The effects of calcaneal posture on thoracolumbar alignment in a standing position

[Purpose] Severe calcaneus misalignment is correlated with low back pain, and affects pelvic alignment. However, little has been published with regard to the influence of pronation and supination on trunk alignment. Therefore, the present study aimed to investigate the influence of calcaneal inversi...

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Published inJournal of Physical Therapy Science Vol. 29; no. 11; pp. 1993 - 1995
Main Authors Yi, Jae-Hoon, Seo, Dong-Kwon, Kim, Seon-Chil, Jung, Sang-Woo
Format Journal Article
LanguageEnglish
Published Japan The Society of Physical Therapy Science 2017
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ISSN0915-5287
2187-5626
2187-5626
DOI10.1589/jpts.29.1993

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Abstract [Purpose] Severe calcaneus misalignment is correlated with low back pain, and affects pelvic alignment. However, little has been published with regard to the influence of pronation and supination on trunk alignment. Therefore, the present study aimed to investigate the influence of calcaneal inversion on pelvic and trunk alignment. [Subjects and Methods] A 3-dimensional motion analysis system was used to assess pelvic and trunk alignment in 10 healthy male subjects with unilateral and bilateral calcaneus inversion. [Results] Medial and anterior tilting of the pelvis, and posterior tilting and lateral rotation of the trunk were observed. [Conclusion] Calcaneal inversion induces changes in the alignment of the pelvis and trunk. These changes may induce lumbar lordosis and body misalignment, leading to back pain.
AbstractList [Purpose] Severe calcaneus misalignment is correlated with low back pain, and affects pelvic alignment. However, little has been published with regard to the influence of pronation and supination on trunk alignment. Therefore, the present study aimed to investigate the influence of calcaneal inversion on pelvic and trunk alignment. [Subjects and Methods] A 3-dimensional motion analysis system was used to assess pelvic and trunk alignment in 10 healthy male subjects with unilateral and bilateral calcaneus inversion. [Results] Medial and anterior tilting of the pelvis, and posterior tilting and lateral rotation of the trunk were observed. [Conclusion] Calcaneal inversion induces changes in the alignment of the pelvis and trunk. These changes may induce lumbar lordosis and body misalignment, leading to back pain.
[Purpose] Severe calcaneus misalignment is correlated with low back pain, and affects pelvic alignment. However, little has been published with regard to the influence of pronation and supination on trunk alignment. Therefore, the present study aimed to investigate the influence of calcaneal inversion on pelvic and trunk alignment. [Subjects and Methods] A 3-dimensional motion analysis system was used to assess pelvic and trunk alignment in 10 healthy male subjects with unilateral and bilateral calcaneus inversion. [Results] Medial and anterior tilting of the pelvis, and posterior tilting and lateral rotation of the trunk were observed. [Conclusion] Calcaneal inversion induces changes in the alignment of the pelvis and trunk. These changes may induce lumbar lordosis and body misalignment, leading to back pain.
[Purpose] Severe calcaneus misalignment is correlated with low back pain, and affects pelvic alignment. However, little has been published with regard to the influence of pronation and supination on trunk alignment. Therefore, the present study aimed to investigate the influence of calcaneal inversion on pelvic and trunk alignment. [Subjects and Methods] A 3-dimensional motion analysis system was used to assess pelvic and trunk alignment in 10 healthy male subjects with unilateral and bilateral calcaneus inversion. [Results] Medial and anterior tilting of the pelvis, and posterior tilting and lateral rotation of the trunk were observed. [Conclusion] Calcaneal inversion induces changes in the alignment of the pelvis and trunk. These changes may induce lumbar lordosis and body misalignment, leading to back pain.[Purpose] Severe calcaneus misalignment is correlated with low back pain, and affects pelvic alignment. However, little has been published with regard to the influence of pronation and supination on trunk alignment. Therefore, the present study aimed to investigate the influence of calcaneal inversion on pelvic and trunk alignment. [Subjects and Methods] A 3-dimensional motion analysis system was used to assess pelvic and trunk alignment in 10 healthy male subjects with unilateral and bilateral calcaneus inversion. [Results] Medial and anterior tilting of the pelvis, and posterior tilting and lateral rotation of the trunk were observed. [Conclusion] Calcaneal inversion induces changes in the alignment of the pelvis and trunk. These changes may induce lumbar lordosis and body misalignment, leading to back pain.
