Gait Kinematics Analysis of Flatfoot Adults

Background: Foot postural alignment has been associated with altered gait pattern. This study aims to investigate gait kinematic differences in flatfoot subjects’ regarding all lower limb segments compared to neutral foot subjects. Methods: A total of 31 participants were recruited (age: 23.26 yo ±...

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Main Authors: Joel Marouvo, Filipa Sousa, Orlando Fernandes, Maria António Castro, Szczepan Paszkiel
Format: Article
Language:English
Published: MDPI AG 2021-07-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/11/15/7077
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author Joel Marouvo
Filipa Sousa
Orlando Fernandes
Maria António Castro
Szczepan Paszkiel
author_facet Joel Marouvo
Filipa Sousa
Orlando Fernandes
Maria António Castro
Szczepan Paszkiel
author_sort Joel Marouvo
collection DOAJ
description Background: Foot postural alignment has been associated with altered gait pattern. This study aims to investigate gait kinematic differences in flatfoot subjects’ regarding all lower limb segments compared to neutral foot subjects. Methods: A total of 31 participants were recruited (age: 23.26 yo ± 4.43; height: 1.70 m ± 0.98; weight: 75.14 kg ± 14.94). A total of 15 subjects were integrated into the flatfoot group, and the remaining 16 were placed in the neutral foot group. All of the particpants were screened using the Navicular Drop Test and Resting Calcaneal Stance Position test to characterize each group, and results were submitted to gait analysis using a MOCAP system. Results: Significant kinematic differences between groups were found for the ankle joint dorsiflexion, abduction, and internal and external rotation (<i>p</i> < 0.05). Additionally, significant differences were found for the knee flexion, extension, abduction, and external rotation peak values (<i>p</i> < 0.001). Significant differences were also found for the hip flexion, extension, external rotation, pelvis rotation values (<i>p</i> < 0.02). Several amplitude differences were found concerning ankle abduction/adduction, knee flexion/extension and abduction/adduction, hip flexion/extension and rotation, and pelvis rotation (<i>p</i> < 0.01). Conclusion: Flatfooted subjects showed kinematic changes in their gait patterns. The impact on this condition on locomotion biomechanical aspects is clinically essential, and 3D gait biomechanical analysis use could be advantageous in the early detection of health impairments related to foot posture.
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spelling doaj.art-c6789fd3a9d848e98d81c6bb94bb4f162023-11-22T05:24:04ZengMDPI AGApplied Sciences2076-34172021-07-011115707710.3390/app11157077Gait Kinematics Analysis of Flatfoot AdultsJoel Marouvo0Filipa Sousa1Orlando Fernandes2Maria António Castro3Szczepan Paszkiel4RoboCorp Laboratory, i2A, Polytechnic Institute of Coimbra, 3045-093 Coimbra, PortugalFaculty of Sport (FADEUP), CIFI2D, University of Porto, 4200-450 Porto, PortugalDepartamento de Desporto e Saúde, Escola de Saúde e Desenvolvimento Humano, Universidade de Évora, 7000-727 Évora, PortugalSector of Physiotherapy, School of Health Sciences, Polytechnic Institute of Leiria, 2411-901 Leiria, PortugalFaculty of Electrical Engineering, Automatic Control and Informatics, Opole University of Technology, Prószkowska 76 Street, 45-758 Opole, PolandBackground: Foot postural alignment has been associated with altered gait pattern. This study aims to investigate gait kinematic differences in flatfoot subjects’ regarding all lower limb segments compared to neutral foot subjects. Methods: A total of 31 participants were recruited (age: 23.26 yo ± 4.43; height: 1.70 m ± 0.98; weight: 75.14 kg ± 14.94). A total of 15 subjects were integrated into the flatfoot group, and the remaining 16 were placed in the neutral foot group. All of the particpants were screened using the Navicular Drop Test and Resting Calcaneal Stance Position test to characterize each group, and results were submitted to gait analysis using a MOCAP system. Results: Significant kinematic differences between groups were found for the ankle joint dorsiflexion, abduction, and internal and external rotation (<i>p</i> < 0.05). Additionally, significant differences were found for the knee flexion, extension, abduction, and external rotation peak values (<i>p</i> < 0.001). Significant differences were also found for the hip flexion, extension, external rotation, pelvis rotation values (<i>p</i> < 0.02). Several amplitude differences were found concerning ankle abduction/adduction, knee flexion/extension and abduction/adduction, hip flexion/extension and rotation, and pelvis rotation (<i>p</i> < 0.01). Conclusion: Flatfooted subjects showed kinematic changes in their gait patterns. The impact on this condition on locomotion biomechanical aspects is clinically essential, and 3D gait biomechanical analysis use could be advantageous in the early detection of health impairments related to foot posture.https://www.mdpi.com/2076-3417/11/15/7077flatfootwalkingbiomechanicskinematicsgait analysis
spellingShingle Joel Marouvo
Filipa Sousa
Orlando Fernandes
Maria António Castro
Szczepan Paszkiel
Gait Kinematics Analysis of Flatfoot Adults
Applied Sciences
flatfoot
walking
biomechanics
kinematics
gait analysis
title Gait Kinematics Analysis of Flatfoot Adults
title_full Gait Kinematics Analysis of Flatfoot Adults
title_fullStr Gait Kinematics Analysis of Flatfoot Adults
title_full_unstemmed Gait Kinematics Analysis of Flatfoot Adults
title_short Gait Kinematics Analysis of Flatfoot Adults
title_sort gait kinematics analysis of flatfoot adults
topic flatfoot
walking
biomechanics
kinematics
gait analysis
url https://www.mdpi.com/2076-3417/11/15/7077
work_keys_str_mv AT joelmarouvo gaitkinematicsanalysisofflatfootadults
AT filipasousa gaitkinematicsanalysisofflatfootadults
AT orlandofernandes gaitkinematicsanalysisofflatfootadults
AT mariaantoniocastro gaitkinematicsanalysisofflatfootadults
AT szczepanpaszkiel gaitkinematicsanalysisofflatfootadults