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Feet, foot, orthotics

Hannah L Jarvis, Christopher J Nester, Peter D Bowden, Richard K Jones
BACKGROUND: The Root model of normal and abnormal foot function remains the basis for clinical foot orthotic practice globally. Our aim was to investigate the relationship between foot deformities and kinematic compensations that are the foundations of the model. METHODS: A convenience sample of 140 were screened and 100 symptom free participants aged 18-45 years were invited to participate. The static biomechanical assessment described by the Root model was used to identify five foot deformities...
2017: Journal of Foot and Ankle Research
Pedro Augusto Jaqueto, Guilherme Salgado Martins, Fernando Saddi Mennucci, Cintia Kelly Bittar, José Luís Amim Zabeu
OBJECTIVES: To analyze and evaluate functional and clinical results in patients with congenital clubfoot treated with Ponseti's technique. METHODS: This study evaluated 31 patients diagnosed with 51 congenital clubfeet, treated between April 2006 and September 2011 with Ponseti's technique. The patients who did not achieve an equinus correction with manipulation were treated with Achilles tenotomy. An anterior tibial tendon transfer was performed in patients who maintained residual adduction...
November 2016: Revista Brasileira de Ortopedia
E López-Gavito, P Parra-Téllez, J Vázquez-Escamilla
Diabetes mellitus is a major chronic degenerative disease, which currently is taking on alarming proportions in the population of our country. Neuropathic arthropathy is one of the most interesting degenerative joint disorders and increasingly common within the orthopedic pathology. It is defined as a progressive degenerative arthropathy, chronic and affecting one or more peripheral joints, and develops as a result of the lack of sensory perception normal in the innervation of joints. As a result the joints of the feet are subjected to trauma and repetitive injury causing a neurotraumatic effect with progressive damage to the joints of the hindfoot, midfoot and forefoot...
January 2016: Acta Ortopédica Mexicana
Ulunay Kanatlı, Erdem Aktas, Haluk Yetkin
BACKGROUND: Flexible flatfoot, as the most prevalent foot deformity in pediatric population still has no standardized strategy for its management hence some orthopedic surgeons have the tendency to use orthotic devices. The objective of this study is to evaluate whether orthotic shoes effect the natural course of the developing medial longitudinal arch in children diagnosed with moderate flexible flatfoot. METHODS: Fourty-five children (33 boys and 12 girls) with moderate flexible flatfoot were enrolled in this study...
September 2016: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
Sathish Paul, Rekha Vijayakumar, Lazar Mathew, Sudesh Sivarasu
BACKGROUND: The subtalar joint position during static stance is a crucial determinant of the peak plantar pressures and forms ideal reference point for any intervention in foot-related problems for leprosy-affected patients. OBJECTIVES: The study pursued the hypothesis through a three-dimensional model that stress will be minimal in the distal joints of the foot when the subtalar joint is in neutral static stance position. STUDY DESIGN: Finite element model...
March 15, 2016: Prosthetics and Orthotics International
James B Carr, Scott Yang, Leigh Ann Lather
Flatfoot (pes planus) is common in infants and children and often resolves by adolescence. Thus, flatfoot is described as physiologic because it is usually flexible, painless, and of no functional consequence. In rare instances, flatfoot can become painful or rigid, which may be a sign of underlying foot pathology, including arthritis or tarsal coalition. Despite its prevalence, there is no standard definition for pediatric flatfoot. Furthermore, there are no large, prospective studies that compare the natural history of idiopathic, flexible flat feet throughout development in response to various treatments...
March 2016: Pediatrics
Nikolaos Gougoulias, Vasileios Lampridis
BACKGROUND: Surgery for midfoot arthritis is challenging and technically demanding, especially in the presence of deformity. METHODS: Thirty patients (30 feet) with symptomatic midfoot arthritis and deformities, underwent arthrodesis, along with adjuvant procedures to realign the hindfoot and forefoot where needed. RESULTS: Union was achieved in 28 out of 30 (93.3%) patients. Mean time to union was 12.9 weeks (range 10-18). Five patients (16...
