Análisis cinético y cinemático de las articulaciones del mediopié durante la marcha en sujetos sanos: consideraciones clínicas

Introduction

There is not enough evidence in form of clinical studies regarding the behavior of the midfoot joints in dynamic situations such us walking or running. The present work aims to study the mechanical behavior of midfoot joints with a multisegmented foot model with special interest in joint moments and their clinical significance.

Subjects and methods

A computerized 3-dimensional gait study was performed on 30 healthy male adult subjects (27.13 ± 3.82 years) with a neutral Foot Posture Index (FPI) (from 0 to +5) during walking. Joint angle and external moments were estimated with a multisegment foot model that considers three separate segments (forefoot, rearfoot and hallux) and graphs and values of midfoot joint (joint connecting forefoot to rearfoot) were analyzed for the right foot of all participants.

Results

Highest external moments were observed in the sagittal plane in dorsiflexion direction which tend to collapse the longitudinal arch during the stance phase. Moments registered in frontal and transverse planes were much lower than those observed in the sagittal plane and seemed to have lower clinical relevance.

Discussion

The present study provides data about the mechanical behavior of midfoot joints in a healthy adult population with a neutral FPI. This work shows that plantar soft tissues are subjected to important tensional stress during the stance phase of walking.