Foot Pub Date : 2025-12-01 Epub Date: 2025-11-17 DOI: 10.1016/j.foot.2025.102211

James Ritchie

引用次数: 0

Syndesmotic reduction: What technique is most accurate? 联合复位：什么技术最准确？

Foot Pub Date : 2025-12-01 Epub Date: 2025-08-13 DOI: 10.1016/j.foot.2025.102191

Calvin J. Rushing

{"title":"Syndesmotic reduction: What technique is most accurate?","authors":"Calvin J. Rushing","doi":"10.1016/j.foot.2025.102191","DOIUrl":"10.1016/j.foot.2025.102191","url":null,"abstract":"<div><div>The purpose of the present study was to assess the reliability of three syndesmotic reduction methods (Indirect clamp reduction, direct reduction with palpation of the incisura congruence, direct reduction with articular surface visualization) across various syndesmotic injury conditions (ventral disruption; AITFL, 2-ligament injury; AITFL/IOL, and 3-ligament injury; AITFL/IOL/PITFL) in an in-vitro model. It was hypothesized that indirect clamp reduction would be the least reliable method, with a higher mal-reduction rate. A cadaveric model of syndesmotic injury in eight through the knee specimens was employed. Sagittal plane translation following reduction was recorded using a digital caliper. Malreduction was defined as a difference of > 2 mm from the intact condition. Overall, direct reduction with articular surface visualization was the most accurate method, irrespective of the injury state across all specimens (p > 0.01). Direct reduction with palpation of the incisura was reliable for 2 and 3-ligament injury conditions (p = 0.518); while indirect clamp reduction was least reliable (p = 585). As the injury condition progressed, the incidence of malreduction increased for direct palpation, and clamp reduction. No malreductions were recorded using direct visualization of the articular surface. In the present cadaveric model, indirect clamp reduction was the least reliable method for syndesmotic realignment, with the highest incidence of malreduction. Surgeons should be cognizant of the inherent subjectivity, and limited reliability of the historically popularized clamp reduction method.</div></div><div><h3>Level of Evidence</h3><div>Level V, cadaveric</div></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"65 ","pages":"Article 102191"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145099616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Heel inversion on heel rise: A reliable sign of pediatric flatfoot decompensation 脚跟上升时脚跟倒置：儿童扁平足失代偿的可靠标志。

Foot Pub Date : 2025-12-01 Epub Date: 2025-09-26 DOI: 10.1016/j.foot.2025.102207

Harald Böhm , Jakob Ender , Andreas Brand , Frank Braatz , Ferdinand Wagner

{"title":"Heel inversion on heel rise: A reliable sign of pediatric flatfoot decompensation","authors":"Harald Böhm , Jakob Ender , Andreas Brand , Frank Braatz , Ferdinand Wagner","doi":"10.1016/j.foot.2025.102207","DOIUrl":"10.1016/j.foot.2025.102207","url":null,"abstract":"<div><h3>Background</h3><div>The heel rise test (HRT) is widely used to evaluate triceps surae strength and to detect posterior tibial tendon dysfunction, a key factor in flatfoot pathology. In children with flexible flatfoot, the presence or absence of heel inversion during push-off is an important clinical sign that distinguishes muscularly compensated from decompensated feet. Identifying decompensated flatfoot is clinically relevant, as it is associated with impaired gait mechanics, reduced plantarflexor performance, and potential balance deficits. This study examined whether heel inversion observed during a standardized bilateral HRT can serve as a reliable indicator of decompensated flatfoot during walking.</div></div><div><h3>Methods</h3><div>We analyzed 358 feet from children and adolescents (aged 7–17) with idiopathic flexible flatfeet. Heel positions during HRT were rated on a five-point scale (-2 to +2), and results were correlated with 3D gait analysis.</div></div><div><h3>Results</h3><div>Reliability analysis showed high reliability and consistency. A positive HRT (neutral/everted heel) indicated decompensation in 77 % of cases, with 100 % of everted heels decompensated. However, 28 % of feet with negative HRT results (heel inversion) were also decompensated.</div></div><div><h3>Conclusion</h3><div>The HRT score is a reliable tool for assessing foot function during gait. It correlates with hindfoot-to-tibia inversion and foot kinematics, where lower scores indicate greater eversion, forefoot supination, and abduction. The HRT score provides a simple, quick measure of flatfoot severity.</div></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"65 ","pages":"Article 102207"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Biomechanical evaluation of sanders type IIB calcaneal fractures: A cadaveric analysis of fixation strategies sanders IIB型跟骨骨折的生物力学评价：固定策略的尸体分析

