The effect of age and speed on foot and ankle kinematics assessed using a 4-segment foot model

Hoeve, Sander van; Leenstra, Bernard; Willems, P; Poeze, Martijn; Meijer, Kenneth

doi:10.1097/md.0000000000007907

Cited by 13 publications

(9 citation statements)

References 32 publications

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“…A possible explanation is that the increased HX/FF DF angle may result in higher triceps surae muscle activity and more tension on the plantar fascia, which may restrain FF and HX spreading in higher walking speed in this study ( Neptune, Kautz & Zajac, 2001 ; Neptune, Zajac & Kautz, 2004 ). In our study, the foot inter-segment kinematic patterns between different walking speeds were similar to that measured by Van Hoeve ( Van Hoeve et al, 2017 ) using OFM foot model. While some decreased ROM (FF/HF sagittal plane and HX/FF sagittal plane) during stance phase were found in faster walking speed (FW) in this study.…”

Section: Discussionsupporting

confidence: 87%

“…It is also worth mentioning that the ability of changing walking speed is a personal measure of adaptation with regard to the lower limbs which can be quantified by various gait parameters. Significant relevance have been found between walking speed and spatial-temporal parameters, lower limb kinematics, kinetics, and electromyography activities in both healthy and pathology adults ( Andriacchi, Ogle & Galante, 1977 ; Chiu & Wang, 2007 ; Chung & Wang, 2010 ; Dubbeldam et al, 2010 ; Holden, Chou & Stanhope, 1997 ; Tulchin et al, 2009 ; Van Hoeve et al, 2017 ; Fukuchi, Fukuchi & Duarte, 2018 ).…”

Section: Introductionmentioning

confidence: 99%

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The effect of walking speed on the foot inter-segment kinematics, ground reaction forces and lower limb joint moments

Sun

Fekete

Mei

et al. 2018

PeerJ

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BackgroundNormative foot kinematic and kinetic data with different walking speeds will benefit rehabilitation programs and improving gait performance. The purpose of this study was to analyze foot kinematics and kinetics differences between slow walking (SW), normal walking (NW) and fast walking (FW) of healthy subjects.MethodsA total of 10 healthy male subjects participated in this study; they were asked to carry out walks at a self-selected speed. After measuring and averaging the results of NW, the subjects were asked to perform a 25% slower and 25% faster walk, respectively. Temporal-spatial parameters, kinematics of the tibia (TB), hindfoot (HF), forefoot (FF) and hallux (HX), and ground reaction forces (GRFs) were recorded while the subjects walked at averaged speeds of 1.01 m/s (SW), 1.34 m/s (NW), and 1.68 m/s (FW).ResultsHindfoot relative to tibia (HF/TB) and forefoot relative to hindfoot (FF/HF) dorsiflexion (DF) increased in FW, while hallux relative to forefoot (HX/FF) DF decreased. Increased peak eversion (EV) and peak external rotation (ER) in HF/TB were observed in FW with decreased peak supination (SP) in FF/HF. GRFs were increased significantly with walking speed. The peak values of the knee and ankle moments in the sagittal and frontal planes significantly increased during FW compared with SW and NW.DiscussionLimited HF/TB and FF/HF motion of SW was likely compensated for increased HX/FF DF. Although small angle variation in HF/TB EV and FF/HF SP during FW may have profound effects for foot kinetics. Higher HF/TB ER contributed to the FF push-off the ground while the center of mass (COM) progresses forward in FW, therefore accompanied by higher FF/HF abduction in FW. Increased peak vertical GRF in FW may affected by decreased stance duration time, the biomechanical mechanism maybe the change in vertical COM height and increase leg stiffness. Walking speed changes accompanied with modulated sagittal plane ankle moments to alter the braking GRF during loading response. The findings of foot kinematics, GRFs, and lower limb joint moments among healthy males may set a reference to distinguish abnormal and pathological gait patterns.

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Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

The effect of walking speed on the foot inter-segment kinematics, ground reaction forces and lower limb joint moments

Sun

Fekete

Mei

et al. 2018

PeerJ

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“…Patients were included average 18 months (range 7–57) after surgery. Patients with an age range between 25 and 75 years were included, since age has limited effect on ankle kinematics . Exclusion criteria were contralateral or ipsilateral fractures or pre‐existent abnormalities of the lower extremities, neurotrauma, spinal, or neurological injury, and pathologic fractures.…”

Section: Methodsmentioning

confidence: 99%

“…The VICON system comprises eight cameras (6 MX3 and 2 T20, running at 200 Hz) for the detection of markers placed on the skin of the lower extremity. The markers were placed on specific anatomic points on the subjects using regular double‐sided tape, according to the guidelines for the OFM . A 10‐m platform was used for patients and healthy subjects to walk on, with the force platform (Kistler 9282E) in the middle.…”

Section: Methodsmentioning

confidence: 99%

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Gait analysis related to functional outcome in patients operated for ankle fractures

Hoeve

Houben

Verbruggen

et al. 2019

Journal Orthopaedic Research

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Ankle fractures are among the most common lower limb fractures. Associations between postoperative radiographic results and clinical outcome have been found, but less is known about the relevant ankle biomechanics. This study analysed ankle kinematics, radiographic findings and patient-reported outcome measures (PROM) in patients treated for ankle fractures. The hypothesis was that patients after ankle fracture surgery had less flexion/extension in the ankle compared to healthy subjects and that fracture severity had significant influence on kinematics and patient satisfaction. Thirty-three patients (n=33 feet) operated for ankle fractures were recruited. Ankle kinematics were analysed using the Oxford Foot model, and results were compared with an age-matched healthy control group (11 patients, 20 feet). In addition, patients were divided by fracture (severity) classification and kinematic results were correlated with PROM and radiographic findings. Patients treated for ankle fracture showed lower walking speed (p<0.001) when asked to walk in preferred normal speed. When compared at equal speed, significantly less range of motion (ROM) between the hindfoot and tibia in the sagittal plane (flexion/extension) during loading and push-off phases (p=0.003 and p<0.001) was found in patients after ankle fractures compared to healthy subjects. Lowest ROM and poorest PROM results were found for patients with trimalleolar ankle fractures. There was a significant correlation between ROM (flexion/extension) during the push-off phase and SF-36 physical functioning (r =0.403, p=0.027) and SF-36 general health (r =0.473, p=0.008). Fracture severity was significantly correlated with flexion/extension ROM in the ankle during both loading and push-off phases (r =-0.382, p=0.005, and r =-0.568, p<0.001) and was also significantly correlated with PROM. This study found that patients with ankle fractures had significantly altered ankle kinematics compared to healthy subjects. The poorest results were found among patients with trimalleolar fractures. Weak to strong significant correlations were found between fracture severity, ankle kinematics and PROM. This article is protected by copyright. All rights reserved.

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The influence of size and comminution of the posterior malleolus fragment on gait in trimalleolar ankle fractures

Schoenmakers

Houben

Hoeve

et al. 2022

Clinical Biomechanics

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The effect of age and speed on foot and ankle kinematics assessed using a 4-segment foot model

Abstract: Supplemental Digital Content is available in the text

Cited by 13 publications

References 32 publications

The effect of walking speed on the foot inter-segment kinematics, ground reaction forces and lower limb joint moments

The effect of walking speed on the foot inter-segment kinematics, ground reaction forces and lower limb joint moments

Gait analysis related to functional outcome in patients operated for ankle fractures

The influence of size and comminution of the posterior malleolus fragment on gait in trimalleolar ankle fractures

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