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Effects of different medial arch support heights on rearfoot kinematics
Foot orthoses are usually assumed to be effective by optimizing mechanically dynamic rearfoot configuration. However, the effect from a foot orthosis on kinematics that has been demonstrated scientifically has only been marginal. The aim of this study was to examine the effect of different heights i...
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Published in: | PloS one 2017-03, Vol.12 (3), p.e0172334-e0172334 |
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description | Foot orthoses are usually assumed to be effective by optimizing mechanically dynamic rearfoot configuration. However, the effect from a foot orthosis on kinematics that has been demonstrated scientifically has only been marginal. The aim of this study was to examine the effect of different heights in medial arch-supported foot orthoses on rear foot motion during gait.
Nineteen asymptomatic runners (36±11years, 180±5cm, 79±10kg; 41±22km/week) participated in the study. Trials were recorded at 3.1 mph (5 km/h) on a treadmill. Athletes walked barefoot and with 4 different not customized medial arch-supported foot orthoses of various arch heights (N:0 mm, M:30 mm, H:35 mm, E:40mm). Six infrared cameras and the `Oxford Foot Model´ were used to capture motion. The average stride in each condition was calculated from 50 gait cycles per condition. Eversion excursion and internal tibia rotation were analyzed. Descriptive statistics included calculating the mean ± SD and 95% CIs. Group differences by condition were analyzed by one factor (foot orthoses) repeated measures ANOVA (α = 0.05).
Eversion excursion revealed the lowest values for N and highest for H (B:4.6°±2.2°; 95% CI [3.1;6.2]/N:4.0°±1.7°; [2.9;5.2]/M:5.2°±2.6°; [3.6;6.8]/H:6.2°±3.3°; [4.0;8.5]/E:5.1°±3.5°; [2.8;7.5]) (p>0.05). Range of internal tibia rotation was lowest with orthosis H and highest with E (B:13.3°±3.2°; 95% CI [11.0;15.6]/N:14.5°±7.2°; [9.2;19.6]/M:13.8°±5.0°; [10.8;16.8]/H:12.3°±4.3°; [9.0;15.6]/E:14.9°±5.0°; [11.5;18.3]) (p>0.05). Differences between conditions were small and the intrasubject variation high.
Our results indicate that different arch support heights have no systematic effect on eversion excursion or the range of internal tibia rotation and therefore might not exert a crucial influence on rear foot alignment during gait. |
doi_str_mv | 10.1371/journal.pone.0172334 |
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Nineteen asymptomatic runners (36±11years, 180±5cm, 79±10kg; 41±22km/week) participated in the study. Trials were recorded at 3.1 mph (5 km/h) on a treadmill. Athletes walked barefoot and with 4 different not customized medial arch-supported foot orthoses of various arch heights (N:0 mm, M:30 mm, H:35 mm, E:40mm). Six infrared cameras and the `Oxford Foot Model´ were used to capture motion. The average stride in each condition was calculated from 50 gait cycles per condition. Eversion excursion and internal tibia rotation were analyzed. Descriptive statistics included calculating the mean ± SD and 95% CIs. Group differences by condition were analyzed by one factor (foot orthoses) repeated measures ANOVA (α = 0.05).
Eversion excursion revealed the lowest values for N and highest for H (B:4.6°±2.2°; 95% CI [3.1;6.2]/N:4.0°±1.7°; [2.9;5.2]/M:5.2°±2.6°; [3.6;6.8]/H:6.2°±3.3°; [4.0;8.5]/E:5.1°±3.5°; [2.8;7.5]) (p>0.05). Range of internal tibia rotation was lowest with orthosis H and highest with E (B:13.3°±3.2°; 95% CI [11.0;15.6]/N:14.5°±7.2°; [9.2;19.6]/M:13.8°±5.0°; [10.8;16.8]/H:12.3°±4.3°; [9.0;15.6]/E:14.9°±5.0°; [11.5;18.3]) (p>0.05). Differences between conditions were small and the intrasubject variation high.
