Electromyography and cinematography of leg and foot (“normal” and flat) during walking

Electromyography with fine-wire electrodes and special equipment for synchronized motion pictures were used to study six muscles of the leg and foot during walking in five different ways in ten “normal” and ten flatfooted subjects. Detailed analyses and comparisons of the two groups are described and discussed. Tibialis Anterior has two peaks of activity at heel-strike and toe-off of the stance phase; is inactive during mid-swing and middle of the stance phase; is active at full-foot in flatfooted subjects, and generally more active during toe-out and toe-in walking. Tibialis posterior is inactive through the swing phase. In flatfooted persons it becomes activated at heel-strike and more active at full-foot during level walking. The toe-out position reduces its activity. Flexor hallucis longus is most active in mid-stance; during toe-out walking, activity increases in both phases, generally being more active in “normal” persons. Peroneus longus is most active at mid-stance and heel-off and generally more active in flatfooted persons. Abductor hallucis and Flexor digitorum brevis are generally more active in flatfooted persons. An important regular pattern of inversion and eversion during the walking cycle is described. Contingent arch support by muscles rather than continuous support is the rule, muscles being recruited to compensate for lax ligaments and special stresses during the walking cycle.