External rotation elastic bands at the lower limb decrease rearfoot eversion during walking: a preliminary proof of concept.
Thales R Souza, Vanessa L Araújo, Paula L Silva and 3 others
PMID 27849289WHAT IT FOUND
Elastic bands that pull the lower limb into external rotation reduced rearfoot eversion during walking in 17 healthy adults.
It did not test people with foot or knee symptoms or whether symptoms change.
Key findings
01Both elastic bands significantly changed rearfoot motion toward less eversion compared with no band.
02There was no significant difference between the low-stiffness and high-stiffness bands on those measures.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
The study included 17 healthy participants who were symptom-free and had no lower limb or lumbo-pelvic pathology in the previous six months. The participants did not necessarily have excessive hip internal rotation or foot pronation, so the study did not test the group most likely to need treatment. The bands were tested only during an acute treadmill walking session, so mid- and long-term effects during or after use were not assessed. Hip and knee motion and joint moments were not measured, so the authors could not confirm that the bands produced different external rotation moments or that proximal mechanics caused the rearfoot changes. In the post-hoc comparison of foot external rotation at initial contact, statistical power was only 0.63, so the sample was too small to conclude why the two bands did not differ. Only the right limb was measured, and the walking speed was each participant's preferred treadmill speed.
The easy way to misread this
Do not read the reduced rearfoot eversion as evidence that elastic bands treat foot or knee pain. The study tested only healthy adults during a treadmill session and did not measure symptoms, hip or knee moments, or long-term effects.