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https://www.readbyqxmd.com/read/29792211/the-impact-of-ankle-foot-orthoses-on-toe-clearance-strategy-in-hemiparetic-gait-a-cross-sectional-study
#1
Kannit Pongpipatpaiboon, Masahiko Mukaino, Fumihiro Matsuda, Kei Ohtsuka, Hiroki Tanikawa, Junya Yamada, Kazuhiro Tsuchiyama, Eiichi Saitoh
BACKGROUND: Ankle-foot orthoses (AFOs) are frequently used to improve gait stability, toe clearance, and gait efficiency in individuals with hemiparesis. During the swing phase, AFOs enhance lower limb advancement by facilitating the improvement of toe clearance and the reduction of compensatory movements. Clinical monitoring via kinematic analysis would further clarify the changes in biomechanical factors that lead to the beneficial effects of AFOs. The purpose of this study was to investigate the actual impact of AFOs on toe clearance, and determine the best strategy to achieve toe clearance (including compensatory movements) during the swing phase...
May 23, 2018: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/29778980/the-influence-of-early-or-delayed-provision-of-ankle-foot-orthoses-on-pelvis-hip-and-knee-kinematics-in-patients-with-sub-acute-stroke-a-randomized-controlled-trial
#2
Corien D M Nikamp, Job van der Palen, Hermie J Hermens, Johan S Rietman, Jaap H Buurke
BACKGROUND: Compensatory pelvis, hip- and knee movements are reported after stroke to overcome insufficient foot-clearance. Ankle-foot orthoses (AFOs) are often used to improve foot-clearance, but the optimal timing of AFO-provision post-stroke is unknown. Early AFO-provision to prevent foot-drop might decrease the development of compensatory movements, but it is unknown whether timing of AFO-provision affects post-stroke kinematics. RESEARCH QUESTIONS: 1) To compare the effect of AFO-provision at two different points in time (early versus delayed) on frontal pelvis and hip, and sagittal hip and knee kinematics in patients with sub-acute stroke...
May 16, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29753998/use-of-high-speed-stereo-radiography-to-assess-the-foot-orthoses-effectiveness-in-controlling-midfoot-posture-during-walking-a-pilot-study
#3
Erin M Mannen, Stuart J Currie, Elizabeth C Bachman, Amira Otmane, Bradley S Davidson, Kevin B Shelburne, Thomas G McPoil
BACKGROUND: The intent of this pilot study was to determine the feasibility of using high-speed stereo radiography (HSSR) to assess the effectiveness of footwear and foot orthoses in controlling the change in the position of the midfoot during walking in individuals with a flexible pes planus foot type. METHODS: Four individuals (1 female; 3 male) with a mean age of 25 years (range 22-29) and a bilateral flexible pes planus foot type participated in the study. The HSSR system was used to measure 3-dimensional changes in the longitudinal arch angle (LAA) with each participant walking barefoot, shoe only and shoes with orthoses...
January 31, 2018: Foot
https://www.readbyqxmd.com/read/29753125/adaptation-of-kinematic-synergy-and-postural-control-to-mechanical-ankle-constraint-on-an-unsteady-stance-surface
#4
Yi-Ying Tsai, Gwo-Ching Chang, Ing-Shiou Hwang
Joint constraint interferes with the coordinative structure in joint movements used to optimize postural stability. This study aimed to investigate changes in postural synergy when the ankle joints were bilaterally braced during a stabilometer stance. Twenty-four young adults stood on a stabilometer plate while wearing a pair of ankle-foot orthoses, which were either unlocked or locked to restrict ankle motion (the ankle constraint (AC) and non-constraint (NC) conditions). Although ankle constraint did not significantly affect the dynamics of the stabilometer movements, the size and regularity of the first principal component (PC1), which explained more than 80% of the variance of joint movements in the lower limb, were increased...
