manuelletherapie 2020; 24(03): 113-120
DOI: 10.1055/a-1178-3786
Schwerpunkt
Einführung

Sonografie – von der Forschung zur physiotherapeutischen Praxis

Julie A. Hides
,
Dilani Mendis
,
Melinda M. Franettovich Smith

Zusammenfassung

Weltweit setzen Physiotherapeuten die Sonografie sowohl in der klinischen Praxis als auch zu Forschungszwecken ein. Die Autorinnen erläutern die wichtigsten Anwendungsmöglichkeiten und beschreiben drei klinische Anwendungsgebiete, bei denen sich die Untersuchung per Ultraschall in der Physiotherapie lohnen könnte.



Publication History

Article published online:
16 July 2020

© Georg Thieme Verlag KG
Stuttgart · New York

 
  • Literatur

  • 1 Young A, Hughes I, Russell P. et al. Measurement of quadriceps muscle wasting by ultrasonography. Rheumatol Rehabil 1980; 19: 141-148 doi:10.1093/rheumatology/19.3.141
  • 2 Teyhen D. Rehabilitative Ultrasound Imaging Symposium San Antonio, TX, May 8–10, 2006. J Orthop Sports Phys Ther 2006; 36: A1-3
  • 3 Networking session on Rehabilitative Ultrasound Imaging (RUSI). Paper presented at the IFOMPT 2012 Conference-Rendez-Vous of Hands and Minds. Quebec City Canada: 2012
  • 4 Fernandez-Carnero S, Calvo-Lobo C, Garrido-Marin A. et al. 2nd Rehabilitative Ultrasound Imaging Symposium in Physical Therapy, Madrid, Spain, 3–5 June 2016. British Journal of Sports Medicine 2018; 52: A1-A4 doi:10.1136/bjsports-2018–099763.1
  • 5 Stokes M, Hides J, Elliott J. et al. Rehabilitative ultrasound imaging of the posterior paraspinal muscles. J Orthop Sports Phys Ther 2007; 37: 581-595 doi:10.2519/jospt.2007.2599
  • 6 Teyhen DS, Gill NW, Whittaker JL. et al. Rehabilitative ultrasound imaging of the abdominal muscles. J Orthop Sports Phys Ther 2007; 37: 450-466 doi:10.2519/jospt.2007.2558
  • 7 Van K, Hides JA, Richardson CA. The use of real-time ultrasound imaging for biofeedback of lumbar multifidus muscle contraction in healthy subjects. J Orthop Sports Phys Ther 2006; 36: 920-925 doi:10.2519/jospt.2006.2304
  • 8 Whittaker JL, Ellis R, Hodges PW. et al. Imaging with ultrasound in physical therapy: What is the PT’s scope of practice? A competency-based educational model and training recommendations. Br J Sports Med 2019; 53: 1447-1453 doi:10.1136/bjsports-2018–100193
  • 9 Bailey LB, Beattie PF, Shanley E. et al. Current rehabilitation applications for shoulder ultrasound imaging. J Orthop Sports Phys Ther 2015; 45: 394-405 doi:10.2519/jospt.2015.4232
  • 10 Hides JA, Franettovich Smith MM, Mendis MD. et al. A prospective investigation of changes in the sensorimotor system following sports concussion. An exploratory study. Musculoskelet Sci Pract 2017; 29: 7-19 doi:10.1016/j.msksp.2017.02.003
  • 11 Jansen J, Weir A, Denis R. et al. Resting thickness of transversus abdominis is decreased in athletes with longstanding adduction-related groin pain. Man Ther 2010; 15: 200-205 doi:10.1016/j.math.2009.11.001
  • 12 Hides JA, Endicott T, Mendis MD. et al. The effect of motor control training on abdominal muscle contraction during simulated weight bearing in elite cricketers. Phys Ther Sport 2016; 20: 26-31 doi:10.1016/j.ptsp.2016.05.003
