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The effect of foot overpronation on Achilles tendon blood supply in healthy male subjects
Author(s) -
Karzis K.,
Kalogeris M.,
Mandalidis D.,
Geladas N.,
Karteroliotis K.,
Athanasopoulos S.
Publication year - 2017
Publication title -
scandinavian journal of medicine and science in sports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.575
H-Index - 115
eISSN - 1600-0838
pISSN - 0905-7188
DOI - 10.1111/sms.12722
Subject(s) - achilles tendon , medicine , tendon , blood flow , power doppler , foot (prosody) , pulsatility index , ultrasonography , blood supply , plantar flexion , significant difference , compliance (psychology) , weight bearing , anatomy , surgery , cardiology , biology , ankle , psychology , pregnancy , social psychology , linguistics , philosophy , fetus , genetics
The purpose of this study was to investigate Achilles tendon blood flow in individuals with overpronated feet during non‐weight‐ and weight‐bearing positions. Achilles tendon blood flow was measured by means of the pulsatility index ( PI ) and the resistance index ( RI ) in 15 male individuals with overpronated feet and 15 counterparts with normal feet, using power Doppler ultrasonography ( PDI ). Achilles tendon ultrasonographic ( US ) assessment was performed at its musculo‐tendinous junction ( MTJ ), mid‐tendon ( MT ), and osseotendinous junction ( OTJ ) at a non‐weight‐bearing relaxed position ( RP ) and during two‐leg stance ( TLS ) and one‐leg upright stance ( OLS ). PI and RI indices were significantly greater in individuals with overpronated feet compared to individuals with normal feet at the OTJ in OLS position ( P < 0.01), and at MT in both TLS ( P < 0.001) and OLS positions ( P < 0.001). All individuals demonstrated also greater PI and RI indices at MT followed by the OTJ and MTJ in all positions ( P < 0.001), and in OLS compared to TLS and the RP at the OTJ ( P < 0.01) as well as at MT and MTJ ( P < 0.001). The findings of the present study suggest that foot overpronation may affect Achilles tendon blood flow, particularly at mid‐tendon, thus enhancing the possibility for injury.