A prospective study of the muscle strength and reaction time of the quadriceps, hamstring, and gastrocnemius muscles in patients with plantar fasciitis

Abstract Background Muscle weakness is an important etiological factor in plantar fasciitis (PF), but available data on the role of the quadriceps, hamstring, and gastrocnemius (GCM) muscles are limited. The aim of this study was to compare the strength and reaction time of the quadriceps, hamstring...

Full description

Bibliographic Details
Main Authors: Jin Hyuck Lee, Hae Woon Jung, Woo Young Jang
Format: Article
Language:English
Published: BMC 2020-11-01
Series:BMC Musculoskeletal Disorders
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12891-020-03740-1
_version_ 1818341117184180224
author Jin Hyuck Lee
Hae Woon Jung
Woo Young Jang
author_facet Jin Hyuck Lee
Hae Woon Jung
Woo Young Jang
author_sort Jin Hyuck Lee
collection DOAJ
description Abstract Background Muscle weakness is an important etiological factor in plantar fasciitis (PF), but available data on the role of the quadriceps, hamstring, and gastrocnemius (GCM) muscles are limited. The aim of this study was to compare the strength and reaction time of the quadriceps, hamstring, and GCM muscles and foot pressure between patients with PF and normal controls. Methods A total of 21 PF patients and 21 normal controls were enrolled. Muscle strength was measured by the peak torque per body weight (Nmkg− 1 × 100). Muscle reaction time was evaluated by the acceleration time (AT, milliseconds). Foot pressure and posture were assessed by pedobarography [valgus/varus index (VV index), %]. Results The strength of the quadriceps was significantly lower in the affected ankles of the PF group than in the control group (p = 0.005). The AT of the quadriceps and hamstring muscles was significantly increased in the affected ankles of the PF group than in the control group (quadriceps: p = 0.012, hamstring: p = 0.001), while the AT of the GCM muscle was significantly decreased (p = 0.009) and significantly correlated negatively with quadriceps muscle strength (r = −.598, p = 0.004) and AT (r = −.472, p = 0.031). Forefoot (p = 0.001) and hindfoot (p = 0.000) pressure were significantly greater, with the VV index showing hindfoot valgus, in the affected ankles in the PF group compared to the control group (p = 0.039). Conclusions This study demonstrated weakness and delayed reaction time of the quadriceps and hamstring muscles, with a rapid reaction time of the GCM muscle, in patients with PF. Clinical relevance Clinicians and therapists should assess the function of the quadriceps and hamstring muscles when planning the management of PF patients without muscle tightness.
first_indexed 2024-12-13T15:53:41Z
format Article
id doaj.art-380604e1805c44b2a8fd728120ff9f6b
institution Directory Open Access Journal
issn 1471-2474
language English
last_indexed 2024-12-13T15:53:41Z
publishDate 2020-11-01
publisher BMC
record_format Article
series BMC Musculoskeletal Disorders
spelling doaj.art-380604e1805c44b2a8fd728120ff9f6b2022-12-21T23:39:22ZengBMCBMC Musculoskeletal Disorders1471-24742020-11-012111710.1186/s12891-020-03740-1A prospective study of the muscle strength and reaction time of the quadriceps, hamstring, and gastrocnemius muscles in patients with plantar fasciitisJin Hyuck Lee0Hae Woon Jung1Woo Young Jang2Department of Sports Medical Center, Korea University College of Medicine, Anam HospitalDepartment of Pediatrics, Kyung Hee University Medical CenterDepartment of Sports Medical Center, Korea University College of Medicine, Anam HospitalAbstract Background Muscle weakness is an important etiological factor in plantar fasciitis (PF), but available data on the role of the quadriceps, hamstring, and gastrocnemius (GCM) muscles are limited. The aim of this study was to compare the strength and reaction time of the quadriceps, hamstring, and GCM muscles and foot pressure