Foot最新文献

{"title":"Added mass increases Achilles tendon stress in female runners","authors":"Katelyn R. De Starkey,&nbsp;Ashley M. Groth,&nbsp;Ryan R. Thyssen,&nbsp;Thomas W. Kernozek","doi":"10.1016/j.foot.2023.102028","DOIUrl":"10.1016/j.foot.2023.102028","url":null,"abstract":"<div><h3>Context</h3><p>Achilles tendon (AT) injuries are common in female runners and military personnel where increased AT loading may be a contributing factor. Few studies have examined AT stress during running with added mass. The purpose was to examine the stress, strain, and force placed on the AT, kinematics and temporospatial variable in running with different amounts of added mass.</p></div><div><h3>Design</h3><p>Repeated measure design</p></div><div><h3>Methods</h3><p>Twenty-three female runners with a rear-foot strike pattern were participants. AT stress, strain, and force were measured during running using a musculoskeletal model that used kinematic (180 Hz) and kinetic data (1800 Hz) as input. Ultrasound data were used to measure AT cross sectional area. A repeated measures multivariate analysis of variance (α = 0.05) was used on AT loading variables, kinematics and temporospatial variables.</p></div><div><h3>Results</h3><p>Peak AT stress, strain, and force were greatest during the 9.0 kg added load running condition (p &lt; .0001). There was a 4.3% and 8.8% increase in AT stress and strain during the 4.5 kg and 9.0 kg added load conditions, respectively, compared to baseline. Kinematics at the hip and knee changed with added load but not at the ankle. Small changes in temporospatial variables were seen.</p></div><div><h3>Conclusion</h3><p>Added load increased stress on the AT during running. There may be an increased risk for AT injury with added load. Individuals may consider slowly progressing training with added load to allow for increased AT loading.</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9297073","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}

{"title":"Effect of foot orthoses on dynamic balance in taekwondo athletes with flexible flatfoot: A randomized controlled trial","authors":"Ali Yalfani ,&nbsp;Mohamadreza Ahmadi ,&nbsp;Azadeh Asgarpoor ,&nbsp;Aylar Haji Ahmadi","doi":"10.1016/j.foot.2023.102042","DOIUrl":"10.1016/j.foot.2023.102042","url":null,"abstract":"<div><h3>Background</h3><p><span>Flexible flatfoot (FFF) cause biomechanical and sensorimotor disorders of the foot and ankle complex and reduce of postural stability. Postural stability is an important movement skill that affects the performance of taekwondo (TKD) athletes and can lead to fall injuries. The purpose of this study is the effect 12-week application of </span>foot orthosis (FOs) on dynamic balance in TKD athletes with FFF.</p></div><div><h3>Method</h3><p>In this trial, 30 girls of the TKD athletes with FFF were recruited. They were randomly assigned to experimental and control groups (15 subjects in each group). The experimental group used FOs with medial longitudinal arch support for 12 weeks, and the control group did not have any intervention. The outcome measures include navicular drop and balance in three directions: anterior-posterior, medial-lateral and overall stability. Covariance analysis was used to compare the results between two groups.</p></div><div><h3>Results</h3><p>The covariance results showed that the experimental group compared to the control group with a high effect size had a significant difference in reducing of navicular drop (P = 0.000, ηp2 =0.512), anterior-posterior sway (P = 0.000, (ηp2 =0.397) medial-lateral sway (P = 0.019, ηp2 = 0.186) and overall stability sway (P = 0.008, ηp2 = 0.232).</p></div><div><h3>Conclusions</h3><p>The FOs with medial longitudinal arch support leads to FFF correction and provides mechanical stability of the foot and ankle complex. Also, the impulses sent from plantar receptors are increased and a better understanding of postural sway is transmitted to the central nervous system and balance strategies are improved.</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9671803","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}

