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Xiao S, Zhang X, Deng L, Zhang S, Cui K, Fu W. Relationships between Foot Morphology and Foot Muscle Strength in Healthy Adults. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17041274. [PMID: 32079188 PMCID: PMC7068515 DOI: 10.3390/ijerph17041274] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/26/2020] [Revised: 02/12/2020] [Accepted: 02/13/2020] [Indexed: 01/13/2023]
Abstract
The purpose of this study was to investigate if measurements of foot morphology in sitting and standing positions can predict foot muscle strength. Twenty-six healthy male adults were recruited, and their foot morphology and foot muscle strength were measured. Foot morphological variables, toe flexor strength, and metatarsophalangeal joint flexor strength were measured by using a digital caliper, Ailitech-AFG500 dynameter and metatarsophalangeal joint flexor strength tester, respectively. Partial correlation and multivariate stepwise regression were used to explore the relationships between foot morphology and toe/metatarsophalangeal joint strength. Results adjusted by age and body mass index were as follows: (1) truncated foot length in sitting and standing positions and foot width in standing position were positively correlated with the flexor strength of the first toe; (2) foot length, foot width, and truncated foot length in both positions were positively related to the flexor strength of the other toes; (3) arch height index in sitting position and differences in navicular height were negatively associated with the flexor strength of the other toes; (4) differences in foot width were negatively associated with metatarsophalangeal joint flexor strength; and (5) the multivariate stepwise regression model showed that truncated foot length in sitting position, navicular height in standing position, differences in navicular height, foot width in sitting position, and differences in foot width were significantly correlated with toe/metatarsophalangeal joint flexor strength. Simple measurements of foot morphological characteristics can effectively predict foot muscle strength. Preliminary findings provided practical implications for the improvement of the foot ability by making specific foot muscle training sessions in professional sports and by compensating the predicted muscle strength defects to prevent foot injury.
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Alcacer A, Epifanio I, Ibáñez MV, Simó A, Ballester A. A data-driven classification of 3D foot types by archetypal shapes based on landmarks. PLoS One 2020; 15:e0228016. [PMID: 31999749 PMCID: PMC6991988 DOI: 10.1371/journal.pone.0228016] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2019] [Accepted: 01/05/2020] [Indexed: 12/29/2022] Open
Abstract
The taxonomy of foot shapes or other parts of the body is important, especially for design purposes. We propose a methodology based on archetypoid analysis (ADA) that overcomes the weaknesses of previous methodologies used to establish typologies. ADA is an objective, data-driven methodology that seeks extreme patterns, the archetypal profiles in the data. ADA also explains the data as percentages of the archetypal patterns, which makes this technique understandable and accessible even for non-experts. Clustering techniques are usually considered for establishing taxonomies, but we will show that finding the purest or most extreme patterns is more appropriate than using the central points returned by clustering techniques. We apply the methodology to an anthropometric database of 775 3D right foot scans representing the Spanish adult female and male population for footwear design. Each foot is described by a 5626 × 3 configuration matrix of landmarks. No multivariate features are used for establishing the taxonomy, but all the information gathered from the 3D scanning is employed. We use ADA for shapes described by landmarks. Women’s and men’s feet are analyzed separately. We have analyzed 3 archetypal feet for both men and women. These archetypal feet could not have been recovered using multivariate techniques.
