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https://www.readbyqxmd.com/read/29782407/effects-of-gait-training-with-auditory-feedback-on-walking-and-balancing-ability-in-adults-after-hemiplegic-stroke-a-preliminary-randomized-controlled-study
#1
Yong-Jun Cha, Jung-Doo Kim, Yu-Ran Choi, Nan-Hyang Kim, Sung-Min Son
The aim of this study was to identify a gait training type that better improves the walking and balancing abilities of adult patients with chronic hemiplegic stroke. Single-blinded, randomized, controlled, comparative preliminary study was carried out. Patients were recruited from the inpatient unit of a Rehabilitation Hospital. Thirty-one patients who had experienced hemiplegic stroke were randomly assigned to three groups: the heel group (gait training by active weight bearing on the paretic heel with auditory feedback), the forefoot group (gait training with auditory feedback from paretic metatarsals), and the control group (general gait intervention)...
May 18, 2018: International Journal of Rehabilitation Research. Revue Internationale de Recherches de Réadaptation
https://www.readbyqxmd.com/read/29780837/foot-kinematics-differ-between-runners-with-and-without-a-history-of-navicular-stress-fractures
#2
James Becker, Stanley James, Louis Osternig, Li-Shan Chou
Background: A navicular stress fracture (NSF) is a common and high-risk injury in distance runners. It is not clear whether there are differences in foot structure and function between runners who have and those who have not sustained an NSF. Purpose/Hypothesis: This study compared foot structure, range of motion, and biomechanics between runners with a history of unilateral NSFs and runners who had never sustained this injury. The hypothesis was that runners with a history of NSFs will have less dorsiflexion and subtalar range of motion in a clinical examination and greater rearfoot eversion and higher eversion velocity while running than either the noninvolved feet or healthy controls...
April 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29779991/mechanical-metatarsalgia-as-a-risk-factor-for-relapse-of-morton-s-neuroma-after-ultrasound-guided-alcohol-injection
#3
Paolo Lorenzon, Carlo Rettore
Although many treatment modalities are available for Morton's neuroma, the injection of the neuroma with alcohol has gained popularity. However, recently, some investigators have observed a progressive deterioration in pain scores for patients initially pain free after the treatment. The purpose of the present retrospective comparative study was to determine whether mechanical metatarsalgia is related to symptom recurrence. We included 104 consecutive cases of ultrasound-guided alcohol injection for Morton's neuroma in 92 patients...
May 17, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29778063/comparison-of-three-dimensional-multi-segmental-foot-models-used-in-clinical-gait-laboratories
#4
Kristen Nicholson, Chris Church, Colton Takata, Tim Niiler, Brian Po-Jung Chen, Nancy Lennon, Julie P Sees, John Henley, Freeman Miller
BACKGROUND: Many skin-mounted three-dimensional multi-segmented foot models are currently in use for gait analysis. Evidence regarding the repeatability of models, including between trial and between assessors, is mixed, and there are no between model comparisons of kinematic results. RESEARCH QUESTION: This study explores differences in kinematics and repeatability between five three-dimensional multi-segmented foot models. The five models include duPont, Heidelberg, Oxford Child, Leardini, and Utah...
May 16, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29775166/aluminum-foot-insoles-reduce-plantar-forefoot-pressure-and-increase-foot-comfort-for-motorcyclists
#5
Israel Casado-Hernández, Ricardo Becerro-de-Bengoa-Vallejo, Daniel López-López, Antonio Gómez-Bernal, Marta Elena Losa-Iglesias
BACKGROUND: Foot pain and paresthesia are common in cycling, due to plantar pressure and repetitive loading. OBJECTIVES: The aim was to investigate the effect of foot insoles on plantar pressure of the foot in motorcycling, as well as self-reported comfort. STUDY DESIGN: A randomized crossover clinical trial. METHODS: A flexible foot pressure mat (GP MobilData WiFi® Gebiomized®) with different sizes was utilized. RESULTS: Maximum pressure values occurred predominantly in the hallux with 4...
