Investigation of Foot Biomechanics in 5-15 Years Old Children Performing Gymnastics

Abstract

Gymnastics is a basic sport branch consisting of eight disciplines and is recommended to be taught to children at an early age. Our study aimed to evaluate the foot biomechanics and static plantar pressure of children aged 5-15 years who were performing rhythmic and artistic gymnastics. The study included 58 (19 Men/39 Women) child gymnasts and aged 5-15 years. Sociodemographic form, static plantar pressure analysis in bipedal position with pedobarography device, hallux valgus angle measurement (HVA), navicular drop test (NDT) and subtalar pronation angle measurement were performed respectively. The measurements were performed in the same way by an experienced expert. IBM Statistical Package for Social Sciences Version 26.0 (SPSS inc, Chicago, IL, USA) statistical programme was used. Tests were analyzed pairwise with Pearson correlation (p ≤ 0.05). The mean age was 7.43±2.37 years, height 124.68±16.97 cm, weight 27.39±11.39 kg and body mass index (BMI) 16.99±3.22 kg/m2. There was no significant difference between weighted and unweighted in NDT results. In pedobarography analysis, hindfoot percentages were higher than forefoot percentages in static bipedal positions. A positive correlation was found between HVA and subtalar angles (p=0.00). In children performing artistic and rhythmic gymnastics, lateral ankle sprain may be observed due to a pronation tendency in subtalar angles. In addition, in the static bipedal position, distortions occurred in the bipedal static force center because the percentage of hindfoot pressure in plantar pressures was higher than the forefoot. Studies with foot-ankle exercises are needed for these.

Keywords

• Gymnastics
• Pedobarography
• Foot Biomechanics

References

1. Abdul Razak, A. H., Zayegh, A., Begg, R. K. & Wahab, Y. (2012) Foot plantar pressure measurement system: A review. Sensors. 12(7):9884-9912. doi: 10.3390/s120709884.
2. Balıkçı, Ş. (2022). Investigation of the effect of 8-week rhythmic gymnastics-based training on some strength and balance parameters of 4–6-year-old children. Istanbul.
3. Bencke, J., Damsgaard, R., Saekmose, A., Jorgensen, P., Jorgensen, K. & Klausen, K. (2002). Anaerobic power and muscle strength characteristics of 11 years old elite and non-elite boys and girls from gymnastics, team handball, tenis and swimming. Scandinavian Journal of Medicine & Science in Sports; 12:171-178. doi: 10.1034/j.1600-0838.2002.01128.x.
4. Charpy, S., Billard, P., Dandrieux, P. E., Chapon, J., & Edouard, P. (2023). Epidemiology of injuries in elite women's artistic gymnastics: a retrospective analysis of six seasons. BMJ Open Sport & Exercise Medicine, 9(4), e001721. https://doi.org/10.1136/bmjsem-2023-001721
5. Chéron, C., Le Scanff, C., & Leboeuf-Yde, C. (2016). Association between sports type and overuse injuries of extremities in children and adolescents: a systematic review. Chiropractic & Manual Therapies, 24, 41. https://doi.org/10.1186/s12998-016-0122-y
6. Coughlin, M. J., & Jones, C. P. (2007). Hallux valgus: demographics, etiology, and radiographic assessment. Foot & Ankle International, 28(7), 759–777. doi: 10.3113/FAI.2007.0759.
7. Gallahue, D. L. & Donnelly, F. C. (2003). Developmental physical education for all children (4th ed.). Champaign, IL: Human Kinetics
8. Goulart, N. B. A., Lunardi, M., Waltrick, J. F., Link, A., Garcias, L., Melo, M. de. O., Oliva, J. C. & Vaz, M. A. (2016). Injuries prevalence in elite male artistic gymnasts. Revista Brasileira de Educação Física e Esporte, 30, 79-85. doi: 10.1590/1807-55092016000100079

