The efficiency of gait plate insole for children with in-toeing gait due to femoral antetorsion

2016 ◽  
Vol 41 (1) ◽  
pp. 51-57 ◽  
Author(s):  
Sahar Ganjehie ◽  
Hassan Saeedi ◽  
Behshid Farahmand ◽  
Sarah Curran
Keyword(s):  
Center Of Pressure ◽  
Lateral Displacement ◽  
Femoral Anteversion ◽  
Femoral Antetorsion ◽  
Posterior Displacement ◽  
Significant Difference ◽  
Quasi Experimental ◽  
Posterior Direction ◽  
Walking Tests ◽  
Anterior Posterior

Background:One of the most common gait disorders in children is in-toeing. Few studies have examined the efficacy gait plate insole in in-toeing. we used more precise apparatus than previous studies.Objectives:The aim of this study was to investigate the immediate effect of gait plate insole on the angle of gait and center of pressure displacement in children with in-toeing gait.Study design:Quasi-experimental before -after study.Methods:The angle of gait and center of pressure displacement were measured in 17 children aged 4–10 years with in-toeing gait. The RS scan pressure platform was employed to perform walking tests in three conditions including barefoot, with shoes only, and gait plate insole with shoes.Results:The gait plate insole with shoes as well as shoes alone produced a significant 11.1° and 3.85° increase in the angle of gait in in-toeing children respectively ( p < 0.05). The medial–lateral displacement of center of pressure showed a significant difference (3 mm) in shoes only condition when compared with barefoot condition. The shoes only and gait plate insole compared with barefoot condition increased the anterior–posterior displacement by 28 and 30 mm respectively.Conclusion:The gait plate insole with ordinary shoes and shoes only were able to increase angle of gait and the center of pressure displacement in the anterior–posterior direction in children with in-toeing gait due to excessive femoral anteversion.Clinical relevanceThe use of a gait plate insole inserted in ordinary shoes can improve gait appearance in children with in-toeing gait caused by Excessive femoral anteversion.

scholarly journals Influence of Foot Progression Angle on Center of Pressure During Stair Ascending in Subjects With Chronic Ankle Instability

2021 ◽  
Vol 15 ◽  
pp. 350-354
Author(s):  
Jung-Hyun Ban ◽  
Tae-Ho Kim
Keyword(s):  
Center Of Pressure ◽  
Ankle Instability ◽  
Chronic Ankle Instability ◽  
Foot Progression Angle ◽  
Significant Difference ◽  
The Stability ◽  
Neutral Posture ◽  
Criteria For Selection ◽  
Anterior Posterior ◽  
Selection Of

The purpose of this study was to identify changes in the center of pressure during stair ascending in subjects with chronic ankle instability while different angles of foot are applied. The subjects of this study were 20 male and female adults with chronic ankle instability were selected from among the employees of D Hospital in Daegu Metropolitan City. The criteria for selection of subjects with chronic ankle instability were those who felt wobbling in the ankle joint and scored not higher than 24 points in a test using the Cumberland Ankle Instability Tool (CAIT). The subjects carried out stair ascending in neutral, toe-in and toe-out postures, respectively, and changes in the center of pressure (COP) were compared and analyzed. The results of this study, no statistically significant difference appeared in the comparison between the toe-in posture and neutral posture or between the neutral posture and the toe-out posture but medial/lateral movements of the center of pressure showed significant differences between the toe-in and toe-out postures. In addition, the total travel range and the moving range of the center of pressure, the average velocity, and the anterior/posterior movements of the center of pressure showed no statistically significant difference among all three postures. As a result, it could be seen that when adults with chronic ankle instability climb the stairs, the toe-in posture reduce the medial/lateral movements of the center of pressure thereby increasing the stability of the ankle and effectively preventing re-injuries.