[Abstract.] [Purpose] Severe calcaneus misalignment is correlated with low back pain, and affects pelvic alignment. However, little has been published with regard to the influence of pronation and supination on trunk alignment. Therefore, the present study aimed to investigate the influence of calcaneal inversion on pelvic and trunk alignment. [Subjects and Methods] A 3-dimensional motion analysis system was used to assess pelvic and trunk alignment in 10 healthy male subjects with unilateral and bilateral calcaneus inversion. [Results] Medial and anterior tilting of the pelvis, and posterior tilting and lateral rotation of the trunk were observed. [Conclusion] Calcaneal inversion induces changes in the alignment of the pelvis and trunk. These changes may induce lumbar lordosis and body misalignment, leading to back pain.
Author Kim, Seon-Chil
Jung, Sang-Woo
Yi, Jae-Hoon
Seo, Dong-Kwon
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Issue 11
Keywords Motion analysis
Alignment
Calcaneal inversion
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References 6) Yi JH: The Increased eversion of unilateral and bilateral calcaneus affect pelvic and trunk alignment in standing position. Phys Ther Rehabil Sci, 2016, 5: 84–88.
10) Marras WS, Granata KP: A biomechanical assessment and model of axial twisting in the thoracolumbar spine. Spine, 1995, 20: 1440–1451.
7) Steinberg EL, Luger E, Arbel R, et al.: A comparative roentgenographic analysis of the lumbar spine in male army recruits with and without lower back pain. Clin Radiol, 2003, 58: 985–989.
3) Rockar PA Jr: The subtalar joint: anatomy and joint motion. J Orthop Sports Phys Ther, 1995, 21: 361–372.
5) Pinto RZ, Souza TR, Trede RG, et al.: Bilateral and unilateral increases in calcaneal eversion affect pelvic alignment in standing position. Man Ther, 2008, 13: 513–519.
8) Zajac FE, Neptune RR, Kautz SA: Biomechanics and muscle coordination of human walking. Part I: introduction to concepts, power transfer, dynamics and simulations. Gait Posture, 2002, 16: 215–232.
1) Christie HJ, Kumar S, Warren SA: Postural aberrations in low back pain. Arch Phys Med Rehabil, 1995, 76: 218–224.
11) Mueller MJ, Maluf KS: Tissue adaptation to physical stress: a proposed “Physical Stress Theory” to guide physical therapist practice, education, and research. Phys Ther, 2002, 82: 383–403.
4) Gurney B: Leg length discrepancy. Gait Posture, 2002, 15: 195–206.
9) Legaye J, Duval-Beaupère G, Hecquet J, et al.: Pelvic incidence: a fundamental pelvic parameter for three-dimensional regulation of spinal sagittal curves. Eur Spine J, 1998, 7: 99–103.
2) Khamis S, Yizhar Z: Effect of feet hyperpronation on pelvic alignment in a standing position. Gait Posture, 2007, 25: 127–134.
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– reference: 11) Mueller MJ, Maluf KS: Tissue adaptation to physical stress: a proposed “Physical Stress Theory” to guide physical therapist practice, education, and research. Phys Ther, 2002, 82: 383–403.
– reference: 7) Steinberg EL, Luger E, Arbel R, et al.: A comparative roentgenographic analysis of the lumbar spine in male army recruits with and without lower back pain. Clin Radiol, 2003, 58: 985–989.
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– reference: 5) Pinto RZ, Souza TR, Trede RG, et al.: Bilateral and unilateral increases in calcaneal eversion affect pelvic alignment in standing position. Man Ther, 2008, 13: 513–519.
– reference: 2) Khamis S, Yizhar Z: Effect of feet hyperpronation on pelvic alignment in a standing position. Gait Posture, 2007, 25: 127–134.
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– reference: 6) Yi JH: The Increased eversion of unilateral and bilateral calcaneus affect pelvic and trunk alignment in standing position. Phys Ther Rehabil Sci, 2016, 5: 84–88.
– reference: 9) Legaye J, Duval-Beaupère G, Hecquet J, et al.: Pelvic incidence: a fundamental pelvic parameter for three-dimensional regulation of spinal sagittal curves. Eur Spine J, 1998, 7: 99–103.
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Snippet [Purpose] Severe calcaneus misalignment is correlated with low back pain, and affects pelvic alignment. However, little has been published with regard to the...
[Abstract.] [Purpose] Severe calcaneus misalignment is correlated with low back pain, and affects pelvic alignment. However, little has been published with...
[Purpose] Severe calcaneus misalignment is correlated with low back pain, and affects pelvic alignment. However, little has been published with regard to the...
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StartPage 1993
SubjectTerms Alignment
Calcaneal inversion
Motion analysis
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