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2014 | 6 | 1 |
Tytuł artykułu

Kinematic gait analysis of a young man after amputation of the toes

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Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Study aim: the foot is recognised as a “functional unit” with two important aims: to support body weight and to serve as a lever to propel the body forward. When it is impaired, the locomotor pattern has to adapt to compensate for the dysfunction. The purpose of this study was to investigate gait kinematics of a man after bilateral partial amputation of the toes. Material and methods: the subject of the study was a young man aged 30 years (body height and mass: 186 cm, 82 kg) who suffered a frostbite injury in the feet while climbing in the severe mountain conditions. After a few months of treatment, the necessary amputation occurred. Three-dimensional lower limb kinematics was collected from motion capture system (Vicon 250) and Golem marker set-up using 5 video-based cameras with infrared strobes. The subject performed over-ground walking at self-selected speed, first barefoot, then wearing athletic shoes. Results: the patient’s results are the mean values of sixteen full gait cycles. The spatiotemporal parameters were lower during gait without shoes. In terms of the angular changes of the lower limb joints in sagittal plane, the analysis revealed similar functional patterns and typical trends in both recorded conditions. The differences, however, occurred in their amplitude. A larger range of motion was generally noted in shod conditions. The higher the joint was, the smaller the differences were. Conclusion: changes in gait due to the forefoot dysfunction may be stabilizing adaptations related to fear of falling. Footwear provided more stable conditions.
Słowa kluczowe
Wydawca

Rocznik
Tom
6
Numer
1
Opis fizyczny
Daty
online
2014-06-06
Twórcy
  • Department of Biomechanics, Faculty of Physical Education and Sport, University School of Physical Education, Krakow, Poland, wanda.forczek@gmail.com
  • Department of Biomechanics, Faculty of Physical Education and Sport, University School of Physical Education, Krakow, Poland
autor
  • Department of Biomechanics, Faculty of Physical Education and Sport, University School of Physical Education, Krakow, Poland
Bibliografia
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  • 8. Koepsell T.D., Wolf M.E., Buchner D.M., Kukull W.A., LaCroix A.Z., Tencer A.F., Frankenfeld C.L., Tautvydas M., Larson E.B. (2004) Footwear Style and Risk of Falls in Older Adults. J. Am. Geriatr. Soc., 52(9): 1495-1501, available from: http://dx.doi.org/10.1111/j.1532-5415.2004.52412.x[Crossref]
  • 9. Laroche D., Ornetti P., Thomas E., Ballay Y., Maillefert J.F., Pozzo T. (2007) Kinematic adaptation of locomotor pattern in rheumatoid arthritis patients with forefoot impairment. Exp. Brain Res., 176(1): 85-97.[PubMed][WoS]
  • 10. Laroche D., Pozzo T., Ornetti P., Tavernier C., Maillefert J.F. (2006) Effect of loss of metatarsophalangeal joint mobility on gait in rheumatoid arthritis patients. Rheumatology (Oxford) 45: 435-440. DOI:10.1093/rheumatology/kei168.[Crossref]
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  • 14. O’Connell P.G., Lohmann Siegel K., Kepple T.M., Stanhope S.J., Gerber L.H. (1998) Forefoot deformity, pain, and mobility in rheumatoid and nonarthritic subjects. J. Rheumatol., 25: 1681-1686.
  • 15. Perry J. (1992) Gait Analysis: Normal and Pathological Function. Thorofare, NJ: Slack Inc.
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  • 18. Sacco I.C., Hamamoto A.N., Gomes A.A., Onodera A.N., Hirata R.P., Hennig E.M. (2009) Role of ankle mobility in foot rollover during gait in individuals with diabetic neuropathy. Clin. Biomech., 24(8): 687-92. DOI: 10.1016/j.clinbiomech.2009.05.003.[Crossref][WoS]
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  • 20. Soares A.S.O.D.C., Yamaguti E.Y., Mochizuki L., Amadio A.C., Serraso J.C. (2009) Biomechanical parameters of gait among transtibial amputees: A review. Sao Paulo Med. J., 127(5): 302-309.
  • 21. Tinetti M.E., Powell L. (1993) Fear of falling and low self-efficacy: a case of dependence in elderly persons. J. Gerontol., 48: 35-38.[Crossref]
  • 22. Woodburn J., Helliwell P.S. (1996) Relation between heel position and the distribution of forefoot plantar pressures and skin callosities in rheumatoid arthritis. Ann. Rheum. Dis., 55: 806-810 DOI: 10.1136/ard.55.11.806[Crossref][PubMed]
  • 23. Wright W.G., Ivanenko Y.P., Gurfinkel V.S. (2012) Foot anatomy specialization for postural sensation and control. J. Neuphysiol., 107(5): 1513-1521. DOI: 10.1152/jn.00256.2011.[WoS][Crossref][PubMed]
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Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_bhk-2014-0007
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