Dynamic in-vivo assessment of navicular drop while running in barefoot, minimalist, and motion control footwear conditions

Hoffman, Scott E.; Peltz, Cathryn D.; Haladik, Jeffrey A.; Divine, George; Nurse, Matthew A.; Bey, Michael J.

doi:10.1016/j.gaitpost.2015.02.017

Cited by 28 publications

(14 citation statements)

References 26 publications

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“…[ 48 , 49 ] A previous study showed that at the stance phase of running, a high ND could be associated with increased peak ankle and knee joint moments, which in turn may lead to lower extremity injuries. [ 50 ] Moreover, as static measures of ND have poor association with dynamic measures [ 51 ] because only sagittal plane movement is taken into account, [ 52 ] dynamic navicular assessment may be an effective tool to examine foot function affected by extrinsic and intrinsic factors in walking and running. [ 53 ] Therefore, in this study, ND was measured during weight bearing, walking, and jogging; nevertheless, a significant difference among the taping conditions was not found.…”

Section: Discussionmentioning

confidence: 99%

Short-term effects of sports taping on navicular height, navicular drop and peak plantar pressure in healthy elite athletes

Taegyu

Park²

2017

Medicine

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Medial tibial stress syndrome (MTSS) is one of the most common exercise-induced leg pain. The navicular drop (ND) was identified as a risk factor for MTSS. This study aimed to evaluate the short-term effects of sports taping applied to the supporting lower leg during sitting, standing, walking, and jogging to restrict the ND in healthy elite athletes.Twenty-four healthy elite athletes without a history of exercise-induced pain or injuries in the lower limbs participated in this study (median age: 21.00 years; 1st--3rd quartiles; 19.25–22.00). The 4 taping conditions were used: rigid taping (RT), kinesiology taping (KT), placebo taping (PT), and non-taping (NT). The order of taping techniques was randomly assigned. Normalized navicular height (NH), ND, and normalized ND evaluated using 3-dimensional motion analysis, and normalized peak plantar pressure (PP) were compared in 4 taping conditions during sitting, standing, walking, and jogging.During sitting, the normalized NH of RT is higher than that of NT, KT, and PT (χ2 = 17.30, P = .001), while during jogging, the normalized NH of RT is higher than that of NT and PT (χ2 = 10.55, P = .014). The normalized peak PP of NT is higher than that of PT (χ2 = 8.871, P = .031) in the lateral midfoot region.This study showed the RT technique maintained NH during sitting and jogging, and the RT technique could be an effective preventive and treatment strategy for MTSS.

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Section: Discussionmentioning

confidence: 99%

Short-term effects of sports taping on navicular height, navicular drop and peak plantar pressure in healthy elite athletes

Taegyu

Park²

2017

Medicine

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“…Dynamic studies using biplane fluoroscopy have been used to determine the effects of footwear on the motion of the tibiotalar and STJs 13 as well as the navicular drop and navicular drop rate in minimalist, stability and motion control shoes. 14 Markerless RSA has been previously used to quantify the angle of the MLA for barefoot and shod conditions 15 ; however, there is no current literature discussing the effects of foot orthoses on foot kinematics using this method.…”

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confidence: 99%

Hard, soft and off-the-shelf foot orthoses and their effect on the angle of the medial longitudinal arch

Balsdon

Dombroski²,

Bushey

et al. 2019

Prosthetics &Amp; Orthotics International

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Background: Foot orthoses have proven to be effective for conservative management of various pathologies. Pathologies of the lower limb can be caused by abnormal biomechanics such as irregular foot structure and alignment, leading to inadequate support. Objectives: To compare biomechanical effects of different foot orthoses on the medial longitudinal arch during dynamic gait using skeletal kinematics. Study design: This study follows a prospective, cross-sectional study design. Methods: The medial longitudinal arch angle was measured for 12 participants among three groups: pes planus, pes cavus and normal arch. Five conditions were compared: three orthotic devices (hard custom foot orthosis, soft custom foot orthosis and off-the-shelf Barefoot Science©), barefoot and shod. An innovative method, markerless fluoroscopic radiostereometric analysis, was used to measure the medial longitudinal arch angle. Results: Mean medial longitudinal arch angles for both custom foot orthosis conditions were significantly different from the barefoot and shod conditions ( p < 0.05). There was no significant difference between the off-the-shelf device and the barefoot or shod conditions ( p > 0.05). In addition, the differences between hard and soft custom foot orthoses were not statistically significant. All foot types showed a medial longitudinal arch angle decrease with both the hard and soft custom foot orthoses. Conclusion: These results suggest that custom foot orthoses can reduce motion of the medial longitudinal arch for a range of foot types during dynamic gait. Level of evidence: Therapeutic study, Level 2. Clinical relevance Custom foot orthoses support and alter the position of the foot during weightbearing. The goal is to eliminate compensation of the foot for a structural deformity or malalignment and redistribute abnormal plantar pressures. By optimizing the position of the foot, the medial longitudinal arch (MLA) will also change and quantifying this change is of interest to clinicians.

