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Abstract Discussion/Conclusion References EMG Comparison of Five Muscles While Walking in Skechers ® Shape-ups Fitness Shoes and Skechers ® Conventional Walking Shoes Karen Beckham, DPT, Keisha Davis, DPT, Elisa Turner, DPT, Cindy LaPorte, PT, PhD, Barney LeVeau, PT, PhD Department of Physical Therapy, Alabama State University,Montgomery, AL Subjects A convenience sample of twenty-three healthy female participants (mean age: 25 ± 3.18 years; height: 1.64 ± 0.11 meters; mass: 65.13 ± 8.54 kilograms) with no musculoskeletal injuries within the past year or known pathology affecting the trunk or lower limbs participated in this study. Results Data show that there was a significant difference in biceps femoris muscle activity during walking on a level surface, with greater muscle activity found in conventional walking shoes (SSU 78.9 ± 32.14 vs. CWS 90.77 ± 46.27, p < 0.05). However, in the other muscles studied (ES, GM, MG, and VM), no significant difference was found between the Skechers® Shape-ups and conventional walking shoes. The results for the other muscles were as follows: errector spinae (SSU 173 ± 117.2 vs. CWS 155.8 ± 102.6, p > 0.05); gluteus maximus (SSU 194.3 ± 133.4 vs. CWS 196.8 ± 152.3, p > 0.05); medial head of gastrocnemius (SSU 76.87 ± 33.16 vs. CWS 84.77 ± 52.86, p > 0.05); and vastus medialis (SSU 134.1 ± 96.07 vs. CWS 134.6 ± 102.7, p > 0.05). All participants attended a practice session to become familiar with walking in the SSU. Participants walked to the beat of a metronome, set at 112 beats per minute, for a distance of 0.40 kilometers on a level surface. Two days later, participants returned for electrode placement on erector spinae (ES), gluteus maximus (GM), biceps femoris (BF), vastus medialis (VM), and medial head of the gastrocnemius (MG) on the dominate leg. Leg dominance was determined by participants completing a lateral preference inventory screening. MVIC readings were obtained for each muscle. Participants randomly selected the pair of shoes, either SSU or CWS, to be worn first. Instructions were given to walk to the beat of a metronome for 2 minutes, followed by a rest break of 3 minutes. Participants changed shoes and walked once more for 2 minutes. Data was obtained and analyzed utilizing Noraxon Wireless EMG system. Methods PURPOSE: To evaluate peak muscle activity while walking in Skechers® Shape-ups fitness shoes (SSU) compared to Skechers® brand conventional walking shoes (CWS). METHODS: Twenty-three female participants attended two separate sessions, a practice session and a second for data collection. Electrode placement and MVIC readings were performed on the errector spinae (ES), gluteus maximus (GM), biceps femoris (BF), medial head of gastrocnemius (MG), and vastus medialis (VM) of each participants’ dominant side. Participants randomly selected which shoes to be worn first, either the SSU or CWS. Subjects walked on a level surface to the beat of a metronome for 2 minutes in each shoe, with a rest break of 3 minutes between trials. Data was obtained and analyzed utilizing Noraxon Wireless EMG system. RESULTS: There was a significant difference in BF muscle activity with greater muscle activity found in the CWS. However, in all other muscles studied, no significant difference was found between the SSU or CWS. CONCLUSION: Walking in SSU and CWS require similar muscle activity for four of the five muscles studied. The results of this study do not support the claims of the fitness shoe manufacturers. Gautreau, S., Petalus, J., Rodriguez, V., Edwards, G. (2009). An expanded clinical trial measuring the benefits of wearing skechers shape-up shoes while participating in a walking program on weight loss, body toning and specific muscle strengthening as they relate to improved posture. Unpublished manuscript. Porcari, J. P., Greany, J., Tepper, S., Edmonson, B., & Foster, C. (2010). The physiologic and electromyographic responses to walking in regular athletic shoes verses "fitness shoes" . Unpublished manuscript, Department of Physical Therapy and Exercise and Sport Science, University of Wisconsin-La Crosse. Romkes, J., Rudmann, C., & Brunner, R. (2006). Changes in gait and EMG when walking with the Masai Barefoot Technique. Clinical Biomechanics, 21, 75-81. Santo, A.S., Dufek, J.S., & Mercer, J.A. (2010). Rocker-bottom, profile type shoes do not increase lower extremity muscle activity and energy cost of walking. Unpublished manuscript, Department of Kinesiology and Nutrition Sciences, University of Nevada, Las Vegas. Skecher. Change your life by walking in Shape-ups. Online: www.skechers.com. Retrieved August 2011. Yanagiya, T., Koyama, K. The effect of shoe sole shapes on muscle activity amount and patterns. Unpublished manuscript, Juntendo University Graduate School. Background Fitness shoes with a rocker bottom sole, specifically the Skechers® Shape-ups, have become increasingly popular in the last few years. Manufacturers report these shoes improve posture, strengthen the back, improve blood circulation, tighten abdominal muscles, firm buttocks muscles, tone and firm thigh muscles, firm calf muscles, and reduce knee joint stress. Minimal research is available to the public that either supports or disproves these claims made by Skechers®. This study was designed similar to an unpublished manuscript by Santo et.al., in which they evaluated a rocker-bottom shoe, a flat-bottomed shoe, and a flat-bottomed shoe with weight matched to the rocker-bottom shoe. They performed EMG studies on selected muscles while walking on a level surface treadmill at participants’ self- selected speed plus 10%. In the current study, additional muscles were evaluated under two conditions while walking on a linoleum tile flooring instead of a treadmill. Each participant in the current study walked at a predetermined speed consistent with a normal walking speed of 1.2 - 1.3 m/s. Walking in Skechers® Shape-ups and conventional walking shoes require similar muscle activity for four of the five muscles studied. Data show that there is a significant difference in the biceps femoris muscle activity during walking on a level surface with the conventional walking shoes. Therefore, the results of this study do not support the claims made by the Skechers® corporation regarding the benefits of their Skechers® Shape-ups shoes. The increased BF muscle activity with the CWS is likely due to changes within the gait cycle while walking in the SSU. As a result of the SSU design, full knee extension may not be obtained secondary to the rocker bottom sole. The shoe’s construction forces mid foot contact rather than a normal heel contact typically observed with a flat-soled shoe. The lack of heel contact along with forward progression of gait could result in decreased knee extension during initial contact. If knee extension is not fully achieved, BF activity would likely be less as it acts to decelerate the leg during terminal swing. This study was designed to evaluate claims made by Skechers® on their Shape-ups shoe regarding strengthening, toning, and firming of muscles in the back and lower limb. The results show no statistically significant difference in either shoe for the muscles studied, excluding the biceps femoris in which the conventional walking shoes show greater peak muscle activation than the Skechers® Shape-ups. Purpose The purpose of this study is to evaluate peak muscle activity using electromyography (EMG) in the Errector Spinae (ES), Gluteus Maximus (GM), Biceps Femoris (BF), Medial head of the Gastrocnemius (MG), and Vastus Medialis (VM) while walking on a level surface in the Skechers® Shape-ups (SSU) fitness shoes compared to a Skecher® brand conventional walking shoes (CWS). Skechers® Conventional Walking Shoes Skechers® Shape-ups

