The effect of forefoot and arch posting orthotic designs on first metatarsophalangeal joint kinematics during gait

The Journal of Orthopaedic and Sports Physical Therapy
Deborah A Nawoczenski, Paula M Ludewig

Abstract

Repeated-measures analysis of variance. To examine the effect of 2 different orthotic posting designs on first metatarsophalangeal (first MTP) joint kinematics during gait. Common orthotic designs used to control abnormal pronation incorporate the use of a medial post in the forefoot and/or rearfoot locations. Although this design may favorably alter rearfoot and lower-limb kinematics, the incorporation of a forefoot post has been theorized to negatively impact first MTP joint function by limiting hallux dorsiflexion during push off. An alternative design that has been proposed to be more favorable for function of the hallux and first metatarsal is the medial arch support. Eighteen subjects with a mean age of 28.2 years (SD, 8.3 years) completed the study. All subjects were judged to have excessive pronation based on a clinical orthopaedic examination. Two different pairs of orthoses were custom molded for each subject. One design incorporated an extrinsic rearfoot and forefoot post and the second design had a high medial longitudinal arch in combination with an extrinsic rearfoot post. The "Flock of Birds" electromagnetic tracking device was used to collect 3-dimensional position and orientation data of 3 body segments (hallux...Continue Reading

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Citations

Aug 31, 2010·Journal of Foot and Ankle Research·Brian J WelshAnne-Maree Keenan
Apr 13, 2010·Archives of Physical Medicine and Rehabilitation·Smita RaoDeborah A Nawoczenski
Apr 21, 2009·Journal of Biomechanics·Kathryn M BrownWard M Glasoe
Nov 9, 2007·Gait & Posture·Jeff R HouckDeborah A Nawoczenski
Jan 7, 2006·Journal of Manipulative and Physiological Therapeutics·Thomas C Michaud, Deborah A Nawoczenski
Jul 4, 2009·The Journal of Orthopaedic and Sports Physical Therapy·Smita RaoDeborah A Nawoczenski
Mar 3, 2009·The Journal of Orthopaedic and Sports Physical Therapy·Christopher NevilleJeff R Houck
Sep 28, 2014·Prosthetics and Orthotics International·Ricardo Becerro de Bengoa VallejoMarta Elena Losa Iglesias
Jul 24, 2013·Journal of the American Podiatric Medical Association·Maria Luz Gonzalez FernandezJuan Vicente Beneit Montesinos
Apr 22, 2020·Somatosensory & Motor Research·Ondřej LaštovičkaMiroslav Janura
May 19, 2009·Journal of the American Podiatric Medical Association·Adam LandsmanThomas Roukis

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