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Do different multi-segment foot models detect the same changes in kinematics when wearing foot orthoses?

Tomas Klein1, Graham J Chapman2, Ondrej Lastovicka3

  • 1Faculty of Physical Culture, Palacký University Olomouc, třída Míru 117, Olomouc, 77147, Czech Republic. tomas.klein@upol.cz.

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|September 7, 2022
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Summary

Two foot models showed similar hindfoot motion changes with orthotics, but differed in forefoot motion analysis, particularly in the transverse and sagittal planes. This impacts interpreting foot biomechanics interventions.

Keywords:
Biomechanical responseFoot orthosesMulti-segment foot modelsOxford Foot Model

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Area of Science:

  • Biomechanics
  • Orthotics Research
  • Gait Analysis

Background:

  • Multi-segment foot models are used to study foot orthoses effects.
  • Previous research compared model kinematic outputs, but not their ability to detect orthotic-induced changes.

Purpose of the Study:

  • To compare the Oxford Foot Model (OFM) and Calibrated Anatomical System Technique (CAST) in detecting kinematic changes in the hindfoot and forefoot during gait with foot orthoses.

Main Methods:

  • 32 participants walked with and without a medial heel bar orthosis.
  • An eight-camera motion capture system recorded foot kinematics.
  • OFM and CAST models were applied simultaneously, with vector field analysis comparing their results.

Main Results:

  • Both models agreed well on hindfoot kinematic changes in all planes during single and double support.
  • Agreement for forefoot motion was good in the coronal plane but poorer in transverse and sagittal planes.

Conclusions:

  • While hindfoot and coronal plane forefoot motion responses were consistent between models, transverse and sagittal plane forefoot responses were inconsistent.
  • These discrepancies should be considered when interpreting the efficacy of interventions altering foot biomechanics.