| Autor: |
Yu-Chi Huang, Kimberly Harbst, Brian Kotajarvi, Diana Hansen, Matthew F. Koff, Harold B. Kitaoka, Kenton R. Kaufman |
| Rok vydání: |
2006 |
| Předmět: |
|
| Zdroj: |
Archives of Physical Medicine and Rehabilitation. 87:710-716 |
| ISSN: |
0003-9993 |
| Popis: |
To determine if different foot orthoses have a similar effect on foot kinematics in subjects with ankle osteoarthritis (OA) when walking on various ground conditions.Within-subject comparisons study.Biomechanics research laboratory.Thirteen subjects with unilateral ankle OA.Custom-made ankle-foot orthosis (AFO), rigid hindfoot orthosis (HFO-R), and articulated hindfoot orthosis (HFO-A) were used by subjects when walking on level, ascending and descending ramp, and side-slope conditions.The range of motion of the hindfoot (calcaneus relative to tibia) and forefoot (metatarsal relative to calcaneus) was measured using an 8-camera motion analysis system.The AFO and HFO-R provided the best sagittal plane hindfoot motion restriction over all ground conditions (P.001). The HFO-R allowed the greatest sagittal plane forefoot motion when walking over level (P=.01) and side-slope (P.02) conditions, the greatest frontal plane forefoot motion walking down the ramp (P=.003), and the greatest transverse plane forefoot motion when walking over level (P=.011) and ramp-ascending conditions (P=.005). The HFO-A restricted motion of the unaffected joint and did not effectively restrict hindfoot motion.The HFO-R not only provides selective restriction to the ankle-hindfoot motion, but also allows sufficient forefoot motion compared with the AFO. We consider the HFO-R to be the best option of all tested orthoses for treating patients with ankle OA pain arising from ankle motion. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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