March 2016: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
Gillian L Hatfield, Christopher K Cochrane, Judit Takacs, Natasha M Krowchuk, Ryan Chang, Rana S Hinman, Michael A Hunt
UNLABELLED: This study compared immediate changes in knee and ankle/subtalar biomechanics with lateral wedge orthotics with and without custom arch support in people with knee osteoarthritis and flat feet. Twenty-six participants with radiographic evidence of medial knee osteoarthritis (22 females; age 64.0 years [SD 8.0 years], BMI 27.2 kg/m(2) [4.2]) and flat feet (median foot posture index = + 5) underwent three-dimensional gait analysis for three conditions: Control (no orthotic), lateral wedge, and lateral wedge plus arch support...
September 2016: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
Hong-Jae Lee, Kil-Byung Lim, JeeHyun Yoo, Sung-Won Yoon, Hyun-Ju Yun, Tae-Ho Jeong
OBJECTIVE: To evaluate the effect of custom-molded foot orthoses on foot pain and balance in children with symptomatic flexible flat foot 1 month and 3 months after fitting foot orthosis. METHOD: A total of 24 children over 6 years old with flexible flat feet and foot pain for at least 6 months were recruited for this study. Their resting calcaneal stance position and calcaneal pitch angle were measured. Individual custom-molded rigid foot orthoses were prescribed using inverted orthotic technique to control foot overpronation...
December 2015: Annals of Rehabilitation Medicine
K Ayadi, M Trigui, A Abid, A Cheniour, M Zribi, H Keskes
INTRODUCTION: Arthrogryposis is a condition existing at birth, seen in different diseases that have in common the existence of multiple joint stiffness. The clinical presentation is diversified and the functional prognosis depends on the etiology, which makes therapeutic options different from one case to another. The objective of this study was to describe clinical manifestations observed in arthrogrypotic patients and show the different therapeutic methods and functional results. METHODS: This was a retrospective study over a period of 12 years from 2000 to 2012, based on clinical examinations of 23 patients with arthrogryposis...
August 2015: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
Daniel López-López, Lara Marta Ortiz-González, Jesús Luis Saleta-Canosa, María de los Ángeles Bouza-Prego, María Matilde García-Sánchez, Francisco Alonso Tajes
OBJECTIVE: To know the transfer of static plantar pressures and body weight distribution through the lower limbs that occur in people with and without the use of orthoses of different densities and influence in other areas of the foot. MATERIAL AND METHODS: 32 people participated through non-probability convenience sampling in a quasi-experimental study in which self-reported data were recorded, the determination of plantar pressure, and body weight distribution...
May 2015: Gaceta Médica de México
Hong-Jae Lee, Kil-Byung Lim, JeeHyun Yoo, Sung-Won Yoon, Tae-Ho Jeong
OBJECTIVE: To evaluate the effect of custom molded foot orthoses on children with growing pains of the lower extremities. METHODS: Children with growing pains were recruited during a clinic visit. None had any bony deformities, inflammatory joint disease or depression. Resting calcaneal stance position (RCSP) and calcaneal pitch angle were measured, and individual custom molded rigid foot orthoses were prescribed using the inverted orthotic technique to control for foot overpronation using the RCSP angle...
April 2015: Annals of Rehabilitation Medicine
Masamitsu Kido, Kazuya Ikoma, Yusuke Hara, Kan Imai, Masahiro Maki, Takumi Ikeda, Hiroyoshi Fujiwara, Daisaku Tokunaga, Nozomu Inoue, Toshikazu Kubo
BACKGROUND: Insoles are frequently used in orthotic therapy as the standard conservative treatment for symptomatic flatfoot deformity to rebuild the arch and stabilize the foot. However, the effectiveness of therapeutic insoles remains unclear. In this study, we assessed the effectiveness of therapeutic insoles for flatfoot deformity using subject-based three-dimensional (3D) computed tomography (CT) models by evaluating the load responses of the bones in the medial longitudinal arch in vivo in 3D...
