The effect of pes cavus on foot pain and plantar pressure

Burns, Joshua; Crosbie, Jack; Hunt, Adrienne; Ouvrier, Robert

doi:10.1016/j.clinbiomech.2005.03.006

Cited by 217 publications

(189 citation statements)

References 27 publications

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“…Plantar loading was assessed using a capacitance transducer matrix platform (EMED-AT 1 ; Novel GmbH, Munich, Germany). Data were collected using the midgait protocol where patients took a minimum of five barefoot steps at a self-selected pace before striking the platform [1]. Trials were excluded if there was obvious targeting of the pressure platform or if the pace was not representative of their normal gait.…”

Section: Outcome Measuresmentioning

confidence: 99%

Is Tibialis Anterior Tendon Transfer Effective for Recurrent Clubfoot?

Gray

Burns

Little

et al. 2013

Clin Orthop Relat Res

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Background Tibialis anterior tendon transfer surgery forms a part of Ponseti management for children with congenital talipes equinovarus who, after initial correction, present with residual dynamic supination. Although retrospective studies support good outcomes, prospective longitudinal studies in this population are lacking. Questions/purposes We assessed strength, plantar loading, ROM, foot alignment, function, satisfaction, and quality of life in patients with clubfoot that recurred after Ponseti casting who met indications for tibialis anterior tendon transfer surgery, and compared them with a group of patients with clubfoot treated with casting but whose deformity did not recur (therefore who were not indicated for tibialis anterior tendon transfer surgery).Methods Twenty children with idiopathic congenital talipes equinovarus indicated for tibialis anterior tendon transfer surgery were recruited. Assessment at baseline (before surgery), and 3, 6, and 12 months (after surgery) included strength (hand-held dynamometry), plantar loading (capacitance transducer matrix platform), ROM (Dimeglio scale), foot alignment (Foot Posture Index Ó ), function and satisfaction (disease-specific instrument for clubfoot), and quality of life (Infant Toddler Quality of Life Questionnaire TM ). Outcomes were compared with those of 12 age-matched children with congenital talipes equinovarus not indicated for tibialis anterior tendon transfer surgery. Followup was 100% in the control group and 95% (19 of 20) in the tibialis anterior transfer group. Results At baseline, the tibialis anterior tendon transfer group had a significantly worse eversion-to-inversion strength ratio, plantar loading, ROM, foot alignment, and function and satisfaction. At 3 months after surgery, eversion-to-inversion strength, plantar loading, and function and satisfaction were no longer different between groups. Improvements were maintained at 12 months after surgery (eversion-to-inversion strength mean difference, 8% body weight; 95% CI, À26% to 11%; p = 0.412; plantar loading, p [ 0.251; function and satisfaction, p = 0.076). ROM remained less and foot alignment more supinated in the tibialis anterior tendon transfer group between baseline and followup (p \ 0.001, p \ 0.001). Conclusions Tibialis anterior tendon transfer surgery was an effective procedure, which at 12-month followup restored the balance of eversion-to-inversion strength and resulted in plantar loading and function and satisfaction outcomes similar to those of age-matched children with congenital talipes equinovarus who after Ponseti casting were not indicated for tibialis anterior tendon transfer.

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Section: Outcome Measuresmentioning

confidence: 99%

Is Tibialis Anterior Tendon Transfer Effective for Recurrent Clubfoot?

Gray

Burns

Little

et al. 2013

Clin Orthop Relat Res

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“…The foot is a highly unique and flexible structure, which is required to perform very diverse functions particularly during weight-bearing activities. Whilst the structurally normal foot can adequately perform these tasks, deviations from its normal posture can place the foot under excessive stress, often leading to discomfort or pain [6]. For example, overweight and obese children as young as 3 years have been found to have flatter feet and generate higher dynamic plantar pressures during walking relative to non-overweight children [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Relationship between plantar pressures, physical activity and sedentariness among preschool children

Mickle

Cliff

Munro

et al. 2011

Journal of Science and Medicine in Sport

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It has been speculated that high plantar pressures might cause foot pain and discomfort which, in turn, may discourage children from being physically active and result in them spending more time in sedentary activities. The purpose of this study was to determine whether plantar pressure distributions generated by preschool children were correlated with objectively measured time spent in physical activity and sedentary behaviour. Dynamic plantar pressures were measured for 33 preschool children (age = 4.3±0.6 years; height = 1.06±0.1 m; mass = 18.4±2.9 kg; 17 boys) as they walked across an emed AT-4 pressure platform. Physical activity was objectively assessed using MT ActiGraph accelerometers. Total physical activity (counts per minute), percentage of time spent in moderate-to-vigorous physical activity (MVPA), light activity and sedentary behaviour were then calculated. Peak pressures across the heel were found to significantly correlate with total physical activity (r =−0.53; p = 0.03) and time in MVPA (r =−0.47; p = 0.05) in boys. Similarly, the correlation data suggested that girls who generated higher peak pressures in the toe region spent more time in sedentary behaviour (r = 0.53; p = 0.04). As high plantar pressures appear to be a potential negative correlate of physical activity and sedentary behaviour, it is recommended that further research be conducted to design, test and evaluate the potential of interventions to reduce plantar pressures in inactive children so they can enjoy the benefits associated with participating in a more active lifestyle. AbstractIt has been speculated that high plantar pressures might cause foot pain and discomfort which, in turn, may discourage children from being physically active and result in them spending more time in sedentary activities. The purpose of this study was to determine whether plantar pressure distributions generated by preschool children were correlated with objectively measured time spent in physical activity and sedentary behaviour. Dynamic plantar pressures were measured for 33 preschool children (age = 4.3 ± 0.6 yr; height = 1.06 ± 0.1 m; mass = 18.4 ± 2.9 kg; 17 boys) as they walked across an emed AT-4 pressure platform. Physical activity was objectively assessed using MTI ActiGraph accelerometers. Similarly, the correlation data suggested that girls who generated higher peak pressures in the toe region spent more time in sedentary behaviour (r = 0.53; p = 0.04). As high plantar pressures appear to be a potential negative correlate of physical activity and sedentary behaviour, it is recommended that further research be conducted to design, test and evaluate the potential of interventions to reduce plantar pressures in inactive children so they can enjoy the benefits associated with participating in a more active lifestyle.

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“…While the mechanisms that link variations in foot posture to injury remain unclear, studies of uninjured participants during walking have found systematic differences in plantar pressure [7] and muscle activity [8,9] in extremes of foot posture (i.e. planus and cavus) compared with normal feet.…”

Section: Introductionmentioning

confidence: 99%