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Chabot M, Thibault-Piedboeuf A, Nault ML, Roy JS, Dixon PC, Simoneau M. Influence of Sudden Changes in Foot Strikes on Loading Rate Variability in Runners. SENSORS (BASEL, SWITZERLAND) 2024; 24:8163. [PMID: 39771897 PMCID: PMC11679124 DOI: 10.3390/s24248163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/12/2024] [Revised: 12/13/2024] [Accepted: 12/19/2024] [Indexed: 01/11/2025]
Abstract
Foot strike patterns influence vertical loading rates during running. Running retraining interventions often include switching to a new foot strike pattern. Sudden changes in the foot strike pattern may be uncomfortable and may lead to higher step-to-step variability. This study evaluated the effects of running with an imposed and usual foot strike on vertical loading rate variability and amplitude. Twenty-seven participants (16 men and 11 women; age range: 18-30 years) ran on an instrumented treadmill with their usual foot strike for 10 min. Then, the participants were instructed to run with an unusual foot strike for 6 min. We calculated the vertical instantaneous and vertical average loading rates and their variances over 200 steps to quantify vertical loading rate variability. We also calculated the amplitude and variability of the shank acceleration peak using an inertial measurement unit. The vertical loading rate and shank acceleration peak amplitudes were higher when running with a rearfoot strike, regardless of the foot strike conditions (i.e., usual or imposed). The vertical loading rate and shank acceleration peak variability were higher when running with an imposed rearfoot strike than when running with a usual forefoot strike. No differences were found in the vertical loading rate and shank acceleration peak variabilities between the imposed forefoot strike and usual rearfoot strike conditions. This study offers compelling evidence that adopting an imposed (i.e., unusual) rearfoot strike amplifies loading rate and shank acceleration peak variabilities.
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Affiliation(s)
- Maxime Chabot
- Faculty of Medicine, Department of Kinesiology, Université Laval, Quebec City, QC G1V OA6, Canada; (M.C.)
- Center for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris), Quebec City, QC G1M 2S8, Canada
| | - Alexandre Thibault-Piedboeuf
- Faculty of Medicine, Department of Kinesiology, Université Laval, Quebec City, QC G1V OA6, Canada; (M.C.)
- Center for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris), Quebec City, QC G1M 2S8, Canada
| | - Marie-Lyne Nault
- Azrieli Research Center of the CHU Sainte-Justine, Montreal, QC H3T 1C5, Canada
- Faculty of Medicine, Department of Surgery, Université de Montréal, Montréal, QC H3T 1J4, Canada
| | - Jean-Sébastien Roy
- Center for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris), Quebec City, QC G1M 2S8, Canada
- Faculty of Medicine, School of Rehabilitation Sciences, Université Laval, Quebec City, QC G1V 0A6, Canada
| | - Philippe C. Dixon
- Department of Kinesiology and Physical Education, McGill University, Montreal, QC H3A 0G4, Canada;
| | - Martin Simoneau
- Faculty of Medicine, Department of Kinesiology, Université Laval, Quebec City, QC G1V OA6, Canada; (M.C.)
- Center for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris), Quebec City, QC G1M 2S8, Canada
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Paquette MR, Melaro JA, Smith R, Moore IS. Time to stability of treadmill running kinematics in novel footwear with different midsole thickness. J Biomech 2024; 164:111984. [PMID: 38330884 DOI: 10.1016/j.jbiomech.2024.111984] [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] [Received: 10/06/2023] [Revised: 01/19/2024] [Accepted: 01/30/2024] [Indexed: 02/10/2024]
Abstract
Running studies, particularly those examining footwear effects, commonly use warm-up or familiarization periods prior to testing. There is no consensus for how long these familiarization periods should be to ensure stable running kinematics prior to experimental testing in novel footwear. The aim of this study was to assess the time to stability of kinematic variables during treadmill running in novel compared to habitual neutral cushion footwear in distance runners. A cross-sectional analysis of 15 distance runners (seven women, eight men) during 10-minute treadmill running bouts in minimal, neutral cushion, and maximal cushioned footwear was conducted while lower extremity kinematics were recorded for 10 s at the end of each minute. Test-retest intra-class correlation coefficients (ICC, 3, k) were used to detect time to stability in cadence, vertical oscillation, peak dorsiflexion angle, peak eversion angle, and peak knee flexion angle. All kinematic variables were stabilized within two to three minutes (ICC < 0.90) and the type of novel footwear did not influence time to stability. These findings indicate that a two to three minute, ∼310-540 steps, depending on running cadence, familiarization period, regardless of footwear novelty, is sufficient for stabilization of these kinematic variables during treadmill running.
