Are clinical measures of foot posture and mobility associated with foot kinematics when walkingReport as inadecuate




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Journal of Foot and Ankle Research

, 8:63

First Online: 24 November 2015Received: 25 May 2015Accepted: 12 November 2015

Abstract

BackgroundThere is uncertainty as to which foot posture measures are the most valid in terms of predicting kinematics of the foot. The aim of this study was to investigate the associations of clinical measures of static foot posture and mobility with foot kinematics during barefoot walking.

MethodFoot posture and mobility were measured in 97 healthy adults 46 males, 51 females; mean age 24.4 ± 6.2 years. Foot posture was assessed using the 6-item Foot Posture Index FPI, Arch Index AI, Normalised Navicular Height NNHt and Normalised Dorsal Arch Height DAH. Foot mobility was evaluated using the Foot Mobility Magnitude FMM measure. Following this, a five-segment foot model was used to measure tri-planar motion of the rearfoot, midfoot, medial forefoot, lateral forefoot and hallux. Peak and range of motion variables during load acceptance and midstance-propulsion phases of gait were extracted for all relative segment to segment motion calculations. Hierarchical regression analyses were conducted, adjusting for potential confounding variables.

ResultsThe degree of variance in peak and range of motion kinematic variables that was independently explained by foot posture measures was as follows: FPI 5 to 22 %, NNHt 6 to 20 %, AI 7 to 13 %, DAH 6 to 8 %, and FMM 8 %. The FPI was retained as a significant predictor across the most number of kinematic variables. However, the amount of variance explained by the FPI for individual kinematic variables did not exceed other measures. Overall, static foot posture measures were more strongly associated with kinematic variables than foot mobility measures and explained more variation in peak variables compared to range of motion variables.

ConclusionsFoot posture measures can explain only a small amount of variation in foot kinematics. Static foot posture measures, and in particular the FPI, were more strongly associated with foot kinematics compared with foot mobility measures. These findings suggest that foot kinematics cannot be accurately inferred from clinical observations of foot posture alone.

Electronic supplementary materialThe online version of this article doi:10.1186-s13047-015-0122-5 contains supplementary material, which is available to authorized users.

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Author: Andrew K. Buldt - George S. Murley - Pazit Levinger - Hylton B. Menz - Christopher J. Nester - Karl B. Landorf

Source: https://link.springer.com/







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