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Jiang L, Qu F, Yang Z, Chen X, Gao X, Sun Q, Huo B. Heel-to-toe drop effects on biomechanical and muscle synergy responses during uphill walking. Front Bioeng Biotechnol 2024; 12:1385264. [PMID: 38798954 PMCID: PMC11116729 DOI: 10.3389/fbioe.2024.1385264] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2024] [Accepted: 04/26/2024] [Indexed: 05/29/2024] Open
Abstract
Uphill walking is a common task encountered in daily life, with steeper inclines potentially imposing greater biomechanical and neuromuscular demands on the human body. The heel-to-toe drop (HTD) in footwear may influence the biomechanical and neuromuscular pattern of uphill walking; but the impact remains unclear. Adjustments in HTD can modulate biomechanical and neuromuscular patterns, mitigating the demands and optimizing the body's response to different inclinations. We hypothesize that adjustments in HTD can modulate biomechanical and neuromuscular patterns, mitigating the demands and optimizing the body's response to different inclinations. Nineteen healthy men walked on an adjustable slope walkway, with varied inclinations (6°, 12°, 20°) and HTD shoes (10mm, 25mm, 40 mm), while the marker positions, ground reaction forces and electromyography data were collected. Our study reveals that gait temporo-spatial parameters are predominantly affected by inclination over HTD. Inclination has a more pronounced effect on kinematic variables, while both inclination and HTD significantly modulate kinetic and muscle synergy parameters. This study demonstrates that an increase in the inclination leads to changes in biomechanical and neuromuscular responses during uphill walking and the adjustment of HTD can modulate these responses during uphill walking. However, the present study suggests that an increased HTD may lead to elevated loads on the knee joint and these adverse effects need more attention.
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Affiliation(s)
- Liang Jiang
- School of Aerospace Engineering, Beijing Institute of Technology, Beijing, China
| | - Feng Qu
- Biomechanics Laboratory, Department of Kinesiology, Beijing Sport University, Beijing, China
| | - Zihan Yang
- Fashion Accessory Art and Engineering College, Beijing Institute of Fashion Technology, Beijing, China
| | - Xue Chen
- School of Aerospace Engineering, Beijing Institute of Technology, Beijing, China
| | - Xianzhi Gao
- School of Aerospace Engineering, Beijing Institute of Technology, Beijing, China
| | - Qing Sun
- School of Aerospace Engineering, Beijing Institute of Technology, Beijing, China
| | - Bo Huo
- Sport Biomechanics Center, Institute of Artificial Intelligence in Sports, Capital University of Physical Education and Sports, Beijing, China
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2
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Almadhaani HMA, Goonetilleke RS, Wijeweera A, Jayaraman R, Ameersing L, Khandoker AH, Tamrin SBM. Transient pain and discomfort when wearing high-heeled shoes. Sci Rep 2024; 14:9291. [PMID: 38654097 DOI: 10.1038/s41598-024-59966-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2023] [Accepted: 04/17/2024] [Indexed: 04/25/2024] Open
Abstract
In the dynamic world of fashion, high-heeled footwear is revered as a symbol of style, luxury and sophistication. Yet, beneath the facade of elegance of classy footwear lies the harsh reality of discomfort and pain. Thus, this study aims to investigate the influence of wearing high-heeled shoes on the sensation of pain across different body regions over a period of 6 h. It involved fifty female participants, all habitual wearers of high-heeled shoes, aged between 20 and 30 years. Each participant kept a record of their perceptions of pain and discomfort every hour for a total of 6 h using a 0-10 pain scale with 0 indicating no pain and 10 indicating severe pain. The findings reveal a progressive rise in pain throughout wear, with the most intense pain reported in the back, calcaneus, and metatarsals. The analysis shows that after approximately 3.5 h, participants experience significant increases in pain levels. However, the relationship between heel height and pain is not linear. It appears that a heel height of 7.5 cm is the threshold where overall body pain becomes significant. The study suggests that a duration of 3.5 h of wear and a heel height of 7.5 cm serve as critical points to decrease overall body pain. Moreover, beyond this heel height, knee pain diminishes compared to other body areas possibly due to the shift towards a more neutral posture. The study findings, coupled with the recommendations, can assist footwear designers in crafting not only stylish but also comfortable shoes.
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Affiliation(s)
| | - Ravindra S Goonetilleke
- Department of Management Science and Engineering, Khalifa University, Abu Dhabi, UAE.
- Healthcare Engineering Innovation Center, Khalifa University, Abu Dhabi, UAE.
| | - Albert Wijeweera
- Department of Management Science and Engineering, Khalifa University, Abu Dhabi, UAE
| | - Raja Jayaraman
- Department of Management Science and Engineering, Khalifa University, Abu Dhabi, UAE
| | - Luximon Ameersing
- Industrial Design, Georgia Tech Shenzhen Institute/Tianjin University (GTSI), Shenzhen, China
| | - Ahsan H Khandoker
- Healthcare Engineering Innovation Center, Khalifa University, Abu Dhabi, UAE
- Department of Biomedical Engineering, Khalifa University, Abu Dhabi, UAE
| | - S B Mohd Tamrin
- Department of Environmental and Occupational Health, University of Putra, Serdang, Malaysia
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3
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Cho H, Arnold AJ, Cui C, Yang Z, Becker T, Kulkarni A, Naik A, Rietdyk S. Risky behavior during stair descent for young adults: Differences in men versus women. PLoS One 2023; 18:e0288438. [PMID: 37494307 PMCID: PMC10370699 DOI: 10.1371/journal.pone.0288438] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2023] [Accepted: 06/15/2023] [Indexed: 07/28/2023] Open
Abstract
Injuries commonly occur on stairs, with high injury rates in young adults, especially young women. High injury rates could result from physiological and/or behavioral differences; this study focuses on behaviors. The purposes of this observational study were (1) to quantify young adult behaviors during stair descent and (2) to identify differences in stair descent behavior for young adult men versus women. Young adult pedestrians (N = 2,400, 1,470 men and 930 women) were videotaped during descent of two indoor campus staircases, a short staircase (2 steps) and a long staircase (17 steps). Behaviors during stair descent were coded by experimenters. Risky behaviors observed on the short staircase included: No one used the handrail, 16.1% used an electronic device, and 16.4% had in-person conversations. On the long staircase: 64.8% of pedestrians did not use the handrail, 11.9% used an electronic device, and 14.5% had in-person conversations. Risky behaviors observed more in women included: less likely to use the handrail (long staircase), more likely to carry an item in their hands (both staircases), more likely to engage in conversation (both staircases), and more likely to wear sandals or heels (both staircases) (p≤0.05). Protective behaviors observed more in women included: less likely to skip steps (both staircases), and more likely to look at treads during transition steps (long staircase) (p≤0.05). The number of co-occurring risky behaviors was higher in women: 1.9 vs 2.3, for men vs women, respectively (p<0.001). Five pedestrians lost balance but did not fall; four of these pedestrians lost balance on the top step and all five had their gaze diverted from the steps at the time balance was lost. The observed behaviors may be related to the high injury rate of stair-related falls in young adults, and young women specifically.