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Affiliation(s)
- Max R Paquette
- College of Health Sciences, University of Memphis, Memphis, TN, USA.
| | - Jake A Melaro
- College of Health Sciences, University of Memphis, Memphis, TN, USA
| | - Ross Smith
- College of Health Sciences, University of Memphis, Memphis, TN, USA
| | - Isabel S Moore
- School of Sport and Health Sciences, Cardiff Metropolitan University, Cardiff, UK
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3
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Behling AV, Giandolini M, von Tscharner V, Nigg BM. Soft-tissue vibration and damping response to footwear changes across a wide range of anthropometrics in running. PLoS One 2021; 16:e0256296. [PMID: 34403445 PMCID: PMC8370632 DOI: 10.1371/journal.pone.0256296] [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: 03/04/2021] [Accepted: 08/03/2021] [Indexed: 11/18/2022] Open
Abstract
Different factors were shown to alter the vibration characteristics of soft-tissue compartments during running. Changing pre-heel strike muscle activation or changing footwear conditions represents two possibilities to influence the vibration response via frequency shift or altered damping. Associated with the study of muscle pre-tuning is the difficulty in quantifying clean experimental data for the acceleration of soft-tissue compartments and muscle activities in heterogeneous populations. The purpose of this study was to determine the vibration and pre-tuning response to footwear across a wide range of participants during running and establish and describe groups formed according to the damping coefficient. 32 subjects were used for further analysis. The subjects ran at a self-selected speed (5 min) on a treadmill in two different shoes (soft & hard), while soft-tissue accelerations and muscle activation at the gastrocnemius medialis were quantified. Damping coefficients, total muscle intensity and dominant vibration frequencies were determined. Anthropometrics and skinfold measurements of the lower limbs were obtained. According to the damping coefficient response to the footwear intervention, three groups were formed, with most runners (n = 20) showing less damping in the hard shoe. Total muscle intensity, anthropometrics, and dominant vibration frequency across footwear were not different for these three groups. Most runners (84.4%) used the strategy of adjusting the damping coefficients significantly when switching footwear. Despite damping being the preferred adjustment to changes in footwear, muscle pre-tuning might not be the only mechanism to influence damping as previously suggested. Future studies should focus on the subject-specific composition of soft-tissue compartments to elucidate their contribution to vibrations.