Foot Pub Date : 2025-12-01 Epub Date: 2025-09-17 DOI: 10.1016/j.foot.2025.102205

Stephanie Potten , Zhikai Li , Emma Cohen , Cecilia Brassett , Mohammad Abrar , Alan Norrish , Tom Dymond , Chandra Pasapula

{"title":"Biomechanical evaluation of sanders type IIB calcaneal fractures: A cadaveric analysis of fixation strategies","authors":"Stephanie Potten , Zhikai Li , Emma Cohen , Cecilia Brassett , Mohammad Abrar , Alan Norrish , Tom Dymond , Chandra Pasapula","doi":"10.1016/j.foot.2025.102205","DOIUrl":"10.1016/j.foot.2025.102205","url":null,"abstract":"<div><h3>Introduction</h3><div>Calcaneal fractures present significant treatment challenges due to their complex anatomy and load-bearing function. Increasingly, minimally invasive techniques are used in treatment. This study evaluates the biomechanical performance of 3 different fixation methods using embalmed cadaver calcanei subjected to a controlled linear increase in load.</div></div><div><h3>Methods</h3><div>18 cadaveric calcanei were dissected and a simulated Sanders IIB joint depression calcaneal fracture was created with a saw. The fixation techniques used were: plate and 6.5 mm longitudinal screws, plate alone, and screws alone. Biomechanical testing was conducted using a uniaxial loading machine to assess stability, load transmission, and fragment displacement characteristics.</div></div><div><h3>Results</h3><div>There was no statistically significant difference in the force/energy to failure between fixation types. Plate fixation did not result in any displacement of the fracture fragments in all specimens tested. Failure of fixation occurred in both screw fixation and plate with screw fixation, predominantly affecting the anterior process.</div></div><div><h3>Conclusions</h3><div>In this cadaver model, minimally invasive techniques provide similar stability of fracture fixation with uniaxial loading to plate fixation, however further consideration of fixation of the anterior process may be required with minimally invasive techniques.</div></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"65 ","pages":"Article 102205"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145154713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The role of neuroma size in the management of Morton's neuroma 神经瘤大小在莫顿神经瘤治疗中的作用。

Foot Pub Date : 2025-12-01 Epub Date: 2025-09-26 DOI: 10.1016/j.foot.2025.102204

Sonam Vadera , Pip Divall , Maneesh Bhatia

{"title":"The role of neuroma size in the management of Morton's neuroma","authors":"Sonam Vadera , Pip Divall , Maneesh Bhatia","doi":"10.1016/j.foot.2025.102204","DOIUrl":"10.1016/j.foot.2025.102204","url":null,"abstract":"<div><h3>Background</h3><div>Morton's neuroma is a common forefoot pathology characterised by fibrosis and thickening of the interdigital nerve in the intermetatarsal space. This scoping review aims to systematically map and summarise current evidence regarding the role of neuroma size in diagnosing and managing Morton's neuroma, with particular focus on correlations between symptom severity and treatment outcomes.</div></div><div><h3>Methods</h3><div>Following the frameworks of Arksey and O’Malley, Levac, and Peters, this scoping review used a comprehensive search strategy to identify relevant studies across multiple databases. A two-stage screening process was conducted independently by two reviewers.</div></div><div><h3>Results</h3><div>A total of 242 studies were identified, with 34 included for review. Both MRI and ultrasound were found to be effective in detecting neuromas, although definitions and diagnostic criteria varied. Findings on the correlation between neuroma size and symptom severity were mixed; larger neuromas were sometimes, but not consistently, associated with more severe symptoms. Treatment outcomes following steroid injections or surgical excision did not show a clear dependency on neuroma size, with mixed evidence across studies. Corticosteroid injections demonstrated variability in effectiveness based on neuroma size, while surgical outcomes showed no consistent correlation with neuroma size.</div></div><div><h3>Conclusions</h3><div>Despite the utility of imaging in diagnosing Morton's neuroma, clinical evaluation remains crucial, as neuroma size alone may not reliably predict symptoms or treatment response. Further research with standardised imaging criteria and extended follow-up is essential to better understand the relationship between neuroma size, symptom severity, and treatment outcomes, aiming to enhance treatment precision and efficacy.</div></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"65 ","pages":"Article 102204"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145318992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Occupational risk factors for major lower extremity amputation： A retrospective cohort study from a single center 下肢主要截肢的职业危险因素：来自单一中心的回顾性队列研究