{"title":"The effectiveness of “Dijital Steps” web based telerehabilitation system for patient with hindfoot pain: A randomised controlled trial","authors":"Elif Tuğçe Çil ,&nbsp;Tacha Serif ,&nbsp;Uğur Şaylı ,&nbsp;Feryal Subaşı","doi":"10.1016/j.foot.2023.102040","DOIUrl":"10.1016/j.foot.2023.102040","url":null,"abstract":"<div><h3>Objective</h3><p>The aim of the study was to evaluate and compare effective therapeutic options for hindfoot pain, develop and investigate the effectiveness of tele-rehabilitation systems, and ensure patients perform their exercises and preventive measures regularly and accurately, while monitoring results.</p></div><div><h3>Methods</h3><p><span>Hindfoot pain (HP) patients (N = 77 with 120 feet) were admitted to this study and divided into two pathologies; Plantar Fasciitis and </span>Achilles Tendinopathy. Patients in each pathology were randomized into three different rehabilitation programs-web-based telerehabilitation (PF-T &amp; AT-T), -hands-on healing techniques combined with exercise (PF-C &amp; AT-C)-unsupervised home exercise (PF-H &amp; AT-H) program. Disability, activity restrictions, first-step pain, dorsiflexion-plantar flexion range of motion and kinesiophobia scores were recorded. The outcomes of the study groups were collected pre-post intervention (8thweek). Telerehabilitation system was developed via user-driven innovation and tested before using formally.</p></div><div><h3>Results</h3><p>Each group had significant improvements in pain, disability, functional status and kinesiophobia (p &lt; 0.001). In terms of functional status, PF-C had a statistically significant difference from others (p &lt; 0.001). There was no difference between the groups for the pain scores in both pathologies. (p &gt; 0.001). However, web-based telerehabilitation (PF-T &amp; AT-T) were found to be more effective on kinesiophobia compared to the other groups (p &lt; 0.001).</p></div><div><h3>Conclusions</h3><p>The presented web-based telerehabilitation system for management of hindfoot pain is an effective way and might be preferred instead of unsupervised home exercise specially for kinesiophobia. Additionally, Foot and ankle stretching and strengthening exercises protocols, myofascial releasing and mulligan concept manual therapy are effective modalities in terms of ROM, VISA-A, FAAM, FFI, TSK and VAS scores for hindfoot pain. The results indicated that three promised different rehabilitation protocols could be an effective strategy for HP.</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9846191","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}

{"title":"Staged reconstruction of the hallux for infected non-union using bulk autograft and a customized implant: Case report","authors":"Alexandre Leme Godoy-Santos ,&nbsp;Eduardo Araujo Pires ,&nbsp;Fabio Correa Fonseca ,&nbsp;Cesar de Cesar-Netto ,&nbsp;Elijah Christian Auch ,&nbsp;Stefan Rammelt","doi":"10.1016/j.foot.2023.102031","DOIUrl":"10.1016/j.foot.2023.102031","url":null,"abstract":"<div><p><span><span>This case report illustrates the outcome of a deep infection following internal fixation of a fracture of the big </span>toe. </span>Hallux<span> amputation could be avoided through staged salvage procedure. This paper can assist readers on how to effectively and safely recognize and treat this type of injury.</span></p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9425747","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}

{"title":"The distal metatarsal articular angle in hallux valgus deformities. Comparisons of radiographic and weightbearing CT scan measurements with variations in hindfoot position","authors":"Jill S. Kawalec,&nbsp;Porscha Dort,&nbsp;Trenton Leo ,&nbsp;Lawrence S. Osher,&nbsp;Rocco A. Petrozzi","doi":"10.1016/j.foot.2023.102030","DOIUrl":"10.1016/j.foot.2023.102030","url":null,"abstract":"<div><h3>Background</h3><p><span>When evaluating hallux valgus (HV) deformity with anteroposterior (AP) foot radiographs, the distal metatarsal articular angle (DMAA) has been the subject of frequent debate. Although a straightforward indicator of structural alignment of the distal first metatarsal </span>articular surface, inter- and intraobserver measurements can vary widely. Alterations in the radiographic appearance of bony “structure” with positional changes of the foot/foot bones in HV deformities in no small part contributes to these inaccuracies. The aim of this study was to determine the effect of hindfoot position on the DMAA.</p></div><div><h3>Methods</h3><p>Four different radiologic images were obtained for 15 subjects with HV: three AP foot radiographs (standard weightbearing, foot supinated, foot pronated) and one weightbearing CT (WBCT) scan. For each image, five investigators measured the DMAA in order to assess reliability.</p></div><div><h3>Results</h3><p><span>Mean DMAA values measured from the images indicated that the angle was highest with the pronated foot (15.3 (95% CI, 10.3–20.3) degrees) and lowest when measured from the CT image (11.6 (95% CI, 7.3–16.0) degrees). For all image types, the intraclass correlation coefficient was greater than 0.9 and statistically significant (</span><em>P</em> &lt; 0.0005).</p></div><div><h3>Conclusion</h3><p>Hindfoot positions affected radiographic DMAA/mean DMAA values, with values highest with feet in pronated attitudes. Unlike radiographic projections, the WBCT appears less likely to overestimate DMAA and is not subject to variations in foot positioning. In the preoperative evaluation of HV deformities, this points to the potential use of WBCT as a reference standard. For markedly severe HV deformities that may present with AP radiographs with marked first metatarsal head “roundness,” the use of WBCT is the intuitive choice.</p><p>The results indicate excellent reliability in measurements of DMAA between all five investigators. As such, the measurement method used to determine DMAA in this study was dependable and reproducible.</p></div><div><h3>Level of evidence</h3><p>Level II</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9365672","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}