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Affiliation(s)
- Anja-Verena Behling
- School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, Queensland, Australia
- Biomedical Engineering, Schulich School of Engineering, University of Calgary, Calgary, Alberta, Canada
- Human Performance Laboratory, Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada
| | - Marlene Giandolini
- Amer Sports Footwear Innovation and Sport Science Lab, Salomon SAS, Annecy, France
| | - Vinzenz von Tscharner
- School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, Queensland, Australia
| | - Benno Maurus Nigg
- School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, Queensland, Australia
- Biomedical Engineering, Schulich School of Engineering, University of Calgary, Calgary, Alberta, Canada
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Acute responses to barefoot 5 km treadmill running involve changes in landing kinematics and delayed onset muscle soreness. Gait Posture 2020; 77:231-235. [PMID: 32062402 DOI: 10.1016/j.gaitpost.2020.02.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/19/2019] [Revised: 01/31/2020] [Accepted: 02/03/2020] [Indexed: 02/02/2023]
Abstract
BACKGROUND Barefoot running has gained popularity among physical activity practitioners, but there is a lack of information regarding the acute adaptations to this running technique without supervision. Information about acute adaptations can help to define the best way to insert barefoot running in the routine of runners willing to, and also provide orientation for those people who want to experience this technique. RESEARCH QUESTION What acute adaptations can be observed among recreational runners exposed to barefoot running? METHODS Sagittal 2D kinematics, plantar pressure, foot sensitivity and delayed onset muscle soreness were compared between conditions of shod and barefoot running in 13 recreational runners who performed two trials of 5 km treadmill running. RESULTS We found an acute effect of barefoot running on foot landing that changes from a rearfoot strike to a forefoot strike pattern. This change most likely contributed to the increase in neuromuscular recruitment of calf muscles (i.e. gastrocnemius and soleus) resulting in higher perception of delayed onset muscle soreness. Barefoot running also elicited higher stride cadence. Plantar pressure before and after running revealed higher pressure in the different foot regions after barefoot running. Foot sensitivity increased after running regardless of the footwear condition. CONCLUSION Barefoot running has acute effects on running technique including higher perception of delayed onset muscle soreness in the 48 h following the exercise. SIGNIFICANCE Our results highlight the importance of following participants for days after a first session of barefoot running in order to properly manage the acute adaptation periods as well provide precise advices for those trying the barefoot technique.
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Winnard A, Debuse D, Wilkinson M, Parmar A, Schuren T, Caplan N. Effect of time on biomechanics during exercise on the functional re-adaptive exercise device. J Sports Sci 2019; 37:2138-2143. [DOI: 10.1080/02640414.2019.1622855] [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)
- Andrew Winnard
- Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK
| | - Dorothee Debuse
- Department of Physiotherapy, LUNEX International University of Health, Exercise and Sports, Differdange, Luxembourg
| | - Mick Wilkinson
- Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK
| | - Arran Parmar
- Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK
| | - Thomas Schuren
- Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK
| | - Nick Caplan
- Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK
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Roca-Dols A, Losa-Iglesias ME, Sánchez-Gómez R, Becerro-de-Bengoa-Vallejo R, López-López D, Rodríguez-Sanz D, Martínez-Jiménez EM, Calvo-Lobo C. Effect of the cushioning running shoes in ground contact time of phases of gait. J Mech Behav Biomed Mater 2018; 88:196-200. [PMID: 30179793 DOI: 10.1016/j.jmbbm.2018.08.032] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2018] [Revised: 07/31/2018] [Accepted: 08/22/2018] [Indexed: 11/28/2022]
Abstract
The main objective of this research was to know how five different cushioning shoes may interfere in ground contact times of each gait phase of walking and running in contrast with barefoot condition. Thirty healthy sport recreational male runners participated in this study. They played over a treadmill wearing minimalist, Boost®, Ethyl-vinyl-acetate (EVA), Air® chamber and pronation-control cushioning shoes technologies and under barefoot condition, recording the last 30 s of walking and running at 5.17 km/h and 9 km/h respectively, while ground contact time duration of each phase of gait was recorded with circular standard pressure sensors located on plantar feet. During walking, the heel contact phase was the station that increased significantly ground contact times wearing all sole cushioning shoes (p < 0.001), excepting no sole shoes (minimalist), versus barefoot condition, being Air® chamber the model that showed the highest times of contact floor versus barefoot (0.28 ± 0.08 ms and 0.23 ± 0.12 ms vs 0.12 ± 0.07 ms and 0.18 ± 0.07 ms in heel contact during midstance phases, respectively). During running, propulsion phase was the station that showed the highest spent times on ground contact with the floor under all shoe conditions, even with minimalist, being again Air® chamber the model with higher significant times in two of three phases versus barefoot (0.11 ± 0.04 ms and 0.16 ± 0.11 ms vs 0.09 ± 0.03 ms and 0.10 ± 0.02 ms in midstance and propulsion phases respectively). Air chamber® was the model too with the most switch ratio to forefoot strike pattern (0.07 ± 0.10 ms to 0.16 ± 0.11 from heel contact to propulsion phase, respectively). In conclusion, a ground contact times increase using all cushioning running shoes compared with barefoot condition was shown in both walking and running test.
