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- Title
The biomechanical effects of pronated foot function on gait. An experimental study.
- Authors
Dodelin, Damien; Tourny, Claire; L'Hermette, Maxime
- Abstract
The relationship between foot kinematics and the development of lower extremity musculoskeletal disorders (MSD) has been the focus of recent attention. However, most studies evaluated static foot type and not dynamic foot function. The purpose was to compare lower limb and foot kinematics, and plantar pressures during gait in physically active individuals with pronated and non‐pronated foot function. Foot function in 154 adult participants was documented as pronated (n = 63) or neutral (n = 91) using 2 established methods: The Foot Posture Index and the Center of Pressure Excursion Index. Difference between the groups in triplanar motion of the lower limb during barefoot gait was evaluated using a 3D motion capture system incorporating the Oxford Foot Model. Dynamic parameters of plantar pressure were recorded using a pressure platform. Anterior‐posterior pelvic tilt range of motion (ROM), peak knee internal rotation, forefoot dorsiflexion ROM, peak forefoot abduction, and rearfoot eversion were all increased in those with pronated foot function. Hallux contact time and time to peak force under the medial forefoot were increased with pronated foot function, and maximal force under the lateral forefoot was reduced. Pronated foot function affected the whole lower limb kinematic chain during gait. These kinematic alterations could increase the risk of developing MSD. Further studies should elucidate the relationship between pronated foot function and MSD, and, if confirmed, foot function should be evaluated in clinical practice for patients with lower limb and low back pain.
- Subjects
FOOT physiology; EXPERIMENTAL design; GAIT in humans; LEG; MUSCULOSKELETAL system diseases; PRONATION; DATA analysis software
- Publication
Scandinavian Journal of Medicine & Science in Sports, 2020, Vol 30, Issue 11, p2167
- ISSN
0905-7188
- Publication type
Article
- DOI
10.1111/sms.13785