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Affiliation(s)
- HyeYoung Cho
- Department of Health and Kinesiology, Purdue University, West Lafayette, IN, United States of America
| | - Amanda J. Arnold
- Department of Health and Kinesiology, Purdue University, West Lafayette, IN, United States of America
| | - Chuyi Cui
- Department of Health and Kinesiology, Purdue University, West Lafayette, IN, United States of America
| | - Zihan Yang
- Department of Health and Kinesiology, Purdue University, West Lafayette, IN, United States of America
| | - Tim Becker
- Department of Health and Kinesiology, Purdue University, West Lafayette, IN, United States of America
| | - Ashwini Kulkarni
- Department of Health and Kinesiology, Purdue University, West Lafayette, IN, United States of America
| | - Anvesh Naik
- Department of Health and Kinesiology, Purdue University, West Lafayette, IN, United States of America
| | - Shirley Rietdyk
- Department of Health and Kinesiology, Purdue University, West Lafayette, IN, United States of America
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Zeng Z, Liu Y, Hu X, Li P, Wang L. Effects of high-heeled shoes on lower extremity biomechanics and balance in females: a systematic review and meta-analysis. BMC Public Health 2023; 23:726. [PMID: 37081521 PMCID: PMC10120101 DOI: 10.1186/s12889-023-15641-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2022] [Accepted: 04/10/2023] [Indexed: 04/22/2023] Open
Abstract
BACKGROUND High-heeled shoes (HHS) are widely worn by women in daily life. Limited quantitative studies have been conducted to investigate the biomechanical performance between wearing HHS and wearing flat shoes or barefoot. This study aimed to compare spatiotemporal parameters, kinematics, kinetics and muscle function during walking and balance between wearing HHS and flat shoes or barefoot. METHODS According to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) statement, PubMed Medline, Cochrane, EMBASE, CINAHL Complete and Web of Science databases were searched from the earliest record to December 2021. A modified quality index was applied to evaluate the risk of bias, and effect sizes with 95% confidence intervals were calculated as the standardized mean differences (SMD). Potential publication bias was evaluated graphically using funnel plot and the robustness of the overall results was assessed using sensitivity analyses. RESULTS Eighty-one studies (n = 1501 participants) were included in this study. The reduced area of support requires the body to establish a safer and more stable gait pattern by changing gait characteristics when walking in HHS compared with walking in flats shoes or barefoot. Walking in HHS has a slight effect on hip kinematics, with biomechanical changes and adaptations concentrated in the knee and foot-ankle complex. Females wearing HHS performed greater ground reaction forces earlier, accompanied by an anterior shift in plantar pressure compared with those wearing flat shoes/barefoot. Furthermore, large effect sizes indicate that wearing HHS resulted in poor static and dynamic balance. CONCLUSION Spatiotemporal, kinematic, kinetic and balance variables are affected by wearing HHS. The effect of specific heel heights on women's biomechanics would benefit from further research.
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Affiliation(s)
- Ziwei Zeng
- Key Laboratory of Exercise and Health Sciences (Shanghai University of Sport), Ministry of Education, Shanghai, China
| | - Yue Liu
- Key Laboratory of Exercise and Health Sciences (Shanghai University of Sport), Ministry of Education, Shanghai, China
| | - Xiaoyue Hu
- Key Laboratory of Exercise and Health Sciences (Shanghai University of Sport), Ministry of Education, Shanghai, China
| | - Pan Li
- Key Laboratory of Exercise and Health Sciences (Shanghai University of Sport), Ministry of Education, Shanghai, China
| | - Lin Wang
- Key Laboratory of Exercise and Health Sciences (Shanghai University of Sport), Ministry of Education, Shanghai, China.
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Navarro-Flores E, Losa-Iglesias ME, Casado-Hernández I, Becerro-de-Bengoa-Vallejo R, Romero-Morales C, Palomo-López P, López-López D, Jiménez-Cebrián AM. Repeatability and reliability of the footwear assessment tool in Spanish patients: A transcultural adaptation. J Tissue Viability 2023; 32:26-32. [PMID: 36564255 DOI: 10.1016/j.jtv.2022.12.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2022] [Revised: 11/28/2022] [Accepted: 12/19/2022] [Indexed: 12/24/2022]
Abstract
BACKGROUND The footwear assessment tool was designed to advise an appropriate footwear for each situation and patient. Footwear alterations structures can influence in musculoskeletal disorders, developing foot ulcers, increase the peak plantar pressure, bacterial growth, low back pain. METHODS To validate the study 101 subjects were recruited. The study was tested by two expert podiatrists using the tool for the assessment of footwear characteristics that is composed by five domains, fit, general features, general structure, motion control properties and cushioning system. Each domain analyzes different shoe items. RESULTS An excellent agreement between the test-retest. A suitable Cronbach's α was suggested for the five domains of fit (α = 0.952), general features (α = 0.953), general structure (α = 0.947), motion control properties (α = 0.951), and cushioning system (α = 0.951). Test-retest reliability was excellent for all domains. There were no significant differences between any domain (p > 0.05). There was only statistically significant difference in the item forefoot height (p = 0.011). For all the domains items there were no statistically significant difference (p > 0.05). CONCLUSIONS The tool for the assessment European footwear is a suitable repeatability and reliability footwear tool that can be used in Spanish language subjects.
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Affiliation(s)
- Emmanuel Navarro-Flores
- Faculty of Nursing and Podiatry, Department of Nursing, University of Valencia, Frailty Research Organizaded Group, Spain.
| | | | - Israel Casado-Hernández
- Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, 28040, Madrid, Spain.
| | | | - Carlos Romero-Morales
- Faculty of Sport Sciences, Universidad Europea de Madrid, Villaviciosa de Odón, Madrid, Spain.
| | | | - Daniel López-López
- Industrial Campus of Ferrol. Research, Health and Podiatry Group, Department of Health Sciences, Faculty of Nursing and Podiatry, Universidade da Coruña, 15403, Ferrol, Spain.
| | - Ana María Jiménez-Cebrián
- Department Nursing and Podiatry, Faculty of Health Sciences, University of Málaga, c/ Arquitecto Francisco Peñalosa 3, Ampliación del Campus de Teatinos, 29071, Málaga, Instituto de Investigación Biomédica de Málaga, Spain.
