Title | The Effects of the Short Foot Exercise on Navicular Drop: A Critically Appraised Topic. |
Publication Type | Journal Article |
Year of Publication | 2020 |
Authors | Haun, C, Brown, CN, Hannigan, K, Johnson, S |
Journal | J Sport Rehabil |
Pagination | 1-6 |
Date Published | 05/2020 |
ISSN | 1543-3072 |
Abstract | Clinical Scenario: Deformation of the arch, as measured by navicular drop (ND), is linked to lower-extremity musculoskeletal injuries. The short foot exercise (SFE) has been used to strengthen the intrinsic foot muscles that support the arch. Clinical Question: Does the SFE decrease ND in healthy adults? Summary of Key Findings: Three studies that examined the use of the SFE on ND were included. A randomized control trial that compared the SFE to a towel-curl exercise and a control group found no significant differences between the 3 groups. A randomized control trial compared the SFE to the use of arch support insoles in individuals with a flexible flatfoot and found a significant improvement in the SFE group. A prospective cohort study, without a control group, reported a significant decrease in ND following a 4-week SFE intervention without a regression at an 8-week follow-up. Overall, two of the three studies reported a significant reduction in ND following an SFE. Clinical Bottom Line: There is preliminary data supporting the use of the SFE to decrease ND-particularly in individuals with a flexible flatfoot. However, issues with the study designs make it difficult to interpret the data. Strength of Recommendation: Due to limited evidence, there is grade B evidence to support the use of the SFE to decrease ND. |
DOI | 10.1123/jsr.2019-0437 |
Alternate Journal | J Sport Rehabil |
PubMed ID | 32384261 |