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Affiliation(s)
| | | | - Rubén Sánchez-Gómez
- Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Spain; Faculty of Sports, Universidad Europea de Madrid, Spain.
| | | | - Daniel López-López
- Research, Health and Podiatry Unit, Department of Health Sciences, Faculty of Nursing and Podiatry, Universidade da Coruña, Spain.
| | - David Rodríguez-Sanz
- Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Spain; Faculty of Sports, Universidad Europea de Madrid, Spain.
| | | | - César Calvo-Lobo
- Nursing and Physical Therapy Department, Institute of Biomedicine (IBIOMED), Faculty of Health Sciences, University de León, Ponferrada, León, Spain.
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Arnold BJW, Weeks BK, Horan SA. An examination of treadmill running familiarisation in barefoot and shod conditions in healthy men. J Sports Sci 2018; 37:5-12. [PMID: 29889653 DOI: 10.1080/02640414.2018.1479533] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Abstract
Running on a treadmill is an activity that is novel to many people. Thus, a familiarisation period may be required before reliable and valid determinations of biomechanical parameters can be made. The current study investigated the time required for treadmill familiarisation under barefoot and shod running conditions. Twenty-six healthy men, who were inexperienced in treadmill running, were randomly allocated to run barefoot or shod for 20 minutes on a treadmill at a self-selected comfortable pace. Sagittal-plane kinematics for the ankle, knee and hip, and ground reaction force and spatio-temporal data were collected at two-minute intervals. For the barefoot condition, temporal differences were observed in peak hip flexion and peak knee flexion during swing. For the shod condition, temporal differences were observed for peak vertical ground reaction force. No temporal differences were observed after 8 minutes for either condition. Reliability analysis revealed high levels of consistency (ICC > 0.90) across all consecutive time-points for all dependent variables for both conditions after 8 minutes with the exception of maximal initial vertical ground reaction force loading rate. Participants in both barefoot and shod groups were therefore considered familiarised to treadmill running after 8 minutes.
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Affiliation(s)
- Blayne J W Arnold
- a School of Allied Health Sciences , Griffith University , Gold Coast , Australia.,b Menzies Health Institute Queensland , Griffith University , Gold Coast , Australia
| | - Benjamin K Weeks
- a School of Allied Health Sciences , Griffith University , Gold Coast , Australia.,b Menzies Health Institute Queensland , Griffith University , Gold Coast , Australia
| | - Sean A Horan
- a School of Allied Health Sciences , Griffith University , Gold Coast , Australia.,b Menzies Health Institute Queensland , Griffith University , Gold Coast , Australia
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Moore IS. Is There an Economical Running Technique? A Review of Modifiable Biomechanical Factors Affecting Running Economy. Sports Med 2017; 46:793-807. [PMID: 26816209 PMCID: PMC4887549 DOI: 10.1007/s40279-016-0474-4] [Citation(s) in RCA: 206] [Impact Index Per Article: 25.8] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Running economy (RE) has a strong relationship with running performance, and modifiable running biomechanics are a determining factor of RE. The purposes of this review were to (1) examine the intrinsic and extrinsic modifiable biomechanical factors affecting RE; (2) assess training-induced changes in RE and running biomechanics; (3) evaluate whether an economical running technique can be recommended and; (4) discuss potential areas for future research. Based on current evidence, the intrinsic factors that appeared beneficial for RE were using a preferred stride length range, which allows for stride length deviations up to 3 % shorter than preferred stride length; lower vertical oscillation; greater leg stiffness; low lower limb moment of inertia; less leg extension at toe-off; larger stride angles; alignment of the ground reaction force and leg axis during propulsion; maintaining arm swing; low thigh antagonist–agonist muscular coactivation; and low activation of lower limb muscles during propulsion. Extrinsic factors associated with a better RE were a firm, compliant shoe–surface interaction and being barefoot or wearing lightweight shoes. Several other modifiable biomechanical factors presented inconsistent relationships with RE. Running biomechanics during ground contact appeared to play an important role, specifically those during propulsion. Therefore, this phase has the strongest direct links with RE. Recurring methodological problems exist within the literature, such as cross-comparisons, assessing variables in isolation, and acute to short-term interventions. Therefore, recommending a general economical running technique should be approached with caution. Future work should focus on interdisciplinary longitudinal investigations combining RE, kinematics, kinetics, and neuromuscular and anatomical aspects, as well as applying a synergistic approach to understanding the role of kinetics.