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Kent JA, Carnahan KJ, Stine RL, Hansen AH, Esposito ER, Major MJ. Effects of footwear on the gait kinematics of women with unilateral transtibial amputation: an observational case series. Disabil Rehabil 2023; 45:322-329. [PMID: 34978960 DOI: 10.1080/09638288.2021.2022782] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
PURPOSE Prosthesis geometry and behaviour limit the footwear options available to women. Using a commercially available prosthetic foot that permits user-alignment to accommodate shoes with different heel heights, we investigated the effect of footwear on gait kinematics, with and without adjustment for differences in heel-forefoot differential. MATERIALS AND METHODS Three women with transtibial amputation walked at a self-selected pace, first in an athletic shoe (prosthetist-aligned; baseline condition), then (i) in a flatter shoe without realigning the prosthesis, and (ii) in flat and heeled shoes following user re-alignment. Kinematics in each condition were compared to baseline. RESULTS Baseline gait patterns were highly variable across participants. Gait was slower in comparison to baseline in all conditions, but movement compensations varied across participants. An increased lower limb extension tendency was evident with the misaligned prosthesis. With user re-alignment to accommodate the shoe there were fewer deviations from baseline, however kinematic differences remained in both the flat and heeled shoes. CONCLUSIONS The user-alignment feature of the prosthetic foot reduced the effect of a change in footwear on kinematics, and permitted walking in heeled shoes when it might otherwise not be possible. Persistence of some deviations suggests differences in walking task demand remained despite adjustment.Implications for rehabilitationPermitting prosthesis users to don footwear of choice may improve body image, well-being and quality of life following amputation.Prosthetic feet that permit user ankle adjustment can reduce gait deviations associated with a change in footwear heel height, although kinematic adaptations are individual.
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Affiliation(s)
- Jenny A Kent
- Department of Physical Therapy, University of Nevada Las Vegas, Las Vegas, NV, USA
| | - Kristin J Carnahan
- Department of Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | | | - Andrew H Hansen
- Minneapolis VA Health Care System, Minneapolis, MN, USA
- Department of Rehabilitation Medicine, University of Minnesota, Minneapolis, MN, USA
- Department of Biomedical Engineering, University of Minnesota, MN, USA
| | - Elizabeth Russell Esposito
- VA Puget Sound, Seattle, WA, USA
- DoD-VA Extremity Trauma and Amputation Center of Excellence, Fort Sam Houston, TX, USA
- Department of Mechanical Engineering, University of Washington, Seattle, WA, USA
- Department of Physical Medicine and Rehabilitation, Uniformed Services University of the Health Sciences, Bethesda, MD, USA
| | - Matthew J Major
- Department of Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
- Jesse Brown VA Medical Center, Chicago, IL, USA
- Department of Biomedical Engineering, McCormick School of Engineering, Northwestern University, Evanston, IL, USA
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A retrospective cohort study of factors associated with severity of falls in hospital patients. Sci Rep 2022; 12:12266. [PMID: 35851400 PMCID: PMC9293967 DOI: 10.1038/s41598-022-16403-z] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2021] [Accepted: 07/11/2022] [Indexed: 11/26/2022] Open
Abstract
Severity of falls in hospital patients are threat to patient safety which can result in a financial burden on the patient’s family and health care services. Both patient specific and environmental and organisational factors are associated with severity of falls in hospital. It is important to continuously analyse the factors associated with severity of fall which can inform the implementation of any fall preventive strategies. This study aims to identify factors associated with the severity of falls in hospitalised adult patients in Western Australia. This study involved a retrospective cohort analysis of inpatient falls records extracted from the hospital’s Clinical Incident Database from May 2014 to April 2019. Severity of falls were classified as three Severity Assessment Code (SAC): SAC 1 was “high” causing serious harm or death; SAC 2 was “medium” causing moderate or minor harm; and SAC 3 was “low” indicating no harm. Univariable and multivariable generalised ordinal logistic regression models were used to quantify the magnitude of effects of the potential risk factors on severity of falls at 5% level of significance and reported the crude odds and adjusted odds ratio of falling at a higher severity level. There were 3705 complete reported cases of falls with the average age of the patients was 68.5 ± 17.0 years, with 40.2% identified as female. The risk of falling at a higher level of severity increased by patient age over 50 years. Females were 15.1% more likely to fall at higher severity level compared to females. Fall incidents occurred during toileting and showering activities and incidents in a communal area were 14.5% and 26% more likely to occur at a higher severity respectively. Similarly, depression (167%), influence of alcohol or illicit drugs (more than 300%), use of medications (86%) and fragile skin (75%) significantly increased the odds of falling at higher level of severity. Identification of underlying risk factors associated with fall severity provides information which can guide nurses and clinicians to design and implement effective interventional strategies that mitigate the risk of serious fall injuries. The results suggest that fall prevention strategies should target patients with these risk factors to avoid severity of falls.
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McGuirk TE, Perry ES, Sihanath WB, Riazati S, Patten C. Feasibility of Markerless Motion Capture for Three-Dimensional Gait Assessment in Community Settings. Front Hum Neurosci 2022; 16:867485. [PMID: 35754772 PMCID: PMC9224754 DOI: 10.3389/fnhum.2022.867485] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2022] [Accepted: 05/09/2022] [Indexed: 12/30/2022] Open
Abstract
Three-dimensional (3D) kinematic analysis of gait holds potential as a digital biomarker to identify neuropathologies, monitor disease progression, and provide a high-resolution outcome measure to monitor neurorehabilitation efficacy by characterizing the mechanisms underlying gait impairments. There is a need for 3D motion capture technologies accessible to community, clinical, and rehabilitation settings. Image-based markerless motion capture (MLMC) using neural network-based deep learning algorithms shows promise as an accessible technology in these settings. In this study, we assessed the feasibility of implementing 3D MLMC technology outside the traditional laboratory environment to evaluate its potential as a tool for outcomes assessment in neurorehabilitation. A sample population of 166 individuals aged 9-87 years (mean 43.7, S.D. 20.4) of varied health history were evaluated at six different locations in the community over a 3-month period. Participants walked overground at self-selected (SS) and fastest comfortable (FC) speeds. Feasibility measures considered the expansion, implementation, and practicality of this MLMC system. A subset of the sample population (46 individuals) walked over a pressure-sensitive walkway (PSW) concurrently with MLMC to assess agreement of the spatiotemporal gait parameters measured between the two systems. Twelve spatiotemporal parameters were compared using mean differences, Bland-Altman analysis, and intraclass correlation coefficients for agreement (ICC2,1) and consistency (ICC3,1). All measures showed good to excellent agreement between MLMC and the PSW system with cadence, speed, step length, step time, stride length, and stride time showing strong similarity. Furthermore, this information can inform the development of rehabilitation strategies targeting gait dysfunction. These first experiments provide evidence for feasibility of using MLMC in community and clinical practice environments to acquire robust 3D kinematic data from a diverse population. This foundational work enables future investigation with MLMC especially its use as a digital biomarker of disease progression and rehabilitation outcome.