between patients with PF and normal controls. Methods A total of 21 PF patients and 21 normal controls were enrolled. Muscle strength was measured by the peak torque per body weight (Nmkg− 1 × 100). Muscle reaction time was evaluated by the acceleration time (AT, milliseconds). Foot pressure and posture were assessed by pedobarography [valgus/varus index (VV index), %]. Results The strength of the quadriceps was significantly lower in the affected ankles of the PF group than in the control group (p = 0.005). The AT of the quadriceps and hamstring muscles was significantly increased in the affected ankles of the PF group than in the control group (quadriceps: p = 0.012, hamstring: p = 0.001), while the AT of the GCM muscle was significantly decreased (p = 0.009) and significantly correlated negatively with quadriceps muscle strength (r = −.598, p = 0.004) and AT (r = −.472, p = 0.031). Forefoot (p = 0.001) and hindfoot (p = 0.000) pressure were significantly greater, with the VV index showing hindfoot valgus, in the affected ankles in the PF group compared to the control group (p = 0.039). Conclusions This study demonstrated weakness and delayed reaction time of the quadriceps and hamstring muscles, with a rapid reaction time of the GCM muscle, in patients with PF. Clinical relevance Clinicians and therapists should assess the function of the quadriceps and hamstring muscles when planning the management of PF patients without muscle tightness.http://link.springer.com/article/10.1186/s12891-020-03740-1Plantar fasciitisMuscle reaction timeFoot pressurePedobarographyGastrocnemius
spellingShingle Jin Hyuck Lee
Hae Woon Jung
Woo Young Jang
A prospective study of the muscle strength and reaction time of the quadriceps, hamstring, and gastrocnemius muscles in patients with plantar fasciitis
BMC Musculoskeletal Disorders
Plantar fasciitis
Muscle reaction time
Foot pressure
Pedobarography
Gastrocnemius
title A prospective study of the muscle strength and reaction time of the quadriceps, hamstring, and gastrocnemius muscles in patients with plantar fasciitis
title_full A prospective study of the muscle strength and reaction time of the quadriceps, hamstring, and gastrocnemius muscles in patients with plantar fasciitis
title_fullStr A prospective study of the muscle strength and reaction time of the quadriceps, hamstring, and gastrocnemius muscles in patients with plantar fasciitis
title_full_unstemmed A prospective study of the muscle strength and reaction time of the quadriceps, hamstring, and gastrocnemius muscles in patients with plantar fasciitis
title_short A prospective study of the muscle strength and reaction time of the quadriceps, hamstring, and gastrocnemius muscles in patients with plantar fasciitis
title_sort prospective study of the muscle strength and reaction time of the quadriceps hamstring and gastrocnemius muscles in patients with plantar fasciitis
topic Plantar fasciitis
Muscle reaction time
Foot pressure
Pedobarography
Gastrocnemius
url http://link.springer.com/article/10.1186/s12891-020-03740-1
work_keys_str_mv AT jinhyucklee aprospectivestudyofthemusclestrengthandreactiontimeofthequadricepshamstringandgastrocnemiusmusclesinpatientswithplantarfasciitis
AT haewoonjung aprospectivestudyofthemusclestrengthandreactiontimeofthequadricepshamstringandgastrocnemiusmusclesinpatientswithplantarfasciitis
AT wooyoungjang aprospectivestudyofthemusclestrengthandreactiontimeofthequadricepshamstringandgastrocnemiusmusclesinpatientswithplantarfasciitis
AT jinhyucklee prospectivestudyofthemusclestrengthandreactiontimeofthequadricepshamstringandgastrocnemiusmusclesinpatientswithplantarfasciitis
AT haewoonjung prospectivestudyofthemusclestrengthandreactiontimeofthequadricepshamstringandgastrocnemiusmusclesinpatientswithplantarfasciitis
AT wooyoungjang prospectivestudyofthemusclestrengthandreactiontimeofthequadricepshamstringandgastrocnemiusmusclesinpatientswithplantarfasciitis