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Movement coordination patterns between the foot joints during walking

BACKGROUND: In 3D gait analysis, kinematics of the foot joints are usually reported via isolated time histories of joint rotations and no information is provided on the relationship between rotations at different joints. The aim of this study was to identify movement coordination patterns in the foo...

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Autores principales: Arnold, John B., Caravaggi, Paolo, Fraysse, François, Thewlis, Dominic, Leardini, Alberto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5661917/
https://www.ncbi.nlm.nih.gov/pubmed/29093757
http://dx.doi.org/10.1186/s13047-017-0228-z
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author Arnold, John B.
Caravaggi, Paolo
Fraysse, François
Thewlis, Dominic
Leardini, Alberto
author_facet Arnold, John B.
Caravaggi, Paolo
Fraysse, François
Thewlis, Dominic
Leardini, Alberto
author_sort Arnold, John B.
collection PubMed
description BACKGROUND: In 3D gait analysis, kinematics of the foot joints are usually reported via isolated time histories of joint rotations and no information is provided on the relationship between rotations at different joints. The aim of this study was to identify movement coordination patterns in the foot during walking by expanding an existing vector coding technique according to an established multi-segment foot and ankle model. A graphical representation is also described to summarise the coordination patterns of joint rotations across multiple patients. METHODS: Three-dimensional multi-segment foot kinematics were recorded in 13 adults during walking. A modified vector coding technique was used to identify coordination patterns between foot joints involving calcaneus, midfoot, metatarsus and hallux segments. According to the type and direction of joints rotations, these were classified as in-phase (same direction), anti-phase (opposite directions), proximal or distal joint dominant. RESULTS: In early stance, 51 to 75% of walking trials showed proximal-phase coordination between foot joints comprising the calcaneus, midfoot and metatarsus. In-phase coordination was more prominent in late stance, reflecting synergy in the simultaneous inversion occurring at multiple foot joints. Conversely, a distal-phase coordination pattern was identified for sagittal plane motion of the ankle relative to the midtarsal joint, highlighting the critical role of arch shortening to locomotor function in push-off. CONCLUSIONS: This study has identified coordination patterns between movement of the calcaneus, midfoot, metatarsus and hallux by expanding an existing vector cording technique for assessing and classifying coordination patterns of foot joints rotations during walking. This approach provides a different perspective in the analysis of multi-segment foot kinematics, and may be used for the objective quantification of the alterations in foot joint coordination patterns due to lower limb pathologies or following injuries.
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spelling pubmed-56619172017-11-01 Movement coordination patterns between the foot joints during walking Arnold, John B. Caravaggi, Paolo Fraysse, François Thewlis, Dominic Leardini, Alberto J Foot Ankle Res Methodology BACKGROUND: In 3D gait analysis, kinematics of the foot joints are usually reported via isolated time histories of joint rotations and no information is provided on the relationship between rotations at different joints. The aim of this study was to identify movement coordination patterns in the foot during walking by expanding an existing vector coding technique according to an established multi-segment foot and ankle model. A graphical representation is also described to summarise the coordination patterns of joint rotations across multiple patients. METHODS: Three-dimensional multi-segment foot kinematics were recorded in 13 adults during walking. A modified vector coding technique was used to identify coordination patterns between foot joints involving calcaneus, midfoot, metatarsus and hallux segments. According to the type and direction of joints rotations, these were classified as in-phase (same direction), anti-phase (opposite directions), proximal or distal joint dominant. RESULTS: In early stance, 51 to 75% of walking trials showed proximal-phase coordination between foot joints comprising the calcaneus, midfoot and metatarsus. In-phase coordination was more prominent in late stance, reflecting synergy in the simultaneous inversion occurring at multiple foot joints. Conversely, a distal-phase coordination pattern was identified for sagittal plane motion of the ankle relative to the midtarsal joint, highlighting the critical role of arch shortening to locomotor function in push-off. CONCLUSIONS: This study has identified coordination patterns between movement of the calcaneus, midfoot, metatarsus and hallux by expanding an existing vector cording technique for assessing and classifying coordination patterns of foot joints rotations during walking. This approach provides a different perspective in the analysis of multi-segment foot kinematics, and may be used for the objective quantification of the alterations in foot joint coordination patterns due to lower limb pathologies or following injuries. BioMed Central 2017-10-30 /pmc/articles/PMC5661917/ /pubmed/29093757 http://dx.doi.org/10.1186/s13047-017-0228-z Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Methodology
Arnold, John B.
Caravaggi, Paolo
Fraysse, François
Thewlis, Dominic
Leardini, Alberto
Movement coordination patterns between the foot joints during walking
title Movement coordination patterns between the foot joints during walking
title_full Movement coordination patterns between the foot joints during walking
title_fullStr Movement coordination patterns between the foot joints during walking
title_full_unstemmed Movement coordination patterns between the foot joints during walking
title_short Movement coordination patterns between the foot joints during walking
title_sort movement coordination patterns between the foot joints during walking
topic Methodology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5661917/
https://www.ncbi.nlm.nih.gov/pubmed/29093757
http://dx.doi.org/10.1186/s13047-017-0228-z
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