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Critical Reviews™ in Physical and Rehabilitation Medicine

Publicou 4 edições por ano

ISSN Imprimir: 0896-2960

ISSN On-line: 2162-6553

SJR: 0.141 SNIP: 0.129 CiteScore™:: 0.6 H-Index: 18

Indexed in

Foot Position Awareness: The Effect of Footwear on Instability, Excessive Impact, and Ankle Spraining

Volume 9, Edição 1, 1997, pp. 53-74
DOI: 10.1615/CritRevPhysRehabilMed.v9.i1.30
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RESUMO

This paper reviews an emerging area of considerable health significance - adequate foot position awareness (sense of position and orientation of plantar surface with respect to leg) is required for stable equilibrium, ankle support when bearing weight so as to prevent ankle sprains, and maintenance of impact during locomotion and jumping at safe levels. Precise foot position awareness and impact control require information emanating from plantar SA II mechanoreceptors. Modern athletic footwear of the current fashion that incorporate yielding - resilient materials in the soles, attenuate adequate stimuli of these receptors, necessitating reliance on less precise sensory sources for foot position judgements. This results in poor foot position awareness, and consequently poor stability, frequent ankle sprains and excessive impact. Ankle taping partly compensates for the deficiency in athletic footwear by restoring tactile cues necessary for more precise foot position sense, without interfering as much as do orthoses and rigid and semi-rigid devices with normal movement patterns. This in itself may be injurious and diminish athletic performance. Taping is a satisfactory interim solution to conditions associated with poor foot position awareness caused by athletic footwear. A better solution is footwear that allow adequate stimuli for SA II mechanoreceptors, therefore adequate foot position awareness. There is a need for establishing safety standards for footwear that account for their effect on foot position sense.

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