Correlation between Core and Hip Abductor Endurance in Overweight and Obese Students with Flexible Flat Feet

Authors

  • Pramod J. Palekar
  • Luvai M. Karimjee
  • Tushar J. Palekar

DOI:

https://doi.org/10.52783/jns.v14.1793

Keywords:

Core endurance, Flexible flat feet, Hip abductor endurance, Obese, Overweight

Abstract

Flexible flatfoot is a common foot deformity that can lead to altered biomechanics and excessive pronation during weight-bearing activities. Prior studies have linked proximal weakening of the hip abductor muscles and core to flatfoot. Additionally, a greater incidence of flatfoot deformity and decreased hip and core strength have been connected to obesity. Nevertheless, not much research has been done on the connection between obesity, flatfoot, hip abductor endurance, and core endurance.

The aim of this study was to analyse the correlation between core muscular endurance and hip abductor endurance among overweight and obese students between 18-25 years of age with flexible flatfeet.

This was an observational study carried out in a tertiary health care centre. Convenience sampling was used for selecting a sample of 75 overweight and obese college students, ages 18 to 25, who had flexible flatfoot (navicular drop ≥10mm, positive Jack’s test and Tiptoe Standing test). The Biering-Sorensen test, the Plank hold test, and the Side Plank hold test were used to measure core endurance. The Hip Abductor Isometric Endurance Test was used to assess hip abductor endurance. Pearson's correlation coefficient was used to examine the relationship between core and hip abductor endurance measures. Mean differences between overweight and obese groups were compared. 

In obese students with flexible flatfoot, positive correlations were observed between hip abductor endurance and all core endurance tests (Biering-Sorensen, Plank Hold, Side Plank Hold). However, there was a negative correlation seen in the overweight flatfoot group between hip abductor and core endurance. No statistically significant differences in mean core or hip endurance were noted between the overweight and obese cohorts.

The findings suggest that proximal muscular endurance impairments among individuals with flatfoot deformity may be exacerbated by increased obesity levels. Assessing hip and core function may aid in determining risk factors and directing exercise programs intended to prevent musculoskeletal issues in this population.

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References

Aenumulapalli A, Kulkarni MM, Gandotra AR. Prevalence of flexible flat foot in adults: A cross-sectional study. Journal of clinical and diagnostic research: JCDR. 2017 Jun;11(6):AC17.

Abhilash PV, Roshan PS, Anjana K. Relationship between Core Endurance and Flat Foot Among College Students.

Atik A, Ozyurek S. Flexible flatfoot. Northern clinics of Istanbul. 2014;1(1):57.

Elataar FF, Abdelmajeed SF, Abdellatif NM, Mohammed MM. Core muscles’ endurance in flexible flatfeet: A cross-sectional study. Journal of Musculoskeletal & Neuronal Interactions. 2020;20(3):404.

Javdaneh N, Mozafaripour E, Javdaneh N, Pourmahmodyan P. Comparing isometric strength of selected lower extremity muscles in hyperpronated foot with healthy male athletes. Physical Treatments-Specific Physical Therapy Journal. 2014 Jul 10;4(2):90-5.

Hollman JH, Kolbeck KE, Hitchcock JL, Koverman JW, Krause DA. Correlations between hip strength and static foot and knee posture. Journal of Sport Rehabilitation. 2006 Feb 1;15(1):12-23.

Butterworth PA, Landorf KB, Smith SE, Menz HB. The association between body mass index and musculoskeletal foot disorders: a systematic review. Obesity reviews. 2012 Jul;13(7):630-42.

Butterworth PA, Urquhart DM, Landorf KB, Wluka AE, Cicuttini FM, Menz HB. Foot posture, range of motion and plantar pressure characteristics in obese and non-obese individuals. Gait & posture. 2015 Feb 1;41(2):465-9.

Chougala A, Phanse V, Khanna E, Panda S. Screening of body mass index and functional flatfoot in adult: An observational study. Int J Physiother Res. 2015;3(3):1037-41.

AlAbdulwahab SS, Kachanathu SJ. Effects of body mass index on foot posture alignment and core stability in a healthy adult population. Journal of exercise rehabilitation. 2016 Jun;12(3):182.

Ryan AS, Harduarsingh-Permaul AS. Effects of weight loss and exercise on trunk muscle composition in older women. Clinical interventions in aging. 2014 Mar 3:395-402.