Foot Pub Date : 2025-12-01 Epub Date: 2025-08-20 DOI: 10.1016/j.foot.2025.102195

Soma Nakaso , Hyakuzoh Ueda , Chiemi Kaku , Yuki Ideguchi , Aya Miyama , Rei Ogawa

{"title":"Occupational risk factors for major lower extremity amputation： A retrospective cohort study from a single center","authors":"Soma Nakaso , Hyakuzoh Ueda , Chiemi Kaku , Yuki Ideguchi , Aya Miyama , Rei Ogawa","doi":"10.1016/j.foot.2025.102195","DOIUrl":"10.1016/j.foot.2025.102195","url":null,"abstract":"<div><h3>Introduction</h3><div>Lower-limb amputation (LLA) is associated with a significantly declined quality of life and high mortality rates, highlighting the importance of early intervention. Occupational and environmental factors may contribute to delayed healing of foot ulcers in patients with chronic limb-threatening ischemia (CLTI) or diabetic foot ulcers (DFU). However, few studies have investigated the association between occupation and LLA. In this study, we aimed to elucidate the relationship between occupation and LLA and identify occupational risk factors for the development of preventive and interventional strategies.</div></div><div><h3>Methods</h3><div>We conducted a retrospective analysis of 83 patients (mean age; 71 ± 12.6 years) who underwent major LLA for leg ulcers at our hospital between January 2019 and June 2024. Data on the longest-held occupation, ankle-brachial index (ABI), and clinical outcomes were collected and analyzed.</div></div><div><h3>Results</h3><div>Among the 96 amputated limbs, 71 were below-knee amputations (BKA), 22 were above-knee amputations (AKA), and one was hip disarticulation. The mortality rate was 27 % at 1 year and 40 % at 3 years post-amputation. Occupational classification revealed that 24 (44 %) patients had standing occupations, 27 (49 %) had sedentary occupations, and 16 (18 %) were unemployed. No significant occupational differences were observed in the incidence of arteriosclerosis obliterans. No significant differences were observed between occupational groups regarding the presence of osteomyelitis or ABI values.</div></div><div><h3>Conclusion</h3><div>This study focused on the occupational background of patients who underwent LLA, particularly on the relative risks of standing and sedentary occupations. Large-scale epidemiological research is warranted to refine occupation-specific risk assessments, improve workplace conditions, and develop preventive strategies.</div></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"65 ","pages":"Article 102195"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144865649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluating the association of social determinants of health and patient-reported outcome measures in patients with lisfranc injuries 评估lisfranc损伤患者健康的社会决定因素与患者报告的结果测量之间的关系。

Foot Pub Date : 2025-12-01 Epub Date: 2025-09-29 DOI: 10.1016/j.foot.2025.102208

Alireza Ebrahimi , Sora Sohn , Jaehyung Shin , Daniel Acevedo , Andreea Lucaciu , Soheil Ashkani-Esfahani , David N. Bernstein , Lorena Bejarano-Pineda , Daniel Guss , John Y. Kwon , Gregory Waryasz