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Affiliation(s)
- Theresa E. McGuirk
- Biomechanics, Rehabilitation, and Integrative Neuroscience Lab, Department of Physical Medicine and Rehabilitation, School of Medicine, University of California, Davis, Sacramento, CA, United States
- UC Davis Healthy Aging in a Digital World Initiative, a UC Davis “Big Idea”, Sacramento, CA, United States
- Center for Neuroengineering and Medicine, University of California, Davis, Davis, CA, United States
- Veterans Affairs Northern California Health Care System, Martinez, CA, United States
| | - Elliott S. Perry
- Biomechanics, Rehabilitation, and Integrative Neuroscience Lab, Department of Physical Medicine and Rehabilitation, School of Medicine, University of California, Davis, Sacramento, CA, United States
- UC Davis Healthy Aging in a Digital World Initiative, a UC Davis “Big Idea”, Sacramento, CA, United States
- Veterans Affairs Northern California Health Care System, Martinez, CA, United States
| | - Wandasun B. Sihanath
- Biomechanics, Rehabilitation, and Integrative Neuroscience Lab, Department of Physical Medicine and Rehabilitation, School of Medicine, University of California, Davis, Sacramento, CA, United States
- UC Davis Healthy Aging in a Digital World Initiative, a UC Davis “Big Idea”, Sacramento, CA, United States
- Center for Neuroengineering and Medicine, University of California, Davis, Davis, CA, United States
| | - Sherveen Riazati
- Biomechanics, Rehabilitation, and Integrative Neuroscience Lab, Department of Physical Medicine and Rehabilitation, School of Medicine, University of California, Davis, Sacramento, CA, United States
- UC Davis Healthy Aging in a Digital World Initiative, a UC Davis “Big Idea”, Sacramento, CA, United States
- Center for Neuroengineering and Medicine, University of California, Davis, Davis, CA, United States
| | - Carolynn Patten
- Biomechanics, Rehabilitation, and Integrative Neuroscience Lab, Department of Physical Medicine and Rehabilitation, School of Medicine, University of California, Davis, Sacramento, CA, United States
- UC Davis Healthy Aging in a Digital World Initiative, a UC Davis “Big Idea”, Sacramento, CA, United States
- Center for Neuroengineering and Medicine, University of California, Davis, Davis, CA, United States
- Veterans Affairs Northern California Health Care System, Martinez, CA, United States
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van Oorschot W, Hofstad CJ, Slagman D, Van Ee RF, Keijsers NLW. The effects of small variations in shoe heel height on gait in people with a transtibial amputation. Prosthet Orthot Int 2022; 46:252-257. [PMID: 35316261 DOI: 10.1097/pxr.0000000000000097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/18/2020] [Accepted: 01/04/2022] [Indexed: 02/03/2023]
Abstract
BACKGROUND Shoe heel height is considered to influence prosthetic alignment, walking comfort, and gait symmetry in people with a transtibial amputation (TTA). However, research on the effect of heel height is scarce, and no evidence is available on the effects of variations smaller than 20 mm. These small heel height variations between store-bought shoes are often overlooked by people with an amputation and may cause secondary musculoskeletal problems in the long term. OBJECTIVE To examine the effects of small increases in heel height on gait symmetry in people with a TTA and healthy individuals. STUDY DESIGN Experimental repeated measures study. METHODS Fourteen participants with a TTA and 15 healthy controls were included. Pressure data, spatiotemporal data, and experienced walking comfort were measured during walking with four heel height conditions: original height and increased heights of 3, 5, and 8 mm. Symmetry in center of pressure velocity (VCOP), gait parameters, and experienced walking comfort were compared between the heel heights and between healthy controls and prosthetic walkers. RESULTS Increased heel height resulted in a significant decrease in VCOP symmetry (P = 0.001) and experienced walking comfort (P < 0.001). The VCOP trajectory of the prosthetic leg mainly differed within the first 14.5% of the stance phase. Healthy individuals showed better VCOP symmetry in all conditions (P < 0.001). CONCLUSIONS Healthcare professionals should advice their clients to be alert of small heel height differences between store-bought shoes, especially those larger than 5 mm. A prosthetic alignment adjustment should be considered when purchasing new shoes.
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Affiliation(s)
- Wieneke van Oorschot
- Department of Research, Sint Maartenskliniek, Nijmegen, The Netherlands
- Department of Rehabilitation, Sint Maartenskliniek, Nijmegen, The Netherlands
| | | | - Daan Slagman
- Department of Research, Sint Maartenskliniek, Nijmegen, The Netherlands
| | | | - Noël Leonardus Wilhelmus Keijsers
- Department of Research, Sint Maartenskliniek, Nijmegen, The Netherlands
- Department of Rehabilitation, Radboud University Medical Center, Nijmegen, The Netherlands
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10
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Ellis S, Branthwaite H, Chockalingam N. Evaluation and optimisation of a footwear assessment tool for use within a clinical environment. J Foot Ankle Res 2022; 15:12. [PMID: 35144665 PMCID: PMC8829975 DOI: 10.1186/s13047-022-00519-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/19/2021] [Accepted: 02/01/2022] [Indexed: 11/23/2022] Open
Abstract
Footwear has been documented as a significant factor in the aetiology of foot pain in the general population. Assessing footwear in a clinical setting continues to be practitioner specific and there is limited guidance to direct advice. Health professionals must have access to clinically appropriate and reliable footwear assessment tools to educate patients on healthier footwear choices. The primary aim of this study was to critique what elements should be in a footwear assessment tool with a secondary aim of testing the agreed tool for validity. A combined Nominal Group Technique and then a Delphi technique from purposively sampled experts of foot health professions were employed to critique elements of footwear assessment. The agreed tool was then tested by practising podiatrists on 5 different shoes to assess the validity and reliability of the measures. Twelve test evaluation criteria were identified receiving significant ratings to form the final footwear assessment tool consisting of five footwear themes. Application of the tool in a clinical setting validated the themes of footwear characteristics, footwear structure, motion control and wear patterns. However, the assessment of footwear fit was not reliable. The footwear tool was refined based on the collective consensus achieved from the rounds creating a more clinically appropriate tool. The validity of this tool was assessed as high in some of the themes but for those that were lower, a training need was identified.
