Orthoses posted in both the forefoot and rearfoot reduce moments and angular impulses on lower extremity joints during walking

Hsu, Wen-Hao; Lewis, Cara L.; Monaghan, Gail; Saltzman, Elliot; Hamill, Joseph; Holt, Kenneth G.

doi:10.1016/j.jbiomech.2014.05.021

Cited by 32 publications

(20 citation statements)

References 33 publications

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“…In addition, the forefoot segment in respect to hindfoot and tibia showed a consistent tendency towards greater dorsiflexion with MPI, suggesting increased height of the foot arch compared to NORM, although the difference in running did not reach statistical significance. While these results agree well with some previous findings in walking (Hsu et al 2014) and running (Sinclair et al 2015), not all studies (Bishop et al 2015;Ferber & Benson 2011) have found alterations in the forefoot motion when wearing medially posted insoles. It is possible that differences in the participants or insoles used explain these different effects.…”

Section: Discussionsupporting

confidence: 92%

“…Overpronating male subjects were recruited from a student population of University of Jyväskylä via advertisements placed on notice boards. An a priori sample size calculation was conducted based on data of previous multi-segment foot model studies in walking (Hsu et al 2014) and running (Sinclair et al 2015). Using frontal plane forefoot-hindfoot data, it was revealed that a sample size of ten subjects would be needed to detect a difference in the mean change in eversion movement with a power of 80% and at α = 0.05.…”

Section: Methodsmentioning

confidence: 99%

“…However, during walking the results have been controversial: while one prior study has found decreased peak forefoot pronation (Hsu et al 2014), the others have reported alterations primarily at the hindfoot rather than forefoot motion (Bishop et al 2015;Ferber & Benson 2011). During running, where much greater loads are placed upon the foot and lower limbs (Farley & Ferris 1998), the insole effects on multi-segment foot biomechanics have been reported by only one prior study (Sinclair et al 2015).…”

Section: Introductionmentioning

confidence: 99%

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Effects of medially posted insoles on foot and lower limb mechanics across walking and running in overpronating men

Kosonen

Kulmala

Müller

et al. 2017

Journal of Biomechanics

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. The kinematic results showed that MPI reduced the peak forefoot eversion movement in respect to both hindfoot and tibia across walking and running when compared to NORM (p<0.05-0.01). No differences were found in hindfoot eversion between conditions. The kinetic results showed no insole effects in walking, but during running MPI shifted center of pressure medially under the foot (p<0.01) leading to an increase in frontal plane moments at the hip (p<0.05) and knee (p<0.05) joints and a reduction at the ankle joint (p<0.05). These findings indicate that MPI primarily controlled the forefoot motion across walking and running. While kinetic response to MPI was more pronounced in running than walking, kinematic effects were essentially similar across both modes. This suggests that despite higher loads placed upon limp limb during running, there is no need to have a stiffer insoles to achieve similar reduction in the forefoot motion than in walking.3

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Section: Discussionsupporting

confidence: 92%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Effects of medially posted insoles on foot and lower limb mechanics across walking and running in overpronating men

Kosonen

Kulmala

Müller

et al. 2017

Journal of Biomechanics

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“…This coupling has been considered in multifactorial approaches to musculoskeletal painful conditions 3 , 4 , such as foot-ankle and knee disorders possibly related to abnormal pronation and supination 5 - 9 . Although influenced by transverse-plane motion at the knee 10 , coupling of rearfoot eversion-inversion with lower limb internal-external rotation during walking 1 , 2 may enable forces at the foot to change both rearfoot and lower limb kinematics 10 , 11 in a distal to proximal direction. Accordingly, a proximal to distal effect during walking is expected in which forces at joints proximal to the ankle, acting on the transverse plane, influence shank axial rotation 12 , 13 and may affect rearfoot eversion-inversion 14 .…”

Section: Introductionmentioning

confidence: 99%

External rotation elastic bands at the lower limb decrease rearfoot eversion during walking: a preliminary proof of concept

Souza¹,

Araújo²,

Silva³

et al. 2016

Braz. J. Phys. Ther.

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BackgroundReducing rearfoot eversion is a commonly desired effect in clinical practice to prevent or treat musculoskeletal dysfunction. Interventions that pull the lower limb into external rotation may reduce rearfoot eversion.ObjectiveThis study investigated whether the use of external rotation elastic bands, of different levels of stiffness, will decrease rearfoot eversion during walking. We hypothesized that the use of elastic bands would decrease rearfoot eversion and that the greater the band stiffness, the greater the eversion reduction.MethodSeventeen healthy participants underwent three-dimensional kinematic analysis of the rearfoot and shank. The participants walked on a treadmill with and without high- and low-stiffness bands. Frontal-plane kinematics of the rearfoot-shank joint complex was obtained during the stance phase of walking. Repeated-measures ANOVAs were used to compare discrete variables that described rearfoot eversion-inversion: mean eversion-inversion; eversion peak; and eversion-inversion range of motion.ResultsThe low-stiffness and high-stiffness bands significantly decreased eversion and increased mean eversion-inversion (p≤0.037) and eversion peak (p≤0.006) compared with the control condition. Both bands also decreased eversion-inversion range of motion (p≤0.047) compared with control by reducing eversion. The high-stiffness band condition was not significantly different from the low-stiffness band condition for any variables (p≥0.479).ConclusionThe results indicated that the external rotation bands decreased rearfoot eversion during walking. This constitutes preliminary experimental evidence suggesting that increasing external rotation moments at the lower limb may reduce rearfoot eversion, which needs further testing.

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“…Beim Abstoß der Großzehe während des Gehens werden 30 % des Körpergewichts über die regelrecht funktionierenden Flexoren übertragen. Ist diese Funktion gestört, wie etwa beim Hallux valgus, werden die ohnehin stark beanspruchten Metatarsalia II-III noch stärker belastet[24]. Orthesen, die nachts getragen werden, sind sowohl zur Behandlung als auch zur Prävention der Halluxvalgus-Progression effektiv[31][14].…”

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Möglichkeiten der Einlagenversorgungen im Sport – eine Übersicht

Stinus¹,

Ernst²,

Ronny³

2020

Sportphysio

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Orthoses posted in both the forefoot and rearfoot reduce moments and angular impulses on lower extremity joints during walking

Cited by 32 publications

References 33 publications

Effects of medially posted insoles on foot and lower limb mechanics across walking and running in overpronating men

Effects of medially posted insoles on foot and lower limb mechanics across walking and running in overpronating men

External rotation elastic bands at the lower limb decrease rearfoot eversion during walking: a preliminary proof of concept

Möglichkeiten der Einlagenversorgungen im Sport – eine Übersicht

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