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Page 1: EMG Comparison of Five Muscles While Walking in Skechers ... · Fitness shoes with a rocker bottom sole, specifically the Skechers® Shape-ups, have become increasingly popular in

Abstract Discussion/Conclusion

References

EMG Comparison of Five Muscles While Walking in Skechers ® Shape-ups Fitness Shoes and Skechers ® Conventional Walking ShoesKaren Beckham, DPT, Keisha Davis, DPT, Elisa Turner, DPT, Cindy LaPorte, PT, PhD, Barney LeVeau, PT, PhD

Department of Physical Therapy, Alabama State University,Montgomery, AL

SubjectsA convenience sample of twenty-three healthy female participants (mean age: 25 ± 3.18 years; height: 1.64 ± 0.11 meters; mass: 65.13 ± 8.54 kilograms) with no musculoskeletal injuries within the past year or known pathology affecting the trunk or lower limbs participated in this study.

ResultsData show that there was a significant difference in biceps femoris muscle activity during walking on a level surface, with greater muscle activity found in conventional walking shoes (SSU 78.9 ± 32.14 vs. CWS 90.77 ± 46.27, p < 0.05). However, in the other muscles studied (ES, GM, MG, and VM), no significant difference was found between the Skechers® Shape-ups and conventional walking shoes. The results for the other muscles were as follows: errector spinae (SSU 173 ± 117.2 vs. CWS 155.8 ± 102.6, p > 0.05); gluteus maximus (SSU 194.3 ± 133.4 vs. CWS 196.8 ± 152.3, p > 0.05); medial head of gastrocnemius (SSU 76.87 ± 33.16 vs. CWS 84.77 ± 52.86, p > 0.05); and vastus medialis (SSU 134.1 ± 96.07 vs. CWS 134.6 ± 102.7, p > 0.05).

All participants attended a practice session to become familiar with walking in the SSU. Participants walked to the beat of a metronome, set at 112 beats per minute, for a distance of 0.40 kilometers on a level surface. Two days later, participants returned for electrode placement on erector spinae (ES), gluteus maximus (GM), biceps femoris (BF), vastus medialis (VM), and medial head of the gastrocnemius (MG) on the dominate leg. Leg dominance was determined by participants completing a lateral preference inventory screening. MVIC readings were obtained for each muscle. Participants randomly selected the pair of shoes, either SSU or CWS, to be worn first. Instructions were given to walk to the beat of a metronome for 2 minutes, followed by a rest break of 3 minutes. Participants changed shoes and walked once more for 2 minutes. Data was obtained and analyzed utilizing Noraxon Wireless EMG system.