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Affiliation(s)
- Stephen Ellis
- Centre for Biomechanics and Rehabilitation Technologies, Staffordshire University, Leek Road, ST4 2DF, Stoke on Trent, UK
| | - Helen Branthwaite
- Centre for Biomechanics and Rehabilitation Technologies, Staffordshire University, Leek Road, ST4 2DF, Stoke on Trent, UK.
| | - Nachiappan Chockalingam
- Centre for Biomechanics and Rehabilitation Technologies, Staffordshire University, Leek Road, ST4 2DF, Stoke on Trent, UK
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11
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Major MJ, Quinlan J, Hansen AH, Russell Esposito E. Effects of women’s footwear on the mechanical function of heel-height accommodating prosthetic feet. PLoS One 2022; 17:e0262910. [PMID: 35073370 PMCID: PMC8786192 DOI: 10.1371/journal.pone.0262910] [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: 06/02/2021] [Accepted: 01/07/2022] [Indexed: 11/19/2022] Open
Abstract
The loaded mechanical function of transtibial prostheses that result from the clinical assembly, tuning, and alignment of modular prosthetic components can directly influence an end user’s biomechanics and overall mobility. Footwear is known to affect prosthesis mechanical properties, and while the options of footwear are limited for most commercial feet due to their fixed geometry, there exists a selection of commercial prosthetic feet that can accommodate a moderate rise in heel height. These feet are particularly relevant to women prosthesis users who often desire to don footwear spanning a range of heel heights. The aim of this study was to assess the effects of adding women’s footwear (flat, trainer, 5.08 cm heel) on the mechanical properties (deformation and energy efficiency) of four models of heel-height accommodating prosthetic feet. Properties were measured through loading-unloading at simulated initial contact, midstance and terminal stance orientations with a universal materials test system, and statistically compared to a barefoot condition. Results suggest that the addition of footwear can alter the level of foot deformation under load, which may be a function of the shoe and alignment. Moreover, while each foot displayed different amounts of energy storage and return, the addition of footwear yielded similar levels of energy efficiency across foot models. Overall, prosthesis users who don shoes of varying heel heights onto adjustable prosthetic feet and their treating clinicians should be aware of the potential changes in mechanical function that could affect the user experience.
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Affiliation(s)
- Matthew J. Major
- Department of Physical Medicine & Rehabilitation, Northwestern University, Chicago, IL, United States of America
- Department of Biomedical Engineering, Northwestern University, Evanston, IL, United States of America
- Jesse Brown VA Medical Center, Chicago, IL, United States of America
- * E-mail:
| | - Julia Quinlan
- Department of Physical Medicine & Rehabilitation, Northwestern University, Chicago, IL, United States of America
| | - Andrew H. Hansen
- Minneapolis VA Health Care System, Minneapolis, MN, United States of America
- University of Minnesota, Minneapolis, MN, United States of America
| | - Elizabeth Russell Esposito
- DoD-VA Extremity Trauma and Amputation Center of Excellence (EACE), San Antonio, TX, United States of America
- Center for Limb Loss and Mobility, VA Puget Sound Health Care System, Seattle, WA, United States of America
- University of Washington, Seattle, WA, United States of America
- Uniformed Services University of the Health Sciences, Bethesda, MD, United States of America
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12
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Wang M, Li S, Teo EC, Fekete G, Gu Y. The Influence of Heel Height on Strain Variation of Plantar Fascia During High Heel Shoes Walking-Combined Musculoskeletal Modeling and Finite Element Analysis. Front Bioeng Biotechnol 2022; 9:791238. [PMID: 34988067 PMCID: PMC8720874 DOI: 10.3389/fbioe.2021.791238] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2021] [Accepted: 11/26/2021] [Indexed: 11/29/2022] Open
Abstract
The therapeutic benefit of high heel shoes (HHS) for plantar fasciitis treatment is controversial. It has been suggested that plantar fascia strain can be decreased by heel elevation of shoes which helps in body weight redistribution throughout the length of the foot. Yet it is a fact that the repetitive tension caused by HHS wearing resulting in plantar fasciitis is a high-risk disease in HHS individuals who suffer heel and plantar pain. To explore the biomechanical function on plantar fascia under HHS conditions, in this study, musculoskeletal modeling (MsM) and finite element method (FEM) were used to investigate the effect of heel height on strain distribution of plantar fascia. Three-dimensional (3D) and one-dimensional (1D) finite element models of plantar fascia were generated to analyze the computed strain variation in 3-, 5-, and 7-cm heel heights. For validation, the computed foot contact pressure was compared with experimental measurement, and the strain value on 1D fascia was compared with previous studies. Results showed that the peak strain of plantar fascia was progressively increased on both 3D and 1D plantar fascia as heel elevated from 3 to 7 cm, and the maximum strain of plantar fascia occurs near the heel pain site at second peak stance. The 3D fascia model predicted a higher strain magnitude than that of 1D and provided a more reliable strain distribution on the plantar fascia. It is concluded that HHS with narrow heel support could pose a high risk on plantar fasciitis development, rather than reducing symptoms. Therefore, the heel elevation as a treatment recommendation for plantar fasciitis is questionable. Further studies of different heel support structures of shoes to quantify the effectiveness of heel elevation on the load-bearing mechanism of plantar fascia are recommended.
