Dept. of Rahabilitation Therapy/박사[한글]
[영문]Standing wall stretching is often prescribed to increase ankle dorsiflexion range of motion for sports fitness and rehabilita￢tion. However, the effect of standing wall stretching with medial arch support on the displacement of the myotendinous junction (DMTJ) is unknown. The purpose of this study was to examine the effects of standing wall stretching with and without medial arch supports (WMAS versus WOMAS) on the DMTJ of the medial gastrocnemius, rearfoot angle, and navicular height in subjects with neutral foot align￢ment and pes planus. Fifteen subjects with neutral foot alignment and 15 subjects with pes planus performed standing wall stretching under WMAS and WOMAS conditions. Measurements of DMTJ and rearfoot position were performed using ultra￢sonography and video imaging. Navicular height was measured using a ruler. Dependent variables were examined with a 2-way mixed-design analysis of variance. The 2 factors were foot type (neutral foot versus pes planus) and stretching condition (WMAS versus WOMAS). This result of the study showed that there were significant interactions of medial arch support by foot type for DMTJ, rearfoot angle, and navicular drop (p < 0.01). A post hoc paired t test showed that standing wall stretching in the WMAS condition significantly increased the DMTJ, compared to stretching in the WOMAS condition, in subjects with neutral foot (mean ± SD, 9.6 ± 1.6 versus 10.5 ± 1.6 ㎜; difference, 0.9 ㎜; 99% CI: 0.4-1.4 ㎜) and in those with pes planus (10.0 ± 1.8 versus 12.7 ± 2.0 ㎜; difference, 2.7 ㎜; 99% CI: 1.9-3.5 ㎜) (p < 0.01). When comparing WOMAS and WMAS, the differ￢ence in DMTJ (1.8 ㎜; 99% CI: 0.9-2.7 ㎜) was significantly greater in subjects with pes planus than in those with neutral foot (p < 0.01). These findings suggest that standing wall stretching with medial arch support maintained subtalar joint neutral position and increased the length of the gastrocnemius in subjects with pes planus. When prescribing standing wall stretching, clinicians need to emphasize the use of medial arch support to effectively stretch the gastrocnemius in subjects with pes planus.ope