Methods

PURPOSE: To evaluate peak muscle activity while walking in Skechers® Shape-ups fitness shoes (SSU) compared to Skechers® brand conventional walking shoes (CWS). METHODS: Twenty-three female participants attended two separate sessions, a practice session and a second for data collection. Electrode placement and MVIC readings were performed on the errector spinae (ES), gluteus maximus (GM), biceps femoris (BF), medial head of gastrocnemius (MG), and vastus medialis (VM) of each participants’ dominant side. Participants randomly selected which shoes to be worn first, either the SSU or CWS. Subjects walked on a level surface to the beat of a metronome for 2 minutes in each shoe, with a rest break of 3 minutes between trials. Data was obtained and analyzed utilizing Noraxon Wireless EMG system.RESULTS: There was a significant difference in BF muscle activity with greater muscle activity found in the CWS. However, in all other muscles studied, no significant difference was found between the SSU or CWS. CONCLUSION: Walking in SSU and CWS require similar muscle activity for four of the five muscles studied. The results of this study do not support the claims of the fitness shoe manufacturers.

Gautreau, S., Petalus, J., Rodriguez, V., Edwards, G. (2009). An expanded clinical trial measuring the benefits of wearing skechers shape-up shoes while participating in a walking program on weight loss, body toning and specific muscle strengthening as they relate to improved posture. Unpublished manuscript.

Porcari, J. P., Greany, J., Tepper, S., Edmonson, B., & Foster, C. (2010). The physiologic and electromyographic responses to walking in regular athletic shoes verses "fitness shoes" . Unpublished manuscript, Department of Physical Therapy and Exercise and Sport Science, University of Wisconsin-La Crosse.

Romkes, J., Rudmann, C., & Brunner, R. (2006). Changes in gait and EMG when walking with the Masai Barefoot Technique. Clinical Biomechanics, 21, 75-81.

Santo, A.S., Dufek, J.S., & Mercer, J.A. (2010). Rocker-bottom, profile type shoes do not increase lower extremity muscle activity and energy cost of walking. Unpublished manuscript, Department of Kinesiology and Nutrition Sciences, University of Nevada, Las Vegas.

Skecher. Change your life by walking in Shape-ups. Online: www.skechers.com. Retrieved August 2011.

Yanagiya, T., Koyama, K. The effect of shoe sole shapes on muscle activity amount and patterns. Unpublished manuscript, Juntendo University Graduate School.

BackgroundFitness shoes with a rocker bottom sole, specifically the Skechers® Shape-ups, have become increasingly popular in the last few years. Manufacturers report these shoes improve posture, strengthen the back, improve blood circulation, tighten abdominal muscles, firm buttocks muscles, tone and firm thigh muscles, firm calf muscles, and reduce knee joint stress. Minimal research is available to the public that either supports or disproves these claims made by Skechers®. This study was designed similar to an unpublished manuscript by Santo et.al., in which they evaluated a rocker-bottom shoe, a flat-bottomed shoe, and a flat-bottomed shoe with weight matched to the rocker-bottom shoe. They performed EMG studies on selected muscles while walking on a level surface treadmill at participants’ self-selected speed plus 10%. In the current study, additional muscles were evaluated under two conditions while walking on a linoleum tile flooring instead of a treadmill. Each participant in the current study walked at a predetermined speed consistent with a normal walking speed of 1.2 - 1.3 m/s.

Walking in Skechers® Shape-ups and conventional walking shoes require similar muscle activity for four of the five muscles studied. Data show that there is a significant difference in the biceps femoris muscle activity during walking on a level surface with the conventional walking shoes. Therefore, the results of this study do not support the claims made by the Skechers® corporation regarding the benefits of their Skechers® Shape-ups shoes.

The increased BF muscle activity with the CWS is likely due to changes within the gait cycle while walking in the SSU. As a result of the SSU design, full knee extension may not be obtained secondary to the rocker bottom sole. The shoe’s construction forces mid foot contact rather than a normal heel contact typically observed with a flat-soled shoe. The lack of heel contact along with forward progression of gait could result in decreased knee extension during initial contact. If knee extension is not fully achieved, BF activity would likely be less as it acts to decelerate the leg during terminal swing.

This study was designed to evaluate claims made by Skechers® on their Shape-ups shoe regarding strengthening, toning, and firming of muscles in the back and lower limb. The results show no statistically significant difference in either shoe for the muscles studied, excluding the biceps femoris in which the conventional walking shoes show greater peak muscle activation than the Skechers® Shape-ups.

Purpose The purpose of this study is to evaluate peak muscle activity using electromyography (EMG) in the Errector Spinae (ES), Gluteus Maximus (GM), Biceps Femoris (BF), Medial head of the Gastrocnemius (MG), and Vastus Medialis (VM) while walking on a level surface in the Skechers® Shape-ups (SSU) fitness shoes compared to a Skecher® brand conventional walking shoes (CWS).

Skechers® Conventional Walking

Shoes

Skechers® Shape-ups