Volume 10, Issue 4 (1-2025)                   J Sport Biomech 2025, 10(4): 262-275 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Aghamohammadi F, Jalalvand A. The Effect of Different Walking Strategies (Normal, Toe-Out, and Toe-In) on Maximum Force and Plantar Pressure in Ten Regions of the Foot. J Sport Biomech 2025; 10 (4) :262-275
URL: http://biomechanics.iauh.ac.ir/article-1-360-en.html
1- Department of Sport Biomechanics, Hamedan Branch, Islamic Azad University, Hamedan, Iran.
Abstract:   (672 Views)
Objective The aim of this study was to investigate the effects of different walking strategies, including normal, toe-out, and toe-in walking, on peak force and plantar pressure distribution across ten foot regions.
Methods The study population consisted of university students aged 18 to 25 years. A total of 21 participants were randomly selected using G*Power software. The RS-Scan International footscan system, with a sampling frequency of 253 Hz, was used to assess the distribution of peak force and plantar pressure. A mixed-design ANOVA was employed for analysis.
Results Overall, compared to normal and toe-out walking, toe-in walking reduced peak force and plantar pressure in the big toe, first metatarsal, and medial heel regions. However, it increased peak force and plantar pressure in the fourth and fifth metatarsals and the midfoot region. Toe-out walking, compared to normal and toe-in walking, increased peak force and plantar pressure in the first metatarsal but decreased peak force in the third metatarsal and plantar pressure in the third and fourth metatarsals.
Conclusion Toe-in walking may be beneficial for rehabilitation, whereas toe-out walking could pose a risk for individuals with patellofemoral pain syndrome. Individuals with flat feet should adopt a toe-in walking pattern and avoid a toe-out pattern, whereas those with high arches may benefit from the opposite strategy. For patients with medial knee osteoarthritis, the choice between toe-in and toe-out walking should be guided by their foot posture.
Full-Text [PDF 1694 kb]   (183 Downloads) |   |   Full-Text (HTML)  (223 Views)  
Type of Study: Research | Subject: Special
Received: 2025/02/5 | Accepted: 2025/02/9 | Published: 2025/02/9