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Varga M, Price C, Morrison SC. Three-dimensional foot shape analysis in children: a pilot analysis using three-dimensional shape descriptors. J Foot Ankle Res 2020; 13:6. [PMID: 32000830 PMCID: PMC6993427 DOI: 10.1186/s13047-020-0373-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/10/2019] [Accepted: 01/20/2020] [Indexed: 12/22/2022] Open
Abstract
BACKGROUND Existing clinical measures to describe foot morphology are limited in that they are commonly two-dimensional, low in resolution and accuracy, and do not accurately represent the multi-planar and complex changes during development across childhood. Using three-dimensional (3D) scanner technology provides the opportunity to understand more about morphological changes throughout childhood with higher resolution and potentially more relevant 3D shape measures. This is important to advance the prevailing arguments about the typical development of children's feet and inform the development of appropriate clinical measures. 3D shape descriptors derived from 3D scanning can be used to quantify changes in shape at each point of the 3D surface. The aim of this study was to determine whether 3D shape descriptors derived from 3D scanning data can identify differences in foot morphology between children of different ages. METHODS Fifteen children were recruited from three age groups (2, 5, and 7 years of age). Both feet were scanned in bipedal stance, using the Artec Eva (Artec Group, Luxembourg, Luxembourg) hand-held scanner. Three dimensional shape descriptors were extracted from the 3D scans of the right foot, to create histograms for each age group and heat maps of representative participants for comparison. RESULTS There were changes to the dorsal, medial and lateral surfaces of the feet with age. The surfaces became less round along with an increase in indented areas. This is supported by the heat maps which demonstrated that the surfaces of the anatomical landmarks (e.g. the malleoli and navicular tuberosity) became more rounded and protruding, with indented surfaces appearing around these landmarks. On the plantar surface, the concavity of the midfoot was evident and this concavity extended into the midfoot from the medial aspect as age increased. CONCLUSIONS The findings of this study indicated that with increasing age the foot becomes thinner in 3D, with bony architecture emerging, and the medial longitudinal arch (MLA) increases in area and concavity. Three-dimensional shape descriptors have shown good potential for locating and quantifying changes in foot structure across childhood. Three-dimensional shape descriptor data will be beneficial for understanding more about foot development and quantifying changes over time.
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Yamashita K, Yamashita T, Sato M, Kawasumi M, Takase Y. Development of a quantitative measurement system for three-dimensional analysis of foot morphology using a smartphone. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2020; 2019:3171-3174. [PMID: 31946561 DOI: 10.1109/embc.2019.8857209] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
Existing techniques for measuring foot morphology are invasive or cumbersome. A new technique was developed using a smartphone, which can measure foot morphology to within 1 mm. This is shown to be applicable to the prediction of hallux valgus, which allows for early intervention.
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Evora A, Sloan E, Castellino S, Hawkes EW, Susko T. Pilot Study of Cadence, a Novel Shoe for Patients with Foot Drop. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2020; 2019:5291-5296. [PMID: 31947051 DOI: 10.1109/embc.2019.8857096] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Foot Drop is a mobility disorder that limits ankle dorsiflexion, complicating the swing phase of gait and balance. It is a common result of a neurological injury or disease such as stroke, cerebral palsy or multiple sclerosis. Here we present Cadence, a low-cost assistive shoe designed to passively improve the biomechanics and rhythmicity of gait for people with foot drop. The shoe reduces the magnitude of scuffing forces when dragging the foot forward across the ground by using regions of low-friction material that can retract into the shoe to restore friction during stance phase. We report the results from a pilot study of Cadence, which show the biomechanical and performance effects of the device for five adults with foot drop due to neurological disorder. In 3 of the 5 subjects, we found that the shoe immediately improved gait mechanics, speed over ground, and qualitative gait comfort.
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Puszczałowska-Lizis E, Zarzyczna P, Mikuľáková W. Impact of footwear fitting on foot shape in primary schoolgirls. Acta Bioeng Biomech 2020; 22:119-126. [PMID: 32307463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
PURPOSE The study aimed to analyze the footwear fitting and its impact on foot construction features in primary schoolgirls. METHODS The study group was comprised of 100 girls aged 9 years. The study relied on the CQ-ST podoscope and the Clevermess device for pertinent measurements. The data were analyzed based on the Mann-Whitney U-test, multiple regression analysis and simple regression. RESULTS Too short right footwear had 37% of the girls and the left - 38% of the girls, while too long shoes were worn respectively by: 14% of the girls and 15% of the girls. Too wide footwear in relation to the right foot width had 45% of the group and in relation to the left foot: 41% of the group. Too narrow right shoes had 23% of the group and the left - 32% of the group. Statistically significant influence of the excess of outdoor footwear width was found on the Clarke's angle values ( p = 0.041), the fifth toe setting of the right foot ( p = 0.015) and Wejsflog index of the left foot ( p = 0.036). CONCLUSIONS Most 9-year-old girls wear poorly fitted outdoor footwear. Appropriately selected footwear in terms of the width facilitates the formation of foot architecture, but wearing too wide footwear increases the risk of hollow feet and the varus deformity of the fifth toe.
