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Bilateral ankle deformities affects gait kinematics in chronic stroke patients
OBJECTIVES: Stroke patients suffer from ankle joint deformities due to spastic ankle muscles. This study evaluated the viability of using 3D scanned surface images of the feet of stroke victims to visually assess the deformities of a hemiparetic foot and investigated the influences of deformed ankle...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9947404/ https://www.ncbi.nlm.nih.gov/pubmed/36846122 http://dx.doi.org/10.3389/fneur.2023.1078064 |
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author | Kim, Hogene Cho, Ji-Eun Seo, Kyeong-Jun Lee, Jooyoung |
author_facet | Kim, Hogene Cho, Ji-Eun Seo, Kyeong-Jun Lee, Jooyoung |
author_sort | Kim, Hogene |
collection | PubMed |
description | OBJECTIVES: Stroke patients suffer from ankle joint deformities due to spastic ankle muscles. This study evaluated the viability of using 3D scanned surface images of the feet of stroke victims to visually assess the deformities of a hemiparetic foot and investigated the influences of deformed ankle joints on gait kinematics. METHODS: A total of 30 subjects with stroke-induced hemiparesis and 11 age-matched healthy controls completed the clinical assessments. We analyzed their feet's morphometric characteristics using a 3D scanner, identified convenient anthropometric measurements, and conducted gait trials on even and uneven terrains. The 3D foot morphometric characteristics were evaluated using the geometric morphometrics method (GMM). RESULTS: Results showed that there were significant differences in bilateral foot shapes between the chronic stroke patients and healthy controls and between the paretic and non-paretic sides in the chronic stroke patients. In stroke patients, those with the smaller medial malleoli's vertical tilt angles showed significantly different ankle ranges of motion of dorsi-/plantar flexion during gaits on uneven terrains (p = 0.009). In addition, those with the greater medial malleoli's vertical tilt angles showed significantly different ankle ranges of motion of inversion/eversion during gaits on even and uneven terrains (p < 0.05). CONCLUSION: Using 3D scanning technology, bilateral morphometric changes in the feet of chronic stroke patients were shown by GMM and the simple anthropometric measurements identified its shape deformities in the feet. Their possible effects on gait kinematics while walking on uneven terrains were investigated. Current methodology can be potentially useful in applying conventional productions of clinically manufactured, patient-fitted ankle-foot-orthosis in orthotics and prosthetics, and in detecting various unidentified pathological deformities in the feet. |
format | Online Article Text |
id | pubmed-9947404 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-99474042023-02-24 Bilateral ankle deformities affects gait kinematics in chronic stroke patients Kim, Hogene Cho, Ji-Eun Seo, Kyeong-Jun Lee, Jooyoung Front Neurol Neurology OBJECTIVES: Stroke patients suffer from ankle joint deformities due to spastic ankle muscles. This study evaluated the viability of using 3D scanned surface images of the feet of stroke victims to visually assess the deformities of a hemiparetic foot and investigated the influences of deformed ankle joints on gait kinematics. METHODS: A total of 30 subjects with stroke-induced hemiparesis and 11 age-matched healthy controls completed the clinical assessments. We analyzed their feet's morphometric characteristics using a 3D scanner, identified convenient anthropometric measurements, and conducted gait trials on even and uneven terrains. The 3D foot morphometric characteristics were evaluated using the geometric morphometrics method (GMM). RESULTS: Results showed that there were significant differences in bilateral foot shapes between the chronic stroke patients and healthy controls and between the paretic and non-paretic sides in the chronic stroke patients. In stroke patients, those with the smaller medial malleoli's vertical tilt angles showed significantly different ankle ranges of motion of dorsi-/plantar flexion during gaits on uneven terrains (p = 0.009). In addition, those with the greater medial malleoli's vertical tilt angles showed significantly different ankle ranges of motion of inversion/eversion during gaits on even and uneven terrains (p < 0.05). CONCLUSION: Using 3D scanning technology, bilateral morphometric changes in the feet of chronic stroke patients were shown by GMM and the simple anthropometric measurements identified its shape deformities in the feet. Their possible effects on gait kinematics while walking on uneven terrains were investigated. Current methodology can be potentially useful in applying conventional productions of clinically manufactured, patient-fitted ankle-foot-orthosis in orthotics and prosthetics, and in detecting various unidentified pathological deformities in the feet. Frontiers Media S.A. 2023-02-09 /pmc/articles/PMC9947404/ /pubmed/36846122 http://dx.doi.org/10.3389/fneur.2023.1078064 Text en Copyright © 2023 Kim, Cho, Seo and Lee. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Neurology Kim, Hogene Cho, Ji-Eun Seo, Kyeong-Jun Lee, Jooyoung Bilateral ankle deformities affects gait kinematics in chronic stroke patients |
title | Bilateral ankle deformities affects gait kinematics in chronic stroke patients |
title_full | Bilateral ankle deformities affects gait kinematics in chronic stroke patients |
title_fullStr | Bilateral ankle deformities affects gait kinematics in chronic stroke patients |
title_full_unstemmed | Bilateral ankle deformities affects gait kinematics in chronic stroke patients |
title_short | Bilateral ankle deformities affects gait kinematics in chronic stroke patients |
title_sort | bilateral ankle deformities affects gait kinematics in chronic stroke patients |
topic | Neurology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9947404/ https://www.ncbi.nlm.nih.gov/pubmed/36846122 http://dx.doi.org/10.3389/fneur.2023.1078064 |
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