References
1. Kakihana W, Akai M, Yamasaki N, Takashima T, Nakazawa K. Changes of joint moments in the gait of normal subjects wearing laterally wedged insoles. American journal of physical medicine & rehabilitation. 2004;83(4):273-8. [DOI:10.1097/01.PHM.0000118035.71195.DE] [PMID]
2. Lidtke R, Muehleman C, Case J, Block J. Relationship between plantar foot pressure and medial knee osteoarthritis. Osteoarthritis Cartilage. 2002;10(7):573-9. [DOI:10.1053/joca.2002.0797] [PMID]
3. Levangie PK, Norkin CC. Joint structure and function: a comprehensive analysis: FA Davis; 2011.
4. Tanaka C, Farah EA. Anatomia funcional das cadeias musculares. Fisioterapia e Pesquisa. 1997;4(1):39-40.
5. Rokninejad M, Hashemi SH. Evaluation of Floor Pressure Distribution in Female Athletes With Tibial Internal Pressure Syndrome. Journal of Sport Biomechanics. 2020;6(3):180-9.
6. Williams III DS, McClay IS, Hamill J, Buchanan TS. Lower extremity kinematic and kinetic differences in runners with high and low arches. Journal of applied biomechanics. 2001;17(2):153-63. [DOI:10.1123/jab.17.2.153]
7. Bennell KL, Bowles K-A, Wang Y, Cicuttini F, Davies-Tuck M, Hinman RS. Higher dynamic medial knee load predicts greater cartilage loss over 12 months in medial knee osteoarthritis. Annals of the rheumatic diseases. 2011;70(10):1770-4. [DOI:10.1136/ard.2010.147082] [PMID]
8. Fregly BJ. Gait modification to treat knee osteoarthritis. HSS journal. 2012;8(1):45-8. [DOI:10.1007/s11420-011-9229-9] [PMID]
9. Hurwitz DE, Sumner DR, Block JA. Bone density, dynamic joint loading and joint degeneration. Cells Tissues Organs. 2001;169(3):201-9. [DOI:10.1159/000047883] [PMID]
10. Landorf KB, Keenan A-M. Efficacy of foot orthoses. What does the literature tell us? Journal of the American Podiatric Medical Association. 2000;90(3):149-58. [DOI:10.7547/87507315-90-3-149] [PMID]
11. Faul F, Erdfelder E, Lang A-G, Buchner A. G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior research methods. 2007;39(2):175-91. [DOI:10.3758/BF03193146] [PMID]
12. Zammit GV, Menz HB, Munteanu SE. Reliability of the TekScan MatScan® system for the measurement of plantar forces and pressures during barefoot level walking in healthy adults. Journal of foot and ankle research. 2010;3:1-9. [DOI:10.1186/1757-1146-3-11] [PMID]
13. Thijs Y, De Clercq D, Roosen P, Witvrouw E. Gait-related intrinsic risk factors for patellofemoral pain in novice recreational runners. British journal of sports medicine. 2008;42(6):466-71. [DOI:10.1136/bjsm.2008.046649] [PMID]
14. Khan SS, Khan SJ, Usman J. Effects of toe-out and toe-in gait with varying walking speeds on knee joint mechanics and lower limb energetics. Gait & Posture. 2017;53:185-92. [DOI:10.1016/j.gaitpost.2017.01.022] [PMID]
15. Arndt A, Ekenman I, Westblad P, Lundberg A. Effects of fatigue and load variation on metatarsal deformation measured in vivo during barefoot walking. Journal of biomechanics. 2002;35(5):621-8. [DOI:10.1016/S0021-9290(01)00241-X] [PMID]
16. Williams III DS, Davis IM, Scholz JP, Hamill J, Buchanan TS. High-arched runners exhibit increased leg stiffness compared to low-arched runners. Gait & posture. 2004;19(3):263-9. [DOI:10.1016/S0966-6362(03)00087-0] [PMID]
17. Chuter VH, de Jonge XAJ. Proximal and distal contributions to lower extremity injury: a review of the literature. Gait & posture. 2012;36(1):7-15. [DOI:10.1016/j.gaitpost.2012.02.001] [PMID]
18. Beynnon BD, Murphy DF, Alosa DM. Predictive factors for lateral ankle sprains: a literature review. Journal of athletic training. 2002;37(4):376.
19. Willems T, Witvrouw E, Delbaere K, De Cock A, De Clercq D. Relationship between gait biomechanics and inversion sprains: a prospective study of risk factors. Gait & posture. 2005;21(4):379-87. [DOI:10.1016/j.gaitpost.2004.04.002] [PMID]
20. Wu W-L, Chang J-J, Wu J-H, Guo L-Y, Lin H-T. EMG and plantar pressure patterns after prolonged running. Biomedical Engineering: Applications, Basis and Communications. 2007;19(06):383-8. [DOI:10.4015/S1016237207000483]
21. Nyland J, Kuzemchek S, Parks M, Caborn D. Femoral anteversion influences vastus medialis and gluteus medius EMG amplitude: composite hip abductor EMG amplitude ratios during isometric combined hip abduction-external rotation. Journal of electromyography and kinesiology. 2004;14(2):255-61. [DOI:10.1016/S1050-6411(03)00078-6] [PMID]
22. D'Souza N, Ohashi T, Grayson J, Hiller C, Hutchison L, Simic M. TOE-IN AND TOE-OUT GAIT RETRAINING FOR PEOPLE WITH MEDIAL KNEE OSTEOARTHRITIS: A PILOT RANDOMISED CLINICAL TRIAL. Osteoarthritis and Cartilage. 2022;30:S143-S4. [DOI:10.1016/j.joca.2022.02.181]
23. Hillstrom HJ, Song J, Kraszewski AP, Hafer JF, Mootanah R, Dufour AB, et al. Foot type biomechanics part 1: structure and function of the asymptomatic foot. Gait & posture. 2013;37(3):445-51. [DOI:10.1016/j.gaitpost.2012.09.007] [PMID]

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2025 CC BY-NC 4.0 | Journal of Sport Biomechanics

Designed & Developed by : Yektaweb