May 9, 2018: Human Movement Science
https://www.readbyqxmd.com/read/29715361/assessment-of-mechanical-characteristics-of-ankle-foot-orthoses
#5
Amanda Wach, Linda McGrady, Mei Wang, Barbara Silver-Thorn
Recent designs of ankle-foot orthoses (AFOs) have been influenced by the increasing demand for higher function from active individuals. The biomechanical function of the individual and device is dependent upon the underlying mechanical characteristics of the AFO. Prior mechanical testing of AFOs has primarily focused on rotational stiffness to provide insight into expected functional outcomes; mechanical characteristics pertaining to energy storage and release have not yet been investigated. A pseudostatic bench testing method is introduced to characterize compressive stiffness, device deflection, and motion of solid-ankle, anterior floor reaction, posterior leaf spring, and the intrepid dynamic exoskeletal orthosis (IDEO) AFOs...
July 1, 2018: Journal of Biomechanical Engineering
https://www.readbyqxmd.com/read/29714066/effect-of-ankle-foot-orthoses-on-gait-balance-and-gross-motor-function-in-children-with-cerebral-palsy-a-systematic-review-and-meta-analysis
#6
Mael Lintanf, Jean-Sébastien Bourseul, Laetitia Houx, Mathieu Lempereur, Sylvain Brochard, Christelle Pons
OBJECTIVE: To determine the effects of ankle-foot orthoses (AFOs) on gait, balance, gross motor function and activities of daily living in children with cerebral palsy. DATA SOURCES: Five databases were searched (Pubmed, Psycinfo, Web of Science, Academic Search Premier and Cochrane Library) before January 2018. REVIEW METHODS: Studies of the effect of AFOs on gait, balance, gross motor function and activities of daily living in children with cerebral palsy were included...
April 1, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/29706698/the-prevalence-of-the-flat-foot-condition-and-insole-prescription-in-people-with-down-s-syndrome-a-retrospective-population-based-study
#7
Yoshihide Kanai, Hirotaka Mutsuzaki, Tomohiro Nakayama, Arito Yozu, Nobuaki Iwasaki
[Purpose] The general approach for flat foot (FF) treatment in people with Down's syndrome (DS) is the use of insoles. However, the appropriate timing of the first insole prescription remains unclear. An aim of this present research was to investigate the status of prevalence of FF and orthosis prescription in the DS population. [Subjects and Methods] Two hundred fifteen subjects with DS who were seen at our hospital were retrospectively investigated. Investigated parameters were: prevalence of FF and other foot diseases, ratio and timing of orthopaedic consultation, ratio and timing of orthoses prescription, and mean age at the time of orthosis prescription...
April 2018: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/29702012/physical-therapists-use-of-evaluation-measures-to-inform-the-prescription-of-ankle-foot-orthoses-for-children-with-cerebral-palsy
#8
Kyra J Kane, Joel L Lanovaz, Kristin E Musselman
AIMS: To examine how physical therapists (PTs) use evaluation measures to guide prescription and re-assessment of ankle-foot orthoses (AFOs) for children with CP. METHODS: PTs in Canada who work with children with CP were invited to complete an online survey. Survey questions examined PT evaluation and interpretation of findings at initial AFO prescription and re-assessment. Closed-ended responses were analyzed using descriptive statistics, and a conventional content analysis examined responses to open-ended questions...
April 27, 2018: Physical & Occupational Therapy in Pediatrics
https://www.readbyqxmd.com/read/29696991/pressure-distribution-in-the-ankle-and-subtalar-joint-with-routine-and-oversized-foot-orthoses
#9
Patrick Williamson, Aron Lechtig, Philip Hanna, Stephen Okajima, Peter Biggane, Michael Nasr, David Zurakowski, Naven Duggal, Ara Nazarian
BACKGROUND: Foot orthoses are used to treat many disorders that affect the lower limb. These assistive devices have the potential to alter the forces, load distribution, and orientation within various joints in the foot and ankle. This study attempts to quantify the effects of orthoses on the intra-articular force distribution of the ankle and subtalar joint using a cadaveric testing jig to simulate weight bearing. METHODS: Five lower-limb cadaveric specimens were placed on a custom jig, where a 334-N (75-lb) load was applied at the femoral head, and the foot was supported against a plate to simulate double-leg stance...
