Relationship between the strength of the ankle and toe muscles and functional stability in young, healthy adults

Sci Rep. 2024 Apr 21;14(1):9125. doi: 10.1038/s41598-024-59906-7.

Abstract

This study investigates the relationship between ankle and toe strength and functional stability in young adults, with a sample comprising sixteen females and fourteen males. The research employed force platform data to determine the center of foot pressure (COP) and calculated the forward functional stability index (FFSI) through foot anthropometric measurements. Strength measurements of toe and ankle muscles, during maximal isometric flexion and extension, were conducted using force transducers. Notable positive correlations were found between toe flexor strength and FFSI (left flexor: r = 0.4, right flexor: r = 0.38, p < 0.05), not influenced by foot anthropometry. Contrarily, no significant correlation was observed between ankle muscle strength and FFSI, despite a positive correlation with the COP range. The moderate correlation coefficients suggest that while toe flexor strength is a contributing factor to functional stability, it does not solely determine functional stability. These findings highlight the critical role of muscle strength in maintaining functional stability, particularly during forward movements and emphasize the utility of FFSI alongside traditional COP measures in balance assessment. It is recommended to employ a multifaceted approach is required in balance training programs.

Keywords: Center of foot pressure; Force plate; Limits of stability; Maximal isometric force; Muscle strength.

MeSH terms

  • Ankle Joint / physiology
  • Ankle*
  • Female
  • Foot / physiology
  • Humans
  • Male
  • Muscle Strength / physiology
  • Muscle, Skeletal / physiology
  • Toes* / physiology
  • Young Adult