Adjustments in the Range of Angular Motion during Walking after Amputation of the Toes: A Case Report
The forefoot plays an important role in providing body support and propulsion during walking. We investigated the effect of forefoot dysfunction on the gait pattern of a young adult with partial bilateral amputation of the toes. We measured our participant’s gait kinematics during barefoot and shod...
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| Format: | Article |
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MDPI AG
2021-11-01
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| Series: | Symmetry |
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| Online Access: | https://www.mdpi.com/2073-8994/13/11/2065 |
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| author | Wanda Forczek-Karkosz Simon Taylor Anna Kicka Germana Cappellini Arthur H. Dewolf Yury Ivanenko |
| author_facet | Wanda Forczek-Karkosz Simon Taylor Anna Kicka Germana Cappellini Arthur H. Dewolf Yury Ivanenko |
| author_sort | Wanda Forczek-Karkosz |
| collection | DOAJ |
| description | The forefoot plays an important role in providing body support and propulsion during walking. We investigated the effect of forefoot dysfunction on the gait pattern of a young adult with partial bilateral amputation of the toes. We measured our participant’s gait kinematics during barefoot and shod overground walking and analysed time-distance and joint range of motion (RoM) parameters against a group of healthy adults. Forefoot dysfunction gait is improved by footwear and walking experience; however, this improvement was still remarkably different (exceeded 95% CI) when compared to healthy gait at matching walking speed. Compared to healthy gait, walking barefoot had a slower speed and a 30% reduction in ankle and knee joint RoM, but a larger hip RoM. Shod gait resulted in a remarkable increase in ankle RoM and walking speed compared to barefoot gait. These results are consistent with the important role of the forefoot (tarsals and metatarsophalangeal joints) and suggest that footwear can facilitate gait function following toe amputation. |
| first_indexed | 2024-03-10T05:01:03Z |
| format | Article |
| id | doaj.art-4983a71973f64050924e5bf731d40aa6 |
| institution | Directory Open Access Journal |
| issn | 2073-8994 |
| language | English |
| last_indexed | 2024-03-10T05:01:03Z |
| publishDate | 2021-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Symmetry |
| spelling | doaj.art-4983a71973f64050924e5bf731d40aa62023-11-23T01:44:18ZengMDPI AGSymmetry2073-89942021-11-011311206510.3390/sym13112065Adjustments in the Range of Angular Motion during Walking after Amputation of the Toes: A Case ReportWanda Forczek-Karkosz0Simon Taylor1Anna Kicka2Germana Cappellini3Arthur H. Dewolf4Yury Ivanenko5Section of Biomechanics, Faculty of Physical Education and Sport, University of Physical Education, 31-571 Krakow, PolandInstitute of Sport, Exercise and Active Living, College of Sport and Exercise Science, Victoria University, P.O. Box 14428, Melbourne 3011, AustraliaSection of Biomechanics, Faculty of Physical Education and Sport, University of Physical Education, 31-571 Krakow, PolandLaboratory of Neuromotor Physiology, Department of Pediatric Neurorehabilitation, IRCCS Fondazione Santa Lucia, 00179 Rome, ItalyCenter of Space Biomedicine, University of Rome Tor Vergata, 00133 Rome, ItalyLaboratory of Neuromotor Physiology, Department of Pediatric Neurorehabilitation, IRCCS Fondazione Santa Lucia, 00179 Rome, ItalyThe forefoot plays an important role in providing body support and propulsion during walking. We investigated the effect of forefoot dysfunction on the gait pattern of a young adult with partial bilateral amputation of the toes. We measured our participant’s gait kinematics during barefoot and shod overground walking and analysed time-distance and joint range of motion (RoM) parameters against a group of healthy adults. Forefoot dysfunction gait is improved by footwear and walking experience; however, this improvement was still remarkably different (exceeded 95% CI) when compared to healthy gait at matching walking speed. Compared to healthy gait, walking barefoot had a slower speed and a 30% reduction in ankle and knee joint RoM, but a larger hip RoM. Shod gait resulted in a remarkable increase in ankle RoM and walking speed compared to barefoot gait. These results are consistent with the important role of the forefoot (tarsals and metatarsophalangeal joints) and suggest that footwear can facilitate gait function following toe amputation.https://www.mdpi.com/2073-8994/13/11/2065locomotionforefoot functiontoe amputationhumans |
| spellingShingle | Wanda Forczek-Karkosz Simon Taylor Anna Kicka Germana Cappellini Arthur H. Dewolf Yury Ivanenko Adjustments in the Range of Angular Motion during Walking after Amputation of the Toes: A Case Report Symmetry locomotion forefoot function toe amputation humans |
| title | Adjustments in the Range of Angular Motion during Walking after Amputation of the Toes: A Case Report |
| title_full | Adjustments in the Range of Angular Motion during Walking after Amputation of the Toes: A Case Report |
| title_fullStr | Adjustments in the Range of Angular Motion during Walking after Amputation of the Toes: A Case Report |
| title_full_unstemmed | Adjustments in the Range of Angular Motion during Walking after Amputation of the Toes: A Case Report |
| title_short | Adjustments in the Range of Angular Motion during Walking after Amputation of the Toes: A Case Report |
| title_sort | adjustments in the range of angular motion during walking after amputation of the toes a case report |
| topic | locomotion forefoot function toe amputation humans |
| url | https://www.mdpi.com/2073-8994/13/11/2065 |
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