Hip Sway in Patients With Hip Osteoarthritis During One-Leg Standing With a Focus on Time Series Data

Motor Control ◽  
2021 ◽  
pp. 1-17
Author(s):  
Takuya Ibara ◽  
Makoto Takahashi ◽  
Koichi Shinkoda ◽  
Mahito Kawashima ◽  
Masaya Anan
Keyword(s):  
Time Series ◽  
Center Of Pressure ◽  
Hip Osteoarthritis ◽  
Series Data ◽  
Scaling Exponent ◽  
Balance Performance ◽  
Kinematic Parameters ◽  
Lateral Direction ◽  
Posterior Direction ◽  
Anterior Posterior

This study aimed to investigate the hip sway and the relationship between the center of pressure (CoP) and kinematic parameters regarding the time series scaling component α in patients with hip osteoarthritis (OA) during a one-leg standing task. The scaling exponent α, SD, hip sway maximal acceleration change, and balance performance, which was measured using CoP parameters, were compared between hip OA and control groups during a one-leg standing task. The relationships between balance performance with CoP parameters and kinematic parameters were investigated with the regression analysis. In the hip OA group, the scaling exponent α was smaller in the medial–lateral direction, and the SD and maximal amount of change in hip sway acceleration were larger in the anterior–posterior direction in the hip OA group. In this group, the CoP parameters were significantly associated with α in the medial–lateral direction (negatively) and in the anterior–posterior direction (positively). In the hip OA group, hip sway adaptability in the medial–lateral direction was limited, while the anterior–posterior direction showed greater movement.

Vibration-Induced Postural Posteffects

1998 ◽  
Vol 79 (1) ◽  
pp. 143-150 ◽  
Author(s):  
M. M. Wierzbicka ◽  
J. C. Gilhodes ◽  
J. P. Roll
Keyword(s):  
Center Of Pressure ◽  
Mechanical Vibration ◽  
Free Standing ◽  
Isotonic Condition ◽  
Involuntary Contraction ◽  
After Effect ◽  
Posterior Direction ◽  
Low Amplitude ◽  
Spatially Oriented ◽  
Anterior Posterior

Wierzbicka, M. M., J. C. Gilhodes, and J. P. Roll. Vibration-induced postural posteffects. J. Neurophysiol. 79: 143–150, 1998. It generally is known that vibration of various muscles in free-standing subjects evokes a spatially oriented postural response. Furthermore, it recently has been shown that when a vibratory stimulus is terminated, a powerful involuntary contraction of the previously vibrated muscle often occurs that, under the isotonic condition, is accompanied by movement of a limb. The aim of this study was to explore effects of a low-amplitude mechanical vibration, applied in a seated position, on the standing posture. The 30-s vibration was applied bilaterally at the ankle level to anterior or posterior tendons and at the cervical level in front or back of the neck, at one site only at a time. Center of pressure trajectories were monitored during quiet stance for ≤19 min after the offset of vibration, and these measurements were compared with a previbration control trial. The results clearly indicate that vibration produced in all subjects strong, long-lasting dynamical modification of posture mainly in the anterior-posterior direction. Spatial orientation of the induced postvibratory shift in posture was dependent on the vibration side. We conclude that sustained Ia sensory inflow, evoked by vibration, has a powerful after-effect on the motor system at the postural level.

Effect of shoes with rounded soft soles in the anterior–posterior direction on the center of pressure during static standing

The Foot ◽  
2015 ◽  
Vol 25 (2) ◽  
pp. 97-100 ◽  
Author(s):  
Tomohiro Demura ◽  
Shin-ichi Demura ◽  
Masanobu Uchiyama ◽  
Tamotsu Kitabayashi ◽  
Kenji Takahashi
Keyword(s):  
Center Of Pressure ◽  
Posterior Direction ◽  
Anterior Posterior

scholarly journals The center of pressure progression characterizes the dynamic function of high-arched feet during walking

2020 ◽  
Vol 2 (1) ◽  
Author(s):  
Bo Li ◽  
Qipeng Xiang ◽  
Xianyi Zhang
Keyword(s):  
Center Of Pressure ◽  
Clinical Intervention ◽  
Mean Velocity ◽  
Gait Characteristics ◽  
Risk Of Injury ◽  
Dynamic Function ◽  
Posterior Direction ◽  
The Mean ◽  
Two Phases ◽  
Anterior Posterior