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“…The cross-sectional study on healthy adults investigated the relationship between cranio-caudal and medio-lateral navicular translation and selected multi-segment foot kinematics from the Oxford Foot Model during the stance phase of barefoot walking at a self-selected pace. This study aimed to validate the concept of using a minimal markerset to measure cranio-caudal and medio-lateral navicular translation, two surrogate parameters which seem promising to assess foot function during dynamic tasks [12, 13]. To draw the key conclusions from the data presented in this article it is important to note that the FFtoHF pronation from the OFM actually describes the frontal plane motion of the FF with respect to the HF and does not correspond with the clinical understanding of pronation, which is the triplanar combination of FF to HF dorsiflexion—abduction—eversion [3, 5].…”

Section: Discussionmentioning

confidence: 99%

“…A marker at the navicular bone provides valuable information for midfoot kinematics [11]. Assessment of the navicular mobility in terms of cranio-caudal (NCC) and medio-lateral (NML) translation of the navicular tuberosity originates from the domain of clinical evaluation of the foot and is thought to be representative for foot pronation [12, 13]. The concept goes back to the ideas of navicular drop and drift, the vertical or medial excursion of the navicular tuberosity when going from a subtalar neutral position into a relaxed calcaneal position, which were proposed as quasi-static estimates for the amount of foot pronation and to provide further insights into talonavicular joint mechanics [14–16].…”

Section: Introductionmentioning

confidence: 99%

Cranio-caudal and medio-lateral navicular translation are representative surrogate measures of foot function in asymptomatic adults during walking

et al. 2018

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IntroductionThe translation of the navicular bone is thought to be a representative surrogate measure to assess foot pronation and hence foot function; however, it is not known how it is related to multi-segment foot kinematics.MethodsCranio-caudal (NCC) and medio-lateral (NML) navicular translation and multi-segment foot kinematics from the Oxford Foot Model (OFM) were simultaneously assessed during the stance phase of walking in 20 healthy adults. Relationships to forefoot to hindfoot (FFtoHF), hindfoot to tibia (HFtoTBA) and global hindfoot (HFL) motion were explored by cross-correlations at zero phase shift.ResultsFFtoHF sagittal, transversal and frontal plane angles showed median cross correlations of -0.95, 0.82 and 0.53 with NCC and of 0.78, -0.81 and -0.90 with NML. HFtoTBA transversal and frontal plane angles had correlations of 0.15 and 0.74 with NCC and of -0.38 and -0.83 with NML. The HFL frontal plane angle showed correlations of 0.41 and -0.44 with NCC and NML, respectively.DiscussionThe strongest relationships were found between FFtoHF sagittal plane angles and NCC and between FFtoHF frontal plane angles and NML. However, cranio-caudal and medio-lateral navicular translation seem to be reasonable surrogates for the triplanar motion between the fore- and hindfoot. The medial longitudinal arch dropped and bulged medially, while the forefoot dorsiflexed, abducted and everted with respect to the hindfoot and vice-versa. The lower cross-correlation coefficients between the rear foot parameters and NCC/NML indicated no distinct relationships between rearfoot frontal plane and midfoot kinematics. The validity of rearfoot parameters, like Achilles tendon or Calcaneal angle, to assess midfoot function must be therefore questioned. The study could also not confirm a systematic relationship between midfoot kinematics and the internal/external rotation between the hindfoot and the tibia. The measurement of navicular translation is suggested as an alternative to more complex multi-segment foot models to assess foot function.

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Dynamic in-vivo assessment of navicular drop while running in barefoot, minimalist, and motion control footwear conditions

Cited by 28 publications

References 26 publications

Short-term effects of sports taping on navicular height, navicular drop and peak plantar pressure in healthy elite athletes

Short-term effects of sports taping on navicular height, navicular drop and peak plantar pressure in healthy elite athletes

Hard, soft and off-the-shelf foot orthoses and their effect on the angle of the medial longitudinal arch

Cranio-caudal and medio-lateral navicular translation are representative surrogate measures of foot function in asymptomatic adults during walking

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