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Tamborrini G, Bianchi S. [Ultrasound of the Foot (Adapted According to SGUM Guidelines)]. PRAXIS 2020; 109:1074-1084. [PMID: 33050813 DOI: 10.1024/1661-8157/a003541] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Ultrasound of the Foot (Adapted According to SGUM Guidelines) Abstract. This review paper explains the simplified ultrasound anatomy of the foot including the ankle, midfoot and the toes. The adapted basic standard planes are described in detail according to SGUM guidelines and illustrated with a selection of high-resolution ultrasound images. A profound knowledge of the sonographic anatomy is essential for the detection of pathologies.
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Strickson EC, Hutchinson JR, Wilkinson DM, Falkingham PL. Can skeletal surface area predict in vivo foot surface area? J Anat 2020; 236:72-84. [PMID: 31713855 PMCID: PMC6904632 DOI: 10.1111/joa.13090] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/21/2019] [Indexed: 12/25/2022] Open
Abstract
The surface area of feet in contact with the ground is a key morphological feature that influences animal locomotion. Underfoot pressures (and consequently stresses experienced by the foot), as well as stability of an animal during locomotion, depend on the size and shape of this area. Here we tested whether the area of a skeletal foot could predict in vivo soft tissue foot surface area. Computed tomography scans of 29 extant tetrapods (covering mammals, reptiles, birds and amphibians) were used to produce models of both the soft tissues and the bones of their feet. Soft tissue models were oriented to a horizontal plane, and their outlines projected onto a surface to produce two-dimensional silhouettes. Silhouettes of skeletal models were generated either from bones in CT pose or with all autopodial bones aligned to the horizontal plane. Areas of these projections were calculated using alpha shapes (mathematical tight-fitting outline). Underfoot area of soft tissue was approximately 1.67 times that of skeletal tissue area (~ 2 times for manus, ~ 1.6 times for pes, if analysed separately). This relationship between skeletal foot area and soft tissue area, while variable in some of our study taxa, could provide information about the size of the organisms responsible for fossil trackways, suggest what size of tracks might be expected from potential trackmakers known only from skeletal remains, and aid in soft tissue reconstruction of skeletal remains for biomechanical modelling.
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Mun KR, Chun S, Hong J, Kim J. The Relationship Between Foot Feature Parameters and Postural Stability in Healthy Subjects. HUMAN FACTORS 2019; 61:1077-1085. [PMID: 30835564 DOI: 10.1177/0018720819828545] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
OBJECTIVE Little has been explored about the disparate contribution of medial longitudinal arch (MLA) and lateral longitudinal arch (LLA) to human gait and postural stability. This study aims to investigate the correlation of foot feature parameters including both MLA and LLA with postural stability. METHOD Thirteen young and healthy subjects participated in this study. The newly developed FFMS extracted foot feature parameters in nonweight-bearing (NWB) and weight-bearing (WB) conditions along with postural stability parameters in single-leg-standing (SLS) condition. A bivariate correlation analysis was carried out to investigate the correlation between the foot characteristics and the postural stability parameters. RESULTS The foot length and width showed negative correlation with center of pressure (CoP) distance in medio-lateral (ML) and total direction, whereas the foot length in NWB and WB conditions, and the foot width in WB condition showed positive correlation with CoP distance in anterior-posterior (AP) direction. The height of the LLA curve and the area of the MLA were correlated with the postural stability parameters in AP direction. The ratios of the LLA height and area showed moderate correlation with the CoP distance in ML direction and total direction. CONCLUSION The size of a foot, such as the length and width, is correlated with postural stability. Whereas the MLA features are associated with postural stability in AP direction, the LLA features are associated with that in ML and total direction. APPLICATION The findings suggest that the roles and contributions of the MLA and LLA features in and to the postural control are different.
