SEEK: Salford Environment for Expertise and Knowledge

Journal Article (Refereed)
January 2014

Ultrasound evaluation of foot muscles and plantar fascia in pes planus

Angin, S & Crofts, G & Mickle, K J & Nester, C 2014, 'Ultrasound evaluation of foot muscles and plantar fascia in pes planus', Gait & Posture.

Abstract

 Abstract

Background: Multiple intrinsic and extrinsic soft tissue structures that apply forces and support the medial longitudinal arch have been implicated in pes planus. These structures have common functions but their interaction in pes planus is not fully understood.  The aim of this study was to compare the cross-sectional area (CSA) and thickness of the intrinsic and extrinsic foot muscles and plantar fascia thickness between normal and pes planus feet. 
Methods:Forty-nine adults with a normal foot posture and 49 individuals with pes planus feet  were recruited from a university population. Images of the flexor digitorum longus (FDL), flexor hallucis longus (FHL), tibialis anterior (TA), peroneus longus and brevis (PER), flexor hallucis brevis (FHB), flexor digitorum brevis (FDB) and abductor hallucis (AbH) muscles and the plantar fascia were obtained using a Venue 40 ultrasound system with a 5-13MHz transducer.
Results: The CSA and thickness of AbH, FHB and PER muscles were significantly smaller (AbH -12.8% and -6.8%, FHB -8.9% and -7.6%, PER -14.7% and -10%), whilst FDL (28.3% and 15.2%) and FHL (24% and 9.8%) were significantly larger in the pes planus group. The middle (-10.6%) and anterior (-21.7%) portions of the plantar fascia were thinner in pes planus group.
Conclusion:Greater CSA and thickness of the extrinsic muscles might reflect compensatory activity to support the MLA if the intrinsic foot muscle function has been compromised by altered foot structure. A thinner plantar fascia suggests reduced load bearing, and regional variations in structure and function in feet with pes planus.

Authors

SEEK Members

External Authors

Karen J Mickle

Salih Angin

Publication Details

Journal Name
Gait & Posture

Volume
40

Pagination
48-52.