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E Sanchis-Sales, P J Rodríguez-Cervantes, J L Sancho-Bru
BACKGROUND: Kinematic analysis could help to study how variations in the static foot posture affect lower limb biomechanical function. The analysis of foot kinematics is complex because it involves managing the time-dependent joint angles in different joints and in all three planes of motion. But it could be simplified if joint angles are coordinated. METHODS: The kinematics of the ankle, midtarsal and metatarsophalangeal joints were registered in 20 highly-pronated, 30 normal and 20 highly-supinated subjects (assessed by the Foot Posture Index - FPI) as they walked barefoot...
December 6, 2018: Gait & Posture
Vanessa Oschwald, Aram Prokop, Jonas Boehme, Nadja Gressler, Felicitas Harscheidt, Volker Maas, Wilhelm Bloch, Freerk T Baumann, Julia Daeggelmann
BACKGROUND: With improved survival rates in pediatric oncology, the detection of adverse side- and late-effects is gaining increased interest. This cross-sectional study investigated walking abilities and ankle dorsiflexion function in children with cancer. PATIENTS: Study participants included 16 children with various cancers (4-20 years, patient group) after completion of the intense treatment and 16 age- and gender-matched healthy peers (comparison group). METHOD: Walking speed (10-meter-walking-test, treadmill test assessing preferred transition speed), walking capacity (2-minute-walk-test), walking balance (Timed-Up-And-Go-Test), active/passive ankle dorsiflexion range of motion (ROM) (goniometer) and ankle dorsiflexion strength (hand-held dynamometer) were comprehensively assessed...
December 13, 2018: Klinische Pädiatrie
Holly Morris, Pierre Navarre
CASE: Congenital vertical talus (CVT) is a rare rigid flatfoot disorder with a rocker-bottom flatfoot appearance. It is characterized by hindfoot valgus and equinus, with associated midfoot dorsiflexion and forefoot abduction. We describe a patient who was born with dysmorphic features and subsequently was diagnosed with Beals contractural arachnodactyly. After the diagnosis of bilateral CVT was made, it was treated with a single-stage open reduction. There was a unilateral recurrence, which was treated with revision surgery...
December 12, 2018: JBJS Case Connector
Yoshihiro Akatsuka, Atsushi Teramoto, Hiroyuki Takashima, Kota Watanabe, Toshihiko Yamashita
PURPOSE: Evaluating images of the lateral ligament of the ankle is not easy, and evaluation of the calcaneofibular ligament (CFL) in particular is difficult. We prospectively conducted morphological measurements of the CFL in different ankle positions and obtain basic data for use in functional assessment of the CFL, diagnosis of CFL injury, and determination of treatment effects. METHODS: The subjects were ten healthy volunteers (ten ankles) with a mean age of 27...
December 11, 2018: Surgical and Radiologic Anatomy: SRA
Masatoshi Nakamura, Ryo Hirabayashi, Shuhei Ohya, Takafumi Aoki, Daichi Suzuki, Mitsuki Shimamoto, Takanori Kikumoto, Wataru Ito, Emi Nakamura, Tomoya Takabayashi, Mtsuaki Edama
This study aimed to clarify the acute effect of static stretching (SS) with superficial cooling on dorsiflexion range of motion (DF ROM) and muscle stiffness. Sixteen healthy males participated in the cooling condition and a control condition in a random order. The DF ROM and the shear elastic modulus of medial gastrocnemius (MG) in the dominant leg were measured during passive dorsiflexion. All measurements were performed prior to (PRE) and immediately after 20 min of cooling or rested for 20 min (POST), followed by 2 min SS (POST SS)...
September 2018: Sports medicine international open
Jared W Skinner, Evangelos A Christou, Chris J Hass
BACKGROUND AND PURPOSE: Adequate lower limb strength and motor control are essential for mobility and quality of life. People with Parkinson disease (PD) experience a significant and progressive decline in motor capabilities as part of this neurodegenerative disease. The primary objective of this study was to examine the effect of PD on (1) muscular strength and (2) force steadiness in muscles that are primarily responsible for locomotion and stability. METHODS: Thirteen persons with PD and 13 healthy age-matched controls participated...