9. Hinds, N., Angioi, M., Birn-Jeffery, A., & Twycross-Lewis, R. (2019). A systematic review of shoulder injury prevalence, proportion, rate, type, onset, severity, mechanism and risk factors in female artistic gymnasts. Physical Therapy in Sport, 35, 106-115. doi: 10.1016/j.ptsp.2018.11.012.
10. Hurkmans, H. L. P, Bossman, J. B. J., Benda, E., Verhaar, J. A. N. & Stam, H. J. (2003). Techniques for measuring weight-bearing during standing and walking. Clinical Biomechanics. 18(7):576-589. doi: 10.1016/s0268-0033(03)00116-5.
11. Jastifer, J. R., & Gustafson, P. A. (2014). The subtalar joint: biomechanics and functional representations in the literature. Foot (Edinburgh, Scotland), 24(4), 203–209. https://doi.org/10.1016/j.foot.2014.06.003
12. Kanatli, U., Yetkin, H. & Bolukbasi, S. (2003). Evaluation of the transver se metatarsal arch of the foot with gait analysis. Archives of Orthopaedic and Trauma Surgery, 123(4):148-50. doi: 10.1007/s00402-002-0459-7.
13. Karabicak, G. O., Bek, N., & Tiftikci, U. (2015). Short-term effects of kinesiotaping on pain and joint alignment in conservative treatment of hallux valgus. Journal of Manipulative and Physiological Therapeutics, 38(8), 564–571. doi: 10.1016/j.jmpt.2015.09.001.
14. Kesilmiş, İ. (2012). The effect of gymnastics training on growth and biomotor skills in 4–6-year-old children. Master Thesis Mersin University Institute of Educational Sciences, Mersin.
15. Malina, R. M., Bouchard, C. & Bar-Or, O. (2003). Grawth, Maturation, and Physical Activity. Human Kinetic.
16. Martín-Casado, L., Aldana-Caballero, A., Barquín, C., Criado-Álvarez, J. J., Polonio-López, B., & Marcos-Tejedor, F. (2023). Foot morphology as a predictor of hallux valgus development in children. Scientific Reports, 13(1), 9351. https://doi.org/10.1038/s41598-023-36301-2
17. Mengütay, S. (1998). Teaching methods and help forms of basic technical movements. Ankara
18. Menz, H. B. (1998). Alternative techniques for the clinical assessment of foot pronation. Journal of the American Podiatric Medical Association, 88(3), 119–129. https://doi.org/10.7547/87507315-88-3-119
19. Mülazımoğlu, Ö. & Bruninks-Oseretsky (2006). Motor competency testinin validity, reliability study and the effect of gymnastics training program applied to five-six age group children on motor development (Doctoral Dissertation), Ankara,
20. Orlin, M. N. & McPoil, T. G. (2000). Plantar pressure assessment. Physical Therapy. 80(4):399-409.
21. Pérez-Soriano, P., Llana-Belloch, S., Morey-Klapsing, G., Perez-Turpin, J. A., Cortell-Tormo, J. M., & van den Tillaar, R. (2010). Effects of mat characteristics on plantar pressure patterns and perceived mat properties during landing in gymnastics. Sports Biomechanics, 9(4), 245–257. https://doi.org/10.1080/14763141.2010.537675
22. Samoto, N., Higuchi, K., Sugimoto, K., Tanaka, Y., & Takakura, Y. (2000). Electromyographical evaluation of the effect on the active abduction exercise of the big toe for hallux valgus deformity. The Japanese Society for Surgery of the Foot, 21, 12-6.
23. Şener, G. & Erbahçeci, F. (2016). Kinesiology and Biomechanics. Hipokrat Bookstore. Ankara
24. Sobera, A., Sobera, M., & Kleszyk, K. (2015). Foot and ankle deformity in young acrobatic and artistic gymnasts. Human Movement, 16(3), 130-136. doi: 10.1515/humo-2015-0034
25. Tasatan, E., & Tekin, E. A. (2024). Relationship between hallux valgus interphalangeal deformity and the recurrence of ingrown toenail in children. Journal of the American Podiatric Medical Association, 114(2), 21-217. https://doi.org/10.7547/21-217
26. Thavets, J. G., Liu, X. C., Tassore, C. & Klein, S. (2005). Corraltion of the foot radiographs with foot function and analyzed by plantar pressure distribution. Journal of Pediatric Orthopaedics, 25(2):249-252.
27. Tomaru, Y., Kamada, H., Tsukagoshi, Y., Nakagawa, S., Tanaka, K., Takeuchi, R., Mataki, Y., Kimura, M., Miyakawa, S., & Yamazaki, M. (2020). Determining the relationship between physical status and musculoskeletal injuries in children: a cohort study. Journal of Rural Medicine: JRM, 15(3), 116–123. https://doi.org/10.2185/jrm.2020-015
28. Tuna, H., Yıldız, M., Celtik, C., & Kokino, S. (2004). Static and dynamic plantar pressure measurements in adolescents]. Acta Orthopaedica et Traumatologica Turcica, 38(3), 200–205.
29. Ünver, B. & Bek, N. (2014). Effect of insert to plantar contact areas and pressure distribution. Turkish Journal of Physiotherapy and Rehabilitation.25(2):86-92.
30. Xiao, S., Shen, B., Zhang, C., Xu, Z., Li, J., Fu, W., & Jin, J. (2023). Effects of tDCS on Foot Biomechanics: A Narrative Review and Clinical Applications. Bioengineering (Basel, Switzerland), 10(9), 1029. https://doi.org/10.3390/bioengineering10091029