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- Arndt, Anton, 1968-, et al.
(författare)
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The effect of a midfoot cut in the outer sole of a shoe on intrinsic foot kinematics during walking.
- 2013
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Ingår i: Footwear Science. - : Informa UK Limited. - 1942-4280 .- 1942-4299. ; 5:1, s. 63-69
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Tidskriftsartikel (refereegranskat)abstract
- Modifications in shoe outer soles are frequently made with the intention of altering biomechanics of the foot inside the shoe. These modifications are however, generally based upon intuition with little or no scientific data for support. The purpose of this study was to quantify changes in intrinsic foot segmental kinematics between walking in a neutral shoe and a shoe modified with a clear cut forming a break underneath the midfoot, approximating the Lisfrancs joint.Five healthy male subjects participated in the study. Intracortical pins were inserted under sterile conditions and local anaesthetic in nine different bones of the foot and shank. The subjects performed 10 walking trials in both a neutral, standard, flatsoled, flexible walking shoe and in the same shoe with an approximately 1 cm deep cut aligned with the subjects’ Lisfrancs joint. Material tests showed that the cut reduced midfoot shoe bending stiffness by 23% to 38% and torsional stiffness by 23% to 28%. A helical axis approach was applied for calculating the 3D rotations about relevant joints.Kinematic trajectories in the sagittal, frontal, and transverse planes were normalised to the stance phase for seven selected joints to compare rotation patterns when wearing the two shoe conditions. Although one out of 21 ranges of motion (ROM) showed a significant difference, there is strong reason to regard this as the result of a type 1 error. Apart from this no differences in ROM occurred between the shoe conditions.The low subject number reduced the statistical power of the results. However, the study indicated that outer sole modifications that may be assumed to have clear effects upon foot kinematics, do not necessarily do so.
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| 2. |
- Liu, Anmin, et al.
(författare)
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The Effect of an Antipronation Foot Orthosis on Ankle and Subtalar Kinematics
- 2012
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Ingår i: Medicine & Science in Sports & Exercise. - 0195-9131 .- 1530-0315. ; 44:12, s. 2384-91
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Tidskriftsartikel (refereegranskat)abstract
- INTRODUCTION/PURPOSE:The aim of this study was to describe the effect of an anti pronation foot orthosis on motion of the heel relative to the leg and explore the individual contributions of the ankle and subtalar joints to this effect.METHODS:Five subjects were investigated using invasive intracortical pins to track the movement of the tibia, talus and calcaneus during walking with and without a foot orthosis.RESULTS:The anti pronation foot orthosis produced small and unsystematic reductions in eversion and abduction of the heel relative to the leg at various times during stance. Changes in calcaneus-tibia motion were comparable to those described in the literature (1-3°). Changes at both the ankle and subtalar joints contributed to this orthotic effect. However, the nature and scale of changes was highly variable between subjects. Peak angular position, range of motion and angular velocity in frontal and transverse planes were affected to different degrees in different subjects. In some cases changes occurred mainly at the ankle, in other cases changes occurred mainly at the subtalar joint.CONCLUSION:The changes in ankle and subtalar kinematics in response to the foot orthosis contradict existing orthotic paradigms that assume that changes occur only at the subtalar joint. The kinematic changes due to the orthosis are indicative of a strong interaction between the often common function of the ankle and subtalar joints.
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