May 1, 2018: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/29774947/passive-engineering-mechanism-enhancement-of-a-flexor-digitorum-longus-tendon-transfer-procedure
#6
Connor M Pihl, Christina J Stender, Ravi Balasubramanian, Kylie M Edinger, Bruce J Sangeorzan, William R Ledoux
Standard treatments of adult acquired flatfoot deformity (AAFD) fail to correct associated dysfunction of the posterior tibial tendon (PTT). This study aimed to determine if a novel passive engineering mechanism (PEM) enhanced flexor digitorum longus (FDL) tendon transfer procedure would better restore physiologic PTT function to improve AAFD gait parameters compared to standard treatment. We evaluated the kinetic, pedobarographic, and kinematic effects of a pulley-based PEM-enhancement system utilizing a cadaveric flatfoot model and robotic gait simulator...
May 18, 2018: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://www.readbyqxmd.com/read/29769299/the-grazing-gait-and-implications-of-toppling-table-geometry-for-primate-footfall-sequences
#7
James R Usherwood, Benjamin J H Smith
Many medium and large herbivores locomote forwards very slowly and intermittently when grazing. While the footfall order during grazing is the same as for walking, the relative fore-hind timing-phasing-is quite different. Extended periods of static stability are clearly required during grazing; however, stability requirements are insufficient to account for the timing. Aspects of relatively rapid rolling and pitching-toppling due to the resistance of the back to bending and twisting-can be included in a simplifying geometric model to explain the observation that, in grazing livestock, a step forward with a forefoot is consistently and immediately followed by a step forward from the hind; but not vice versa...
May 2018: Biology Letters
https://www.readbyqxmd.com/read/29758978/analysis-of-foot-kinematics-wearing-high-heels-using-the-oxford-foot-model
#8
Meizi Wang, Yaodong Gu, Julien Steven Baker
Wearing high heels is thought to lead to various foot disorders and injuries such as metatarsal pain, Achilles tendon tension, plantar fasciitis and Haglund malformation. However, there is little available information explaining the specific mechanisms and reasons why wearing high heels causes foot deformity. Therefore, the purpose of this study was to investigate the foot kinematics of high heel wearers and compare any differences with barefoot individuals using the Oxford Foot Model (OFM). Fifteen healthy women aged 20-25 years were measured while walking barefoot and when wearing high heels...
April 29, 2018: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
https://www.readbyqxmd.com/read/29753996/risk-factors-for-diabetic-foot-ulcer-recurrence-a-prospective-2-year-follow-up-study-in-egypt
#9
Walaa A Khalifa
OBJECTIVES: To determine the frequency of diabetic foot ulcer recurrence and its potential risk factors. METHODS: This study included 93 patients with type 2 diabetes and followed for 2 years after primary healed foot ulceration. Demographic, diabetes related, comorbid and ulcer related variables were investigated as risk factors. Multiple logistic regression analysis was used to identify independent risk factors. RESULTS: 61.3% of patients had recurrent ulcers particularly in the forefoot (33...
December 28, 2017: Foot
https://www.readbyqxmd.com/read/29746498/modulation-of-plantar-pressure-and-gastrocnemius-activity-during-gait-using-electrical-stimulation-of-the-tibialis-anterior-in-healthy-adults
#10
Maiki Moriguchi, Noriaki Maeshige, Mizuki Ueno, Yoshiyuki Yoshikawa, Hiroto Terashi, Hidemi Fujino
High plantar flexor moment during the stance phase is known to cause high plantar pressure under the forefoot; however, the effects on plantar pressure due to a change of gastrocnemius medialis (GM) activity during gait, have not been investigated to date. Reciprocal inhibition is one of the effects of electrical stimulation (ES), and is the automatic antagonist alpha motor neuron inhibition which is evoked by excitation of the agonist muscle. The aim of this study was to investigate the influences of ES of the tibialis anterior (TA) on plantar pressure and the GM activity during gait in healthy adults...