  • 13 Hodges P, Holm AK, Hansson T. et al. Rapid atrophy of the lumbar multifidus follows experimental disc or nerve root injury. Spine 2006; 31: 2926-2933 doi:10.1097/01.brs.0000248453.51165.0b
  • 14 Hebert JJ, Fritz JM, Thackeray A. et al. Early multimodal rehabilitation following lumbar disc surgery: a randomised clinical trial comparing the effects of two exercise programmes on clinical outcome and lumbar multifidus muscle function. Br J Sports Med 2015; 49: 100-106 doi:10.1136/bjsports-2013–092402
  • 15 Hides JA, Lambrecht G, Stanton WR. et al. Changes in multifidus and abdominal muscle size in response to microgravity: possible implications for low back pain research. Eur Spine J 2016; 25: 175-182 doi:10.1007/s00586–015–4311–5
  • 16 Cruz-Montecinos C, Cerda M, Sanzana-Cuche R. et al. Ultrasound assessment of fascial connectivity in the lower limb during maximal cervical flexion: technical aspects and practical application of automatic tracking. BMC Sports Sci Med Rehabil 2016; 8: 18 doi:10.1186/s13102–016–0043-z
  • 17 Kasehagen B, Ellis R, Pope R. et al. Assessing the Reliability of Ultrasound Imaging to Examine Peripheral Nerve Excursion: A Systematic Literature Review. Ultrasound Med Biol 2018; 44: 1-13 doi:10.1016/j.ultrasmedbio.2017.08.1886
  • 18 Lee D, Hodges PW. Behavior of the Linea Alba During a Curl-up Task in Diastasis Rectus Abdominis: An Observational Study. J Orthop Sports Phys Ther 2016; 46: 580-589 doi:10.2519/jospt.2016.6536
  • 19 Whittaker JL, Thompson JA, Teyhen DS. et al. Rehabilitative ultrasound imaging of pelvic floor muscle function. J Orthop Sports Phys Ther 2007; 37: 487-498 doi:10.2519/jospt.2007.2548
  • 20 Stafford RE, Ashton-Miller JA, Constantinou CE. et al. Novel insight into the dynamics of male pelvic floor contractions through transperineal ultrasound imaging. J Urol 2012; 188: 1224-1230 doi:10.1016/j.juro.2012.06.028
  • 21 Langevin HM, Stevens-Tuttle D, Fox JR. et al. Ultrasound evidence of altered lumbar connective tissue structure in human subjects with chronic low back pain. BMC Musculoskelet Disord 2009; 10: 151 doi:10.1186/1471–2474–10–151
  • 22 Hides JA, Stanton WR, McMahon S. et al. Effect of stabilization training on multifidus muscle cross-sectional area among young elite cricketers with low back pain. J Orthop Sports Phys Ther 2008; 38: 101-108 doi:10.2519/jospt.2008.2658
  • 23 Hides JA, Mendis MD, Franettovich Smith MM. et al. Association between altered motor control of trunk muscles and head and neck injuries in elite footballers – An exploratory study. Man Ther 2016; 24: 46-51 doi:10.1016/j.math.2016.05.001
  • 24 Hides JA, Stanton WR. Predicting football injuries using size and ratio of the multifidus and quadratus lumborum muscles. Scand J Med Sci Sports 2017; 27: 440-447 doi:10.1111/sms.12643
  • 25 Whittaker JL, Emery CA. Impact of the FIFA 11 + on the structure of select muscles in adolescent female soccer players. Phys Ther Sport 2015; 16: 228-235 doi:10.1016/j.ptsp.2014.10.007
  • 26 Teyhen DS, Childs JD, Dugan JL. et al. Effect of two different exercise regimens on trunk muscle morphometry and endurance in soldiers in training. Phys Ther 2013; 93: 1211-1224 doi:10.2522/ptj.20120152