{"title":"Evaluating the association of social determinants of health and patient-reported outcome measures in patients with lisfranc injuries","authors":"Alireza Ebrahimi , Sora Sohn , Jaehyung Shin , Daniel Acevedo , Andreea Lucaciu , Soheil Ashkani-Esfahani , David N. Bernstein , Lorena Bejarano-Pineda , Daniel Guss , John Y. Kwon , Gregory Waryasz","doi":"10.1016/j.foot.2025.102208","DOIUrl":"10.1016/j.foot.2025.102208","url":null,"abstract":"<div><h3>Background</h3><div>Social determinants of health (SDOH) have been shown to impact postoperative outcomes for several orthopaedic injuries. Understanding the role of these factors in patients sustaining Lisfranc injury can help identify disparities and target interventions to optimize recovery.</div></div><div><h3>Methods</h3><div>We retrospectively evaluated the influence of SDOH in postoperative outcomes of patients with Lisfranc injury aged ≥ 18 years. Social Vulnerability Index (SVI) and Area Deprivation Index (ADI) were gathered using patient ZIP codes. Patient-Reported Outcome Measures (PROMs) were collected.</div></div><div><h3>Results</h3><div>Significant differences were found in postoperative physical health (p = 0.02) and function (p = 0.03) across different races, with white patients reporting better postoperative outcomes. Furthermore, private insurance was associated with better physical (p = 0.02) and mental health (p = 0.01). Lower socioeconomic status, minority status, poorer housing/transportation, higher social vulnerability, and higher area deprivation correlated with PROMs across physical, mental, and pain domains (all p < 0.05).</div></div><div><h3>Conclusion</h3><div>This study found SDOH, including race, neighborhood factors, and socioeconomic status were associated with lower PROMs in patients with Lisfranc injury, highlighting the need for stakeholders to prioritize interventions aiming to address health disparities among patients with orthopaedic injuries.</div></div><div><h3>Level of Evidence</h3><div>III</div></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"65 ","pages":"Article 102208"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A new point for calcaneal pin insertion: A radiographic study measuring bone density on computed tomography 一个新的跟骨钉插入点：用计算机断层扫描测量骨密度的影像学研究

Foot Pub Date : 2025-12-01 Epub Date: 2025-09-18 DOI: 10.1016/j.foot.2025.102206

G. Faria, A. Trockels, I Thomas-Jones, S. Shin, O. Tawfiq, R. Freeman

{"title":"A new point for calcaneal pin insertion: A radiographic study measuring bone density on computed tomography","authors":"G. Faria, A. Trockels, I Thomas-Jones, S. Shin, O. Tawfiq, R. Freeman","doi":"10.1016/j.foot.2025.102206","DOIUrl":"10.1016/j.foot.2025.102206","url":null,"abstract":"<div><h3>Introduction</h3><div>External fixator schanz pins are often sited in the calcaneal mid-portion. This area is shown to have lower bone density than the posterior region. We propose a safer, more rigid site for pin insertion in the posterior fifth of the bone. This is likely to reduce the risk of early pin loosening and is a higher distance from the neurovascular structures. This study aims to evaluate differences in bone density between the traditional point and our proposed posterior point.</div></div><div><h3>Methods</h3><div>We identified a sample of 46 patients who underwent an ankle computed tomography (CT) scan. We excluded skeletally immature patients and metal artefact on CT. A uniform region-of-interest rectangle to measure Hounsfield Units at the traditional point and posterior calcaneal points was created using software. Data was reviewed separately by three raters. Statistical analysis was performed using the Shapiro-Wilk and Wilcoxon Signed Ranks test.</div></div><div><h3>Results</h3><div>46 patients of mean age 48 were included. The average bone density at the traditional point was lower at 202 HU (95 % Confidence Interval (CI) 183–222) compared to 335 HU (95 % CI 300–371) at the posterior calcaneal point (p < 0.001). Inter-rate agreement was excellent with average measures intraclass correlation coefficient (ICC) of 0.894 for the AO point and 0.877 for the posterior calcaneal point (both p < 0.001).</div></div><div><h3>Conclusions</h3><div>Our data demonstrates that the bone density in the posterior fifth of the calcaneus is significantly higher than the traditional insertion point and there is an increased distance to the vital neurovascular structures. Previous research has verified that Hounsfield units as a measure of bone density correlates strongly with screw pull-out strength.</div></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"65 ","pages":"Article 102206"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145462566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Patient reported outcome measures in the foot and ankle literature: A systematic review 足部和踝关节文献中患者报告的结果测量：系统回顾。

Foot Pub Date : 2025-12-01 Epub Date: 2025-09-29 DOI: 10.1016/j.foot.2025.102209

Sofyan Al Shdefat , Zaki Arshad , Rahul Khan , Ibrahim Inzarul Haq , Maneesh Bhatia

