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Clinical-oriented Three-dimensional Gait Analysis Method for Evaluating Gait Disorder
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Perspectives for clinical measures of dynamic foot function-reference data and methodological considerations.

M S Rathleff1, R G Nielsen, O Simonsen

  • 1Orthopaedic Division, North Denmark Region, Aalborg Hospital, Aarhus University Hospital, Denmark. michaelrathleff@gmail.com

Gait & Posture
|November 10, 2009
PubMed
Summary

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Dynamic foot measures, including minimum navicular height (MinNH) and dynamic range of navicular height (DeltaNH), show high reliability for assessing foot function and predicting overuse injuries in clinical settings.

Area of Science:

  • Biomechanics
  • Sports Medicine
  • Orthopedics

Background:

  • Static foot posture assessments yield inconsistent results for predicting dynamic function.
  • Dynamic foot measures are suggested to be more effective for predicting overuse injuries.
  • Reliability and relationship between static and dynamic foot measures require further investigation.

Purpose of the Study:

  • To determine the intra-rater reliability of dynamic measures for longitudinal arch angle (LAA) and navicular height (NH).
  • To assess the correlation between static and dynamic measures of LAA and NH.
  • To evaluate the impact of marker placement uncertainty and skin movement on these measures.

Main Methods:

  • Intra-rater reliability testing of LAA and NH on 17 control subjects.

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  • Dynamic LAA and NH measurement during treadmill walking in 79 subjects over 20 steps.
  • Analysis using a geometric error model to simulate measurement uncertainties.
  • Main Results:

    • All dynamic measures demonstrated high reliability, with minimum navicular height (MinNH) and dynamic range of navicular height (DeltaNH) showing the highest.
    • Marker placement uncertainty and skin movement had minimal impact on NH measures.
    • An alignment device improved the reliability of NH measures.

    Conclusions:

    • Dynamic measures, specifically DeltaNH and MinNH, are recommended for functional foot characterization in the sagittal plane.
    • These dynamic measures show potential for predicting overuse injuries and are feasible for clinical use.
    • Further large-scale clinical studies are needed to validate these findings.