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Affiliation(s)
- Isabel S Moore
- Cardiff School of Sport, Cardiff Metropolitan University, Cardiff, CF23 6XD, Wales, UK.
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9
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Santos-Concejero J, Tam N, Coetzee DR, Oliván J, Noakes TD, Tucker R. Are gait characteristics and ground reaction forces related to energy cost of running in elite Kenyan runners? J Sports Sci 2016; 35:531-538. [PMID: 27157507 DOI: 10.1080/02640414.2016.1175655] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
The aim of this study was to determine whether gait cycle characteristics are associated with running economy in elite Kenyan runners. Fifteen elite Kenyan male runners completed two constant-speed running sets on a treadmill (12 km ·h-1 and 20 km ·h-1). VO2 and respiratory exchange ratio values were measured to calculate steady-state oxygen and energy cost of running. Gait cycle characteristics and ground contact forces were measured at each speed. Oxygen cost of running at different velocities was 192.2 ± 14.7 ml· kg-1· km-1 at 12 km· h-1 and 184.8 ± 9.9 ml· kg-1· km-1 at 20 km· h-1, which corresponded to a caloric cost of running of 0.94 ± 0.07 kcal ·kg-1·km-1 and 0.93 ± 0.07 kcal· kg-1· km-1. We found no significant correlations between oxygen and energy cost of running and biomechanical variables and ground reaction forces at either 12 or 20 km· h-1. However, ground contact times were ~10.0% shorter (very large effect) than in previously published literature in elite runners at similar speeds, alongside an 8.9% lower oxygen cost (very large effect). These results provide evidence to hypothesise that the short ground contact times may contribute to the exceptional running economy of Kenyan runners.
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Affiliation(s)
- J Santos-Concejero
- a Department of Physical Education and Sport , University of the Basque Country UPV/EHU , Vitoria-Gasteiz , Spain.,b Division for Exercise Science and Sports Medicine, Department of Human Biology , University of Cape Town , Cape Town , South Africa
| | - N Tam
- b Division for Exercise Science and Sports Medicine, Department of Human Biology , University of Cape Town , Cape Town , South Africa
| | - D R Coetzee
- b Division for Exercise Science and Sports Medicine, Department of Human Biology , University of Cape Town , Cape Town , South Africa
| | - J Oliván
- c Department of Physiology , European University of Madrid , Madrid , Spain
| | - T D Noakes
- b Division for Exercise Science and Sports Medicine, Department of Human Biology , University of Cape Town , Cape Town , South Africa
| | - R Tucker
- b Division for Exercise Science and Sports Medicine, Department of Human Biology , University of Cape Town , Cape Town , South Africa.,d School of Medicine , University of the Free State , Bloemfontein , South Africa
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Tam N, Astephen Wilson JL, Coetzee DR, van Pletsen L, Tucker R. Loading rate increases during barefoot running in habitually shod runners: Individual responses to an unfamiliar condition. Gait Posture 2016; 46:47-52. [PMID: 27131176 DOI: 10.1016/j.gaitpost.2016.02.013] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/28/2015] [Revised: 01/19/2016] [Accepted: 02/11/2016] [Indexed: 02/02/2023]
Abstract
The purpose of this study was to examine the effect of barefoot running on initial loading rate (LR), lower extremity joint kinematics and kinetics, and neuromuscular control in habitually shod runners with an emphasis on the individual response to this unfamiliar condition. Kinematics and ground reaction force data were collected from 51 habitually shod runners during overground running in a barefoot and shod condition. Joint kinetics and stiffness were calculated with inverse dynamics. Inter-individual initial LR variability was explored by separating individuals by a barefoot/shod ratio to determine