Kinematic correlates of walking cadence in the foot

Caravaggi, Paolo; Leardini, Alberto; Crompton, Robin H.

doi:10.1016/j.jbiomech.2010.04.015

Cited by 23 publications

(24 citation statements)

References 27 publications

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“…Moreover, visual comparison showed similar patterns with the reported waveforms in the original study[10] (Additional Files 1 and 2). Similar conclusions can be drawn when comparing the data of the current study with those reported by Caravaggi et al[13] during their 'normal' cadence measurements. In fact, this study demonstrated the critical impact of walking cadence on multi-segment foot kinematics.…”

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confidence: 92%

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Repeatability in the assessment of multi-segment foot kinematics

et al. 2012

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A recently published systematic review on 3D multi-segment foot models has illustrated the lack of repeatability studies providing evidence for appropriate clinical decision making. The aim of the current study was to assess the repeatability of the recently published model developed by Leardini et al. [10]. Foot kinematics of six healthy adults were analyzed through a repeated-measures design including two therapists with different levels of experience and four test sessions. For the majority of the parameters moderate or good repeatability was observed for the within-day and between-day sessions. A trend towards consistently higher within- and between-day variability was observed for the junior compared to the senior clinician. The mean inter-session variability of the relative 3D rotations ranged between 0.9-4.2° and 1.6-5.0° for respectively the senior and junior clinician whereas for the absolute angles this variability increased to respectively 2.0-6.2° and 2.6-7.8°. Mean inter-therapist standard deviations ranged between 2.2° and 6.5° for the relative 3D rotations and between 2.8° and 7.6° for the absolute 3D rotations. The ratio of inter-therapist to inter-trial errors ranged between 1.8 and 5.5 for the relative 3D rotations and between 2.4 and 9.7 for the absolute 3D rotations. Absolute angle representation of the planar angles was found to be more difficult. Observations from the current study indicate that an adequate normative database can be installed in gait laboratories, however, it should be stressed that experience of therapists is important and gait laboratories should therefore be encouraged to put effort in training their clinicians.

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confidence: 92%

“…Furthermore, the effect of walking cadence on the kinematic waveforms [13], as well as repeatability indices from a repeated measure design have been reported [14]. Results of the latter indicated that most of the 3D rotations can be measured in a repeatable way by experienced clinicians.…”

Section: Introductionmentioning

confidence: 99%

Repeatability in the assessment of multi-segment foot kinematics

et al. 2012

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“…The plantar fascia tension would increase form 0.4 BW to 0.7 BW even when the arch angle changed 1° during the first 50% of stance phase (Caravaggi, Leardini and Crompton, 2010). In the transverse plane, FW (+25% NW) showed more FF/HF ABD in mid-stance phase compared to PeerJ reviewing PDF | (2018:05:28076:1:1:NEW 22 Jul 2018)…”

Section: Foot Kinematicsmentioning

confidence: 96%

“…Non-sagittal foot kinematics of adult subjects were also reported in recent studies. However, with increase in walking speed, the hindfoot was found to be more inverted on frontal plane and more adducted on transverse plane with respect to the tibia during late stance (Caravaggi, Leardini and Crompton, 2010). Gait kinetic parameters showed a strong correlation with increase in walking speed, particularly the ground reaction forces (GRFs) and joint moments.…”

Section: Introductionmentioning

confidence: 99%

Peer Review #1 of "The effect of walking speed on the foot inter-segment kinematics, ground reaction forces and lower limb joint moments (v0.1)"

2018

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Background: Normative foot kinematic and kinetic data with different walking speed will benefit rehabilitation programs and improving gait performance. The purpose of this study was to analyze foot kinematics and kinetics differences between slow walking (SW), normal walking (NW) and fast walking (FW) of healthy subjects. Methods: Ten healthy male subjects participated in this study, who were asked to carry out walk at a self-selected speed. After measuring and averaging the results of normal walking, the subjects were asked to perform 25% slower and 25% faster walk respectively. Temporal-spatial parameters, kinematics of the tibia (TB), hindfoot (HF), forefoot (FF) and hallux (HX) and ground reaction forces (GRFs) were recorded while the subjects walked at averaged speeds of 1.01m/s (SW), 1.34m/s (NW) and 1.68m/s (FW). Results: Hindfoot relative to tibia (HF/TB) and forefoot relative to hindfoot (FF/HF) dorsiflexion increased in FW, while hallux relative to forefoot (HX/FF) dorsiflexion decreased. Increased peak eversion and peak external rotation in HF/TB were observed in FW with decreased peak supination in FF/HF. GRFs were increased significantly with walking speed. The peak values of the knee and ankle moments in the sagittal and frontal planes significantly increased during FW compared with SW and NW. Discussion: Limited HF/TB and FF/HF motion of SW was likely compensated for increased HX/FF dorsiflexion. Although small angle variation in HF/TB eversion and FF/HF supination during FW may have profound effects for foot kinetics. Higher HF/TB external rotation contributed to the forefoot push-off the ground while the center of mass progresses forward in FW, therefore accompanied by higher FF/HF abduction in FW. Increased peak vertical GRF in FW may affected by decreased stance duration time, the biomechanical mechanism maybe the change in vertical center of mass (COM) height and increase leg stiffness. Walking speed changes accompanied with modulated sagittal plane ankle moments to alter the braking GRF during loading response.