  • 27 Koppenhaver SL, Fritz JM, Hebert JJ. et al. Association between history and physical examination factors and change in lumbar multifidus muscle thickness after spinal manipulation in patients with low back pain. J Electromyogr Kinesiol 2012; 22: 724-731 doi:10.1016/j.jelekin.2012.03.004
  • 28 Chen L, Luo D, Yu X. et al. Predicting stress urinary incontinence during pregnancy: combination of pelvic floor ultrasound parameters and clinical factors. Acta Obstet Gynecol Scand 2018; 12 doi:10.1111/aogs.13368
  • 29 Dietz HP, Wilson PD, Clarke B. The use of perineal ultrasound to quantify levator activity and teach pelvic floor muscle exercises. Int Urogynecol J Pelvic Floor Dysfunct 2001; 12: 166-168 discussion 168–169. doi:10.1007/s001920170059
  • 30 Van Holsbeeck M, Introcaso J. eds. Ultrasound. M. PA. Philadelphia: Mosby Press; 2001
  • 31 Tucker K, Hodges PW, Van den Hoorn W. et al. Does stress within a muscle change in response to an acute noxious stimulus?. PLoS One 2014; 9 (03) e91899 doi:10.1371/journal.pone.0091899
  • 32 Konofagou EE, Langevin HM. Using ultrasound to understand acupuncture. Acupuncture needle manipulation and its effect on connective tissue. IEEE Eng Med Biol Mag 2005; 24: 41-46 doi:10.1109/memb.2005.1411347
  • 33 Ellis R, Rohan M, Fox J. et al. Ultrasound Elastographic Measurement of Sciatic Nerve Displacement and Shear Strain During Active and Passive Knee Extension. J Ultrasound Med 2018; 37: 2091-2103 doi:10.1002/jum.14560
  • 34 Coombes BK, Tucker K, Vicenzino B. et al. Response to considerations on “Achilles tendinopathy and patellar tendinopathy display opposite changes in elastic properties”. Scand J Med Sci Sports 2018; 28: 1471-1472 doi:10.1111/sms.13025
  • 35 Hug F, Ouellette A, Vicenzino B. et al. Deloading tape reduces muscle stress at rest and during contraction. Med Sci Sports Exerc 2014; 46: 2317-2325 doi:10.1249/mss.0000000000000363
  • 36 Coppieters MW, Hough AD, Dilley A. Different nerve-gliding exercises induce different magnitudes of median nerve longitudinal excursion: an in vivo study using dynamic ultrasound imaging. J Orthop Sports Phys Ther 2009; 39: 164-171 doi:10.2519/jospt.2009.2913
  • 37 Heales LJ, Tucker K, Vicenzino B. et al. A comparison of fine wire insertion techniques for deep finger flexor muscle electromyography. J Electromyogr Kinesiol 2018; 41: 77-81 doi:10.1016/j.jelekin.2018.05.003
  • 38 Kelly LA, Lichtwark G, Cresswell AG. Active regulation of longitudinal arch compression and recoil during walking and running. Journal Of The Royal Society 2015; 12: 20141076 doi:10.1098/rsif.2014.1076
  • 39 Semciw AI, Freeman M, Kunstler BE. et al. Quadratus femoris: An EMG investigation during walking and running. J Biomech 2015; 48: 3433-3439 doi:10.1016/j.jbiomech.2015.05.029
  • 40 Hodges PW, Butler JE, McKenzie DK. et al. Contraction of the human diaphragm during rapid postural adjustments. J Physiol 1997; 505: 539-548 doi:10.1111/j.1469–7793.1997.539bb.x
  • 41 Crofts G, Angin S, Mickle KJ. et al. Reliability of ultrasound for measurement of selected foot structures. Gait Posture 2014; 39: 35-39 doi:10.1016/j.gaitpost.2013.05.022
  • 42 Franettovich Smith MM, Hides JA, Hodges PW. et al. Intrinsic foot muscle size can be measured reliably in weight bearing using ultrasound imaging. Gait Posture 2019; 68: 369-374 doi:10.1016/j.gaitpost.2018.12.012
