Effect of changes in postural alignment on foot pressure and walking ability of stroke patients

Yang, Dae Jung; Park, Seung Kyu; Kim, Je Ho; Heo, Jae Won; Lee, Yong Seon; Uhm, Yo Han

doi:10.1589/jpts.27.2943

Cited by 12 publications

(9 citation statements)

References 19 publications

(18 reference statements)

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“…Using methods such as baropodometry, these professionals are able to perform quantitative analyzes in order to better understand the mechanisms that govern gait and running, thus providing injury prevention. 13 The comparison between the data provided by physical examination, podoscopy, baropodometry with radiography with load, through angular measurement, has been already studied in the literature. 14 However, there are few studies showing the effectiveness of the analysis of certain methods that diagnose different types of foot or footprint.…”

Section: Discussionmentioning

confidence: 99%

“…Utilizando métodos como a baropodometria, esses profissionais são capazes de perfazer análises quantitativas com o intuito de compreender melhor os mecanismos que regem a marcha e a corrida, proporcionando, assim, a prevenção de lesões. 13 A comparação entre os dados fornecidos pelo exame físico, podoscopia, baropodometria com a radiografia com carga, através da mensuração angular já foi estudada pela literatura. 14 Porém, são escassos os trabalhos que mostram a eficácia da análise de determinados métodos que diagnosticam os diferentes tipos de pé ou pisada.…”

Section: Discussionunclassified

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Concordância interobservadores dos métodos estáticos de avaliação dos tipos de pisada em praticantes de corrida

Macedo

Kanashiro

Mattos

et al. 2020

Rev Bras Ortop (Sao Paulo)

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Resumo Objetivo Avaliar a acurácia dos métodos de diagnóstico interobservadores do tipo de pisada em atletas corredores utilizando três métodos de avaliação: exame físico, podoscopia e baropodometria comparando com a medida radiográfica dos ângulos de Meary e pitch do calcâneo. Métodos Trata-se de estudo transversal de atletas que praticam corrida. Os critérios de inclusão foram: indivídulos com idade mínima de 18 anos e máxima de 65 anos de ambos os sexos; indivídulos hígidos, sem comorbidades que interfiram no desempenho da corrida; praticantes regulares que realizam corrida ao menos duas vezes na semana; índice de massa corpórea entre 18,5 e 29,99 Kg/m2; aceitação dos termos de consentimento livre e esclarecido (TCLE). Os critérios de não inclusão compreenderam: presença de lesões prévias ou ativas que comprometam a atividade esportiva; cirurgias prévias dos pés; obesidade. Foram selecionados 40 pacientes, sendo 29 (72,5%) do sexo masculino e 11 (27,5%) do sexo feminino cuja média das idades foi de 39 anos (mínimo de 19 anos e máximo de 61 anos). O índice de massa corpórea (IMC) dos 40 pacientes variou de 21,00 a 29,99 Kg/m2 (média de 25,48 Kg/m2 com desvio-padrão de 2,39 Kg/m2 e mediana de 25,50 Kg/m2). Excluímos os que apresentaram valor superior a 29,99 Kg/m2. A frequência de corrida variou de 2 a 5 vezes por semana (média de 3,13 vezes por semana com desvio-padrão de 0,79 vezes por semana e mediana de 3 vezes por semana). Foram realizados exame físico, podoscopia e baropodometria, e sua avaliação foi feita por quatro examinadores; além disso, os resultados foram comparados com a classificação radiográfica do tipo de pisada obtida através da mensuração dos ângulos de Meary e pitch do calcâneo. Resultados A concordância interobservadores destes parâmetros foi verificada pelo índice de concordância de Kappa ponderado, segundo o qual obtivemos uma concordância significante entre os participantes, levando-se em consideração o exame físico, podoscopia e baropodometria e de acordo com o índice Kappa. A concordância foi marginal quando comparados os resultados dos três métodos com a classificação angular radiográfica. Conclusão Obtivemos uma concordância excelente entre os observadores ao considerarmos o exame físico, a podoscopia e a baropodometria para o diagnóstico do tipo pisada em corredores. Porém, quando comparados os resultados obtidos com as medidas radiográficas, a concordância para o diagnóstico do tipo da pisada foi baixa.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionunclassified

Concordância interobservadores dos métodos estáticos de avaliação dos tipos de pisada em praticantes de corrida