{"title":"Patient reported outcome measures in the foot and ankle literature: A systematic review","authors":"Sofyan Al Shdefat , Zaki Arshad , Rahul Khan , Ibrahim Inzarul Haq , Maneesh Bhatia","doi":"10.1016/j.foot.2025.102209","DOIUrl":"10.1016/j.foot.2025.102209","url":null,"abstract":"<div><h3>Purpose</h3><div>Patient reported outcome measures (PROMs) are crucial in allowing clinicians to effectively evaluate the outcome of interventions. This systematic review aims to provide a comprehensive, up-to-date analysis of the use of PROMs in the foot and ankle literature.</div></div><div><h3>Materials and methods</h3><div>A systematic review of all articles published between January 2012 and December 2022 in six major orthopaedic journals was performed. All original research articles reporting at least one PROM in any foot and ankle condition were included. An analysis of the most common PROMs overall and according to year of publication, journal of publication and pathology/procedure reported was performed.</div></div><div><h3>Results</h3><div>Of the 4402 total foot and ankle articles identified, 1553 articles reporting 125 different PROMs were included. The most common PROM overall was the American Orthopaedic foot and Ankle Society (AOFAS) score, reported in 51.5 % of articles, followed by visual analogue scale (VAS) pain score (43.2 %), 36-item short form survey (SF-36) (13.5 %), Foot and Ankle Outcome score (FAOS) (10.8 %) and Foot and Ankle Ability Measure (FAAM) (7.6 %). Only 23 (1.5 %<em>)</em> studies reported the number of patients achieving the minimally clinically important difference.</div></div><div><h3>Conclusion</h3><div>Although AOFAS score use has declined over time, it remains widely cited despite its limitations and calls for alternatives. Various validated foot and ankle PROMs exist but are used inconsistently. The continued use of suboptimal PROMs limits the quality of conclusions in foot and ankle research. Therefore, greater consistency in using validated PROMs is essential for improving reliability in the literature.</div></div><div><h3>Level of evidence</h3><div>Level IV, systematic review of level I-IV studies</div></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"65 ","pages":"Article 102209"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Agreement and reliability of gait metrics measured using the stride smart system in the AlterG treadmill compared to Xsens 与Xsens相比，在AlterG跑步机上使用跨步智能系统测量的步态指标的一致性和可靠性。

Foot Pub Date : 2025-12-01 Epub Date: 2025-10-14 DOI: 10.1016/j.foot.2025.102210

Michelle Lyons , Kirsty Lindsay , Louise Burnie

{"title":"Agreement and reliability of gait metrics measured using the stride smart system in the AlterG treadmill compared to Xsens","authors":"Michelle Lyons , Kirsty Lindsay , Louise Burnie","doi":"10.1016/j.foot.2025.102210","DOIUrl":"10.1016/j.foot.2025.102210","url":null,"abstract":"<div><h3>Objective</h3><div>The AlterG treadmill provides bodyweight support and gait data for rehabilitation. Clinicians often use spatiotemporal gait parameters to assess a patient’s progress during rehabilitation; therefore, the validity and reliability of these metrics are very important. This study aimed to assess the agreement and reliability of the spatiotemporal gait metrics measured by the Stride Smart system in the AlterG treadmill compared to the Xsens motion capture system during walking at different bodyweight support conditions.</div></div><div><h3>Methods</h3><div>17 healthy adults walked on an AlterG treadmill at 3 km/h and 4 km/h at 4 bodyweight conditions (100, 75, 50, 25 %) while wearing Xsens sensors on the lower body, repeating this session 7.0 ± 0.7 days later. Gait metrics were calculated using the Xsens motion cloud software and the Stride Smart system. Agreement and between-session reliability for the Stride Smart Gait metrics were assessed.</div></div><div><h3>Results</h3><div>Stride Smart gait metrics cadence, step length and stance time were reliable (ICC ≥ 0.621) and showed good agreement (r ≥ 0.602) for 100 and 75 % bodyweight, but not for 50 and 25 % bodyweight compared to the Xsens system.</div></div><div><h3>Conclusions</h3><div>Therefore, clinicians should only use gait metrics at ≥ 75 % bodyweight to assess progress in rehabilitation when using the Stride Smart system on the AlterG treadmill.</div></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"65 ","pages":"Article 102210"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145304518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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