Correlation between the medial longitudinal arch and foot-related quality of life in recreational runners: a cross-sectional study

Authors

DOI:

https://doi.org/10.17267/2238-2704rpf.2024.e5866

Keywords:

Running, Biomechanics, Medial Longitudinal Arch, Quality of Life, Recreational Runners

Abstract

BACKGROUND: The foot's anatomical structure, specifically the medial longitudinal arch (MLA), is critical in running biomechanics, as it absorbs impact forces and facilitates movement. Alterations in MLA structure can lead to abnormal foot kinematics, increasing susceptibility to injuries and negatively impacting foot functionality. AIM: This study aims to explore the potential impact of MLA height on recreational runners' quality of life (QoL) and determine the correlation between MLA height and foot-related QoL. METHODOLOGY: A cross-sectional study was conducted on 38 recreational runners aged 18-30, classified into three MLA groups (low, normal, high) using the Arch Height Index (AHI). Foot functionality and QoL were assessed using the Foot and Ankle Ability Measure (FAAM) questionnaire, including 22 items for Activities of Daily Living (ADL) and 8 for sports-related activities. RESULTS: Low MLA was positively correlated with higher FAAM scores in both ADL (AHI-Right = 0.79, AHI-Left = 0.71) and sports subscales (AHI-Right = 0.67, AHI-Left = 0.53; p<0.01). Conversely, high MLA showed a negative correlation with ADL (AHI-Right = -0.44, AHI-Left = -0.44) and sports subscales (AHI-Right = -0.60, AHI-Left = -0.70; p>0.05). CONCLUSION: MLA height is inversely correlated with QoL in recreational runners, suggesting that both high and low MLA heights may impact functional quality of life.

Downloads

Download data is not yet available.

References

(1) López-López D, Villa-Fernández JM, Barros-García G, Losa-Iglesias ME, Palomo-López P, Becerro-de-Bengoa-Vallejo R, Calvo-Lobo C. Foot arch height and quality of life in adults: a STROBE observational study. Int J Environ Res Public Health. 2018;15(7):1-7. https://doi.org/10.3390/ijerph15071555

(2) Nakhaee Z, Rahimi A, Abaee M, Rezasoltani A, Kalantari KK. The relationship between the height of the medial longitudinal arch (MLA) and the ankle and knee injuries in professional runners. The Foot. 2008;18(2):84-90. https://doi.org/10.1016/j.foot.2008.01.004

(3) Brockett CL, Chapman GJ. Biomechanics of the ankle. Orthopaedics and Trauma. 2016;30(3):232-238. https://doi.org/10.1016/j.mporth.2016.04.015

(4) Birinci T, Demirbas SB. Relationship between the mobility of medial longitudinal arch and postural control. Acta Orthop Traumatol Turc. 2017, 51:233-237. https://doi.org/10.1016/j.aott.2016.11.004

(5) Houglum PA, Bertoti DB. Brunnstrom's Clinical Kinesiology. Philadelphia: FA Davis; 2011.

(6) Levangie PK, Norkin CC. Joint Structure & Function. India: Jaypee Brothers Medical Publishers Ltd; 2005.

(7) Parash MT, Naushaba H, Rahman MA, Shimmi SC. Types of foot arch of adult Bangladeshi male. Am J Med Sci. 2013;1(4):52-54. https://doi.org/10.12691/ajmsm-1-4-1

(8) Knapik JJ, Trone DW, Tchandja J, Jones BH. Injury-reduction effectiveness of prescribing running shoes on the basis of foot arch height: summary of military investigations. J Orthop Sports Phys Ther. 2014;44(10):805-12. https://doi.org/10.2519/jospt.2014.5342

(9) Williams DS 3rd, McClay IS, Hamill J. Arch structure and injury patterns in runners. Clin Biomech. 2001;16(4):341-7. https://doi.org/10.1016/s0268-0033(01)00005-5