January 2019: Journal of Neurologic Physical Therapy: JNPT
Roel De Ridder, Tine Willems, Jos Vanrenterghem, Ruth Verrelst, Cedric De Blaiser, Philip Roosen
CONTEXT: Although taping has been proven effective in reducing ankle sprain events in individuals with chronic ankle insability (CAI), insight in the precise working mechanism remains limited. OBJECTIVES: The aim of this study was to evaluate whether the use of taping changes ankle joint kinematics during a sagittal and frontal plane landing task in subjects with CAI. DESIGN: Repeated measure design. SETTING: Laboratory setting...
December 11, 2018: Journal of Sport Rehabilitation
Ji-Hyun Lee, Tae-Lim Yoon
CONTEXT: Kinesiology tape (KT), multidirectional resistance exercise, and interventions for decreased ankle dorsiflexion range of motion (ROM) are gaining popularity in the treatment of patients with chronic ankle instability (CAI). However, there is limited evidence of the effectiveness of combined interventions in CAI patients. OBJECTIVES: To compare the effects of KT alone, KT with resistance exercise (KT + resistance), and KT + resistance + heel raise-lower exercise (KT + resistance + heel) on the results of the dynamic balance test (star excursion balance test [SEBT]), functional performance (lateral step-down test), and ankle muscle activation in CAI patients...
December 11, 2018: Journal of Sport Rehabilitation
Dae-Hyun Kim, Jin-Hee Lee, Seul-Min Yu, Chang-Man An
CONTEXT: It is very important to empirically determine the optimal ankle position for the quadriceps femoris (QF) strengthening during isometric exercises. OBJECTIVE: To examine the effect of different ankle positions on torque and electromyography (EMG) activity of QF during maximal isometric contraction. STUDY DESIGN: Within-subject, repeated measures. SETTING: University laboratory. PARTICIPANTS: Thirty-six healthy volunteers (15 males and 21 females)...
December 11, 2018: Journal of Sport Rehabilitation
Sophia L Gonzalez, Aimee M Diaz, Hillary A Plummer, Lori A Michener
CONTEXT: Rowers are at risk for overuse injuries, including low back pain (LBP). Defining the utility of screening tests for identifying those at risk for LBP can aid in the development of guidelines for injury prevention. OBJECTIVE: To determine if the Functional Movement Screen (FMS) and impairments can identify rowers at risk for developing LBP. DESIGN: Prospective cohort study. SETTING: Athletic training room. PATIENTS OR OTHER PARTICIPANTS: A total of 31 National Collegiate Athletic Association Division I, female, open-weight rowers (age = 19...
December 7, 2018: Journal of Athletic Training
Kelly A Jeans, Lori A Karol, Ashley L Erdman, Wilshaw R Stevens
BACKGROUND: The purpose of this study was to assess function, at the age of 10 years, of children initially treated nonoperatively for clubfoot with either the Ponseti or French physiotherapy program and to compare outcomes in feet that had undergone only nonoperative treatment with those that required subsequent surgery. METHODS: Gait analysis, isokinetic ankle strength, parent-reported outcomes, and daily step activity data were collected when patients who had been treated for idiopathic clubfoot reached the age of 10 years...
December 5, 2018: Journal of Bone and Joint Surgery. American Volume
Toshiki Kobayashi, Michael S Orendurff, Grace Hunt, Fan Gao, Nicholas LeCursi, Lucas S Lincoln, K Bo Foreman
Mechanical tuning of an ankle-foot orthosis (AFO) is important in improving gait in individuals post-stroke. Alignment and resistance are two factors that are tunable in articulated AFOs. The aim of this study was to investigate the effects of changing AFO ankle alignment on lower limb joint kinematics and kinetics with constant dorsiflexion and plantarflexion resistance in individuals post-stroke. Gait analysis was performed on 10 individuals post-stroke under four distinct alignment conditions using an articulated AFO with an ankle joint whose alignment is adjustable in the sagittal plane...
November 22, 2018: Journal of Biomechanics
Mark Glazebrook, Chris M Blundell, Dominic O'Dowd, Dishan Singh, Gwyneth de Vries, Ian L D Le, Dominic Nielsen, M Elizabeth Pedersen, Anthony Sakellariou, Matthew Solan, Guy Wansbrough, Alastair S E Younger, Judith F Baumhauer, Timothy R Daniels
BACKGROUND: A prospective, randomized, noninferiority clinical trial of synthetic cartilage implant hemiarthroplasty for hallux rigidus demonstrated functional outcomes and safety equivalent to first metatarsophalangeal (MTP) joint arthrodesis at 24 months. We prospectively assessed safety and efficacy outcomes for synthetic cartilage implant hemiarthroplasty at a minimum of 5 years. METHODS: Of 135 eligible patients from the original trial, 112 (83.0%) were enrolled (mean age, 58...