{"title":"Local microvascular tissue oxygenation of the intrinsic foot muscles in patients with diabetes: A cross-sectional case-comparison study","authors":"Stephanie Stephens ,&nbsp;Abbis Jaffri ,&nbsp;Susan Saliba","doi":"10.1016/j.foot.2023.102035","DOIUrl":"10.1016/j.foot.2023.102035","url":null,"abstract":"<div><h3>Background</h3><p><span>Foot-related complications including impaired peripheral circulation and lower limb </span>ulceration<span> are severe consequences for those with diabetes mellitus. This study aimed to assess differences in tissue oxygenation and oxygen utilization of the plantar surface intrinsic foot muscles between diabetic participants and healthy comparisons following short foot exercise and a standard walking protocol.</span></p></div><div><h3>Methods</h3><p>Eighteen participants, 9 with diabetes and 9 healthy age- and sex-matched comparisons, completed two interventions in a randomized order. For the short foot exercise intervention, participants completed 5 sets of 15 intrinsic foot muscle contractions. For the walking intervention, participants completed a modified six-minute walk test. Tissue oxygenation variables including oxygenated hemoglobin, deoxygenated hemoglobin, and tissue saturation index were measured using near-infrared spectroscopy in quiet stance and during intrinsic foot muscle contraction cycles following each intervention. Means, standard deviations, 95 % confidence intervals, mean differences, and Cohen’s d effect sizes were calculated for each tissue oxygenation variable.</p></div><div><h3>Results</h3><p>The results of this study indicated no significant group differences in quiet standing tissue oxygenation measures at baseline and following each intervention. Participants in the diabetic group had significantly less change in tissue saturation index during intrinsic foot muscle contractions compared to healthy participants after the short foot exercise intervention (ES= 4.00, <em>P</em> = .0002) and walking intervention (ES= 1.33, <em>P</em> = .015).</p></div><div><h3>Conclusions</h3><p>By utilizing wireless NIRS and novel research methodology, this study was able to explore changes in plantar surface tissue oxygenation of the intrinsic foot muscles following a targeted short foot exercise intervention as well as a standard walking protocol in patients diagnosed with diabetes compared to age- and sex- matched individuals without diabetes. We identified that diabetic participants presented with less oxygen utilization during intrinsic foot muscle contractions performed following both exercise interventions compared to their healthy age- and sex- matched comparisons.</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9446546","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}

{"title":"Spectral parameters of gait differentiate diabetic patients from healthy individuals","authors":"Mario Inacio ,&nbsp;Patrick Esser ,&nbsp;Junxian Li ,&nbsp;Lei Xu ,&nbsp;Hui Zeng ,&nbsp;Rui He ,&nbsp;Helen Dawes ,&nbsp;Fang Liu","doi":"10.1016/j.foot.2023.102038","DOIUrl":"10.1016/j.foot.2023.102038","url":null,"abstract":"<div><h3>Background</h3><p>Diabetes mellitus (DM) is a clinical condition that affects gait performance and control in millions of individuals worldwide. Contrary to basic spatiotemporal parameters, gait-based spectral analysis may provide useful insights into gait neuromotor control. Hence, this study was set to investigate the spectral content of gait at the preferred speed in patients with DM.</p></div><div><h3>Methods</h3><p>Total 1117 individuals [658 DM and 649 healthy adults (HA)] performed a 10 m walk while wearing an inertial measurement unit over the fourth lumbar vertebra. Mann-Whitney-U test was used for between-group gait parameters comparisons.</p></div><div><h3>Results</h3><p>DM group had a slower step time (1.2%, <em>p</em> &lt; 0.05) and gait speed (2.4%, <em>p</em> &lt; 0.05) than HA. Additionally, DM individuals showed reduced dominant frequency (DM:0.24 <em>Hz vs</em> HA:0.25 <em>Hz o</em>n average, <em>p</em> &lt; 0.05). Increased antero-posterior and vertical dominant frequency width (DM:1.73 <em>Hz vs</em> HA:1.76 <em>Hz o</em>n average, <em>p</em> &lt; 0.05) and medio-lateral relative power spectral density at the dominant frequency (DM:6.19% <em>vs</em> HA:5.96%, <em>p</em> &lt; 0.05).</p></div><div><h3>Conclusions</h3><p>It was demonstrated for the first time that the gait spectral content, not only corroborates spatiotemporal characteristics, but also provides further insight into their neuromotor control deficits in diabetic patients. Ultimately, this type of analysis in the diabetic population can help guide the therapeutic interventions to prevent diabetic foot.</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9486535","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}