Abstract Background The medial longitudinal arch height has an effect on kinetic parameters during gait and might be related to the risk of injury. For the assessment of foot structures, the center of pressure (COP) trajectory is a more reliable and practical parameter than plantar pressure. This study aimed to clarify the COP trajectory and velocity characteristics in the medial-lateral and anterior-posterior direction of individuals with a high-arched foot during barefoot walking. Methods Sixty-two healthy young adults were asked to walk over a Footscan pressure plate to record the COP parameters during the stance phase of walking. Results Compared to normal arched feet, the COP during forefoot contact and foot flat phases of high-arched feet shifted anteriorly (19.9 mm and 15.1 mm, respectively), and the mean velocity of COP in anterior-posterior direction decreased by 0.26 m/s and increased by 0.044 m/s during these two phases respectively. Conclusions The findings of this study suggest that the displacement and velocity of COP in anterior-posterior direction was different between high-arched and normal-arched subjects during barefoot walking, which can be used for the assessment of gait characteristics for high-arched individuals. The results of this study may provide insights into modifying clinical intervention for individuals with high-arched feet to enhance rehabilitation and prevent injuries and have implications for assessing the design of footwear and foot orthotics. Graphical abstract

scholarly journals Comparative study of intermaxillary relationships of manual and swallowing methods

2009 ◽  
Vol 20 (1) ◽  
pp. 78-83 ◽  
Author(s):  
Márcia Cristina Alvarez ◽  
Miriam Lacale Turbino ◽  
Celso de Barros ◽  
Valéria Oliveira Pagnano ◽  
Osvaldo Luiz Bezzon
Keyword(s):  
Temporomandibular Disorders ◽  
Lateral Displacement ◽  
Signs And Symptoms ◽  
Control Group ◽  
Inclusion Criteria ◽  
Significance Level ◽  
Posterior Displacement ◽  
Significant Difference ◽  
Irreversible Hydrocolloid ◽  
The Difference

This study compared the mandibular displacement from three methods of centric relation record using an anterior jig associated with (A) chin point guidance, (B) swallowing (control group) and (C) bimanual manipulation. Ten patients aged 25-39 years were selected if they met the following inclusion criteria: complete dentition (up to the second molars), Angle class I and absence of signs and symptoms of temporomandibular disorders and diagnostic casts showing stability in the maximum intercuspation (MI) position. Impressions of maxillary and mandibular arches were made with an irreversible hydrocolloid impression material. Master casts of each patient were obtained, mounted on a microscope table in MI as a reference position and 5 records of each method were made per patient. The mandibular casts were then repositioned with records interposed and new measurements were obtained. The difference between the two readings allowed measuring the displacement of the mandible in the anteroposterior and lateral axes. Data were analyzed statistically by ANOVA and Tukey's test at 5% significance level. There was no statistically significant differences (p>0.05) among the three methods for measuring lateral displacement (A=0.38 ± 0.26, B=0.32 ± 0.25 and C=0.32 ± 0.23). For the anteroposterior displacement (A=2.76 ± 1.43, B=2.46 ± 1.48 and C=2.97 ± 1.51), the swallowing method (B) differed significantly from the others (p<0.05), but no significant difference (p>0.05) was found between chin point guidance (A) and bimanual manipulation (C). In conclusion, the swallowing method produced smaller mandibular posterior displacement than the other methods.

scholarly journals Postural Preparation to Stepping: Coupled Center of Pressure Shifts in the Anterior-Posterior and Medio-Lateral Directions

2016 ◽  
Vol 54 (1) ◽  
pp. 5-14 ◽  
Author(s):  
Clint Hansen ◽  
Jacques LaRue ◽  
Manh-Cuong Do ◽  
Mark L. Latash
Keyword(s):  
Center Of Pressure ◽  
Initial Conditions ◽  
Force Plate ◽  
Single Step ◽  
The Body ◽  
Lateral Direction ◽  
Postural Adjustments ◽  
Neural Organization ◽  
Posterior Direction ◽  
Anterior Posterior