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Affiliation(s)
- Meizi Wang
- Faculty of Sports Science, Ningbo University, Ningbo, China.,Faculty of Health and Safety, Óbuda University, Budapest, Hungary
| | - Shudong Li
- Faculty of Health and Safety, Óbuda University, Budapest, Hungary
| | - Ee-Chon Teo
- School of Mechanical and Aerospace Engineering, Nanyang Technological University, Singapore, Singapore
| | - Gusztáv Fekete
- Savaria Institute of Technology, Eötvös Loránd University, Budapest, Hungary
| | - Yaodong Gu
- Faculty of Sports Science, Ningbo University, Ningbo, China
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Estimation of Knee Joint Angle Using Textile Capacitive Sensor and Artificial Neural Network Implementing with Three Shoe Types at Two Gait Speeds: A Preliminary Investigation. SENSORS 2021; 21:s21165484. [PMID: 34450926 PMCID: PMC8398621 DOI: 10.3390/s21165484] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/25/2021] [Revised: 08/09/2021] [Accepted: 08/10/2021] [Indexed: 11/25/2022]
Abstract
The lower limb joints might be affected by different shoe types and gait speeds. Monitoring joint angles might require skill and proper technique to obtain accurate data for analysis. We aimed to estimate the knee joint angle using a textile capacitive sensor and artificial neural network (ANN) implementing with three shoe types at two gait speeds. We developed a textile capacitive sensor with a simple structure design and less costly placing in insole shoes to measure the foot plantar pressure for building the deep learning models. The smartphone was used to video during walking at each condition, and Kinovea was applied to calibrate the knee joint angle. Six ANN models were created; three shoe-based ANN models, two speed-based ANN models, and one ANN model that used datasets from all experiment conditions to build a model. All ANN models at comfortable and fast gait provided a high correlation efficiency (0.75 to 0.97) with a mean relative error lower than 15% implement for three testing shoes. And compare the ANN with A convolution neural network contributes a similar result in predict the knee joint angle. A textile capacitive sensor is reliable for measuring foot plantar pressure, which could be used with the ANN algorithm to predict the knee joint angle even using high heel shoes.
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14
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Pino-Ortega J, Oliva-Lozano JM, Gómez-Carmona CD, Rojas-Valverde D, Bastida-Castillo A, Moreno-Pérez V, Nakamura FY. Impact of high-heeled and sport shoes on multi-joint external load profile during walking. J Back Musculoskelet Rehabil 2021; 34:389-398. [PMID: 33459694 DOI: 10.3233/bmr-191591] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND Previous studies have analysed the effect of wearing high-heeled shoes (HHS) on gait analysis, balance and its relation to health. However, further research is needed to study its effect on the difference of chain reactions in the transfer of body impacts from the lower to the upper limbs. OBJECTIVES The aims of the present research were: (a) to compare the effects of wearing HHS on impacts across body joints during walking with sport shoes (SS) as a reference, and (b) to examine such effects at different speeds. METHODS Seven well-trained women completed this study. Incremental treadmill walking test were performed with two different footwear: SS and HHS. Inertial devices were used to quantify the chain reactions at selected anatomical lower limbs and trunk locations. Statistical analysis included the Wilcoxon test with ranges and Cohen's d effect size with percentage of differences. RESULTS The highest values were found at the heel in both footwear and in both legs (SS: right =0.76 ± 0.27, left = 0.79 ± 0.27; HHS: right = 1.07 ± 0.38, left = 1.11 ± 0.41), while the lowest values were registered at lower and upper back. Furthermore, significant differences were found with the HHS load being higher at all locations (p< 0.05; %=𝑑𝑖𝑓𝑓 12.20-36.36%), influenced by the walking speed. In addition, a strong influence of footwear in the change of the laterality profile was found (p< 0.05). CONCLUSIONS These findings suggest that the use of HHS increase the load on the lower limb and the trunk. Until reaching 5 km/h during walking, no significant differences were found between wearing HHS or SS in accelerometer load, producing exponential differences from this speed. The great between-subject variability implies that within-subject analysis is recommended, as it is more related to real clinical practice.
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Affiliation(s)
- José Pino-Ortega
- BioVetMed & Sport Sci Research Group, Physical Activity and Sports Department, International Excellence Campus "Mare Nostrum", Faculty of Sports Science, University of Murcia, San Javier, Spain
| | | | - Carlos D Gómez-Carmona
- Research Group in Optimization of Training and Sports Performance (GOERD), Didactics of Music, Plastic and Body Expression Department, Faculty of Sports Science, University of Extremadura, Cáceres, Spain
| | - Daniel Rojas-Valverde
- Center of Research and Diagnosis in Health and Sports (CIDISAD), School of Human Movement Sciences an d Quality of Life (CIEMHCAVI), Universidad Nacional, Heredia, Costa Rica
| | - Alejandro Bastida-Castillo
- BioVetMed & Sport Sci Research Group, Physical Activity and Sports Department, International Excellence Campus "Mare Nostrum", Faculty of Sports Science, University of Murcia, San Javier, Spain
| | - Victor Moreno-Pérez
- Pathology and Surgery Deparment, Faculty of Sports Science, Miguel Hernández University, Elche, Spain
| | - Fabio Y Nakamura
- Associate Graduate Program in Physical Education, Federal University of Paraiba, João Pessoa, Brazil.,Research Center in Sports Sciences, Health Sciences and Human Development (CIDESD), University Institute of Maia (ISMAI), Maia, Portugal
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15
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Massoud R. A type-2 fuzzy index to assess high heeled gait deviations using spatial-temporal parameters. Comput Methods Biomech Biomed Engin 2021; 25:193-203. [PMID: 34180732 DOI: 10.1080/10255842.2021.1946521] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
This paper introduces an intelligent index that numerically assesses high-heeled gait deviations. Experiments were conducted on 14 young female volunteers, and the spatial-temporal gait parameters were calculated at each heel height. A type-2 fuzzy system index was built using the baseline case (barefoot). The index showed sensitivity to heel height changes. Moreover, its values divided the heel heights used in this study into three groups, depending on their effect on the gait parameters. A high correlation between the proposed index and the gait profile score (GPS) was found, this supports the index validity to evaluate different human gait deviations.
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Affiliation(s)
- Rasha Massoud
- Department of Biomedical Engineering, Faculty of Mechanical and Electrical Engineering, Damascus University, Damascus, Syria
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16
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Detection of Postural Control in Young and Elderly Adults Using Deep and Machine Learning Methods with Joint-Node Plots. SENSORS 2021; 21:s21093212. [PMID: 34063144 PMCID: PMC8124823 DOI: 10.3390/s21093212] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/25/2021] [Revised: 04/25/2021] [Accepted: 04/30/2021] [Indexed: 12/22/2022]
Abstract
Postural control decreases with aging. Thus, an efficient and accurate method of detecting postural control is needed. We enrolled 35 elderly adults (aged 82.06 ± 8.74 years) and 20 healthy young adults (aged 21.60 ± 0.60 years) who performed standing tasks for 40 s, performed six times. The coordinates of 15 joint nodes were captured using a Kinect device (30 Hz). We plotted joint positions into a single 2D figure (named a joint–node plot, JNP) once per second for up to 40 s. A total of 15 methods combining deep and machine learning for postural control classification were investigated. The accuracy, sensitivity, specificity, positive predicted value (PPV), negative predicted value (NPV), and kappa values of the selected methods were assessed. The highest PPV, NPV, accuracy, sensitivity, specificity, and kappa values were higher than 0.9 in validation testing. The presented method using JNPs demonstrated strong performance in detecting the postural control ability of young and elderly adults.