2018: PloS One
https://www.readbyqxmd.com/read/29737368/-minimally-invasive-correction-of-lesser-toe-deformities-and-treatment-of-metatarsalgia
#11
REVIEW
M Thomas, M Jordan
OBJECTIVE: Atraumatic and joint-sparing procedure for the correction of lesser toe deformities by using a linear or perpendicular osteotomy of the proximal and/or middle phalanx of the lesser toes with additional capsulotomies or tendon dissection for soft tissue realignment. Metatarsalgia is addressed via an extracapsular distal metaphyseal crescentic-like metatarsal osteotomy. INDICATIONS: Symptomatic lesser toe deformities, painful pseudoexostosis, metatarsalgia, symptomatic metatarsal malalignment, metatarsus adductus...
May 8, 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/29737002/lower-limb-reconstruction-with-chimeric-flaps-the-quad-flap
#12
Solomon M Azouz, Nikki A Castel, Aparna Vijayasekaran, Alanna M Rebecca, Salvatore C Lettieri
Early soft-tissue coverage is critical for treating traumatic open lower-extremity wounds. As free-flap reconstruction evolves, injuries once thought to be nonreconstructable are being salvaged. Free-tissue transfer is imperative when there is extensive dead space or exposure of vital structures such as bone, tendon, nerves, or blood vessels. We describe 2 cases of lower-extremity crush injuries salvaged with the quad flap. This novel flap consists of parascapular, scapular, serratus, and latissimus dorsi free flaps in combination on one pedicle...
May 7, 2018: Microsurgery
https://www.readbyqxmd.com/read/29729613/effect-of-lateral-wedge-length-on-ambulatory-knee-kinetics
#13
Arielle G Fischer, Baptiste Ulrich, Laurent Hoffmann, Brigitte M Jolles, Julien Favre
BACKGROUND: Lateral wedge insoles (LWI) were proposed to treat medial knee osteoarthritis through reductions of the ambulatory knee adduction moment (KAM). Limited attention was however paid to the LWI length, resulting in unclear understanding of its effect on KAM reductions. The knee flexion moment (KFM) was also shown to be important in knee osteoarthritis, but little is known about the effect of LWI length on it. RESEARCH QUESTION: This study aimed to compare the KAM and KFM of healthy subjects walking with four different lengths of LWI, explicitly without LWI and with LWI below the hindfoot (HF), below the hindfoot and forefoot (HF + FF) and below the hindfoot, forefoot and hallux (HF + FF + HX) segments...
April 27, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29715237/joint-preservation-in-the-rheumatoid-forefoot-commentary-on-an-article-by-junichi-kushioka-md-et-al-modified-scarf-osteotomy-with-medial-capsule-interposition-for-hallux-valgus-in-rheumatoid-arthritis-a-study-of-cases-including-severe-first-metatarsophalangeal
#14
https://www.readbyqxmd.com/read/29706721/relationship-between-transverse-arch-height-and-foot-muscles-evaluated-by-ultrasound-imaging-device
#15
Yasuaki Nakayama, Yuto Tashiro, Yusuke Suzuki, Yu Kajiwara, Hala Zeidan, Mirei Kawagoe, Yuki Yokota, Takuya Sonoda, Kanako Shimoura, Masataka Tatsumi, Kengo Nakai, Yuichi Nishida, Tsubasa Bito, Soyoka Yoshimi, Tomoki Aoyama
[Purpose] Few studies on the transverse arch (TA) in the forefoot have been conducted. The forefoot is where pains occur most frequently and is related to walking and balance; hence, paying attention to TA is vital. However, the relationship between TA and foot muscles has not been investigated. Therefore, this study aims to investigate muscles related to TA. [Subjects and Methods] Nineteen healthy young males were included. Measurements of their feet, excluding one foot with recent foot pain (n=37), were obtained...
