scholarly journals Effects of Orthotic Insoles on Gait Kinematics and Low Back Pain in Subjects with Mild Leg Length Discrepancy

2020 ◽  
Author(s):  
Charlotte Menez ◽  
Jérémy Coquart ◽  
Damien Dodelin ◽  
Claire Tourny ◽  
Maxime Lhermette
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Leg Length Discrepancy ◽  
Low Back ◽  
Leg Length ◽  
Gait Symmetry ◽  
Length Discrepancy ◽  
Ankle Kinematics ◽  
Before And After ◽  
Orthotic Insoles

Background: Mild leg length discrepancy (LLD) increases the biomechanical asymmetry during gait, which leads to low back pain (LBP). Orthotic insoles (OI) with a directly integrated heel lift were used to reduce this asymmetry and thus the associated LBP. The aim of this study was to analyze the biomechanical adaptations of the locomotor apparatus during gait and the subjective pain ratings before and after the establishment of OI use. Methods: Eight subjects with mild LLD ({less than or equal to} 2.0 cm) underwent 3-dimensional biomechanical analysis while walking, before and after 3 weeks of OI use. LBP was assessed separately before both measurement sessions using a visual analogue scale. Results: The analysis of the kinematic parameters highlighted individual adaptations. The symmetry index (SI) of Robinson indicated that OI had no significant effect on the kinematic gait parameters and an unpredictable effect across subjects. OI use significantly and systematically (in all subjects) reduced LBP (P < 0.05), which was correlated with changes in ankle kinematics (P = 0.02, r = 0.80). Conclusions: The effects of OI on gait symmetry are unpredictable and specific to each subject's individual manner of biomechanical compensation. The reduction in LBP seems associated with the improved ankle kinematics during gait.

scholarly journals Leg-length discrepancy is associated with low back pain among those who must stand while working

2015 ◽  
Vol 16 (1) ◽  
Author(s):  
Satu Rannisto ◽  
Annaleena Okuloff ◽  
Jukka Uitti ◽  
Markus Paananen ◽  
Pasi-Heikki Rannisto ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Leg Length Discrepancy ◽  
Low Back ◽  
Leg Length ◽  
Length Discrepancy

scholarly journals Leg Length Discrepancy in College Students and Its Association with Low Back Pain: a Preliminary Study

2019 ◽  
Vol 3 (2) ◽  
pp. 15-18
Author(s):  
Ignatio Rika Haryono ◽  
◽  
Melani Kawilarang ◽  
Nawanto Agung Prastowo ◽  
◽  
...  
Keyword(s):  
College Students ◽  
Low Back Pain ◽  
Back Pain ◽  
Leg Length Discrepancy ◽  
Low Back ◽  
Leg Length ◽  
Length Discrepancy ◽  
Preliminary Study

scholarly journals Deconstructing Chronic Low Back Pain in the Older Adult—Step-by-Step Evidence and Expert-Based Recommendations for Evaluation and Treatment: Part XII: Leg Length Discrepancy

Pain Medicine ◽  
2016 ◽  
Vol 17 (12) ◽  
pp. 2230-2237 ◽  
Author(s):  
Mark Havran ◽  
Joel D. Scholten ◽  
Paula Breuer ◽  
Jennifer Lundberg ◽  
Gary Kochersberger ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Older Adult ◽  
Chronic Low Back Pain ◽  
Leg Length Discrepancy ◽  
Low Back ◽  
Leg Length ◽  
Length Discrepancy

Leg-Length Discrepancy, Functional Scoliosis, and Low Back Pain

JBJS Reviews ◽  
2018 ◽  
Vol 6 (8) ◽  
pp. e6-e6 ◽  
Author(s):  
Evan D. Sheha ◽  
Michael E. Steinhaus ◽  
Han Jo Kim ◽  
Matthew E. Cunningham ◽  
Austin T. Fragomen ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Leg Length Discrepancy ◽  
Low Back ◽  
Leg Length ◽  
Length Discrepancy

scholarly journals Correction of leg-length discrepancy among meat cutters with low back pain: a randomized controlled trial

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Satu Rannisto ◽  
Annaleena Okuloff ◽  
Jukka Uitti ◽  
Markus Paananen ◽  
Pasi-Heikki Rannisto ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Low Back Pain ◽  
Back Pain ◽  
Controlled Trial ◽  
Leg Length Discrepancy ◽  
Low Back ◽  
Leg Length ◽  
Length Discrepancy ◽  
Randomized Controlled

scholarly journals Orthotic Insoles Improve Gait Symmetry and Reduce Immediate Pain in Subjects With Mild Leg Length Discrepancy

2020 ◽  
Vol 2 ◽  
Author(s):  
Charlotte Menez ◽  
Maxime L'Hermette ◽  
Jeremy Coquart
Keyword(s):  
Sagittal Plane ◽  
Research Question ◽  
Frontal Plane ◽  
Leg Length Discrepancy ◽  
Leg Length ◽  
Gait Symmetry ◽  
Symmetry Index ◽  
Length Discrepancy ◽  
The Right ◽  
Orthotic Insoles

Background: Mild leg length discrepancy can lead to musculoskeletal disorders; however, the magnitude starting from which leg length discrepancy alters the biomechanics of gait or benefits from treatment interventions is not clear.Research question: The aim of the current study was to examine the immediate effects of orthotic insoles on gait symmetry and pain on mild leg length discrepancy according to two groups of the leg length discrepancy (i.e., LLD ≤ 1 cm vs. LLD > 1 cm).Methods: Forty-six adults with mild leg length discrepancy were retrospectively included and classified into two groups (GLLD≤1cm or GLLD>1cm). All subjects underwent routine 3D gait analysis with and without orthotic insoles. The symmetry index was calculated to assess changes in gait symmetry between the right and left limbs. Pain was rated without (in standing) and with the orthotic insoles (after 30 min of use) on a visual analog scale.Results: There was a significant improvement in the symmetry index of the pelvis in the frontal plane (p = 0.001) and the ankle in the sagittal plane (p = 0.010) in the stance with the orthotic insoles independent from the group. Pain reduced significantly with the orthotic insoles independently from the group (p < 0.001).Significance: Orthotic insoles significantly improved gait symmetry in the pelvis in the frontal plane and the ankle in the sagittal plane, as well as pain in all subjects (both LLD ≤ 1 cm and LLD > 1 cm) suggesting that it may be appropriate to treat even mild leg length discrepancy.

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