gathering process. The participants had their weight, height and degree of hind foot pronation for pre- and post- intervention measured in millimetres Results: Forty students were recruited and allocated in one of the four groups. The parametric and nominal data which was collected concerning participant demographics resulted that all P-values were greater than 0.05. Shapiro-Wilks test and Kruskal-Wallis test was used to test for difference in pronation between groups before and after the 5 week trial. The test produced P-values >0.05 for both left and right feet (left 0.30901 and right 0.79511) hence the null hypothesis could not be rejected. Discussion: The results obtained seemed to indicate that oCE had some increase at neutralizing subtalar pronation but the results proved to be statistically insignificant. Also this study suggests that if performed again it should not be in exam period or could have a different measuring approach towards the reading of pronation. Conclusion: The aim of this study was to investigate the effect of exercise and footwear regimes in neutralising foot pronation however the results showed no significant difference between any of the interuentions versus the control group. Therefore this study cannot conclude if closed chain exercises are more effective in neutralising subtalar pronation than open chain.
Date Accepted
2016
Date Submitted
2.12.2016 17:29:04
Type
osteo_thesis
Language
English
Submitted by:
62
Pub-Identifier
15942
Inst-Identifier
1229
Keywords
Open chain exercises, closed chain exercises, running injuries, subtalar joint, barefoot running biomechanics, core stability, foot pain, pronation, supination.
Recommended
0
Item sets
Thesis

Ferreira Fernandes, D, “Are closed chain exercises more effective in neutralising subtalar pronation than open chain and five finger shoes?”, Osteopathic Research Web, accessed May 19, 2024, https://www.osteopathic-research.com/s/orw/item/539