April 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29684886/the-effects-of-three-quarter-and-full-length-foot-orthoses-on-knee-mechanics-in-healthy-subjects-and-patellofemoral-pain-patients-when-walking-and-descending-stairs
#10
J Burston, J Richards, J Selfe
BACKGROUND: An increased load of the patellofemoral joint is often attributed to foot function in patients with patellofemoral pain. Foot orthoses are commonly prescribed for this condition; however the mechanisms by which they work are poorly understood. The aim of this study was to investigate the kinematics and kinetics of the knee between patellofemoral pain patients and a group of healthy subjects when using a standardised foot orthosis prescription during walking and step descent...
April 17, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29682429/when-why-and-how-foot-orthoses-fos-should-be-prescribed-for-children-with-flexible-pes-planus-a-delphi-survey-of-podiatrists
#11
Sindhrani Dars, Hayley Uden, Saravana Kumar, Helen A Banwell
Background: Flexible pes planus (flat feet) in children is a common reason parents and caregivers seek health professionals consult and a frequent reason podiatrists prescribe foot orthoses. Yet no universal agreement exists on the diagnosis of this condition, or when and how foot orthoses should be prescribed. The aim of this study was to garner consensus and agreement among podiatrists on the use of FOs for paediatric flexible pes planus. Methods: A three round Delphi consensus survey was undertaken with 15 podiatry experts from Australia, New Zealand and the United Kingdom...
2018: PeerJ
https://www.readbyqxmd.com/read/29674347/should-foot-orthoses-be-used-for-plantar-heel-pain
#12
EDITORIAL
Glen A Whittaker, Shannon E Munteanu, Hylton B Menz, Karl B Landorf
No abstract text is available yet for this article.
April 19, 2018: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/29673797/non-invasive-multi-modality-approach-to-treating-plantar-fasciitis-a-case-study
#13
Tamsin Lee
Plantar fasciitis, also referred to as plantar heel pain, is a common foot pathology among runners and other athletes. The clinical guidelines of the 2014 Orthopedic Section of the American Physical Therapy Association states, non-invasive therapies including manual therapy, stretching, taping, foot orthoses and night splints are recommended as primary interventions. Recent studies suggest acupuncture may be an effective treatment compared to standard treatment for long-term relief. This case study reports the effects of a multi-modality approach including massage, gua sha, bleeding, acupuncture and moxibustion to treat acute plantar heel pain...
April 16, 2018: Journal of Acupuncture and Meridian Studies
https://www.readbyqxmd.com/read/29673398/assessment-of-orthotic-needs-in-iranian-veterans-with-ankle-and-foot-disorders
#14
Kamiar Ghoseiri, Mostafa Allami, Mohammad Reza Soroush
BACKGROUND: War-related traumas can lead to orthopedic and neurological disorders in victims. However, the scope of such disorders may expand months or even years after the trauma. Orthotic treatment as a rehabilitation process aims to enable people with disabilities to reach and maintain their optimal physical, sensory, intellectual, psychological, and social functional levels. This study aimed to investigate the rate of using orthoses among Iranian veterans with neuromuscular and skeletal disorders of the ankle and foot...
April 20, 2018: Military Medical Research
https://www.readbyqxmd.com/read/29626145/risk-factors-for-lower-limb-injuries-during-initial-naval-training-a-prospective-study
#15
Daniel R Bonanno, S E Munteanu, G S Murley, K B Landorf, H B Menz
INTRODUCTION: This study aimed to identify risk factors associated with the development of common lower limb injuries during initial defence training in naval recruits who were enrolled in a randomised trial. METHODS: Three-hundred and six naval recruits were randomly allocated flat insoles (n=153) or foot orthoses (n=153) while undertaking 11 weeks of initial training. Participant characteristics (including anthropometrics, general health, physical activity, fitness and foot characteristics) were collected at the baseline assessment and injuries were documented prospectively...
