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Gepubliceerd in: Journal of Foot and Ankle Research 1/2012

Open Access 01-12-2012 | Poster presentation

Shoes that restrict metatarsophalangeal dorsiflexion cause proximal joint compensations

Auteurs: Dominic Thewlis, Gunther Paul, Chris Bishop

Gepubliceerd in: Journal of Foot and Ankle Research | bijlage 1/2012

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Study aim

To describe barefoot, shod and in-shoe kinematics during stance phase of walking gait in a normal arched adult population.

Materials and methods

An equal sample of males and females (n = 24) was recruited. In order to quantify the effect of footwear independent of technical design features, an ASICS shoe (Onitsuka Tiger-Mexico 66, Japan) was used in this study. Markers were applied to three conditions; barefoot, shod, and in-shoe. The calibration markers were used to define static pose. The order of testing was randomised. Participants completed five trials in each condition. Kinematic data were captured using a 12 camera VICON MX40 motion capture system at 100 Hz and processed in Visual3D. A previously developed model was used to describe joint angles [1]. A univariate two-way ANOVA was used to identify any differences between the pairs of conditions. Post-hoc Sheffé tests were used to further interrogate the data for differences.

Results

At peak hallux dorsiflexion (Figure 1), during propulsion, the metatarsophalangeal joint (MPTJ) was significantly more dorsiflexed in the barefoot condition compared to the shod condition (p = 0.004). At the same gait event, the tibiocalcaneal joint (TCJ) was significantly more plantarflexed than both the shod and in-shoe conditions (p < 0.001), and the tarsometatarsal joint (TMTJ) was significantly less dorsiflexed in the barefoot condition compared to the shod and in-shoe conditions (p < 0.001).

Conclusions

The findings of the current study demonstrate that footwear has significant effects on sagittal plane MPTJ joint dorsiflexion at peak hallux dorsiflexion, which results in compensations at proximal foot joints.

Acknowledgements

ASICS Oceania provided the footwear for the study.
This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://​creativecommons.​org/​licenses/​by/​2.​0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Literatuur
1.
go back to reference Bishop C, et al: The development of a multi-segment kinematic model of footwear. Footwear Science. 2011, 3: S13-S15. 10.1080/19424280.2011.575873. CrossRef Bishop C, et al: The development of a multi-segment kinematic model of footwear. Footwear Science. 2011, 3: S13-S15. 10.1080/19424280.2011.575873. CrossRef
Metagegevens
Titel
Shoes that restrict metatarsophalangeal dorsiflexion cause proximal joint compensations
Auteurs
Dominic Thewlis
Gunther Paul
Chris Bishop
Publicatiedatum
01-12-2012
Uitgeverij
BioMed Central
Gepubliceerd in
Journal of Foot and Ankle Research / Uitgave bijlage 1/2012
Elektronisch ISSN: 1757-1146
DOI
https://doi.org/10.1186/1757-1146-5-S1-P28

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