Effects of <scp>Shoe‐Stiffening</scp> Inserts on Lower Extremity Kinematics in Individuals With First Metatarsophalangeal Joint Osteoarthritis

McClelland, Jodie A.; Allan, Jamie J.; Auhl, Maria; Buldt, Andrew K.; Landorf, Karl B; Cicuttini, Flavia Maria; Roddy, Edward; Menz, Hylton B.; Munteanu, Shannon E.

doi:10.1002/acr.24647

Cited by 3 publications

(4 citation statements)

References 36 publications

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“…Specifically, the ROM decreased by 26.6%. This change was consistent with previous reports in other sports [13,40,41] and was confirmed by SPM analysis. However, the change in the MTP joint during AJRS was greater than that in running, which might be attributed to the mechanics of AJRS, wherein AJRS required propulsion through the forefoot [27].…”

Section: Discussionsupporting

confidence: 93%

Effects of Barefoot and Shod Conditions on the Kinematics and Kinetics of the Lower Extremities in Alternating Jump Rope Skipping—A One-Dimensional Statistical Parameter Mapping Study

Li,

Wu,

et al. 2023

Bioengineering

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Purpose: To explore the difference in the biomechanics of the lower extremity during alternating jump rope skipping (AJRS) under barefoot and shod conditions. Methods: Fourteen experienced AJRS participants were randomly assigned to wear jump rope shoes or be barefoot (BF) during the AJRS at a self-selected speed. The Qualisys motion capture system and Kistler force platform were used to synchronously collect the ground reaction forces and trajectory data of the hip, knee, ankle, and metatarsophalangeal (MTP) joints. One-dimensional statistical parameter mapping was used to analyze the kinematics and kinetics of the lower extremity under both conditions using paired t-tests. Results: Wearing shoes resulted in a significant decrease in the ROM (p < 0.001) and peak angular velocity (p < 0.001) of the MTP joint during the landing phase. In addition, the MTP joint power (p < 0.001) was significantly larger under shod condition at 92–100% of the landing phase. Moreover, wearing shoes reduced the peak loading rate (p = 0.002). Conclusion: The findings suggest that wearing shoes during AJRS could provide better propulsion during push-off by increasing the MTP plantarflexion joint power. In addition, our results emphasize the significance of the ankle and MTP joint by controlling the ankle and MTP joint angle.

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Section: Discussionsupporting

confidence: 93%

Effects of Barefoot and Shod Conditions on the Kinematics and Kinetics of the Lower Extremities in Alternating Jump Rope Skipping—A One-Dimensional Statistical Parameter Mapping Study

Li,

Wu,

et al. 2023

Bioengineering

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“…The prevalence of neuropathic pain observed in this study is similar to previous reports in individuals with knee and hip OA. A systematic review and meta-analysis of 39 studies (36 involving the knee and 3 involving the hip) showed a pooled prevalence estimate of 40% (95% confidence interval [95% CI] 32-48) in knee OA and 29% (95% CI [22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37] in hip OA, using the same case definition of possible/likely neuropathic pain from the PD-Q (6). The prevalence of reporting individual neuropathic symptoms was also high in our study, with 70% reporting ≥1 neuropathic † For short Form 12 (SF-12) scores, scores ranged from 0 to 100, with higher scores indicating better function.…”

Section: Discussionmentioning

confidence: 99%

“…Foot OA most commonly affects the first metatarsophalangeal (MTP) joint and is characterized by the formation of a dorsal exostosis ( 19 ), limited range of motion ( 20 ), and altered walking patterns ( 21 ). Interventions such as footwear and orthoses have been shown to alter the biomechanical function of the foot in individuals with first MTP joint OA ( 22 , 23 ) but show only modest reductions in pain ( 24 , 25 ), suggesting that non‐mechanical factors may contribute to symptoms.…”

Section: Introductionmentioning

confidence: 99%

Neuropathic Pain Associated With First Metatarsophalangeal Joint Osteoarthritis: Frequency and Associated Factors