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Jones PJ, Bibb RJ, Davies MJ, Khunti K, McCarthy M, Fong DTP, Webb D. A fitting problem: Standardising shoe fit standards to reduce related diabetic foot ulcers. Diabetes Res Clin Pract 2019; 154:66-74. [PMID: 31128134 DOI: 10.1016/j.diabres.2019.05.017] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/08/2019] [Accepted: 05/15/2019] [Indexed: 12/21/2022]
Abstract
AIMS Incorrectly fitting shoes are implicated in callus formation and a significant proportion of diabetic foot ulcers, yet remain surprisingly prevalent. We review the current shoe fit guidelines for consistency and discuss ways in which technology may assist us in standardising methods of footwear assessment. METHODS Narrative review. RESULTS Incorrectly fitted shoes are implicated in the development of some diabetic foot ulcers yet surprisingly there's no consensus on shoe fit, despite substantial spending on prescription footwear. Suggested toe gaps vary from 6 to 20 mm and measurement methods also vary from Brannock Devices and callipers to manual measurement. CONCLUSIONS To prevent fit-related foot ulceration, we need to standardise our biomechanical definition of fit. Future research should (1) evaluate the potential use of 3D scanning technology to provide a standardised means of capturing foot morphology; (2) develop a working biomechanical definition of fit, including toe gap through the identification of key physiological markers that capture and predict dynamic foot shape changes during different physical activities and body weight loading conditions; and (3) determine whether changes in dynamic foot shape of those with diabetes differs from those without, impacting on their shoe fitting needs, potentially necessitating specialist footwear at an earlier stage to avoid ulceration.
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Rossi F, Zaottini F, Picasso R, Martinoli C, Tagliafico AS. Ankle and Foot Ultrasound: Reliability of Side-to-Side Comparison of Small Anatomic Structures. JOURNAL OF ULTRASOUND IN MEDICINE : OFFICIAL JOURNAL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE 2019; 38:2143-2153. [PMID: 30592321 DOI: 10.1002/jum.14911] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/23/2018] [Revised: 11/12/2018] [Accepted: 11/19/2018] [Indexed: 06/09/2023]
Abstract
OBJECTIVES In sonography of clinically relevant small structures of the ankle and foot, the healthy contralateral side can be used as a reference to identify subtle abnormalities. Intrasubject side-to-side variability must be minimal. The aim of this study was to assess the reliability of side-to-side sonographic evaluation of small structures of the ankle and foot. METHODS Thirty healthy volunteers were prospectively studied. Small structures of the ankle and foot were evaluated bilaterally by 2 musculoskeletal radiologists in separate sessions. The deep peroneal nerve, superior extensor retinacula, calcaneofibular ligament, superior peroneal retinacula, tibialis posterior tendon, tibial nerve, Achilles tendon, plantaris tendon, plantar fascia, and sural nerve were considered. To assess intra- and interreader agreements, 30 (100%) examinations were repeated. A nonparametric statistic was used. RESULTS Data were not normally distributed (P > .001). Intrareader agreement was k = 0.67 (95% confidence interval, 0.57-0.78) and interreader agreement was k = 0.73 (95% confidence interval, 0.68-0.77). The mean values and standard deviation for all the structures were 0.36 ± 1.85 mm. The overall coefficient of variation was 18.5%. The intraclass correlation coefficient was 0.93 (95% confidence interval, 0.92-0.94). CONCLUSIONS In ankle and foot sonography, the healthy contralateral side can be used as a reference during a real-time musculoskeletal ultrasound evaluation of small structures.
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Curran M, Holmes I. A comparison of the length and width of static inked two-dimensional bare footprints found on a hard compared to a soft surface. Sci Justice 2019; 59:448-451. [PMID: 31256817 DOI: 10.1016/j.scijus.2019.03.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/05/2018] [Revised: 02/26/2019] [Accepted: 03/03/2019] [Indexed: 11/19/2022]
Abstract
In forensic intelligence-gathering it would be useful to evaluate if there are differences between static inked bare footprints captured on hard surfaces compared to soft surfaces. This was undertaken using samples from 30 undergraduate students. Initially a static footprint was taken for each participant on a hard surface and this was followed by a static footprint on a soft surface. On both occasions, the participants stood on an inkless mat and then on reactive paper, creating a two-dimensional print. The Reel method was used to analyse each footprint and the print was measured to see whether a difference existed between length and width (forefoot and rearfoot width) on a hard surface compared to a soft surface. The conclusion from this study was there is a statistically significant increase in length and width of a static bare footprint on a soft surface as opposed to a hard surface. If a forensic footprint examiner compares static bare footprints found on a soft surface and compares them to a static bare footprint of the same foot taken later, then the increase in both length and width of the footprints on a soft surface should be considered in the evaluation.