AbstractWe explored changes in the postural preparation to stepping introduced by modifications of the initial coordinates of the center of pressure (COP). We hypothesized that the postural adjustments in the anterior-posterior direction would persist across all initial COP manipulations while the adjustments in the medio-lateral direction would be highly sensitive to the initial COP coordinate. Healthy subjects stood on a force plate, shifted the body weight to one of the initial conditions that spanned the range of COP coordinates in both directions, and initiated a single step or started to walk. No major changes were observed between the stepping and walking conditions. Changes in the initial COP coordinate in the medio-lateral direction led to scaling of the magnitude of the COP shift in that direction prior to stepping accompanied by a nearly proportional change in the COP shift in the anterior-posterior direction. Changes in the initial COP coordinate in the anterior-posterior direction led to scaling of the magnitude of the COP shift in that direction prior to stepping without consistent changes in the COP shift in the medio-lateral direction. We interpret the results as reflecting a neural organization using a small set of referent body configurations for the postural adjustments.

Postural-Sway Responses in Learning-Disabled Children: Pilot Data

1987 ◽  
Vol 7 (1) ◽  
pp. 37-51 ◽  
Author(s):  
H. J. Polatajko ◽  
Theresa Sullivan
Keyword(s):  
Postural Sway ◽  
Normal Subjects ◽  
Learning Disabled ◽  
Future Research ◽  
Eyes Closed ◽  
Significant Difference ◽  
Eyes Open ◽  
Posterior Direction ◽  
Independent Variable ◽  
Anterior Posterior

This investigation examined the postural-sway response of a matched group of learning-disabled and normal subjects. The subjects were evaluated on a force platform both with their eyes open and with their eyes closed. Four dependent variables, the measures of sway, were subjected to multivariate analysis of variance (MANOVA), with group as the independent variable. The analysis revealed F= 4.25 ( p <.07). The Univariate F test revealed Root Mean Square Y (EC) to be significant at p <. 002. A t test revealed Romberg Y to be significant at p <. 026. The results indicated a significant difference in postural sway between the two groups. The learning-disabled group appeared to be using visual input to compensate for postural problems and experiencing significant difficulty controlling posture in an anterior/posterior direction, especially with their eyes closed. Limitations of the study are discussed, and implications for occupational therapy and future research are outlined.

People with persistent postural-perceptual dizziness demonstrate altered postural strategies in complex visual and cognitive environments

2021 ◽  
pp. 1-13
Author(s):  
Anat V. Lubetzky ◽  
Moshe M.H. Aharoni ◽  
Liraz Arie ◽  
Tal Krasovsky
Keyword(s):  
Center Of Pressure ◽  
Cognitive Task ◽  
Lateral Acceleration ◽  
Vestibular Disorders ◽  
Head Mounted Display ◽  
Balance Task ◽  
Cognitive Task Performance ◽  
Head Segment ◽  
Posterior Direction ◽  
Anterior Posterior

BACKGROUND: People with PPPD report imbalance, increase in symptoms and impaired function within complex visual environments, but understanding of the mechanism for these behaviors is still lacking. OBJECTIVE: To investigate postural control in PPPD we compared changes in center of pressure (COP) and head kinematics of people with PPPD (N = 22) and healthy controls (N = 20) in response to different combinations of visual and cognitive perturbations during a challenging balance task. METHODS: Participants stood in a tandem position. Static or moving stars (0.2 Hz, 5 mm or 32 mm amplitude, anterior-posterior direction) were displayed through a head-mounted display (HTC Vive). On half the trials, participants performed a serial-3 subtraction task. We measured medio-lateral and anterior-posterior path and acceleration of COP and head. RESULTS: Controls significantly increased all COP and head parameters with the cognitive task whereas PPPD increased only COP ML path and acceleration. Only controls significantly increased head anterior-posterior & medio-lateral acceleration with moving visual load. Cognitive task performance was similar between groups. CONCLUSIONS: We observed altered postural strategies in people with PPPD, in the form of reduced movement with challenge, particularly around the head segment. The potential of this simple and portable head-mounted display setup for differential diagnosis of vestibular disorders should be further explored.

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