December 2014: Clinical Biomechanics
Angeline Nsenga Leunkeu, Thierry Lelard, Roy J Shephard, Pierre-Louis Doutrellot, Said Ahmaidi
BACKGROUND: Information on altered foot pressures during ambulation would clarify how far limb deformities modify walking patterns in cerebral palsy (CP), and whether such data can inform prognosis and guide rehabilitation. OBJECTIVE: To compare patterns of plantar pressures during walking between children with CP and their able-bodied (AB) peers. METHODS: Twenty-five children/adolescents (10 with hemiplegia, 5 with diplegia, and 10 AB, respective ages 13...
2014: NeuroRehabilitation
Maria Luz González Fernández, Rosario Morales Lozano, Carmen Martínez Rincón, David Martínez Hernández
BACKGROUND: We sought to assess the biomechanical characteristics of the feet of patients with Charcot neuro-osteoarthropathy and to determine reulceration rates before and after personalized conservative orthotic treatment. METHODS: A longitudinal prospective study was performed in 35 patients with Charcot's foot. Although some patients had a history of ulcers, at the study outset no patient had ulcers. All of the patients underwent biomechanical testing and a radiographic study...
July 2014: Journal of the American Podiatric Medical Association
Kelly Gray, Paul Gibbons, David Little, Joshua Burns
BACKGROUND: Congenital talipes equinovarus, or clubfoot, is a common pediatric orthopaedic condition of unknown origin. In many clubfoot clinical trials, interventions are assigned to a patient, but response to treatment is assessed separately in each foot. Trials commonly report x patients with y feet where y is greater than x (eg, 35 patients with 56 feet). However, common statistical tests assume that each data point is independent. Although data from unilateral cases of clubfoot are independent, it is unknown if each foot of patients with bilateral clubfeet are correlated...
November 2014: Clinical Orthopaedics and related Research
Muayad Kadhim, Freeman Miller
Pes planovalgus deformity is common in children with cerebral palsy. In planovalgus foot, the talus subluxates medially, the calcaneus is in valgus, and the forefoot is in supination and external rotation related to the midfoot. In young children, mild planovalgus feet can be managed with orthotics. Surgery is indicated if the deformity is not reducible or if the patient cannot tolerate orthotics during functional activities. The surgery can be calcaneal lengthening or subtalar fusion to restore a stable plantigrade foot and achieve hindfoot correction...
September 2014: Journal of Pediatric Orthopedics. Part B
K Trieb, D Zachhuber, S Hofstätter
BACKGROUND: Insoles and foot orthotics change the distribution of the plantar pressure. No information exists concerning the effects of plantar pressure distribution and lateral wedge orthoses. The purpose of this study was to determine the effect of the lateral wedge on the plantar pressure distribution. METHODS: The GP Mobil Data system was used to evaluate the data mentioned above, using a 6 mm lateral wedge orthotic worn by 50 healthy volunteers (100 feet)...
June 2014: Zeitschrift Für Orthopädie und Unfallchirurgie
R M Nuzzo
Much of the disability associated with wearing a below-knee cast is a result of the treatment rather than the disease. A simple practice of placing thecasted limb in a shoe with a cushioned heel to tilt the cast so that the knee is ahead of the ankle at mid-stance reduces this disability. High-performance activity, including participation in sports, is possible in most (including bilateral) cases. Despite increased activity, this method reduces the incidence of cast failure. Healing does not appear to suffer and in some instances may be superior...
June 1, 1983: Orthopedics
Bijan Najafi, James S Wrobel, Joshua Burns
BACKGROUND: People who have extremely high arched feet or pes cavus often suffer from substantial foot pain. Custom-made foot orthoses (CFO) have been shown to be an effective treatment option, but their specificity is unclear. It is generally thought that one of the primary functions of CFO is redistributing abnormal plantar pressures. This study sought to identify variables associated with pain relief after CFO intervention. METHODS: Plantar pressure data from a randomized controlled trial of 154 participants with painful pes cavus were retrospectively re-analyzed at baseline and three month post CFO intervention...
2014: Journal of Foot and Ankle Research
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