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Hedrick EA, Stanhope SJ, Takahashi KZ. The foot and ankle structures reveal emergent properties analogous to passive springs during human walking. PLoS One 2019; 14:e0218047. [PMID: 31173623 PMCID: PMC6555524 DOI: 10.1371/journal.pone.0218047] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2019] [Accepted: 05/24/2019] [Indexed: 01/19/2023] Open
Abstract
An objective understanding of human foot and ankle function can drive innovations of bio-inspired wearable devices. Specifically, knowledge regarding how mechanical force and work are produced within the human foot-ankle structures can help determine what type of materials or components are required to engineer devices. In this study, we characterized the combined functions of the foot and ankle structures during walking by synthesizing the total force, displacement, and work profiles from structures distal to the shank. Eleven healthy adults walked at four scaled speeds. We quantified the ground reaction force and center-of-pressure displacement in the shank’s coordinate system during stance phase and the total mechanical work done by these structures. This comprehensive analysis revealed emergent properties of foot-ankle structures that are analogous to passive springs: these structures compressed and recoiled along the longitudinal axis of the shank, and performed near zero or negative net mechanical work across a range of walking speeds. Moreover, the subject-to-subject variability in peak force, total displacement, and work were well explained by three simple factors: body height, mass, and walking speed. We created a regression-based model of stance phase mechanics that can inform the design and customization of wearable devices that may have biomimetic or non-biomimetic structures.
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Villmoare B, Hatala KG, Jungers W. Sexual dimorphism in Homo erectus inferred from 1.5 Ma footprints near Ileret, Kenya. Sci Rep 2019; 9:7687. [PMID: 31118467 PMCID: PMC6531427 DOI: 10.1038/s41598-019-44060-2] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2018] [Accepted: 04/26/2019] [Indexed: 11/09/2022] Open
Abstract
Sexual dimorphism can be one of the most important indicators of social behavior in fossil species, but the effects of time averaging, geographic variation, and differential preservation can complicate attempts to determine this measure from preserved skeletal anatomy. Here we present an alternative, using footprints from near Ileret, Kenya, to assess the sexual dimorphism of presumptive African Homo erectus at 1.5 Ma. Footprint sites have several unique advantages not typically available to fossils: a single surface can sample a population over a very brief time (in this case likely not more than a single day), and the data are geographically constrained. Further, in many cases, the samples can be much larger than those from skeletal fossil assemblages. Our results indicate that East African Homo erectus was more dimorphic than modern Homo sapiens, although less so than highly dimorphic apes, suggesting that the Ileret footprints offer a unique window into an important transitional period in hominin social behavior.
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Leardini A, Caravaggi P, Theologis T, Stebbins J. Multi-segment foot models and their use in clinical populations. Gait Posture 2019; 69:50-59. [PMID: 30665039 DOI: 10.1016/j.gaitpost.2019.01.022] [Citation(s) in RCA: 61] [Impact Index Per Article: 12.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/12/2018] [Revised: 01/09/2019] [Accepted: 01/14/2019] [Indexed: 02/02/2023]
Abstract
BACKGROUND Many multi-segment foot models based on skin-markers have been proposed for in-vivo kinematic analysis of foot joints. It remains unclear whether these models have developed far enough to be useful in clinical populations. The present paper aims at reviewing these models, by discussing major methodological issues, and analyzing relevant clinical applications. RESEARCH QUESTION Can multi-segment foot models be used in clinical populations? METHODS Pubmed and Google Scholar were used as the main search engines to perform an extensive literature search of papers reporting definition, validation or application studies of multi-segment foot models. The search keywords were the following: 'multisegment'; 'foot'; 'model'; 'kinematics', 'joints' and 'gait'. RESULTS More than 100 papers published between 1991 and 2018 were identified and included in the review. These studies either described a technique or reported a clinical application of one of nearly 40 models which differed according to the number of segments, bony landmarks, marker set, definition of anatomical frames, and convention for calculation of joint rotations. Only a few of these models have undergone robust validation studies. Clinical application papers divided by type of assessment revealed that the large majority of studies were a cross-sectional comparison of a pathological group to a control population. SIGNIFICANCE This review suggests that there is sufficient evidence that multi-segment foot models may be successfully applied in clinical populations. Analysis of the currently available models allows users to better identify the most suitable protocol for specific clinical applications. However new models require thorough validation and assessment before being used to support clinical decisions.