April 6, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29619094/foot-osteoarthritis-latest-evidence-and-developments
#16
REVIEW
Edward Roddy, Hylton B Menz
Foot osteoarthritis (OA) is a common problem in older adults yet is under-researched compared to knee or hand OA. Most existing studies focus on the first metatarsophalangeal joint, with evidence relating to midfoot OA being particularly sparse. Symptomatic radiographic foot OA affects 17% of adults aged 50 years and over. The first metatarsophalangeal joint is most commonly affected, followed by the second cuneometatarsal and talonavicular joints. Epidemiological studies suggest the existence of distinct first metatarsophalangeal joint and polyarticular phenotypes, which have differing clinical and risk factor profiles...
April 2018: Therapeutic Advances in Musculoskeletal Disease
https://www.readbyqxmd.com/read/29609159/net-ankle-quasi-stiffness-is-influenced-by-walking-speed-but-not-age-for-older-adult-women
#17
John D Collins, Elisa S Arch, Jeremy R Crenshaw, Kathie A Bernhardt, Sundeep Khosla, Shreyasee Amin, Kenton R Kaufman
BACKGROUND: Insufficient plantar flexor resistance due to plantar flexor weakness, an impairment common in patient populations, causes substantial gait deficits. The bending stiffness of passive-dynamic ankle-foot orthoses (PD-AFOs) has the capacity to replace lost plantar flexor resistance. Many patients who are prescribed PD-AFOs are older adults. While PD-AFO bending stiffness should be customized for patients, a method to objectively prescribe this stiffness does not exist. Quantifying natural plantar flexor resistance during non-pathological gait could provide a reference value for objectively prescribing PD-AFO bending stiffness...
March 26, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29589478/advantages-and-disadvantages-of-interdisciplinary-consultation-in-the-prescription-of-assistive-technologies-for-mobility-limitations
#18
Fred A de Laat, Bart van Heerebeek, Jaap J van Netten
PURPOSE: To explore the advantages and disadvantages experienced by professionals in interdisciplinary consultation involving the user, prescriber and technician in the prescription of assistive technologies for mobility limitations. METHOD: Cross-sectional study. Prescribers (N = 39) and orthopaedic technicians (N = 50), who were regularly involved in an interdisciplinary consultation completed a questionnaire about advantages and disadvantages of the interdisciplinary consultation...
March 28, 2018: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/29587246/effect-of-different-designs-of-ankle-foot-orthoses-on-gait-in-patients-with-stroke-a-systematic-review
#19
REVIEW
Aliyeh Daryabor, Mokhtar Arazpour, Gholamreza Aminian
BACKGROUND: Ankle foot orthoses (AFOs) are used to improve the gait of patients with stroke. RESEARCH QUESTION: The current review aimed at evaluating the efficacy of different designs of AFOs and comparison between them on the gait parameters of individuals with hemiplegic stroke. METHODS: The search strategy was based on the population intervention comparison outcome (PICO) method. A search was performed in PubMed, ISI Web of Knowledge, Scopus, Science Direct, and Google Scholar databases...
March 16, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29582899/knee-ankle-foot-orthoses-for-treating-posterior-knee-pain-resulting-from-genu-recurvatum-efficiency-patients-tolerance-and-satisfaction
#20
Benoit Requier, Laurent Bensoussan, Julien Mancini, Alain Delarque, Jean-Michel Viton, Marjorie Kerzoncuf
OBJECTIVE: To assess the efficiency of knee-ankle-foot orthoses for treating painful genu recurvatum, and to determine users' tolerance and satisfaction. PATIENTS: Patients included in the study had a genu recurvatum during the stance phase, confirmed by a medical doctor on physical examination. A total of 27 patients with 31 knee-ankle-foot orthoses were included. METHODS: The main outcome was scored on a verbal numerical rating scale (VNRS) before and at least 3 months after a knee-ankle-foot orthosis was fitted, and scored on a verbal numerical pain rating scale (VRS)...
March 27, 2018: Journal of Rehabilitation Medicine
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