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Table 4 Intervention effects on foot function during gait and running and dynamic balance

From: The effect of interventions anticipated to improve plantar intrinsic foot muscle strength on fall-related dynamic function in adults: a systematic review

    

Intervention group

Control group

Intervention vs. control group

 

Study / Design

Methodological quality

Outcome domain

Selected outcome measure

Baseline

Mean ± sd

Follow-up Mean ± sd

Within group mean difference

Within group

SMD

Baseline

Mean ± sd

Follow-up

Mean ± sd

Between group difference in change from baseline

Between group SMD in change from baseline c

Narrative summary of findings on PIFM strength

Taddei et al. [39]

Randomized controlled trial

High

Foot and ankle biomechanics

MLA ROM (°)

4.2 ± 2.4

3.6 ± 2.3

−0.6

0.26

4.6 ± 2.2

4.6 ± 1.8

−0.6

0.26

MRI assessed PIFM volume was significantly increased in IG as opposed to CG, whereas CSA and toe plantar flexion strength remained unchanged

  

Ground reaction forces

GRF vertical impulse in second half of stance (N·s)

65.9 ± 7.9

67.9 ± 6.5

2.0

0.28NR

74.3 ± 7.0

73.5 ± 6.5

2.8

0.37†

 

Okamura et al. [40]

Randomized controlled trial

High

Foot and ankle biomechanics

Navicular drop (mm)

6.2 ± 1.7

6.2 ± 1.5

0.0

0.00

5.9 ± 2.6

5.4 ± 2.5

0.5

− 0.23

US assessed PIFM thickness in IG and CG remained unchanged

  

Ground reaction forces

GRF vertical in second half of stance (% BW)

109.1 ± 4.5

108.3 ± 5.7

−0.8

−0.16

107.5 ± 6.2

108.4 ± 6.5

−1.7

−0.31

 
  

Spatiotemporal parameters

Stance phase duration (ms)

610.1 ± 36.8

600.4 ± 34.5

−9.7

0.27

623.6 ± 36.8

618.8 ± 47.1

−4.9

0.13

 

Matsumoto et al. [58]

Pre-post intervention study

Low

Foot and ankle biomechanics

MLA compression (°)

3.72 ± 6.8

3.65 ± 9.8

−0.07

0.01

n/a

n/a

n/a

n/a

Toe grip strength in IG was significantly increased

  

Spatiotemporal parameters

Gait speed (m/s)

0.33 ± 0.02

0.33 ± 0.04

0.00

0.00

n/a

n/a

n/a

n/a

 

Lynn et al. [53]

Randomized controlled trial

High

Dynamic balance

YBT mediolateral CoP excursion for non-dominant stance leg (mm)

52.4 ± 4.5

43.1 ± 5.1

−9.3

1.83*

47.8 ± 7.8

48.1 ± 5.5

−9.6

1.43†

n/a

Lee and Choi [54]

Randomized controlled trial

Moderate

Dynamic balance

YBT composite reach distance (% leg length)

66.8 ± 9.6

70.9 ± 8.7

6.1b

0.66*

65.4 ± 8.7

66.7 ± 9.1

3.8b

0.41†

n/a

Mulligan et al. [56]

Pre-post intervention study

Moderate

Dynamic balance

SEBT reach distance in medial direction (cm)

57.8 ± 7.4

61.6 ± 6.6

3.8

0.54*

n/a

n/a

n/a

n/a

n/a

Tudpor et al. [55]

Non-randomized controlled trial

Low

Dynamic balance

SEBT reach distance in the lateral direction (% leg length)

54.8 ± 5.4a

53.6 ± 9.6a

−1.2

−0.15

59.0 ± 9.5a

55.6 ± 6.9a

2.2

0.27

n/a

Lee et al. [57]

Pre-post intervention study

Low

Dynamic balance

Medio-lateral center of gravity displacement index score as a response to a moving platform

3.4 ± 1.0

1.5 ± 0.8

−1.9

1.98NR

n/a

n/a

n/a

n/a

n/a

Ma et al. [61]

Pre-post intervention study

Low

Dynamic balance

YBT composite reach distance (% leg length)

97.0d ± 7.5a,d

96.0d ± 7.5a,d

−1.0

−0.13

n/a

n/a

n/a

n/a

n/a

Kim et al. [59]

Pre-post intervention study

Low

Dynamic balance

YBT composite reach distance (% leg length)

74.3 ± 8.3

82.4 ± 7.4

8.1

0.97*

n/a

n/a

n/a

n/a

n/a

Pisal et al. [60]

Pre-post intervention study

Low

Dynamic balance

YBT reach distance of right leg in posterolateral direction

61.1 ± 5.2

65.1 ± 5.1

4.0

0.78*

n/a

n/a

n/a

n/a

n/a

  1. Studies are sorted by outcome domain and in descending order according to methodological quality
  2. † significant group x time interaction effect, * significant effect for time in the intervention group, NR significance not reported
  3. sd: standard deviation, SMD: standardized mean difference, PIFM: plantar intrinsic foot muscles, MLA: medial longitudinal arch, ROM: range of motion, CoP: center of pressure, IG: intervention group, CG: control group, CSA: cross-sectional area, GRF: ground reaction force, BW: body weight, US: ultrasound, YBT: Y-balance test, SEBT: star excursion balance test
  4. a sd derived from the reported standard error of the mean (SEM) according to the formula: SEM * \( \sqrt{n} \), b value adopted form the article, c positive values indicate an improvement in the outcome measure favoring the intervention and vice versa, d value estimated from graph