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Williams SR, Thompson KL, Notebaert AJ, Sinning AR. Prosection or Dissection: Which is Best for Teaching the Anatomy of the Hand and Foot? ANATOMICAL SCIENCES EDUCATION 2019; 12:173-180. [PMID: 30118189 DOI: 10.1002/ase.1808] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/27/2017] [Revised: 05/04/2018] [Accepted: 05/15/2018] [Indexed: 06/08/2023]
Abstract
Due to the current trend of decreasing contact hours and less emphasis being given to the basic science courses in the pre-clinical years of medical education, it is essential that new approaches to teaching gross anatomy are investigated to ensure medical students are being adequately exposed to anatomical content. This study retrospectively analyzed practical examination data from four medical gross anatomy classes (N = 569) to ascertain which pedagogical approach, student participation in the dissection process, or interaction with prosected specimens is best for teaching the anatomy of the hand and foot. Data analysis involved the use of propensity score matching, a nonparametric preprocessing statistical approach which ensures accurate representation of the true treatment effect by balancing cohorts prior to statistical analysis. Statistical analysis indicated that those students who were exposed to the anatomy of the hand through interactions with prosected specimens performed 5.6% better (P = 0.012) while for the foot, students who interacted with prosections performed 13.0% better (P < 0.001). Although limited, data from this study suggest that utilizing prosections of the hand and foot seems to be a more advantageous pedagogical approach for teaching these regions than requiring students to dissect them.
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Hayden SR. Pop in the Foot Causing POPS: The Painful Os Peroneum Syndrome. J Emerg Med 2019; 56:337-339. [PMID: 30594352 DOI: 10.1016/j.jemermed.2018.11.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2018] [Accepted: 11/15/2018] [Indexed: 06/09/2023]
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Blanco RE, Jones WW, Benech N. The seismic wave motion camouflage of large carnivorous dinosaurs. J Theor Biol 2018; 459:154-161. [PMID: 30296449 DOI: 10.1016/j.jtbi.2018.10.010] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2018] [Revised: 09/03/2018] [Accepted: 10/04/2018] [Indexed: 11/17/2022]
Abstract
Living elephants produce seismic waves during vocalizations and locomotion that are potentially detectable at large distances. In the Mesozoic world, seismic waves were probably a very relevant source of information about the behavior of large dinosaurs. In this work, we study the relationship between foot shape and the directivity pattern of seismic waves generated during locomotion. For enlarged foot morphologies (based on a morphological index) of theropod dinosaurs, there is a marked effect of seismic wave directivity at 20 m. This effect is not important in the foot morphologies of other dinosaurs, including the foot shapes of herbivores and theropods such as therizinosaurids. This directivity produces a lower intensity in the forward direction that would slightly reduce the probability of detection of an ambush predator. Even more relevant is the fact that during the approach of a predator, the intensity of seismic waves detected by potential prey remains constant in the mentioned distance range. This effect hides the predator's approach, and we call this "seismic wave camouflage". We also discuss the potential relationship of this effect with enlarged fossil footprints assigned to metatarsal support.
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Eichelberger P, Pohl J, Jaspers T, Ferraro M, Krause F, Baur H. Cranio-caudal and medio-lateral navicular translation are representative surrogate measures of foot function in asymptomatic adults during walking. PLoS One 2018; 13:e0208175. [PMID: 30517158 PMCID: PMC6281217 DOI: 10.1371/journal.pone.0208175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2018] [Accepted: 11/13/2018] [Indexed: 11/24/2022] Open
Abstract
Introduction The 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. Methods Cranio-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. Results FFtoHF 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. Discussion The 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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Dobson JA, Riddiford-Harland DL, Bell AF, Steele JR. How do we fit underground coal mining work boots? ERGONOMICS 2018; 61:1496-1506. [PMID: 29920147 DOI: 10.1080/00140139.2018.1489069] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/13/2017] [Accepted: 06/07/2018] [Indexed: 06/08/2023]
Abstract
Acceptable footwear fit, particularly width, is subjective and vaguely quantified. Proper shoe fit is important because it affects both comfort and the potential to prevent injury. Although mismatches between the feet of underground coal miners and their internal boot dimensions are known, no research has been undertaken to determine the impact of these mismatches on worker perceptions of fit, comfort and pain. This study aimed to quantitatively assess mining work boot fit relative to underground coal miners' subjectively rated work boot fit and comfort, reported foot problems, lower limb pain and lower back pain in order to develop evidence-based work boot fit recommendations. Traditional footwear fitting methods based predominantly on foot length are insufficient for underground coal mining-specific footwear. Instead, fit at the heel, instep and forefoot must be considered when fitting underground coal mining work boots, in conjunction with the traditional length measurement.Practitioner summary: Underground coal miners report their work boots fit but are uncomfortable. This study assessed actual fit relative to perceived fit, comfort, foot problems, lower limb pain and lower back pain of 197 miners. Fit at the heel, instep and forefoot must be considered when fitting mining work boots.
