The effect of custom-made braces for the ankle and hindfoot on ankle and foot kinematics and ground reaction forces

Details

Serval ID
serval:BIB_C904310AB2AE
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
The effect of custom-made braces for the ankle and hindfoot on ankle and foot kinematics and ground reaction forces
Journal
Archives of Physical Medicine and Rehabilitation
Author(s)
Kitaoka  H. B., Crevoisier  X. M., Harbst  K., Hansen  D., Kotajarvi  B., Kaufman  K.
ISSN
0003-9993 (Print)
Publication state
Published
Issued date
2006
Volume
87
Number
1
Pages
130-135
Notes
DA - 20060110
LA - eng
PT - Comparative Study
PT - Journal Article
SB - AIM
SB - IM
Abstract
OBJECTIVE: To assess the effects on gait of custom-made polypropylene orthoses: ankle-foot orthosis (AFO), rigid hindfoot orthosis (HFO-R), and articulated hindfoot orthosis (HFO-A). DESIGN: Experimental assessment. SETTING: Institutional practice, motion analysis laboratory. PARTICIPANTS: Twenty asymptomatic normative subjects. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Three-dimensional kinematics, ground reaction force, and time-related factors in 4 conditions: shoe only, and shod with the AFO, HFO-R, and HFO-A. RESULTS: The AFO and HFO-R limited sagittal and coronal plane ankle-hindfoot motion. The HFO-A limited hindfoot coronal motion while allowing normal sagittal motion. At the midfoot, the AFO and HFO-A limited transverse motion, but the HFO-A also limited sagittal and coronal motion. Use of the HFO-R resulted in exaggerated midfoot sagittal and coronal motion. Braces that limited motion to a greater degree were associated with more atypical kinetic variables, indicative of less dynamic gait. The HFO-A resulted in ground reaction forces most similar to unbraced conditions. CONCLUSIONS: Alteration in gait was affected by orthosis design. Orthoses with a rigid component crossing a joint restricted motion at that joint, but potentially compromised typical gait kinetic factors. For immobilizing the hindfoot, the HFO-A may be more comfortable and still provide more stability than the HFO-R or AFO
Keywords
Adult/Aged/Ankle/Ankle Joint/Biomechanics/Braces/Cohort Studies/Equipment Design/Equipment Safety/Female/Foot/Gait/Humans/Male/Middle Aged/physiology/Probability/Range of Motion,Articular/Reference Values/Sensitivity and Specificity/Stress,Mechanical/surgery/Weight-Bearing
Pubmed
Web of science
Create date
05/03/2008 15:15
Last modification date
20/08/2019 16:44
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