Macedo

Kanashiro

Mattos

et al. 2020

Rev Bras Ortop (Sao Paulo)

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“…The sampling rate was 300 Hz of frequency. 16,17 Heel taping for reducing the weight of the heel pad was used with non-elastic white tape, 4 cm in width (PerformPlus, Muller Sports Medicine Inc., Wisconsin, USA).…”

Section: ) Experimental Equipmentmentioning

confidence: 99%

Effect of Calcaneal Taping on Peak Plantar Pressure of Forefoot and Rearfoot during Gait

2015

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Purpose: The purpose of this study was to determine the effects of calcaneal taping on peak plantar pressure of rearfoot and forefoot while walking. Methods: Fifteen healthy subjects with normal feet participated in this study. Inclusion criteria were as follows: (1) no disturbance of gait and foot pain, (2) normal range of motion of ankle joint, (3) no foot deformity. Pedoscan was used for recording of plantar pressure data during walking. The participants walked along a 12-m walkway before and after application of calcaneal taping. The plantar pressure gait was measured 3 times under barefoot and calcaneal taping conditions randomly at a speed practiced with the metronome during gait. The peak plantar pressure data were calculated for medial and lateral areas of the rearfoot and forefoot. The paired t-test was used to determine significant differences in peak plantar pressure of rearfoot and forefoot before and after application of calcaneal taping. A p-value less than 0.05 was accepted as significant. Results: The calcaneal taping resulted in statistically significant decreases in peak plantar pressure of the rearfoot (medial side: p= 0.03; lateral side: p= 0.01). However, there were no significant changes in peak plantar pressure of the forefoot (medial side: p= 0.45; lateral side: p= 0.40). Conclusion:The calcaneal taping is recommended to reduce plantar pressure of the rearfoot in weight-bearing activities in subjects with plantar heel pain caused by atrophy of the fat pad.

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“…[7][8][9] 따라서 하지 정렬은 자세적 안정성을 향상시키기 위해 고려되어야 하며, 낙상이나 부상을 예측하고 예방하기 위해 중요하다. [10][11][12] 하지의 역학적 축이나 체중 지지선은 무릎관절의 중심을 통과하 며, 무릎의 하중 분포에 영향을 미친다. [13][14] Figure 1A).…”

Section: 서 론unclassified

Effects of Knee Malalignment on Static and Dynamic Postural Stability

Chae

Park

2015

J Kor Phys Ther

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Purpose: This study was conducted in order to determine the effects of knee malalignment including genu varum, valgum, and recurvatum on static and dynamic postural stability. Methods: A total of 80 subjects were enrolled in this study. Subjects who showed over 3 cm in the distance between the knees were classified as the genu varum group, and subjects who showed over 3 cm in the distance between the ankles were classified as the genu valgum group. Subjects who showed over 1 cm in the distance between the patella and a table in prone position were classified as the genu recurvatum group. Static and dynamic stability were measured as overall, anterioposterior, and mediolateral balance index using a Biodex Balance System. Results: This study showed that knee alignment affected static and dynamic postural stability. In particular, there were significant differences in the mediolateral stability index among genu varum, valgum group, and the other groups, but no differences in overall and anteriolateral stability index. Significant differences in the anterioposterior stability index were observed between genu recurvatum and the other groups, however, there were no differences in overall and mediolateral stability index. Conclusion: The findings were that knee malalignment affects postural stability toward a specific direction. Treatment to improve postural stability for treatment of knee malalignment or to prevent falling or injuries is needed and postural stability toward a specific direction according to the knee alignment conditions should be considered. Copylight © 2015 The Korean Society of Physical TherapyThis is an Open Access article distribute under the terms of the Creative Commons Attribution Non-commercial License (Http:// creativecommons.org/license/by-nc/3.0.) which permits unrestricted non-commercial use, distribution,and reproduction in any medium, provided the original work is properly cited.

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Effect of changes in postural alignment on foot pressure and walking ability of stroke patients

Cited by 12 publications

References 19 publications

Concordância interobservadores dos métodos estáticos de avaliação dos tipos de pisada em praticantes de corrida

Concordância interobservadores dos métodos estáticos de avaliação dos tipos de pisada em praticantes de corrida

Effect of Calcaneal Taping on Peak Plantar Pressure of Forefoot and Rearfoot during Gait

Effects of Knee Malalignment on Static and Dynamic Postural Stability

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