December 3, 2018: Foot & Ankle International
Léonard Samain-Aupic, Rochelle Ackerley, Jean-Marc Aimonetti, Edith Ribot-Ciscar
Kinesthesia, the perception of our own body movements, relies on the integration of proprioceptive information arising mostly from muscle spindles, which are sensory receptors in skeletal muscles. We recently showed that emotions alter the proprioceptive messages from such muscle afferents, making them more sensitive to muscle lengthening when participants were listening sad music. Presently, we investigated whether these changes in proprioceptive feedback relating to emotional state may affect the perception of limb movements...
November 27, 2018: Neuroscience Letters
Thomas Schmalz, Bjoern Altenburg, Michael Ernst, Malte Bellmann, Dieter Rosenbaum
BACKGROUND: For demanding activities in daily life, such as negotiating stairs, ramps and uneven ground, the functionality of conventional prosthetic feet ("Daily Life Feet" - DLF) is often limited. With the introduction of microprocessor-controlled feet (MPF) it was expected that the functional limitations of DLF might be reduced. The purpose of the present study was to investigate biomechanical gait parameters with DLF and MPF when walking on a specifically designed ramp involving abruptly changing inclination angles as a scenario reflecting typical situations related to walking on uneven ground...
November 16, 2018: Gait & Posture
H G Jin, W Zhang, H B Li, Y G Bao
Objective: To evaluate the curative effect of proximal fibula graft of vascular anastomosis for giant cell tumor(GCT) of distal radius of bone. Methods: 38 patients with distal radius GCT were treated with proximal articular graft of anastomotic vessels. We evaluated the wrist joint function before and after surgery using wrist activity, visual analogue scale(VAS)pain score, grip recovery rate and Cooney scoring system. Results: All patients' wounds healed in stage I, and recovered smoothly during the perioperative period...
November 23, 2018: Zhonghua Zhong Liu za Zhi [Chinese Journal of Oncology]
Joshua Mattock, Julie R Steele, Karen J Mickle
Background: Medial tibial stress syndrome (MTSS) is a lower leg injury with a reported incidence rate of up to 35% in active individuals. Although numerous prospective studies have tried to identify risk factors for developing MTSS, managing the syndrome remains difficult. One risk factor yet to be extensively explored in MTSS development is reduced lower leg girth. Further investigation of reduced lower leg girth is required due to the important role lower leg musculature plays in attenuating ground reaction forces during the gait cycle...
2018: BMC Sports Science, Medicine and Rehabilitation
A Searle MOsteo, M J Spink, V H Chuter
Background: Accurate measurement of ankle joint dorsiflexion is clinically important as a restriction has been linked to many foot and ankle pathologies, as well as increased ulcer risk and delayed ulcer healing in people with diabetes. Use of the reliable weight bearing (WB) Lunge test is limited as normal and restricted ranges for WB ankle joint dorsiflexion are not identified. Additionally the extent of WB dorsiflexion restriction that results in clinically adverse outcomes is unclear...
2018: Journal of Foot and Ankle Research
Andrew DeWolf, Alyssa McPherson, Kathryn Besong, Claire Hiller, Carrie Docherty
While an important step in a young dancer's ballet career is the transition to pointe work, there is much controversy as to when her body is physically prepared to meet the increased demands of this development. Pointe screening protocols are being used by many in both the dance studio and dance science communities, but these protocols have not yet been standardized. The purpose of this study was to evaluate objectively the attributes of ballet dancers who are pre-pointe compared to those who have recently begun pointe training, and secondarily to correlate these quantitative findings with qualitative evaluations by the dancers' teachers...
December 1, 2018: Journal of Dance Medicine & Science
Donghwan Park, Ji-Hyun Lee, Tae-Woo Kang, Heon-Seock Cynn
BACKGROUND: Patients with stroke generally have diminished balance and gait. Mobilization with movement (MWM) can be used with manual force applied by a therapist to enhance talus gliding movement. Furthermore, the weight-bearing position during the lunge may enhance the stretch force. OBJECTIVES: This study aimed to compare the effects of a 4-week program of MWM training with those of static muscle stretching (SMS). Ankle dorsiflexion passive range of motion (DF-PROM), static balance ability (SBA), the Berg balance scale (BBS), and gait parameters (gait speed and cadence) were measured in patients with chronic stroke...
November 26, 2018: Topics in Stroke Rehabilitation
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