  • 43 Koppenhaver SL, Hebert JJ, Fritz JM. et al. Reliability of rehabilitative ultrasound imaging of the transversus abdominis and lumbar multifidus muscles. Arch Phys Med Rehabil 2009; 90: 87-94 doi:10.1016/j.apmr.2008.06.022
  • 44 Mendis MD, Wilson SJ, Stanton W. et al. Validity of real-time ultrasound imaging to measure anterior hip muscle size: a comparison with magnetic resonance imaging. J Orthop Sports Phys Ther 2010; 40: 577-581 doi:10.2519/jospt.2010.3286
  • 45 Mickle KJ, Nester CJ, Crofts G. et al. Reliability of ultrasound to measure morphology of the toe flexor muscles. Journal Of Foot And Ankle Research 2013; 6: 12 doi:10.1186/1757–1146–6-12
  • 46 Johannsen F, Jensen S, Stallknecht SE. et al. Sonographic measurements of the achilles tendon, plantar fascia, and heel fat pad are reliable: A test-retest intra- and intertester study. Journal Of Clinical Ultrasound 2016; 44: 480-486 doi:10.1002/jcu.22365
  • 47 Cuellar WA, Blizzard L, Callisaya ML. et al. Test-retest reliability of measurements of abdominal and multifidus muscles using ultrasound imaging in adults aged 50–79 years. Musculoskelet Sci Pract 2017; 28: 79-84 doi:10.1016/j.msksp.2016.11.013
  • 48 Hides JA, Miokovic T, Belavy DL. et al. Ultrasound imaging assessment of abdominal muscle function during drawing-in of the abdominal wall: an intrarater reliability study. J Orthop Sports Phys Ther 2007; 37: 480-486 doi:10.2519/jospt.2007.2416
  • 49 Wilson A, Hides JA, Blizzard L. et al. Measuring ultrasound images of abdominal and lumbar multifidus muscles in older adults: A reliability study. Man Ther 2016; 23: 114-119 doi:10.1016/j.math.2016.01.004
  • 50 Hides JA, Murphy M, Jang E. et al. Predicting a beneficial response to motor control training in patients with low back pain: a longitudinal cohort study. Eur Spine J 2019; 28: 2462-2469 doi:10.1007/s00586–019–06045–7
  • 51 Hides JA, Richardson CA, Jull GA. Magnetic resonance imaging and ultrasonography of the lumbar multifidus muscle. Comparison of two different modalities. Spine 1995; 20: 54-58 doi:10.1097/00007632–199501000–00010
  • 52 Wallwork TL, Hides JA, Stanton WR. Intrarater and interrater reliability of assessment of lumbar multifidus muscle thickness using rehabilitative ultrasound imaging. J Orthop Sports Phys Ther 2007; 37: 608-612 doi:10.2519/jospt.2007.2418
  • 53 Hides JA, Stokes MJ, Saide M. et al. Evidence of lumbar multifidus muscle wasting ipsilateral to symptoms in patients with acute/subacute low back pain. Spine 1994; 19: 165-172 doi:10.1097/00007632–199401001–00009
  • 54 Wallwork TL, Stanton WR, Freke M. et al. The effect of chronic low back pain on size and contraction of the lumbar multifidus muscle. Man Ther 2009; 14: 496-500 doi:10.1016/j.math.2008.09.006
  • 55 Hides JA, Lambrecht G, Richardson CA. et al. The effects of rehabilitation on the muscles of the trunk following prolonged bed rest. Eur Spine J 2011; 20: 808-818 doi:10.1007/s00586–010–1491-x
  • 56 Hides JA, Donelson R, Lee D. et al. Convergence and Divergence of Exercise-Based Approaches That Incorporate Motor Control for the Management of Low Back Pain. J Orthop Sports Phys Ther 2019; 49: 437-452 doi:10.2519/jospt.2019.8451
