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The foot core system: a new paradigm for understanding intrinsic foot muscle function

British Journal of Sports Medicine, 2015-03, Vol.49 (5), p.290-290 [Peer Reviewed Journal]

Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions ;Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions. ;Copyright: 2015 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions ;ISSN: 0306-3674 ;EISSN: 1473-0480 ;DOI: 10.1136/bjsports-2013-092690 ;PMID: 24659509

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Title:
The foot core system: a new paradigm for understanding intrinsic foot muscle function
Author: McKeon, Patrick O ; Hertel, Jay ; Bramble, Dennis ; Davis, Irene
Subjects: Biological Evolution ; Exercise Therapy - methods ; Feet ; Foot - anatomy & histology ; Foot - innervation ; Foot - physiology ; Foot Bones - anatomy & histology ; Foot Bones - innervation ; Foot Bones - physiology ; Foot Diseases - therapy ; Foot Joints - anatomy & histology ; Foot Joints - innervation ; Foot Joints - physiology ; Humans ; Injuries ; Ligaments, Articular - anatomy & histology ; Ligaments, Articular - innervation ; Ligaments, Articular - physiology ; Movement - physiology ; Muscle Contraction - physiology ; Muscle Relaxation - physiology ; Muscle Strength - physiology ; Muscle, Skeletal - anatomy & histology ; Muscle, Skeletal - innervation ; Muscle, Skeletal - physiology ; Pain management ; Sensory Receptor Cells - physiology ; Shoes ; Tendons - anatomy & histology ; Tendons - innervation ; Tendons - physiology ; Walking
Is Part Of: British Journal of Sports Medicine, 2015-03, Vol.49 (5), p.290-290
Description: The foot is a complex structure with many articulations and multiple degrees of freedom that play an important role in static posture and dynamic activities. The evolutionary development of the arch of the foot was coincident with the greater demands placed on the foot as humans began to run. The movement and stability of the arch is controlled by intrinsic and extrinsic muscles. However, the intrinsic muscles are largely ignored by clinicians and researchers. As such, these muscles are seldom addressed in rehabilitation programmes. Interventions for foot-related problems are more often directed at externally supporting the foot rather than training these muscles to function as they are designed. In this paper, we propose a novel paradigm for understanding the function of the foot. We begin with an overview of the evolution of the human foot with a focus on the development of the arch. This is followed by a description of the foot intrinsic muscles and their relationship to the extrinsic muscles. We draw the parallels between the small muscles of the trunk region that make up the lumbopelvic core and the intrinsic foot muscles, introducing the concept of the foot core. We then integrate the concept of the foot core into the assessment and treatment of the foot. Finally, we call for an increased awareness of the importance of the foot core stability to normal foot and lower extremity function.
Publisher: England: BMJ Publishing Group LTD
Language: English
Identifier: ISSN: 0306-3674
EISSN: 1473-0480
DOI: 10.1136/bjsports-2013-092690
PMID: 24659509
Source: MEDLINE
ProQuest Central

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The foot core system: a new paradigm for understanding intrinsic foot muscle function

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