Menz

Allan

Buldt

et al. 2023

Arthritis Care & Research

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ObjectiveTo determine whether neuropathic pain is a feature of first metatarsophalangeal (MTP) joint osteoarthritis (OA).MethodsA total of 98 participants (mean ± SD age 57.4 ± 10.3 years) with symptomatic radiographic first MTP joint OA completed the PainDETECT questionnaire (PD‐Q), which has 9 questions regarding the intensity and quality of pain. The likelihood of neuropathic pain was determined using established PD‐Q cutoff points. Participants with unlikely neuropathic pain were then compared to those with possible/likely neuropathic pain in relation to age, sex, general health (Short Form 12 [SF‐12] health survey), psychological well‐being (Depression, Anxiety and Stress Scale), pain characteristics (self‐efficacy, duration, and severity), foot health (Foot Health Status Questionnaire [FHSQ]), first MTP dorsiflexion range of motion, and radiographic severity. Effect sizes (Cohen's d coefficient) were also calculated.ResultsA total of 30 (31%) participants had possible/likely neuropathic pain (19 possible [19.4%], 11 likely [11.2%]). The most common neuropathic symptoms were sensitivity to pressure (56%), sudden pain attacks/electric shocks (36%) and burning (24%). Compared to those with unlikely neuropathic pain, those with possible/likely neuropathic pain were significantly older (d = 0.59, P = 0.010), had worse SF‐12 physical scores (d = 1.10, P < 0.001), pain self‐efficacy scores (d = 0.98, P < 0.001), FHSQ pain scores (d = 0.98, P < 0.001), and FHSQ function scores (d = 0.82, P < 0.001), and had higher pain severity at rest (d = 1.01, P < 0.001).ConclusionA significant proportion of individuals with first MTP joint OA report symptoms suggestive of neuropathic pain, which may partly explain the suboptimal responses to commonly used treatments for this condition. Screening for neuropathic pain may be useful in the selection of targeted interventions and may improve clinical outcomes.image

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“…For forefoot joint disorders such as plantar plate tears or hallux rigidus, the use of a thin carbon foot plate (eg, Morton extension) can offset the extension forces during gait, facilitating healing and pain control while maintaining desired activity levels. 32 Meanwhile, heel lifts or gel cups to cushion the calcaneus are prevalent for the management of plantar fasciitis and Achilles disorders, despite limited evidence (Figure 1D). 4,33…”

Section: Orthosis Management For Common Pathologiesmentioning

confidence: 99%

Orthotic Devices for the Foot and Ankle

An,

Berke,

Beattie

et al. 2023

J Am Acad Orthop Surg

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Millions of Americans wear ankle-foot orthotic devices for protection, pain relief, and deformity correction. Inquiries about off-the-shelf and custom devices are a common reason for evaluation with a foot and ankle surgeon or general orthopaedic surgeon. Despite limited high-quality evidence for their use, these devices can have a notable clinical impact on physical function. An up-to-date understanding of orthotic device options and their appropriate use in managing musculoskeletal pathologies applies to all orthopaedic providers. This review aims to categorize orthosis types and provide specific device recommendations for common adult conditions such as flatfoot, cavovarus foot, and ankle instability. Collaboration with a certified orthotist can help patients achieve functional and recreational goals with the use of appropriately designed and applied orthoses.

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Effects of Shoe‐Stiffening Inserts on Lower Extremity Kinematics in Individuals With First Metatarsophalangeal Joint Osteoarthritis

Abstract: This article has been accepted for publication and undergone full peer review but has not been through the copyediting, typesetting, pagination and proofreading process, which may lead to differences between this version and the Version of Record. Please cite this article as

Cited by 3 publications

References 36 publications

Effects of Barefoot and Shod Conditions on the Kinematics and Kinetics of the Lower Extremities in Alternating Jump Rope Skipping—A One-Dimensional Statistical Parameter Mapping Study

Effects of Barefoot and Shod Conditions on the Kinematics and Kinetics of the Lower Extremities in Alternating Jump Rope Skipping—A One-Dimensional Statistical Parameter Mapping Study

Neuropathic Pain Associated With First Metatarsophalangeal Joint Osteoarthritis: Frequency and Associated Factors

Orthotic Devices for the Foot and Ankle

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