  • 57 Hides JA, Stanton WR, Mendis MD. et al. Effect of motor control training on muscle size and football games missed from injury. Med Sci Sports Exerc 2012; 44: 1141-1149 doi:10.1249/MSS.0b013e318244a321
  • 58 Hides J, Stanton W, Mendis MD. et al. The relationship of transversus abdominis and lumbar multifidus clinical muscle tests in patients with chronic low back pain. Man Ther 2011; 16: 573-577 doi:10.1016/j.math.2011.05.007
  • 59 Tsao H, Druitt TR, Schollum TM. et al. Motor training of the lumbar paraspinal muscles induces immediate changes in motor coordination in patients with recurrent low back pain. J Pain 2010; 11: 1120-1128 doi:10.1016/j.jpain.2010.02.004
  • 60 Hall L, Tsao H, MacDonald D. et al. Immediate effects of co-contraction training on motor control of the trunk muscles in people with recurrent low back pain. J Electromyogr Kinesiol 2009; 19: 763-773 doi:10.1016/j.jelekin.2007.09.008
  • 61 Tsao H, Hodges PW. Persistence of improvements in postural strategies following motor control training in people with recurrent low back pain. J Electromyogr Kinesiol 2008; 18: 559-567 doi:10.1016/j.jelekin.2006.10.012
  • 62 Hoffman SL, Harris-Hayes M, Van Dillen LR. Differences in activity limitation between 2 low back pain subgroups based on the movement system impairment model. PM & R 2010; 2: 1113-1118 doi:10.1016/j.pmrj.2010.09.003
  • 63 Hides JA, Stanton WR. Can motor control training lower the risk of injury for professional football players?. Med Sci Sports Exerc 2014; 46: 762-768 doi:10.1249/mss.0000000000000169
  • 64 Hides JA, Stanton WR, Mendis MD. et al. Small Multifidus Muscle Size Predicts Football Injuries. Orthop J Sports Med 2014; 2: 2325967114537588 doi:10.1177/2325967114537588
  • 65 Retchford TH, Crossley KM, Grimaldi A. et al. Can local muscles augment stability in the hip? A narrative literature review. J Musculoskelet Neuronal Interact 2013; 13: 1-12
  • 66 Freke MD, Kemp J, Svege I. et al. Physical impairments in symptomatic femoroacetabular impingement: a systematic review of the evidence. Br J Sports Med 2016; 50: 1180 doi:10.1136/bjsports-2016–096152
  • 67 Mayne E, Memarzadeh A, Raut P. et al. Measuring hip muscle strength in patients with femoroacetabular impingement and other hip pathologies: A systematic review. Bone Joint Res 2017; 6: 66-72 doi:10.1302/2046–3758.61.bjr-2016–0081
  • 68 Hodges PW, McLean L, Hodder J. Insight into the function of the obturator internus muscle in humans: observations with development and validation of an electromyography recording technique. J Electromyogr Kinesiol 2014; 24: 489-496 doi:10.1016/j.jelekin.2014.03.011
  • 69 Lawrenson P, Grimaldi A, Crossley K. et al. Iliocapsularis: Technical application of fine-wire electromyography, and direction specific action during maximum voluntary isometric contractions. Gait Posture 2017; 54: 300-303 doi:10.1016/j.gaitpost.2017.03.027
  • 70 Semciw AI, Green RA, Murley GS. et al. Gluteus minimus: an intramuscular EMG investigation of anterior and posterior segments during gait. Gait Posture 2014; 39: 822-826 doi:10.1016/j.gaitpost.2013.11.008
  • 71 Leung FT, Mendis MD, Stanton WR. et al. The relationship between the piriformis muscle, low back pain, lower limb injuries and motor control training among elite football players. J Sci Med Sport 2015; 18: 407-411 doi:10.1016/j.jsams.2014.06.011
