Understanding the role of foot biomechanics on regional foot orthosis deformation in flatfoot individuals during walking

Author(s):  
Maryam Hajizadeh ◽  
Gauthier Desmyttere ◽  
Anne-Laure Ménard ◽  
Jacinte Bleau ◽  
Mickael Begon
2016 ◽  
Vol 7 (04) ◽  
pp. 544-549 ◽  
Author(s):  
H. Sankaranarayan ◽  
Anupam Gupta ◽  
Meeka Khanna ◽  
Arun B. Taly ◽  
K. Thennarasu

ABSTRACT Objective: To study role of ankle foot orthosis (AFO) in improving locomotion and functional recovery after stroke. Setting: Neurological Rehabilitation Department of a university research tertiary hospital. Patients and Methods: AFO and activity based rehabilitation. Main Outcome Measures: Distance (meters) covered during the 6-minute walk test (6MWT) and speed (meter/second) during the 10-meter walk test. Functional abilities assessed using Functional Independence Measure (FIM®). Results: Twenty-six patients (21 male) with stroke (mean duration 196.7 days, range 45–360 days) and mean age of 41.6 years (range 18–65 years, standard deviation [SD] 12.5) were included. Fourteen had right hemiplegia. The mean length of stay in the unit was 26.5 days (range 18–45 days, SD 5.5). All patients had equinus deformity with spastic foot drop and were provided with AFO. Walking endurance with 6MWT was 90 m on admission (without AFO). At discharge, it improved to 174 m with AFO and 121 m without AFOs (P < 0.001-with and without AFO at discharge). Walking speed improved from 0.4 m/s (admission) to 0.51 m/s with AFO, P = 0.004 and 0.45 m/s without AFO, P = 0.015) at discharge. Nine patients (34.6%) had clinically important difference-minimal clinically important difference (>0.16 m/s speed gain; >50 m endurance gain) at discharge. The mean FIM® score on admission was 84.3 ± 18.6. At discharge FIM® improved to 101.9 ± 13.7 (P < 0.001). Conclusions: Use of AFOs improve gait parameters significantly in only one-third stroke patients in the study when combined with activity-based inpatient-rehabilitation.


2018 ◽  
Vol 63 (6) ◽  
pp. 691-697 ◽  
Author(s):  
Puteri N.F. Hamdan ◽  
Nur Azah Hamzaid ◽  
Juliana Usman ◽  
Md. Anamul Islam ◽  
Victor S.P. Kean ◽  
...  

Abstract Previous research investigated recumbent cycle power output (PO) from the perspective of knee and hip joint biomechanics. However, ankle-foot biomechanics and, in particular, the effect of ankle-foot orthosis (AFO)-constrained movements on cycle PO has not been widely explored. Therefore, the purpose of this study was to determine whether AFOs of a fixed position (FP) and in dorsi-plantarflexion (DPF)-, dorsiflexion (DF)- and plantarflexion (PF)-constrained movements might influence PO during voluntary recumbent cycling exercises. Twenty-five healthy individuals participated in this study. All underwent 1-min cycling at a fixed cadence for each of the AFOs. The peak and average PO of each condition were analyzed. The peak and average PO were 27.2±12.0 W (range 6–60) and 17.2±9.0 W (range 2–36), respectively, during voluntary cycling. There were no significant differences in the peak PO generated by the AFOs (p=0.083). There were also no significant differences in the average PO generated using different AFOs (p=0.063). There were no significant differences in the changes of the hip and knee joint angles with different AFOs (p=0.974 and p=1.00, respectively). However, there was a significant difference in the changes of the ankle joint angle (p<0.00). The present study observed that AFO-constrained movements did not have an influence in altering PO during voluntary recumbent cycling in healthy individuals. This finding might serve as a reference for future rehabilitative cycling protocols.


2020 ◽  
Vol 14 (2) ◽  
pp. 191-196
Author(s):  
Leonardo Metsavaht ◽  
Gustavo Leporace

Although the importance of studying the anatomy of structures of the ankle and foot joints is fundamental, evidence points to a low correlation between static and dynamic measurements; this could represent a problem in the study of the functioning of the ankle and foot during daily activities. The aim of the present study is to review the classic knowledge on ankle and foot biomechanics and present new concepts of functional biomechanics (3-dimensional biokinetic analysis) in order to clarify their clinical applications in assisting diagnostic and/or treatment decisions. For this, we performed a literature review and divided the article into 6 sections: (1) functional biomechanics of the ankle and foot; (2) dynamic joint stability; (3) functional stability mechanisms of the foot; (4) functional stability mechanisms of the ankle; (5) gait and running biokinetics; (6) the role of proximal joints in ankle and foot movement. At the end of this article, the reader should be able to understand how the 3-dimensional biokinetic analysis of the ankle and foot can contribute along with imaging examinations to the clinical setting, thus allowing the construction of a more complete profile of the patient. Such information could enable the identification of weaknesses and the implementation of objective interventions for each patient. Level of Evidence V; Prognostic Studies; Expert Opinion.


2021 ◽  
pp. 110716
Author(s):  
Joanna Reeves ◽  
Richard Jones ◽  
Anmin Liu ◽  
Leah Bent ◽  
Christopher Nester

JAMA ◽  
1966 ◽  
Vol 195 (12) ◽  
pp. 1005-1009 ◽  
Author(s):  
D. J. Fernbach
Keyword(s):  

Sign in / Sign up

Export Citation Format

Share Document