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Kase R, Amemiya A, Okonogi R, Yamakawa H, Sugawara H, Tanaka YL, Komiyama M, Mori T. Examination of the Effect of Suitable Size of Shoes under the Second Metatarsal Head and Width of Shoes under the Fifth Metatarsal Head for the Prevention of Callus Formation in Healthy Young Women. SENSORS 2018; 18:s18103269. [PMID: 30274209 PMCID: PMC6210491 DOI: 10.3390/s18103269] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/22/2018] [Revised: 09/23/2018] [Accepted: 09/27/2018] [Indexed: 11/23/2022]
Abstract
Excessive pressure and shear stress while walking cause a risk of callus formation, which eventually causes foot ulcers in patients with diabetes mellitus. Callus under the second metatarsal head (MTH) has been associated with increased shear stress/pressure ratios (SPR). Callus under the fifth MTH has been associated with increased peak shear stress (PSS). The purpose of this study is to examine whether the effect of the suitable size and width of shoes prevents diabetic foot ulcers under the second and fifth MTH. We measured the pressure and shear stress by testing three kinds of sizes and two types of width of shoes. Significant difference was not observed in the SPR under the second MTH among different sizes of shoes. However, the pressure and shear stress were significantly lower when putting on shoes of fit size compared with larger sizes. The PSS under the fifth MTH was significantly smaller when putting on shoes of fit width compared with those of narrow width. Wearing shoes of fit size and width has the potential to prevent callus formation by reducing the pressure and shear stress constituting SPR under the second MTH and PSS under the fifth MTH.
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Hong S, Park KS. Unobtrusive Photoplethysmographic Monitoring Under the Foot Sole while in a Standing Posture. SENSORS (BASEL, SWITZERLAND) 2018; 18:E3239. [PMID: 30261647 PMCID: PMC6210668 DOI: 10.3390/s18103239] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/27/2018] [Revised: 09/15/2018] [Accepted: 09/25/2018] [Indexed: 11/29/2022]
Abstract
Photoplethysmography (PPG) of the foot sole could provide additional health-related information compared with traditional PPG of the finger or wrist. Previously, foot PPG required the procedural binding of a light-emitting diode (LED)-photodetector (PD) pair. We achieved PPG of the foot sole without binding any sensors to the foot while the participant stood in a natural standing position on the testing device. Foot PPG was performed using multiple LED-PD pairs to overcome motion artefacts caused by stabilization. We identified regions of the sole suitable for reliable sensor positioning with optimal LED-PD pairs on the basis of the estimated heart rate (HR) and signal quality index derived by dynamic time warping (wSQI). The first experiment included four participants with direct skin-to-sensor contact, and the results showed a mean HR estimation error of 0.01 beats/min and a wSQI of 0.909. The extended experiment with 53 participants, which involved including a gap between the skin and sensors to consider real-life applications, yielded a mean HR estimation error of 0.638 beats/min and a wSQI of 0.751. Based on the selection ratio of optimal LED-PD pairs, the best region of the sole for PPG was the midfoot, except the medial longitudinal arch. In conclusion, we confirmed that foot PPG using multiple LED-PD pairs is appropriate for HR evaluation and further applications.