  • 72 Mendis MD, Hides JA. Effect of motor control training on hip muscles in elite football players with and without low back pain. J Sci Med Sport 2016; 19: 866-871 doi:10.1016/j.jsams.2016.02.008
  • 73 Mendis MD, Hides JA, Wilson SJ. et al. Effect of prolonged bed rest on the anterior hip muscles. Gait Posture 2009; 30: 533-537 doi:10.1016/j.gaitpost.2009.08.002
  • 74 Mendis MD, Wilson SJ, Hayes DA. et al. Hip muscle atrophy in patients with acetabular labral joint pathology. Clinical Anatomy. 2019 in press DOI: doi:10.1002/ca.23429
  • 75 Mendis MD, Wilson SJ, Hayes DA. et al. Hip flexor muscle size, strength and recruitment pattern in patients with acetabular labral tears compared to healthy controls. Man Ther 2014; 19: 405-410 doi:10.1016/j.math.2014.02.006
  • 76 Whittaker JL, Emery CA. Sonographic measures of the gluteus medius, gluteus minimus, and vastus medialis muscles. J Orthop Sports Phys Ther 2014; 44: 627-632 doi:10.2519/jospt.2014.5315
  • 77 Mayes SJ, Baird-Colt PH, Cook JL. Ultrasound Imaging is a Valid Method of Measuring the Cross-Sectional Area of the Quadratus Femoris Muscle. J Dance Med Sci 2015; 19: 3-10 doi:10.12678/1089–313x.19.1.3
  • 78 Dieterich A, Petzke F, Pickard C. et al. Differentiation of gluteus medius and minimus activity in weight bearing and non-weight bearing exercises by M-mode ultrasound imaging. Man Ther 2015; 20: 715-722 doi:10.1016/j.math.2015.01.006
  • 79 Dieterich AV, Pickard CM, Deshon LE. et al. M-mode ultrasound used to detect the onset of deep muscle activity. J Electromyogr Kinesiol 2015; 25: 224-231 doi:10.1016/j.jelekin.2014.12.006
  • 80 DeJong AF, Mangum LC, Hertel J. Gluteus medius activity during gait is altered in individuals with chronic ankle instability: An ultrasound imaging study. Gait Posture 2019; 71: 7-13 doi:10.1016/j.gaitpost.2019.04.007
  • 81 Dieterich AV, Deshon L, Strauss GR. et al. M-Mode Ultrasound Reveals Earlier Gluteus Minimus Activity in Individuals With Chronic Hip Pain During a Step-down Task. J Orthop Sports Phys Ther 2016; 46: 277-285 doi:10.2519/jospt.2016.6132
  • 82 Farris DJ, Kelly LA, Cresswell AG. et al. The functional importance of human foot muscles for bipedal locomotion. Proc Natl Acad Sci U S A 2019; 116: 1645-1650 doi:10.1073/pnas.1812820116
  • 83 Kelly LA, Farris DJ, Cresswell AG. et al. Intrinsic foot muscles contribute to elastic energy storage and return in the human foot. Journal of Applied Physiology 2018; 126: 231-238 doi:10.1152/japplphysiol.00736.2018
  • 84 Fraser JJ, Mangum LC, Hertel J. Test-retest reliability of ultrasound measures of intrinsic foot motor function. Phys Ther Sport 2018; 30: 39-47 doi:10.1016/j.ptsp.2017.11.032
  • 85 Battaglia PJ, Mattox R, Haun DW. et al. Dynamic Ultrasonography of the Deep External Rotator Musculature of the Hip: A Descriptive Study. PM & R 2016; 8: 640-650 doi:10.1016/j.pmrj.2015.11.001
  • 86 Severinsen K, Obel A, Jakobsen J. et al. Atrophy of foot muscles in diabetic patients can be detected with ultrasonography. Diabetes Care 2007; 30: 3053-3057