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17
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Lerebourg L, L'Hermette M, Menez C, Coquart J. The effects of shoe type on lower limb venous status during gait or exercise: A systematic review. PLoS One 2020; 15:e0239787. [PMID: 33237916 PMCID: PMC7688113 DOI: 10.1371/journal.pone.0239787] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2020] [Accepted: 09/11/2020] [Indexed: 12/03/2022] Open
Abstract
This systematic review evaluated the literature pertaining to the effect of shoes on lower limb venous status in asymptomatic populations during gait or exercise. The review was conducted in accordance with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. The PubMed-NCBI, EBSCO Host, Cochrane Library and Science Direct databases were searched (March 2019) for words around two concepts: shoes and venous parameters. The inclusion criteria were as follows: (1) the manuscript had to be published in an English-language peer-reviewed journal and the study had to be observational or experimental and (2) the study had to suggest the analysis of many types of shoes or orthotics on venous parameters before, during and/or after exercise. Out of 366 articles, 60 duplications were identified, 306 articles were analyzed, and 13 articles met the eligibility criteria after screening and were included. This review including approximately 211 participants. The methodological rigor of these studies was evaluated with the modified Downs and Black quality index. Nine studies investigated the effect of shoes on blood flow parameters, two on venous pressure and two on lower limb circumferences with exercise. Evidence was found that unstable shoes or shoes with similar technology, sandals, athletic or soft shoes, and customized foot orthotics elicited more improvement in venous variables than high-heeled shoes, firm shoes, ankle joint immobilization and barefoot condition. These venous changes are probably related to the efficiency of muscle pumps in the lower limbs, which in turn seem to be dependent on shoe features associated with changes in the kinetics, kinematics and muscle activity variables in lower limbs during gait and exercise.
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Affiliation(s)
- Lucie Lerebourg
- Normandie Univ, UNIROUEN, CETAPS, Rouen, France
- Orthodynamica Center, Mathilde Hospital 2, Rouen, France
- * E-mail:
| | | | - Charlotte Menez
- Normandie Univ, UNIROUEN, CETAPS, Rouen, France
- Orthodynamica Center, Mathilde Hospital 2, Rouen, France
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18
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Maugeri G, D’Agata V, Roggio F, Cortis C, Fusco A, Foster C, Mañago MM, Harris-Love MO, Vleck V, Piacentini MF, Musumeci G. The "Journal of Functional Morphology and Kinesiology" Journal Club Series: PhysioMechanics of Human Locomotion. J Funct Morphol Kinesiol 2020; 5:52. [PMID: 32935069 PMCID: PMC7489281 DOI: 10.3390/jfmk5030052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/07/2020] [Accepted: 07/08/2020] [Indexed: 11/23/2022] Open
Abstract
We are glad to introduce the Third Journal Club of Volume five, the third issue. This edition is focused on relevant studies published in the last years in the field of PhysioMechanics of Human Locomotion, chosen by our Editorial Board members and their colleagues. We hope to stimulate your curiosity in this field and to share with you the passion for the Sports Medicine and Movement Sciences seen also from the scientific point of view. The Editorial Board members wish you an inspiring lecture.
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Affiliation(s)
- Grazia Maugeri
- Department of Biomedical and Biotechnological Sciences, Anatomy, Histology and Movement Sciences Section, School of Medicine, University of Catania, Via S. Sofia 87, 95123 Catania, Italy; (G.M.); (V.D.); (F.R.)
| | - Velia D’Agata
- Department of Biomedical and Biotechnological Sciences, Anatomy, Histology and Movement Sciences Section, School of Medicine, University of Catania, Via S. Sofia 87, 95123 Catania, Italy; (G.M.); (V.D.); (F.R.)
| | - Federico Roggio
- Department of Biomedical and Biotechnological Sciences, Anatomy, Histology and Movement Sciences Section, School of Medicine, University of Catania, Via S. Sofia 87, 95123 Catania, Italy; (G.M.); (V.D.); (F.R.)
| | - Cristina Cortis
- Department of Human Sciences, Society and Health, University of Cassino and Lazio Meridionale, 03043 Cassino, Italy; (C.C.); (A.F.)
| | - Andrea Fusco
- Department of Human Sciences, Society and Health, University of Cassino and Lazio Meridionale, 03043 Cassino, Italy; (C.C.); (A.F.)
| | - Carl Foster
- Department of Exercise and Sport Science, University of Wisconsin-La Crosse, La Crosse, WI 54601, USA;
| | - Mark M. Mañago
- Physical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado School of Medicine, Aurora, CO 80045, USA; (M.M.M.); (M.O.H.-L.)
| | - Michael O. Harris-Love
- Physical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado School of Medicine, Aurora, CO 80045, USA; (M.M.M.); (M.O.H.-L.)
- Geriatric Research, Education and Clinical Center, Rocky Mountain Regional Veterans Affairs Medical Center, Aurora, CO 80045, USA
| | - Veronica Vleck
- CIPER, Faculdade de Motricidade Humana, University of Lisbon, 1499-002 Lisbon, Portugal;
| | - Maria Francesca Piacentini
- Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, 00135 Rome, Italy;
| | - Giuseppe Musumeci
- Department of Biomedical and Biotechnological Sciences, Anatomy, Histology and Movement Sciences Section, School of Medicine, University of Catania, Via S. Sofia 87, 95123 Catania, Italy; (G.M.); (V.D.); (F.R.)
- Research Center on Motor Activities (CRAM), University of Catania, 95123 Catania, Italy
- Department of Biology, Sbarro Institute for Cancer Research and Molecular Medicine, College of Science and Technology, Temple University, Philadelphia, PA 19122, USA
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19
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Fu K, Metcalf BR, Bennell KL, Zhang Y, Gross KD, Mills K, Deveza LA, Robbins SR, Hunter DJ. Is Heel Height Associated with Pain Exacerbations in Hip Osteoarthritis Patients?-Results from a Case-Crossover Study. J Clin Med 2020; 9:jcm9061872. [PMID: 32560086 PMCID: PMC7356907 DOI: 10.3390/jcm9061872] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2020] [Revised: 06/02/2020] [Accepted: 06/10/2020] [Indexed: 12/29/2022] Open
Abstract
The etiology of osteoarthritis (OA) pain exacerbations is not well understood. The purpose of this study is to evaluate the association of heel height and duration of wearing shoes with higher heels with pain exacerbations in people with hip OA. Eligible participants with symptomatic hip OA were instructed to complete online questionnaires every 10 days over a 90-day follow-up period. They were required to complete the questionnaire whenever they were experiencing hip pain exacerbation. Of 252 participants recruited, 137 (54.4%) contributed both case and control period data, and were included in the analysis. Wearing shoes with a heel height ≥ 2.5 cm during the past 24 h was associated with lower odds of pain exacerbations (OR: 0.54, 95% CI: 0.30 to 0.99). A longer duration (>6 h) of wearing shoes with heel height ≥ 2.5 cm was also associated with a lower risk of hip pain exacerbations (p for linear trend = 0.003). Wearing shoes with heel height ≥ 2.5 cm and longer duration in the past 24 h may be protective against hip pain exacerbations in people with symptomatic hip OA. Given the observational study nature, it would be prudent for this to be replicated in an independent data set.
