Measuring medial longitudinal arch deformation during gait. A reliability study

Bencke, Jesper; Christiansen, Ditte; Jensen, Kathrine; Okholm, Anne; Sonne‐Holm, Stig; Bandholm, Thomas

doi:10.1016/j.gaitpost.2011.10.360

Cited by 29 publications

(31 citation statements)

References 29 publications

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“…Clinical interventions for foot injury rehabilitation and prevention are often prescribed based on static measures of foot posture. Measuring arch height index (AHI) is one static method that is widely used to classify foot type and predict foot function during dynamic activities (13). The ease and convenience of measuring static AHI in both research and clinical settings, as well as its structural representation of the medial longitudinal arch, make AHI a commonly used measurement.…”

Section: Introductionmentioning

confidence: 99%

The Role of the Midfoot in Drop Landings

Olsen

Bruening

Johnson

et al. 2019

Medicine &Amp; Science in Sports &Amp; Exercise

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Kinematic data revealed an average sagittal plane midtarsal joint range of motion (ROM) of 27 degrees through the landing phase. Kinetic data showed that between 7% and 22% of the total lower extremity joint work during the landing was performed by the midtarsal joint. Both standing AHI and static midtarsal joint angle (static MA) were correlated with sagittal plane midtarsal joint ROM (standing AHI: r=-0.320, p=0.026; static MA: r=0.483, p<0.001) and with midtarsal joint work (standing AHI: r=0.332, p=0.021; static MA: r=-.323, p=0.025). ConclusionThe midfoot contributes substantially to landing mechanics during a barefoot single-leg landing task. Static foot posture measures have limited value in predicting midfoot kinematics and kinetics during sport-like landings.

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Section: Introductionmentioning

confidence: 99%

The Role of the Midfoot in Drop Landings

Olsen

Bruening

Johnson

et al. 2019

Medicine &Amp; Science in Sports &Amp; Exercise

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“…In 2D analysis using the tablet computer, arch height was calculated as the distance between the navicular tuberosity and the baseline connecting to the medial aspect of the calcaneus and the first metatarsal Pre-statistical analysis showed no sex difference in foot alignment, therefore we treated males and females as one group. Furthermore, we performed power analysis to estimate the validity of sample size by referring to a previous study, which reports that the correlation coefficient between 2D analysis and 3D analysis, and between static foot alignment and dynamic foot alignment, were 0.76 and 0.56, respectively [25]. Thus, power analysis was performed using the G * Power, r = 0.50, α = 0.05, and power (1 -β) = 0.8, indicated that the required sample size was 26.…”

Section: Discussionmentioning

confidence: 99%

“…2D analysis is easily measured anywhere, and feedback can be given to patients immediately. However, the validity of dynamic assessment of foot alignment using 2D analysis is unclear due to the lack of previous studies [25,26]. The aim of this study was to examine the validity of 2D analysis using a tablet computer for the estimation of foot alignment during walking, while making a comparison with a motion capture system and foot alignment screening tests.…”

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confidence: 99%

Validity of two-dimensional analyses for the assessment of dynamic foot alignment during walking

Miyazaki¹,

Kawada²,

Kiyama³

et al. 2020

Preprint

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Background Several studies indicate that static foot posture bears a low relevance to dynamic foot alignment during walking. Thus, dynamic alignment assessment capable of being utilized in a clinical practice is required for an accurate estimation of foot function. This study aimed to examine the validity of two-dimensional analysis using a tablet computer for estimation of foot alignment during walking, by making a comparison with a motion capture system and static foot alignment screenings.Methods Validity of two-dimensional (2D) analysis of foot alignment during walking using a tablet computer, by making a comparison with a motion capture system and static screenings in healthy subjects. Fourteen healthy males and 15 healthy females participated in this study. Arch height of the right foot while walking was measured using a tablet computer and a motion capture system simultaneously. Arch height at the mid-stance (Mst) and pre-swing (PSw) phase were calculated from kinematic data measured by the tablet computer and motion analysis system, respectively. Static foot alignment also was assessed through the use of a screening test including arch height index and foot posture index. To examine the validity of foot assessment using 2D analysis, we conducted correlation analysis between the arch height at Mst and PSw as measured by a tablet computer and a motion capture system. Meanwhile, FPI and AHI were used to test the relation to arch height at Mst as measured by a motion capture system.Results Arch height, as measured by the motion capture system, showed a significant correlation with that measured using a tablet computer at Mst (r = 0.90, p < 0.001) and PSw (r = 0.94, p < 0.001), and arch height index (r = 0.50, p = 0.005), especially the former. Meanwhile, foot posture index (r = − 0.34, p = 0.075) showed no relation to arch height as measured by the motion capture system.Conclusion These results demonstrate the high validity of 2D analysis using a tablet computer for estimation of foot alignment during walking. Such gait analysis can be effective in assessing dynamic foot alignment in clinical practice.