April 2018: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/29686570/emphysematous-osteomyelitis-of-the-forefoot
#16
Ahmed Abdelbaki, Neeraj Bhatt, Nishant Gupta, Shuo Li, Shady Abdelbaki, Yogesh Kumar
Emphysematous osteomyelitis is a very rare, potentially fatal infection that requires immediate diagnosis and prompt treatment. Emphysematous osteomyelitis is usually considered whenever intraosseous gas is detected on imaging. Most organisms implicated in emphysematous osteomyelitis are members of the Enterobacteriaceae family or anaerobes; sometimes the infection is polymicrobial. We report a case of emphysematous osteomyelitis of the forefoot in a 33-year-old man with type 1 diabetes mellitus.
January 2018: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/29685561/anatomic-reconstruction-versus-traditional-rebalancing-in-lesser-metatarsophalangeal-joint-reconstruction
#17
Jeremy J Cook, Lindsay J Johnson, Emily A Cook
Traditional rebalancing techniques, such as capsulotomies and capsulorrhaphies, are commonly performed during complex hammertoe and lesser metatarsal osteotomy procedures involving metatarsophalangeal joint (MTPJ) contractures; however, floating toes, digital instability, and malalignment are concerns. We critically analyzed the outcomes after anatomic reconstruction of the plantar plate and collateral ligaments compared with those after traditional rebalancing techniques. A case-control study was conducted of 54 patients who had undergone surgical correction of lesser MTPJ imbalances due to complex hammertoe deformities (power 80%, type I error = 0...
May 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29680311/midtarsal-locking-the-windlass-mechanism-and-running-strike-pattern-a-kinematic-and-kinetic-assessment
#18
Dustin A Bruening, Michael B Pohl, Kota Z Takahashi, Joaquin A Barrios
Changes in running strike pattern affect ankle and knee mechanics, but little is known about the influence of strike pattern on the joints distal to the ankle. The purpose of this study was to explore the effects of forefoot strike (FFS) and rearfoot strike (RFS) running patterns on foot kinematics and kinetics, from the perspectives of the midtarsal locking theory and the windlass mechanism. Per the midtarsal locking theory, we hypothesized that the ankle would be more inverted in early stance when using a FFS, resulting in decreased midtarsal joint excursions and increased dynamic stiffness...
April 12, 2018: Journal of Biomechanics
https://www.readbyqxmd.com/read/29674653/pedobarographic-analysis-following-ponseti-treatment-for-unilateral-neglected-congenital-clubfoot
#19
Chao Xu, Jie Wei, Ya-Bo Yan, Lei Shang, Xiao-Jiang Yang, Lu-Yu Huang, Wei Lei
Recent trends have led to an interest in Ponseti treatment for correcting neglected congenital clubfoot. Although good clinical and functional outcomes have been reported, the plantar pressure distribution after the treatment of neglected clubfoot has not been explored yet. The present study aimed to investigate whether plantar pressures normalized following Ponseti treatment in patients with neglected congenital clubfoot. Pedobarographic, clinical, and functional examinations were performed in 22 children (aged, 91...
April 19, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29666963/minimally-invasive-surgery-and-percutaneous-surgery-of-the-hindfoot-and-midfoot
#20
Yves Stiglitz, Cyrille Cazeau
Minimally invasive surgery (MIS) and percutaneous (PC) surgery recently spread as a new technique in operative forefoot correction, and by extension in hindfoot and midfoot. Numerous procedures were described, and a race for MIS and PC has started. However, performing surgery with small incisions should not be an end in itself. Biomechanical and anatomical concerns must be taken into account and shall not be sacrificed for cosmetic reasons. For the most common hindfoot and midfoot pathologies, we discuss what we consider the surgical necessities and then describe the MIS and/or PC procedure we choose, according to these fundamentals...
April 17, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
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