Efeitos do uso de palmilhas com cunha medial na biomecânica da corrida no plano sagital

Detalhes bibliográficos
Autor(a) principal: Michelle Sena de Castro Silva
Data de Publicação: 2022
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Repositório Institucional da UFMG
Texto Completo: http://hdl.handle.net/1843/48111
https://orcid.org/0000-0002-3422-0859
Resumo: Running is a complex activity that involves several joints, three planes of motion, and has become increasingly popular worldwide. Running, however, is associated with a high prevalence of musculoskeletal injuries. Different biomechanical factors seem to be associated with the occurrence of injuries in runners, including excessive foot pronation. Medially wedged insoles at the forefoot and hindfoot are described in the literature as an intervention to reduce excessive foot pronation and associated knee and hip movements during the stance phase of running. However, the effects of using this type of insole on lower limb biomechanics in the sagittal plane during running are still unclear. Thus, this dissertation aimed to investigate the effect of a medially wedged insole at the forefoot, hindfoot, and arch support on the ankle, knee, and hip kinematics and kinetics during the stance phase of running in the sagittal plane. Nineteen recreational runners who had rearfoot strike patterns and excessive pronation were evaluated. Shank-forefoot alignment, leg length, and dorsiflexion range of motion were measured. Reflective markers were placed on anatomical landmarks of the pelvis and lower limbs. Eight infrared cameras (Qualysis, Sweden) and three force platforms were used to collect angular variables and moments of force of the hip, knee, and ankle during the stance phase of running in two conditions: i) control condition: semi-rigid arch support insole and flat at the forefoot and hindfoot and ii) insole condition: semi-rigid arch support insole with 7-degree medial wedge at forefoot and hindfoot. Data were processed using Visual3D software. After checking normality with Shapiro-Wilk test, dependent samples t-test was used to compare the two conditions. Significance was set at p-value < 0.05. Data were analyzed using SPSS. The insole condition increased peak ankle dorsiflexion during the stance phase of running. However, no differences were found in the angular displacement of the knee and hip and moments of force of the ankle, knee, and hip in the sagittal plane. Therefore, insoles with 7-degree medial wedge at the forefoot and hindfoot change ankle kinematics during the stance phase of running, with no effect on knee and hip kinematics and kinetics.
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spelling Efeitos do uso de palmilhas com cunha medial na biomecânica da corrida no plano sagitalCinemáticaCinéticaPlano sagitalPalmilhasCorridasCorredores (Esportes) - Ferimentos e lesõesFisioterapia esportivaRunning is a complex activity that involves several joints, three planes of motion, and has become increasingly popular worldwide. Running, however, is associated with a high prevalence of musculoskeletal injuries. Different biomechanical factors seem to be associated with the occurrence of injuries in runners, including excessive foot pronation. Medially wedged insoles at the forefoot and hindfoot are described in the literature as an intervention to reduce excessive foot pronation and associated knee and hip movements during the stance phase of running. However, the effects of using this type of insole on lower limb biomechanics in the sagittal plane during running are still unclear. Thus, this dissertation aimed to investigate the effect of a medially wedged insole at the forefoot, hindfoot, and arch support on the ankle, knee, and hip kinematics and kinetics during the stance phase of running in the sagittal plane. Nineteen recreational runners who had rearfoot strike patterns and excessive pronation were evaluated. Shank-forefoot alignment, leg length, and dorsiflexion range of motion were measured. Reflective markers were placed on anatomical landmarks of the pelvis and lower limbs. Eight infrared cameras (Qualysis, Sweden) and three force platforms were used to collect angular variables and moments of force of the hip, knee, and ankle during the stance phase of running in two conditions: i) control condition: semi-rigid arch support insole and flat at the forefoot and hindfoot and ii) insole condition: semi-rigid arch support insole with 7-degree medial wedge at forefoot and hindfoot. Data were processed using Visual3D