  • 87 Abe T, Tayashiki K, Nakatani M. et al. Relationships of ultrasound measures of intrinsic foot muscle cross-sectional area and muscle volume with maximum toe flexor muscle strength and physical performance in young adults. Journal Of Physical Therapy Science 2016; 28: 14-19 doi:10.1589/jpts.28.14
  • 88 Latey PJ, Burns J, Nightingale EJ. et al. Reliability and correlates of cross-sectional area of abductor hallucis and the medial belly of the flexor hallucis brevis measured by ultrasound. Journal Of Foot And Ankle Research 2018; 11: 28 doi:10.1186/s13047–018–0259–0
  • 89 Aiyer A, Stewart S, Rome K. The effect of age on muscle characteristics of the abductor hallucis in people with hallux valgus: a cross-sectional observational study. Journal Of Foot And Ankle Research 2015; 8: 19 doi:10.1186/s13047–015–0078–5
  • 90 Angin S, Mickle KJ, Nester CJ. Contributions of foot muscles and plantar fascia morphology to foot posture. Gait Posture 2018; 61: 238-242 doi:10.1016/j.gaitpost.2018.01.022
  • 91 Mickle KJ, Angin S, Crofts G. et al. Effects of Age on Strength and Morphology of Toe Flexor Muscles. J Orthop Sports Phys Ther 2016; 46: 1065-1070
  • 92 Tas S, Unluer NO, Korkusuz F. Morphological and mechanical properties of plantar fascia and intrinsic foot muscles in individuals with and without flat foot. Journal of Orthopaedic Surgery (Hong Kong) 2018; 26: 2309499018802482 doi:10.1177/2309499018802482
  • 93 Morrison T, Jones S, Causby RS. et al. Can ultrasound measures of intrinsic foot muscles and plantar soft tissues predict future diabetes-related foot disease? A systematic review. PLoS One 2018; 13: e0199055 doi:10.1371/journal.pone.0199055
  • 94 Lobo CC, Marín AG, Sanz DR. et al. Ultrasound evaluation of intrinsic plantar muscles and fascia in hallux valgus: A case-control study. Medicine 2016; 95: e5243-e5243
  • 95 Stewart S, Ellis R, Heath M. et al. Ultrasonic evaluation of the abductor hallucis muscle in hallux valgus: a cross-sectional observational study. BMC Musculoskeletal Disorders 2013; 14: 45-45 doi:10.1186/1471–2474–14–45
  • 96 Mickle KJ, Nester CJ. Morphology of the Toe Flexor Muscles in Older Adults With Toe Deformities. Arthritis Care & Research 2017; 70: 902-907 doi:10.1002/acr.23348
  • 97 Kim MH, Yi CH, Weon JH. et al. Effect of toe-spread-out exercise on hallux valgus angle and cross-sectional area of abductor hallucis muscle in subjects with hallux valgus. Journal Of Physical Therapy Science 2015; 27: 1019-1022 doi:10.1589/jpts.27.1019
  • 98 Taddei UT, Matias AB, Ribeiro FIA. et al. Effects of a therapeutic foot exercise program on injury incidence, foot functionality and biomechanics in long-distance runners: Feasibility study for a randomized controlled trial. Physical Therapy in Sport 2018; 34: 216-226 doi:10.1016/j.ptsp.2018.10.015
  • 99 Ridge ST, Olsen MT, Bruening DA. et al. Walking in Minimalist Shoes Is Effective for Strengthening Foot Muscles. Med Sci Sports Exerc 2019; 51: 104-113 doi:10.1249/MSS.0000000000001751
  • 100 Jung DY, Koh EK, Kwon OY. Effect of foot orthoses and short-foot exercise on the cross-sectional area of the abductor hallucis muscle in subjects with pes planus: a randomized controlled trial. Journal of Back and Musculoskeletal Rehabilitation 2011; 24: 225-231 doi:10.3233/bmr-2011–0299