Arif M, Gaur DK, Gemini N, Iqbal ZA, Alghadir AH. Correlation of Percentage Body Fat, Waist Circumference and Waist-to-Hip Ratio with Abdominal Muscle Strength. InHealthcare 2022 Dec 7 (Vol. 10, No. 12, p. 2467). MDPI.

Fenato RR, Araujo AC, Guimarães AT. Comparison of gluteus medius strength between individuals with obesity and normal-weight individuals: a cross-sectional study. BMC musculoskeletal disorders. 2021 Dec;22(1):1-0.

Theis N, Le Warne M, Morrison SC, Drechsler W, Mahaffey R. Absolute and allometrically scaled lower-limb strength differences between children with overweight/obesity and typical weight children. The Journal of Strength & Conditioning Research. 2019 Dec 1;33(12):3276-83.

Zuil-Escobar JC, Martínez-Cepa CB, Martín-Urrialde JA, Gómez-Conesa A. Medial longitudinal arch: accuracy, reliability, and correlation between navicular drop test and footprint parameters. Journal of manipulative and physiological therapeutics. 2018 Oct 1;41(8):672-9.

Mayer JM, Nuzzo JL, Chen R, Quillen WS, Verna JL, Miro R, Dagenais S. The impact of obesity on back and core muscular endurance in firefighters. Journal of obesity. 2012 Nov 19;2012.

Saeterbakken AH, Steiro M, Navarsete J. Muscle Activity, and the Association between Core Strength, Core Endurance and Core Stability. 2, 28–34.

Latimer J, Maher CG, Refshauge K, Colaco I. The reliability and validity of the Biering–Sorensen test in asymptomatic subjects and subjects reporting current or previous nonspecific low back pain. Spine. 1999 Oct 15;24(20):2085.

Strand SL, Hjelm J, Shoepe TC, Fajardo MA. Norms for an isometric muscle endurance test. Journal of human kinetics. 2014 Mar 3; 40:93.

Schellenberg KL, Lang JM, Chan KM, Burnham RS. A clinical tool for office assessment of lumbar spine stabilization endurance: prone and supine bridge maneuvers. American journal of physical medicine & rehabilitation. 2007 May 1;86(5):380-6.

Bohannon RW, Steffl M, Glenney SS, Green M, Cashwell L, Prajerova K, Bunn J. The prone bridge test: Performance, validity, and reliability among older and younger adults. Journal of bodywork and movement therapies. 2018 Apr 1;22(2):385-9.

Abd El Ghafar MT, Olama KA, Ismaeel MM. Differences in lateral core muscles’ endurance measurements adolescents with and without flexible flat-feet. The Egyptian Journal of Hospital Medicine. 2021 Oct 1;85(1):2767-71.

Van Cant J, Detrembleur C, Mahaudens P, Feipel V. RELIABILITY AND VALIDITY OF THE HIP ABDUCTOR ISOMETRIC ENDURANCE TEST: A NEW METHOD TO ASSESS THE ENDURANCE OF THE HIP ABDUCTORS. International journal of sports physical therapy. 2020 Apr;15(2):238.

Van Cant J, Dumont G, Pitance L, Demoulin C, Feipel V. Test-retest reliability of two clinical tests for the assessment of hip abductor endurance in healthy females. International journal of sports physical therapy. 2016 Feb;11(1):24.

Fenato RR, Araujo AC, Guimarães AT. Comparison of gluteus medius strength between individuals with obesity and normal-weight individuals: a cross-sectional study. BMC musculoskeletal disorders. 2021 Dec;22(1):1-0.

King AC, Challis JH, Bartok C, Costigan FA, Newell KM. Obesity, mechanical and strength relationships to postural control in adolescence. Gait & Posture. 2012 Feb 1;35(2):261-5.

Ryan AS, Harduarsingh-Permaul AS. Effects of weight loss and exercise on trunk muscle composition in older women. Clinical interventions in aging. 2014 Mar 3:395-402.

Tan KC. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. The lancet. 2004.

Brijwasi T, Borkar P. A comprehensive exercise program improves foot alignment in people with flexible flat foot: a randomised trial. Journal of Physiotherapy. 2023 Jan 1;69(1):42-6

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Published

2025-02-21

How to Cite

1.
Palekar PJ, Karimjee LM, Palekar TJ. Correlation between Core and Hip Abductor Endurance in Overweight and Obese Students with Flexible Flat Feet. J Neonatal Surg [Internet]. 2025Feb.21 [cited 2025Sep.22];14(4S):299-311. Available from: https://jneonatalsurg.com/index.php/jns/article/view/1793

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