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Long-term effects of shoe mileage on knee and ankle joints muscle co-contraction during walking in females with genu varus
Institution:1. School of Podiatry, Health & Rehabilitation Research Institute, Auckland University of Technology, Private Bag 92006, Auckland 1142, New Zealand;2. Department of Physiotherapy, School of Rehabilitation & Occupation Studies, Faculty of Health & Environmental Sciences, Auckland University of Technology, Private Bag 92006, Auckland 1142, New Zealand;3. Faculty of Medical and Health Sciences, The University of Auckland, Private Bag 92019, Auckland 1142, New Zealand;4. Department of Rheumatology, Auckland District Health Board, P.O. Box 92189, Auckland, New Zealand;5. Department of Biostatistics & Epidemiology, School of Public Health & Psychosocial Studies, Faculty of Health and Environmental Sciences, Auckland University of Technology, Private Bag 92006, Auckland 1142, New Zealand;6. Health Intelligence and Informatics, Ko Awatea, Counties Manukau Health, Private Bag 93311, Auckland 1640, New Zealand;7. School of Health Professions, University of Brighton, Darley Road, Eastbourne BN20 7UR, Brighton, United Kingdom
Abstract:BackgroundShoe mileage may influence the risk of sustaining injuries during walking.Research questionWhat are the effects of shoe mileage on knee and ankle muscle co-contraction during walking in females with genu varus?MethodsFifteen healthy and 15 women diagnosed with genu varus received a new pair of running shoes. They were asked to wear these shoes over 6 months. Pre and post intervention, muscle activities of the dominant limb were recorded during a walking test at preferred gait speed. Two dependent variables were assessed to examine muscle co-contraction: (1) directed co-contraction ratios of agonists and antagonists, and (2) general joint muscle co-contraction.FindingsResults demonstrated significant main effects of the “shoe” factor for general ankle co-contraction during the push-off phase (p = 0.013, d = 1.503). Irrespective of experimental group, paired comparisons revealed significantly lower general ankle co-contraction during the push-off phase after the intervention. A significant main effects of “shoe” for general knee co-contraction during loading phase (p = 0.025, d = 0.895) was also observed. In both groups, paired comparison revealed significantly lower general knee co-contraction during the push-off phase in the post condition. We did not find any significant main effect of group nor group-by-shoe interaction for general ankle co-contraction during the stance phase. Likewise, we did not observe any significant main effect of “shoe”, “group” and “group-by-shoe” interaction for mediolateral directed knee co-contraction during stance phase of walking (p > 0.05).SignificanceOur findings showed that the shoe mileage but not the genu varus condition affects the general and directed co-contraction of the muscles stabilizing the knee and ankle joints. Together with the observed findings on ankle and knee muscle co-contraction, it is essential to change running shoes after a long wearing time in both healthy and genu varus females.
Keywords:Shoe mileage  Co-contraction  Genu varus  Surface electromyography
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