software. After checking normality with Shapiro-Wilk test, dependent samples t-test was used to compare the two conditions. Significance was set at p-value < 0.05. Data were analyzed using SPSS. The insole condition increased peak ankle dorsiflexion during the stance phase of running. However, no differences were found in the angular displacement of the knee and hip and moments of force of the ankle, knee, and hip in the sagittal plane. Therefore, insoles with 7-degree medial wedge at the forefoot and hindfoot change ankle kinematics during the stance phase of running, with no effect on knee and hip kinematics and kinetics.Correr é uma atividade complexa que envolve várias articulações, três planos de movimento e que tem tornado-se cada vez mais popular no mundo. No entanto, a prática de corrida está associada à elevada prevalência de lesões musculoesqueléticas. Diferentes fatores biomecânicos parecem estar associados à ocorrência de lesões em corredores, entre eles a pronação excessiva do pé. Entre as intervenções descritas na literatura para reduzir excesso de pronação do pé e movimentos associados de joelho e quadril durante a fase de apoio da corrida, estão as palmilhas com cunha medial em antepé e retropé. Entretanto, os efeitos do uso desse tipo de palmilha sobre a biomecânica de membros inferiores no plano sagital durante a corrida ainda não são claros. Dessa forma, o objetivo desta dissertação foi avaliar o efeito de uma palmilha com cunha medial em antepé, retropé e suporte de arco na cinemática e cinética de tornozelo, joelho e quadril durante a fase de apoio da corrida no plano sagital. Dezenove corredores recreacionais que apresentavam padrão de contato com o retropé e pronação excessiva foram avaliados. Foram mensurados o alinhamento perna-antepé, o comprimento de membros inferiores e a amplitude de movimento de dorsiflexão de tornozelo. Foram colocados marcadores em proeminências ósseas de pelve e membros inferiores e utilizadas oito câmeras do sistema Qualysis sincronizadas a três plataformas de força para coleta de dados angulares e de momentos de força de quadril, joelho e tornozelo durante a fase de apoio da corrida em duas condições de estudo: i) condição controle: palmilha com suporte de arco semi-rígido, mas plana nas regiões do antepé e retropé e ii) condição palmilha: palmilha com suporte de arco semi-rígido e com cunha medial de sete graus em antepé e retropé. Os dados foram processados através programa Visual 3D. O teste de Shapiro Wilk foi utilizado para avaliar a normalidade dos dados e o teste t dependente para comparar as duas condições de estudo com um nível de significância de 0,05. Foi utilizado o programa SPSS para todas as análises. A condição palmilha aumentou o pico de dorsiflexão de tornozelo durante a fase de apoio da corrida. No entanto, não foram encontradas alterações no deslocamento angular de joelho e quadril e em momentos de força de tornozelo, joelho e quadril no plano sagital. Desta forma, palmilhas com cunha medial de sete graus em antepé e retropé causam alterações apenas na cinemática de tornozelo durante a fase de apoio da corrida, sem efeitos na cinemática e cinética de joelho e quadril.Universidade Federal de Minas GeraisBrasilEEFFTO - ESCOLA DE EDUCAÇÃO FISICA, FISIOTERAPIA E TERAPIA OCUPACIONALPrograma de Pós-Graduação em Ciências da ReabilitaçãoUFMGRenan Alves Resendehttp://lattes.cnpq.br/6630794745007819Renata Noce KirkwoodSérgio Teixeira da FonsecaCecília Ferreira de AquinoMichelle Sena de Castro Silva2022-12-16T13:43:52Z2022-12-16T13:43:52Z2022-06-30info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisapplication/pdfhttp://hdl.handle.net/1843/48111https://orcid.org/0000-0002-3422-0859porinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMG2022-12-16T13:43:53Zoai:repositorio.ufmg.br:1843/48111Repositório InstitucionalPUBhttps://repositorio.ufmg.br/oairepositorio@ufmg.bropendoar:2022-12-16T13:43:53Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false
dc.title.none.fl_str_mv Efeitos do uso de palmilhas com cunha medial na biomecânica da corrida no plano sagital
title Efeitos do uso de palmilhas com cunha medial na biomecânica da corrida no plano sagital
spellingShingle Efeitos do uso de palmilhas com cunha medial na biomecânica da corrida no plano sagital
Michelle Sena de Castro Silva
Cinemática
Cinética
Plano sagital
Palmilhas
Corridas
Corredores (Esportes) - Ferimentos e lesões
Fisioterapia esportiva
title_short Efeitos do uso de palmilhas com cunha medial na biomecânica da corrida no plano sagital