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“…Leardini et al 13 e Caravaggi et al 14 , em seus respectivos estudos de avaliação da marcha, observam que a articulação talocrural varia de 5° de dorsiflexão, no contato inicial com o solo, a 20° de flexão plantar, no momento do desprendimento do pé.…”

Section: Introductionunclassified

Estudo radiográfico axial do antepé para a avaliação do alinhamento da cabeça dos metatarsais no plano coronal

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Ao meu irmão Tiago, presente em todos os momentos.À minha querida esposa Valdinélia, incansável companheira, me dando suporte, amor, carinho e tranquilidade nos momentos mais difíceis.Às minhas duas preciosas filhas, Laís e Clara, fonte de motivação para ser uma pessoa melhor. AGRADECIMENTOSAo Prof. Dr. Tulio Diniz Fernandes, não apenas por me orientar nessa dissertação, com seus ensinamentos científicos e acadêmicos, mas principalmente, por toda ajuda na minha formação como ortopedista e traumatologista. INTRODUCTION:Many authors consider the differences in the relative length of metatarsals in the axial plane, the cause of inadequate load distribution during the gait, overloading the forefoot plantar structures, culminating with metatarsalgia. The realignment of the metatarsal formula is the goal of surgical treatment of this syndrome. However, many studies have shown a 15% rate of metatarsalgia recurrence after the reconstruction in the axial plane, questioning the importance of the metatarsal heads alignment in the coronal plane. OBJECTIVE: This study aims to evaluate the alignment pattern of metatarsal heads in the coronal plane in individuals with and without metatarsalgia. METHODS: A cross-sectional study evaluated 106 individuals between 30 and 65 years old. They were divided in two groups of 106 feet each, one without foot pathologies and another group with metatarsalgia between the 2nd, 3rd and 4th metatarsals. The recruitment was performed at the IOT HC FMUSP for both groups, respecting the criteria of inclusion, exclusion and applying the Informed Consent Term. Individuals with midfoot, hindfoot and ankle deformities, patients with previous surgeries or fractures in the foot, rheumatologic diseases and osteoneuromuscular syndromes were not included. After the selection, the subjects were submitted to one weightbearing forefoot axial radiograph, evaluating the coronal plane in order to verify the heights of the metatarsals heads, and other weightbearing anteroposterior foot radiograph, determining the length of each ray. Statistical analysis was performed comparing the measurements between groups. RESULTS: A hundred six individuals were evaluated, forming two groups with 106 feet each. The group with metatarsalgia presented 34 male patients feet (32%), with a mean age of 49.5 years. Thirtythree feet with hallux valgus were identified in the metatarsalgia group. In the non-pathological group were found 54 male patients feet (51%), with a mean age of 44.6 years. Anthropometric variables such as foot size, body weight, height and BMI between the groups did not present statistical difference. The metatarsal heads in both groups were distributed in curved line in the coronal plane, following the formula M1 M3> M4 = M5. The distal support of the 1st ray was positioned more plantar in the metatarsalgia group (p = 0.000). CONCLUSION:The metatarsal heads in individuals with metatarsalgia and no hallux valgus, were aligned in the coronal plane following this formula M1 M3> M4 = M5, with M1

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Kinematic correlates of walking cadence in the foot

Cited by 23 publications

References 27 publications

Repeatability in the assessment of multi-segment foot kinematics

Repeatability in the assessment of multi-segment foot kinematics

Peer Review #1 of "The effect of walking speed on the foot inter-segment kinematics, ground reaction forces and lower limb joint moments (v0.1)"

Estudo radiográfico axial do antepé para a avaliação do alinhamento da cabeça dos metatarsais no plano coronal

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