International Journal of Research in Medical Sciences | June 2015 | Vol 3 | Issue 6 Page 1358
International Journal of Research in Medical Sciences
Maredia SI et al. Int J Res Med Sci. 2015 Jun;3(6):1358-1362
www.msjonline.org
pISSN 2320-6071 | eISSN 2320-6012
Research Article
Influence of leg dominancy over foot pressure and postural sway in
middle age population: an observational study
Sulofana Iqbal Maredia
1
, Shraddha Sawant
1
, Senthil Kumar
2
*
INTRODUCTION
Postural stability or balance is defined as ability to
maintain the projected center of motion within the limits
of base of support; researches which have been done
showed various strategies to control the stability and
orientation of posture. There are three strategies namely
hip, ankle, and knee to control the postures. Research had
been done on postural control which showed asymmetry
of postures by using various strategies as mentioned
above.
1
The control of standing balance is a task of
maintaining body’s centre of mass within the limit of
base of support achieved by producing forces on the
supporting surface predominantly by the feet.
2
Lateral dominance is the preferred use and superior
performance of one side of the body as compared to the
other side.
2
This preference is apparent in the upper
extremity, where the preferred arm is usually stronger
and more versatile.
3
Contrary to hand dominance minimal
attention has been given to concept of leg and foot
dominance.
2,3
Asymmetry between both the lower limbs
has also been noted, When we step on the ground we
produce a vector of force that is generally downward and
backward. The ground produces an opposite force that is
upwards and forwards and this is Ground Reaction Force
(GRF). Exertions of ground reaction forces are widely
used as an index of balance control.
4
ABSTRACT
Background: The notion of limb dominance has been commonly used in the upper extremity, yet the two lower
extremities are often treated as equal for clinical purposes. But both the lower limbs may not be perfectly
symmetrical. There are conflicts of results with relation to leg dominancy, postural sway and foot pressure, which
aided us to study the effect of lateralization on foot pressure and postural sway in middle age population.
Methods: Thirty two normal subjects were recruited based on criteria, whose dominant lower limb was ascertained,
Foot Pressure and postural sway was assessed by weighing scale and postural sway meter respectively.
Results: Descriptive statistics and two way ANOVA were used as statistical analysis. Foot Pressure showed
significant difference (P value <0.05) between dominant and non-dominant leg. On the other hand postural sway
showed significant antero-lateral sway towards dominant side (P value <0.001).
Conclusions: Lateralization of foot pressure is significant over dominant leg while postural sway is significant over
anterolateral dominant side.
Keywor ds: Leg dominancy, Foot Pressure, Postural sway
1
Smt. Kashibai Navale College of Physiotherapy, Pune, Maharashtra, India
2
Department of Cardio Vascular Respiratory Physiotherapy, Smt. Kashibai Navale College of Physiotherapy, Pune,
Maharashtra, India
Received: 28 March 2015
Revised: 05 April 2015
Accepted: 07 May 2015
*Correspondence:
Dr. Senthil Kumar,
E-mail: senthilekumar@gmail.com, senthile_kumar@yahoo.com
Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under
the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial
use, distribution, and reproduction in any medium, provided the original work is properly cited.
DOI: 10.18203/2320-6012.ijrms20150147