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Affiliation(s)
- Kai Fu
- Kolling Institute of Medical Research, Institute of Bone and Joint Research, University of Sydney, Sydney, NSW 2065, Australia; (L.A.D.); (S.R.R.); (D.J.H.)
- Department of Rheumatology, Royal North Shore Hospital and Northern Clinical School, University of Sydney, Sydney, NSW 2065, Australia
- Correspondence: ; Tel.: +61-468476117; Fax: +61-2-9463-1077
| | - Ben R. Metcalf
- Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, University of Melbourne, Melbourne, VIC 3053, Australia; (B.R.M.); (K.L.B.)
| | - Kim L. Bennell
- Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, University of Melbourne, Melbourne, VIC 3053, Australia; (B.R.M.); (K.L.B.)
| | - Yuqing Zhang
- Division of Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Harvard School of Medicine, Boston, MA 02115, USA;
| | - K. Douglas Gross
- Department of Physical Therapy, MGH Institute of Health Professions, Boston, MA 02129, USA;
| | - Kathryn Mills
- Department of Health Professions, Macquarie University, Sydney, NSW 2109, Australia;
| | - Leticia A. Deveza
- Kolling Institute of Medical Research, Institute of Bone and Joint Research, University of Sydney, Sydney, NSW 2065, Australia; (L.A.D.); (S.R.R.); (D.J.H.)
| | - Sarah R. Robbins
- Kolling Institute of Medical Research, Institute of Bone and Joint Research, University of Sydney, Sydney, NSW 2065, Australia; (L.A.D.); (S.R.R.); (D.J.H.)
- Department of Rheumatology, Royal North Shore Hospital and Northern Clinical School, University of Sydney, Sydney, NSW 2065, Australia
| | - David J. Hunter
- Kolling Institute of Medical Research, Institute of Bone and Joint Research, University of Sydney, Sydney, NSW 2065, Australia; (L.A.D.); (S.R.R.); (D.J.H.)
- Department of Rheumatology, Royal North Shore Hospital and Northern Clinical School, University of Sydney, Sydney, NSW 2065, Australia
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20
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Abstract
The information gleaned from kinetic and kinematic studies on foot function and gait in relation to shoes can be applied clinically after considering the key findings of the research discussed in this article. These studies demonstrate the events of the gait cycle are somewhat different from what many providers have been taught. Greater pronation of the subtalar joint when entering the propulsive period, where resupination will most likely be occurring, would be expected.
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Affiliation(s)
- Scott Spencer
- Department of Surgery/Biomechanics, Kent State University College of Podiatric Medicine, 6000 Rockside Woods Boulevard, Independence, OH 44131, USA.
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21
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Eshraghi S, Yazdi Far M, Esat I. Deformation analysis in high-heel shoe sole using corrugated structure. FOOTWEAR SCIENCE 2019. [DOI: 10.1080/19424280.2019.1606116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- Saba Eshraghi
- Department of Mechanical Engineering, Brunel University, Uxbridge, United Kingdom of Great Britain and Northern Ireland
| | - Mahshid Yazdi Far
- Faculty of Engineering, Environment & Computing, Coventry University, Coventry, United Kingdom of Great Britain and Northern Ireland
| | - Ibrahim Esat
- Department of Mechanical Engineering, Brunel University, Uxbridge, United Kingdom of Great Britain and Northern Ireland
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22
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Everyday footwear: An overview of what we know and what we should know on ill-fitting footwear and associated pain and pathology. Foot (Edinb) 2019; 39:11-14. [PMID: 30851650 DOI: 10.1016/j.foot.2019.01.007] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/16/2018] [Revised: 01/15/2019] [Accepted: 01/16/2019] [Indexed: 02/04/2023]
Abstract
Footwear has been used to protect feet for millennia with socially exclusive population adopting stylish and fashionable shoes with expensive materials. In terms of historic timeline, only more recently footwear has been worn by all classes in the western world as an integral part of their apparel. Traditionally, footwear has been constructed from natural materials, mainly leather, but has recently benefitted from the flexibility that technology has provided with a plethora materials and new design innovations. Although it has expanded the availability for a variety of consumers, the choice and fit continue to be problematic with many individuals wearing shoes that are ill-fitting. Provision of specific footwear advice for problem feet is poorly evidenced and is heavily practitioner dependant limiting its efficacy. There is limited understanding as to the changes that can occur from regularly wearing footwear that is unsuitable in shape, style and construction which is referred to as ill-fitting. Current research on the effect that everyday footwear has on foot function and pain focuses mainly on women's shoes, particularly high heels. Defining what is a good fitting shoe, that does not damage the foot or mechanics of walking, may need to be individualised, but best fit is based on loose historical parameters rather than research evidence. The aim of this overview is to highlight aspects of current research, establishing what is known about the effect's shoes have on the feet as well as exploring the mythology around footwear fit and advice that is often historical in nature.
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23
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Delafontaine A, Fourcade P, Oustau G, Ditcharles S, Yiou E. High-heel shoes wear affects postural control during gait initiation in healthy young female adults. Comput Methods Biomech Biomed Engin 2019. [DOI: 10.1080/10255842.2020.1714223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- A. Delafontaine
- CIAMS, Univ. Paris-Sud, Université Paris-Saclay, Orsay, France
- CIAMS, Université d’Orléans, Orléans, France
| | - P. Fourcade
- CIAMS, Univ. Paris-Sud, Université Paris-Saclay, Orsay, France
- CIAMS, Université d’Orléans, Orléans, France
| | | | - S. Ditcharles
- CIAMS, Univ. Paris-Sud, Université Paris-Saclay, Orsay, France
- CIAMS, Université d’Orléans, Orléans, France
- ENKRE, Saint-Maurice, France
| | - E. Yiou
- CIAMS, Univ. Paris-Sud, Université Paris-Saclay, Orsay, France
- CIAMS, Université d’Orléans, Orléans, France
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