title_full Efeitos do uso de palmilhas com cunha medial na biomecânica da corrida no plano sagital
title_fullStr Efeitos do uso de palmilhas com cunha medial na biomecânica da corrida no plano sagital
title_full_unstemmed Efeitos do uso de palmilhas com cunha medial na biomecânica da corrida no plano sagital
title_sort Efeitos do uso de palmilhas com cunha medial na biomecânica da corrida no plano sagital
author Michelle Sena de Castro Silva
author_facet Michelle Sena de Castro Silva
author_role author
dc.contributor.none.fl_str_mv Renan Alves Resende
http://lattes.cnpq.br/6630794745007819
Renata Noce Kirkwood
Sérgio Teixeira da Fonseca
Cecília Ferreira de Aquino
dc.contributor.author.fl_str_mv Michelle Sena de Castro Silva
dc.subject.por.fl_str_mv Cinemática
Cinética
Plano sagital
Palmilhas
Corridas
Corredores (Esportes) - Ferimentos e lesões
Fisioterapia esportiva
topic Cinemática
Cinética
Plano sagital
Palmilhas
Corridas
Corredores (Esportes) - Ferimentos e lesões
Fisioterapia esportiva
description Running is a complex activity that involves several joints, three planes of motion, and has become increasingly popular worldwide. Running, however, is associated with a high prevalence of musculoskeletal injuries. Different biomechanical factors seem to be associated with the occurrence of injuries in runners, including excessive foot pronation. Medially wedged insoles at the forefoot and hindfoot are described in the literature as an intervention to reduce excessive foot pronation and associated knee and hip movements during the stance phase of running. However, the effects of using this type of insole on lower limb biomechanics in the sagittal plane during running are still unclear. Thus, this dissertation aimed to investigate the effect of a medially wedged insole at the forefoot, hindfoot, and arch support on the ankle, knee, and hip kinematics and kinetics during the stance phase of running in the sagittal plane. Nineteen recreational runners who had rearfoot strike patterns and excessive pronation were evaluated. Shank-forefoot alignment, leg length, and dorsiflexion range of motion were measured. Reflective markers were placed on anatomical landmarks of the pelvis and lower limbs. Eight infrared cameras (Qualysis, Sweden) and three force platforms were used to collect angular variables and moments of force of the hip, knee, and ankle during the stance phase of running in two conditions: i) control condition: semi-rigid arch support insole and flat at the forefoot and hindfoot and ii) insole condition: semi-rigid arch support insole with 7-degree medial wedge at forefoot and hindfoot. Data were processed using Visual3D software. After checking normality with Shapiro-Wilk test, dependent samples t-test was used to compare the two conditions. Significance was set at p-value < 0.05. Data were analyzed using SPSS. The insole condition increased peak ankle dorsiflexion during the stance phase of running. However, no differences were found in the angular displacement of the knee and hip and moments of force of the ankle, knee, and hip in the sagittal plane. Therefore, insoles with 7-degree medial wedge at the forefoot and hindfoot change ankle kinematics during the stance phase of running, with no effect on knee and hip kinematics and kinetics.
publishDate 2022
dc.date.none.fl_str_mv 2022-12-16T13:43:52Z
2022-12-16T13:43:52Z
2022-06-30
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
format masterThesis
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/1843/48111
https://orcid.org/0000-0002-3422-0859
url http://hdl.handle.net/1843/48111
https://orcid.org/0000-0002-3422-0859
dc.language.iso.fl_str_mv por
language por
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade Federal de Minas Gerais
Brasil
EEFFTO - ESCOLA DE EDUCAÇÃO FISICA, FISIOTERAPIA E TERAPIA OCUPACIONAL
Programa de Pós-Graduação em Ciências da Reabilitação
UFMG
publisher.none.fl_str_mv Universidade Federal de Minas Gerais
Brasil
EEFFTO - ESCOLA DE EDUCAÇÃO FISICA, FISIOTERAPIA E TERAPIA OCUPACIONAL
Programa de Pós-Graduação em Ciências da Reabilitação
UFMG
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFMG
instname:Universidade Federal de Minas Gerais (UFMG)
instacron:UFMG
instname_str Universidade Federal de Minas Gerais (UFMG)
instacron_str UFMG
institution UFMG
reponame_str Repositório Institucional da UFMG
collection Repositório Institucional da UFMG
repository.name.fl_str_mv Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)
repository.mail.fl_str_mv repositorio@ufmg.br
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