(10) Zhao X, Tsujimoto T, Kim B, Tanaka K. Association of arch height with ankle muscle strength and physical performance in adult men. Biol Sport. 2017;34:119-126. https://doi.org/10.5114/biolsport.2017.64585

(11) Butler RJ, Hillstrom H, Song J, Richards CJ, Davis IS. Arch height index measurement system: establishment of reliability and normative values. J Am Podiatr Med Assoc. 2008;98(2):102-6. https://doi.org/10.7547/0980102

(12) Neal BS, Griffiths IB, Dowling GJ, Murley GS, Munteanu SE, Smith MMF, et al. Foot posture as a risk factor for lower limb overuse injury: a systematic review and meta-analysis. J Foot Ankle Res. 2014;7(1):1-13. https://doi.org/10.1186/s13047-014-0055-4

(13) Mann R, Malisoux L, Urhausen A, Meijer K, Theisen D. Plantar pressure measurements and running-related injury: A systematic review of methods and possible associations. Gait Posture. 2016;47:1-9. https://doi.org/10.1016/j.gaitpost.2016.03.016

(14) Nilsson MK, Friis R, Michaelsen MS, Jakobsen PA, Nielsen RO. Classification of the height and flexibility of the medial longitudinal arch of the foot. J Foot Ankle Res. 2012; 5(1):1-9. https://doi.org/10.1186/1757-1146-5-3

(15) Agarwal P, Singh A, Gupta R. Estimation of human stature by measurements of foot [Internet]. Natl J Integr Res Med. 2018;9(5):38-43. Available from: https://nicpd.ac.in/ojs-/index.php/njirm/article/view/2428

(16) López DL, Bouza MP, Constenla AR, Canosa JLS, Casasnovas AB, Tajes FA. The impact of foot arch height on quality of life in 6-12-year-olds. Colomb Med (Cali). 2014;45(4):168-172. Available from: https://pubmed.ncbi.nlm.nih.gov/25767305/

(17) Martin RL, Irrgang JJ, Burdett RG, Conti SF, Swearingen JMV. Evidence of validity for the Foot and Ankle Ability Measure (FAAM). Foot Ankle Int. 2005;26(11):968-83. https://doi.org/10.1177/107110070502601113

(18) Martin CG, Fernandez SP, Diaz SP. Quality of life and functionality in patients with flatfoot. In: Update in Management of Foot and Ankle Disorders. London: Intech Open; 2018. p. 73-90.

(19) Ribeiro AP, Trombini-Souza F, Tessutti V, Lima FR, Sacco ICN, João SM. Rearfoot alignment and medial longitudinal arch configurations of runners with symptoms and histories of plantar fasciitis. Clinics. 2011;66(6):1027-1033. https://doi.org/10.1590/s1807-59322011000600018

(20) Sarah PS, Jinsup S, Andrew PK, Jocelyn FH, Smita R, Sherry B, Rajshree MH, Howard JH. An Investigation of Structure, Flexibility, and Function Variables 8 that Discriminate Asymptomatic Foot Types. J. Appl. Biomech. 2017;33(3):203–210. https://doi.org/10.1123/jab.2016-0001

(21) Buldt AK, Forghany S, Landorf KB, Murley GS, Levinger P, Menz HB. Centre of pressure characteristics in 10 normal, planus and cavus feet. J. Foot Ankle Res. 2018;11(1):3. https://doi.org/10.1186/s13047-018-0245-6

(22) Periyasamy R, Anand S. The effect of foot arch on plantar pressure distribution during standing. J. Med. Eng. Technol. 2013;37(5):342–347. https://doi.org/10.3109/03091902.2013.810788

Published

12/16/2024

Issue

Section

Original Articles

How to Cite

1.
Joshi S, Chahal A, Kaushik H, Ali K. Correlation between the medial longitudinal arch and foot-related quality of life in recreational runners: a cross-sectional study. Rev Pesq Fisio [Internet]. 2024 Dec. 16 [cited 2024 Dec. 22];14:e5866. Available from: https://journals.bahiana.edu.br/index.php/fisioterapia/article/view/5866