{"title":"Plantar fascia stiffness in patients with type 2 diabetes mellitus: Stiffness effect on fall risk and gait speed","authors":"Rumeysa Çakici ,&nbsp;Tülay Çevik Saldiran ,&nbsp;İlke Kara ,&nbsp;Hasan Açik","doi":"10.1016/j.foot.2023.102020","DOIUrl":"10.1016/j.foot.2023.102020","url":null,"abstract":"<div><h3>Aims</h3><p>The primary objective was to compare patients with type 2 diabetes mellitus (T2DM) and healthy peers in terms of plantar fascia (PF) stiffness, fall risk, and gait speed. The second objective was to examine the relationship between stiffness of PF and fall risk, gait speed.</p></div><div><h3>Methods</h3><p>Fifty patients diagnosed with T2DM (mean duration = 10.74 ± 7.07 years) were included. Myotonometer was used to evaluate the stiffness of PF. To assess the risk of falling, and gait speed, the International Fall Efficiency Scale (FES-I) and the 4-Meter Gait Speed Test (4mGST) were used, respectively.</p></div><div><h3>Results</h3><p>Compared to healthy controls, PF stiffness (right foot mean difference = 148.99 N/m, left foot mean difference = 113.13 N/m p &lt; .001) was higher in the T2DM group. The FES-I and 4mGST scores were worse in the group with T2DM (p &lt; .05). 12.8 % of FES-I and 23.4 % of 4mGST variance were explained by stiffness of PF.</p></div><div><h3>Conclusions</h3><p>The results of the study showed that the stiffness of PF changed in patients with T2DM. There was a decrease in gait speed and an increase in the risk of falling as PF stiffness increased.</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9573177","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}

{"title":"The effect of neuromuscular and vestibular-ocular reflex training program on balance, isokinetic muscle strength and proprioception in people with chronic ankle instability","authors":"Nilüfer Cerbezer ,&nbsp;Elif Tuğçe Çil ,&nbsp;Feryal Subaşı","doi":"10.1016/j.foot.2023.101992","DOIUrl":"10.1016/j.foot.2023.101992","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to compare and investigate the effectiveness of neuromuscular exercise combined with vestibular-ocular reflex training and only neuromuscular exercise training on balance, isokinetic muscle strength, and proprioception in chronic ankle instability (CAI).</p></div><div><h3>Method</h3><p>The study included 20 patients with unilateral CAI. The functional status was evaluated with the Foot and Ankle Ability Measure (FAAM). The star-excursion balance test was used for dynamic balance, and the joint position sense test assessed proprioception. Ankle concentric muscle strength was measured by an isokinetic dynamometer. The subjects were randomly divided into neuromuscular and vestibular-ocular reflex training (VOG, n = 10) and neuromuscular training group (NG, n = 10). Both rehabilitation protocols were applied for four weeks.</p></div><div><h3>Results</h3><p>Although VOG had higher means of all parameters, no superiority was found between the two groups in post-treatment results. However, the VOG significantly improved FAAM scores at the sixth-month follow-up than NG (P &lt; .05). In the linear regression analysis, the post-treatment proprioception inversion-eversion for unstable side and FAAM- S were found to be independent factors of FAAM-S scores at the six months follow -up in VOG. Post-treatment isokinetic strength for inversion of unstable side (120 º /s) and FAAM- S were determined as predictor factors of FAAM- S scores at the six months follow -up (p &lt; .05) in NG.</p></div><div><h3>Conclusion</h3><p>The Neuromuscular combined with vestibular-ocular reflex training protocol effectively managed unilateral CAI. Furthermore, it may be considered an effective strategy for clinical outcomes for a long-term period in terms of functional status.</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9103559","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}

{"title":"Cinderella’s misery: The wretched human foot","authors":"Cem Turaman","doi":"10.1016/j.foot.2023.101983","DOIUrl":"10.1016/j.foot.2023.101983","url":null,"abstract":"<div><p>Human foot has outdistanced a long way from climbing to trees to walking all day long, within a relatively short period. Today, we are suffering from a number of aching foot problems and deformities as compromises to transition from quadripedalism to bipedalism, which is perhaps the sole derivative of the modern human being. In today’s modern environment, the choice between being chic or healthy is a difficult decision to make, consequently our feet ache. To cope with such evolutionary mismatches we only need to adopt our ancestors’ receipt: wearing minimal shoes, walking and squatting as much as we can.</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9089023","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}