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“…Dynamic assessments are particularly relevant in a clinical foot exam because evidence indicates that there is only a weak relationship between static and dynamic measures of arch height [48–50] and large between-person variability [51]. The reliability of observational assessments has been questioned by some authors [52], while others have found acceptable reliability [48, 50, 53] using video-based gait analysis. The studies that found acceptable reliability used ordinal scales to quantify dynamic foot alignment [53] and standardized video position and measurement procedures [48, 50].…”

Section: Foot Painmentioning

confidence: 99%

“…The reliability of observational assessments has been questioned by some authors [52], while others have found acceptable reliability [48, 50, 53] using video-based gait analysis. The studies that found acceptable reliability used ordinal scales to quantify dynamic foot alignment [53] and standardized video position and measurement procedures [48, 50]. Advances in three-dimensional motion capture technology have provided higher resolution and large capture volume, and afford the opportunity to simultaneously assess in vivo segmental foot motion concurrently with the motion of larger proximal joints [54–56].…”

Section: Foot Painmentioning

confidence: 99%

Musculoskeletal conditions of the foot and ankle: Assessments and treatment options

Rao

Riskowski

Hannan

2012

Best Practice & Research Clinical Rheumatology

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Musculoskeletal conditions of the foot and ankle are an important public health challenge due to their increasing incidence combined with their substantial negative impact on patients’ quality of life. Non-pharmacological treatments serve as the first line of treatment and are frequently used for patients with musculoskeletal conditions of the foot and ankle. This review provides a summary of the assessments and non-invasive treatment options based upon available evidence. Recent studies show that individuals with foot and ankle pain have multiple co-existing impairments in alignment, motion, load distribution and muscle performance that may be evident in static and/or dynamic tasks. Additionally, both clinical and epidemiological studies support the inter-dependence between the foot and proximal joints. For instance, aberrant foot structure has been linked to foot osteoarthritis (OA), as well as OA and pain at the knee and hip. Most recently, advances in motion capture technology and plantar load distribution measurement offer opportunities for precise dynamic assessments of the foot and ankle. In individuals with musculoskeletal conditions of the foot and ankle, the chief objectives of treatment are to afford pain relief, restore mechanics (alignment, motion and/or load distribution) and return the patient to their desired level of activity participation. Given that most patients present with multiple impairments, combinational therapies that target foot-specific as well as global impairments have shown promising results. In particular, in individuals with rheumatoid arthritis and other rheumatic diseases, comprehensive rehabilitation strategies including early detection, foot-based interventions (such as orthoses) and wellness-based approaches for physical activity and self-management have been successful. While significant improvements have been made in the last decade to the assessment and treatment of foot and ankle conditions, few randomized clinical trials specifically have investigated patients with foot or ankle conditions to provide global insights into this area. Consequently, current recommendations vary based upon the scope of studies presented in this review as well as the strength of studies. This review indicates a need for more in-depth investigations into the components of assessment and treatment options for foot and ankle musculoskeletal conditions.

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Measuring medial longitudinal arch deformation during gait. A reliability study

Cited by 29 publications

References 29 publications

The Role of the Midfoot in Drop Landings

The Role of the Midfoot in Drop Landings

Validity of two-dimensional analyses for the assessment of dynamic foot alignment during walking

Musculoskeletal conditions of the foot and ankle: Assessments and treatment options

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