acute responders/non-responders. Mean initial LR was 54.1% greater in the barefoot when compared to the shod condition. Differences between acute responders/non-responders were found at peak and initial contact sagittal ankle angle and at initial ground contact. Correlations were found between barefoot sagittal ankle angle at initial ground contact and barefoot initial LR. A large variability in biomechanical responses to an acute exposure to barefoot running was found. A large intra-individual variability was found in initial LR but not ankle plantar-dorsiflexion between footwear conditions. A majority of habitually shod runners do not exhibit previously reported benefits in terms of reduced initial LRs when barefoot. Lastly, runners who increased LR when barefoot reduced LRs when wearing shoes to levels similar seen in habitually barefoot runners who do adopt a forefoot-landing pattern, despite increased dorsiflexion.
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Affiliation(s)
- Nicholas Tam
- UCT/MRC Research Unit for Exercise Science and Sports Medicine, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Cape Town, Western Cape, South Africa.
| | - Janie L Astephen Wilson
- Dynamics of Human Motion Laboratory, School of Biomedical Engineering, Faculties of Engineering and Medicine, Dalhousie University, Halifax, Nova Scotia, Canada
| | - Devon R Coetzee
- UCT/MRC Research Unit for Exercise Science and Sports Medicine, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Cape Town, Western Cape, South Africa
| | - Leanri van Pletsen
- UCT/MRC Research Unit for Exercise Science and Sports Medicine, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Cape Town, Western Cape, South Africa
| | - Ross Tucker
- UCT/MRC Research Unit for Exercise Science and Sports Medicine, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Cape Town, Western Cape, South Africa; School of Medicine, University of the Free State, Bloemfontein, Free State, South Africa
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One- and multi-segment foot models lead to opposite results on ankle joint kinematics during gait: Implications for clinical assessment. Clin Biomech (Bristol, Avon) 2015; 30:493-9. [PMID: 25812728 DOI: 10.1016/j.clinbiomech.2015.03.004] [Citation(s) in RCA: 43] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/05/2014] [Revised: 03/03/2015] [Accepted: 03/03/2015] [Indexed: 02/07/2023]
Abstract
BACKGROUND Biomechanical models representing the foot as a single rigid segment are commonly used in clinical or sport evaluations. However, neglecting internal foot movements could lead to significant inaccuracies on ankle joint kinematics. The present study proposed an assessment of 3D ankle kinematic outputs using two distinct biomechanical models and their application in the clinical flat foot case. METHODS Results of the Plug in Gait (one segment foot model) and the Oxford Foot Model (multisegment foot model) were compared for normal children (9 participants) and flat feet children (9 participants). Repeated measures of Analysis of Variance have been performed to assess the Foot model and Group effects on ankle joint kinematics. FINDINGS Significant differences were observed between the two models for each group all along the gait cycle. In particular for the flat feet group, opposite results between the Oxford Foot Model and the Plug in Gait were revealed at heelstrike, with the Plug in Gait showing a 4.7° ankle dorsal flexion and 2.7° varus where the Oxford Foot Model showed a 4.8° ankle plantar flexion and 1.6° valgus. INTERPRETATION Ankle joint kinematics of the flat feet group was more affected by foot modeling than normal group. Foot modeling appeared to have a strong influence on resulting ankle kinematics. Moreover, our findings showed that this influence could vary depending on the population. Studies involving ankle joint kinematic assessment should take foot modeling with caution.
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