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Olesnavage KM, Winter AG. A Novel Framework for Quantitatively Connecting the Mechanical Design of Passive Prosthetic Feet to Lower Leg Trajectory. IEEE Trans Neural Syst Rehabil Eng 2018; 26:1544-1555. [PMID: 29994122 DOI: 10.1109/tnsre.2018.2848845] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
This paper presents a novel framework that quantitatively connects the mechanical design of a prosthetic foot to its anticipated biomechanical performance. The framework uses kinetic inputs (ground reaction forces and center of pressure) to predict kinematic outputs of the lower leg segment by knowing the geometry and stiffness of the foot. The error between the predicted and target kinematics is evaluated using a root-mean-square error function called the Lower Leg Trajectory Error (LLTE). Using physiological kinetic inputs and kinematic targets, three model foot architectures were optimized to minimize the LLTE. The resulting predicted lower leg kinematics were compared to those of the same foot architectures optimized for physiological roll-over geometry. The feet with minimized LLTE had lower leg kinematics closer to physiological than those optimized for roll-over geometry. A prosthetic foot that exactly mimics physiological roll-over geometry may result in gait kinematics that differ greatly from physiological, as roll-over geometry omits information about the foot-ground contact constraint, lower leg orientation, and temporal progression of a step. The LLTE-based framework is agnostic to specific foot designs provided their constitutive behavior can be characterized, and it can accept alternate inputs and targets depending on what performance and clinical objectives are desired.
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Ismatsara M, Alam MT, Nandi B, Rana MS, Barsha TN, Sultana N, Sumi SA. Correlation of Foot Height with Stature in 5-10 Years Aged Bangladeshi Children. Mymensingh Med J 2018; 27:475-479. [PMID: 30141434] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
This cross sectional, descriptive and analytic type study was conducted among 5-10 years aged Bangladeshi children at different areas of Mymensingh district (Fulpur, Muktagacha, Fulbaria, Trisal and Haluaghat) on 109 Bangladeshi children (70 male and 39 female) from January 2016 to December 2016. Sample collection was done by nonrandom purposive sampling technique. Any kind of foot deformity resulting either from congenital or physical injury were excluded to construct standard measurement. The present anthropometric study was designed to construct data of 5 to 10 years aged Bangladeshi children regarding foot height, to measure correlation of stature with foot height and an attempt has been made out to grow interest among the researchers for future study and also to compare the data with the data of the people of other races. Stature of the subject was measured with the stadiometer and foot height was measured using flexible measuring tape. The children were asked to stand with weight distributed equally on both feet. The legs were perpendicular to the feet. The mean foot height of both sides of 5, 6, 7, 8, 9 and 10 years aged male were 5.90±0.76cm, 5.76±0.64cm, 6.80±0.35cm, 6.86±0.35cm, 7.24±0.46cm and 7.28±0.66cm respectively and those of female were 5.48±0.67cm, 6.25±0.28cm, 6.19±0.58cm, 6.42±0.34cm, 6.30±0.49cm and 6.30±0.39cm respectively. Correlation between stature and foot height was made. Foot height showed non-significant positive correlation with stature in 5 years old male, 6 years old male, 7 years old male and female, 8 years old male, 9 years old male and female and 10 years old male and female. In case of 5 years old female, it showed significant positive correlation with stature.
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DeSilva JM, Gill CM, Prang TC, Bredella MA, Alemseged Z. A nearly complete foot from Dikika, Ethiopia and its implications for the ontogeny and function of Australopithecus afarensis. SCIENCE ADVANCES 2018; 4:eaar7723. [PMID: 29978043 PMCID: PMC6031372 DOI: 10.1126/sciadv.aar7723] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/15/2017] [Accepted: 05/22/2018] [Indexed: 05/21/2023]
Abstract
The functional and evolutionary implications of primitive retentions in early hominin feet have been under debate since the discovery of Australopithecus afarensis. Ontogeny can provide insight into adult phenotypes, but juvenile early hominin foot fossils are exceptionally rare. We analyze a nearly complete, 3.32-million-year-old juvenile foot of A. afarensis (DIK-1-1f). We show that juvenile A. afarensis individuals already had many of the bipedal features found in adult specimens. However, they also had medial cuneiform traits associated with increased hallucal mobility and a more gracile calcaneal tuber, which is unexpected on the basis of known adult morphologies. Selection for traits functionally associated with juvenile pedal grasping may provide a new perspective on their retention in the more terrestrial adult A. afarensis.
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