Persiane André Setti, Negrão Daiane Magalhães Gomes, Alves Raone Daltro Paraguassu, Freitas Diego Galace DE, Cazarini Cláudio, Alves Vera Lúcia Dos Santos
. Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brazil.
. Centro Universitário Faculdade de Medicina do ABC (FMABC), Santo André, SP, Brazil.
Acta Ortop Bras. 2023 Jun 9;31(spe2):e259598. doi: 10.1590/1413-785220233102e259598. eCollection 2023.
The extrinsic muscles, such as the posterior tibialis and long flexor of the hallux and the intrinsic of the foot, are part of the active subsystem of the central system of the foot and play an essential role in the control of the medial longitudinal arch resulting from difficulty in contracting the muscle, neuromuscular electrostimulation (NMES) becomes a resource combined with strengthening and recommended for rehabilitation. T this work aims to evaluate the effectiveness of NMES associated with exercise in deforming the medial longitudinal arch.
This is a randomized blind clinical trial. 60 asymptomatic participants were divided into three groups: NMES, exercise and control. The NMES and exercise group performed seven exercises for the intrinsic and extrinsic muscles twice a week for 6 weeks, and the NMES group used an NMES associated with five exercises. Navicular height and medial longitudinal arch angle were taken before and after the intervention period.
No statistically significant differences existed between groups for navicular height and medial longitudinal arch angle.
NMES associated with exercise does not change the characteristics of the medial longitudinal arch in association with asymptomatic. Level of Evidence I; Randomized clinical trial.
诸如胫骨后肌、拇长屈肌等足部外在肌肉以及足部内在肌肉，是足部中枢系统主动子系统的一部分，在控制内侧纵弓方面发挥着重要作用。由于肌肉收缩困难，神经肌肉电刺激（NMES）成为一种与强化训练相结合并被推荐用于康复的方法。本研究旨在评估NMES联合运动对内侧纵弓变形的有效性。
这是一项随机盲法临床试验。60名无症状参与者被分为三组：NMES组、运动组和对照组。NMES组和运动组每周对内在和外在肌肉进行两次共七种练习，持续6周，NMES组使用与五种练习相关的NMES。在干预期前后测量舟骨高度和内侧纵弓角度。
三组在舟骨高度和内侧纵弓角度方面不存在统计学上的显著差异。
与运动相关的NMES不会改变无症状情况下内侧纵弓的特征。证据等级I；随机临床试验。