Our results indicate that different arch support heights have no systematic effect on eversion excursion or the range of internal tibia rotation and therefore might not exert a crucial influence on rear foot alignment during gait.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0172334</identifier><identifier>PMID: 28257426</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Analysis ; Arches ; Athletes ; Biology and Life Sciences ; Biomechanical Phenomena ; Cameras ; Computer and Information Sciences ; Exercise Test ; Feet ; Female ; Fitness equipment ; Foot Orthoses ; Gait ; Gait - physiology ; Gait disorders ; Humans ; Infrared cameras ; Injuries ; Kinematics ; Male ; Medicine ; Medicine and Health Sciences ; Orthopedic appliances ; Orthoses ; Pain ; Physical Sciences ; Running ; Running - physiology ; Sports medicine ; Studies ; Tibia ; Tibia - physiology ; Tinea Pedis ; Variance analysis ; Walking ; Weight-Bearing - physiology</subject><ispartof>PloS one, 2017-03, Vol.12 (3), p.e0172334-e0172334</ispartof><rights>COPYRIGHT 2017 Public Library of Science</rights><rights>2017 Wahmkow et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2017 Wahmkow et al 2017 Wahmkow et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c791t-4ae8427fba7b434cd921b755bd3f738e5e59fc3e5722054c13dba88257495e593</citedby><cites>FETCH-LOGICAL-c791t-4ae8427fba7b434cd921b755bd3f738e5e59fc3e5722054c13dba88257495e593</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/1874149995/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1874149995?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,315,733,786,790,891,25783,27957,27958,37047,37048,44625,53827,53829,75483</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28257426$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Sakakibara, Manabu</contributor><creatorcontrib>Wahmkow, Gunnar</creatorcontrib><creatorcontrib>Cassel, Michael</creatorcontrib><creatorcontrib>Mayer, Frank</creatorcontrib><creatorcontrib>Baur, Heiner</creatorcontrib><title>Effects of different medial arch support heights on rearfoot kinematics</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Foot orthoses are usually assumed to be effective by optimizing mechanically dynamic rearfoot configuration. However, the effect from a foot orthosis on kinematics that has been demonstrated scientifically has only been marginal. The aim of this study was to examine the effect of different heights in medial arch-supported foot orthoses on rear foot motion during gait.
Nineteen asymptomatic runners (36±11years, 180±5cm, 79±10kg; 41±22km/week) participated in the study. Trials were recorded at 3.1 mph (5 km/h) on a treadmill. Athletes walked barefoot and with 4 different not customized medial arch-supported foot orthoses of various arch heights (N:0 mm, M:30 mm, H:35 mm, E:40mm). Six infrared cameras and the `Oxford Foot Model´ were used to capture motion. The average stride in each condition was calculated from 50 gait cycles per condition. Eversion excursion and internal tibia rotation were analyzed. Descriptive statistics included calculating the mean ± SD and 95% CIs. Group differences by condition were analyzed by one factor (foot orthoses) repeated measures ANOVA (α = 0.05).
Eversion excursion revealed the lowest values for N and highest for H (B:4.6°±2.2°; 95% CI [3.1;6.2]/N:4.0°±1.7°; [2.9;5.2]/M:5.2°±2.6°; [3.6;6.8]/H:6.2°±3.3°; [4.0;8.5]/E:5.1°±3.5°; [2.8;7.5]) (p>0.05). Range of internal tibia rotation was lowest with orthosis H and highest with E (B:13.3°±3.2°; 95% CI [11.0;15.6]/N:14.5°±7.2°; [9.2;19.6]/M:13.8°±5.0°; [10.8;16.8]/H:12.3°±4.3°; [9.0;15.6]/E:14.9°±5.0°; [11.5;18.3]) (p>0.05). Differences between conditions were small and the intrasubject variation high.
Our results indicate that different arch support heights have no systematic effect on eversion excursion or the range of internal tibia rotation and therefore might not exert a crucial influence on rear foot alignment during gait.</description><subject>Adult</subject><subject>Analysis</subject><subject>Arches</subject><subject>Athletes</subject><subject>Biology and Life Sciences</subject><subject>Biomechanical Phenomena</subject><subject>Cameras</subject><subject>Computer and Information Sciences</subject><subject>Exercise Test</subject><subject>Feet</subject><subject>Female</subject><subject>Fitness equipment</subject><subject>Foot Orthoses</subject><subject>Gait</subject><subject>Gait - physiology</subject><subject>Gait disorders</subject><subject>Humans</subject><subject>Infrared cameras</subject><subject>Injuries</subject><subject>Kinematics</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Orthopedic appliances</subject><subject>Orthoses</subject><subject>Pain</subject><subject>Physical Sciences</subject><subject>Running</subject><subject>Running - physiology</subject><subject>Sports medicine</subject><subject>Studies</subject><subject>Tibia</subject><subject>Tibia - physiology</subject><subject>Tinea Pedis</subject><subject>Variance analysis</subject><subject>Walking</subject><subject>Weight-Bearing - physiology</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNqNk1-L1DAUxYso7jr6DUQLgujDjE1u2iQvwrKs68DCgv9eQ5om06ydZkxS0W9vOtNdprIPSx8Skt89OTnpzbKXqFghoOjDjRt8L7vVzvV6VSCKAcij7BRxwMsKF_D4aH6SPQvhpihKYFX1NDvBDJeU4Oo0u7wwRqsYcmfyxqa5133Mt7qxssulV20eht3O-Zi32m7aEexzr6U3zsX8p-31VkarwvPsiZFd0C-mcZF9_3Tx7fzz8ur6cn1-drVUlKO4JFIzgqmpJa0JENVwjGpalnUDhgLTpS65UaBLinFREoWgqSXbu-XjHiyy1wfdXeeCmDIIAjFKEOGcl4lYH4jGyRux83Yr_V_hpBX7Bec3QvpkudMCuEIlAygqXBGmGeN1OpijRjVQKCBJ6-N02lCnTFTKxstuJjrf6W0rNu63KAEqxKsk8G4S8O7XoEMUWxuU7jrZazfsfVOGgRf8ISghhFZJepG9-Q-9P4iJ2sh0V9sblyyqUVScEQYs2avGK67uodLX6K1V6d8yNq3PCt7PChIT9Z-4kUMIYv31y8PZ6x9z9u0R22rZxTa4bojW9WEOkgOovAvBa3P3HqgQY2vcpiHG1hBTa6SyV8dveVd02wvwDzXFBtM</recordid><startdate>20170303</startdate><enddate>20170303</enddate><creator>Wahmkow, Gunnar</creator><creator>Cassel, Michael</creator><creator>Mayer, Frank</creator><creator>Baur, Heiner</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20170303</creationdate><title>Effects of different medial arch support heights on rearfoot kinematics</title><author>Wahmkow, Gunnar ; Cassel, Michael ; Mayer, Frank ; Baur, Heiner</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c791t-4ae8427fba7b434cd921b755bd3f738e5e59fc3e5722054c13dba88257495e593</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Analysis</topic><topic>Arches</topic><topic>Athletes</topic><topic>Biology and Life Sciences</topic><topic>Biomechanical Phenomena</topic><topic>Cameras</topic><topic>Computer and Information Sciences</topic><topic>Exercise Test</topic><topic>Feet</topic><topic>Female</topic><topic>Fitness equipment</topic><topic>Foot Orthoses</topic><topic>Gait</topic><topic>Gait - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wahmkow, Gunnar</au><au>Cassel, Michael</au><au>Mayer, Frank</au><au>Baur, Heiner</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of different medial arch support heights on rearfoot kinematics</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2017-03-03</date><risdate>2017</risdate><volume>12</volume><issue>3</issue><spage>e0172334</spage><epage>e0172334</epage><pages>e0172334-e0172334</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><notes>Competing Interests: The authors have declared that no competing interests exist.</notes><notes>Conceptualization: HB FM.Data curation: GW HB.Formal analysis: GW MC.Funding acquisition: HB FM.Investigation: HB MC GW.Methodology: HB MC GW.Project administration: HB FM.Resources: HB FM.Software: HB GW MC.Supervision: HB FM.Validation: HB.Visualization: GW MC HB.Writing – original draft: GW MC HB.Writing – review & editing: GW MC HB FM.</notes><abstract>Foot orthoses are usually assumed to be effective by optimizing mechanically dynamic rearfoot configuration. However, the effect from a foot orthosis on kinematics that has been demonstrated scientifically has only been marginal. The aim of this study was to examine the effect of different heights in medial arch-supported foot orthoses on rear foot motion during gait.
Nineteen asymptomatic runners (36±11years, 180±5cm, 79±10kg; 41±22km/week) participated in the study. Trials were recorded at 3.1 mph (5 km/h) on a treadmill. Athletes walked barefoot and with 4 different not customized medial arch-supported foot orthoses of various arch heights (N:0 mm, M:30 mm, H:35 mm, E:40mm). Six infrared cameras and the `Oxford Foot Model´ were used to capture motion. The average stride in each condition was calculated from 50 gait cycles per condition. Eversion excursion and internal tibia rotation were analyzed. Descriptive statistics included calculating the mean ± SD and 95% CIs. Group differences by condition were analyzed by one factor (foot orthoses) repeated measures ANOVA (α = 0.05).
Eversion excursion revealed the lowest values for N and highest for H (B:4.6°±2.2°; 95% CI [3.1;6.2]/N:4.0°±1.7°; [2.9;5.2]/M:5.2°±2.6°; [3.6;6.8]/H:6.2°±3.3°; [4.0;8.5]/E:5.1°±3.5°; [2.8;7.5]) (p>0.05). Range of internal tibia rotation was lowest with orthosis H and highest with E (B:13.3°±3.2°; 95% CI [11.0;15.6]/N:14.5°±7.2°; [9.2;19.6]/M:13.8°±5.0°; [10.8;16.8]/H:12.3°±4.3°; [9.0;15.6]/E:14.9°±5.0°; [11.5;18.3]) (p>0.05). Differences between conditions were small and the intrasubject variation high.
Our results indicate that different arch support heights have no systematic effect on eversion excursion or the range of internal tibia rotation and therefore might not exert a crucial influence on rear foot alignment during gait.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>28257426</pmid><doi>10.1371/journal.pone.0172334</doi><tpages>e0172334</tpages><oa>free_for_read</oa></addata></record> |
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source | Open Access: PubMed Central; ProQuest - Publicly Available Content Database |
subjects | Adult Analysis Arches Athletes Biology and Life Sciences Biomechanical Phenomena Cameras Computer and Information Sciences Exercise Test Feet Female Fitness equipment Foot Orthoses Gait Gait - physiology Gait disorders Humans Infrared cameras Injuries Kinematics Male Medicine Medicine and Health Sciences Orthopedic appliances Orthoses Pain Physical Sciences Running Running - physiology Sports medicine Studies Tibia Tibia - physiology Tinea Pedis Variance analysis Walking Weight-Bearing - physiology |
title | Effects of different medial arch support heights on rearfoot kinematics |
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