Document Detail


Segmental motion of forefoot and hindfoot as a diagnostic tool.
MedLine Citation:
PMID:  24060048     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Segmental motions derived from non-invasive motion analysis are being used to investigate the intrinsic functional behavior of the foot and ankle in health and disease. The goal of this research was to examine the ability of a generic segmented model of the foot to capture and differentiate changes in internal skeletal kinematics due to neuromuscular disease and/or trauma. A robotic apparatus that reproduces the kinematics and kinetics of gait in cadaver lower extremities was employed to produce motion under normal and aberrant neuromuscular activation patterns of tibialis posterior and/or tibialis anterior. Stance phase simulations were conducted on 10 donor limbs while recording three-dimensional kinematic trajectories of (1) skin-mounted markers used clinically to construct segmented foot models, and (2) bone-mounted marker clusters to capture actual internal bone motion as the gold standard for comparison. The models constructed from external marker data were able to differentiate the kinematic behaviors elicited by different neuromuscular conditions in a manner similar to that using the bone-derived data. Measurable differences between internal and externally measured kinematics were small, variable and random across the three axes of rotation and neuromuscular conditions, with a tendency toward more differences noted during early and late stance. Albeit slightly different, three-dimensional motion profiles of the hindfoot and forefoot segments correlated well with internal skeletal motion under all neuromuscular conditions, thereby confirming the utility of measuring segmental motions as a valid means of clinical assessment.
Authors:
Nori Okita; Steven A Meyers; John H Challis; Neil A Sharkey
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2013-09-07
Journal Detail:
Title:  Journal of biomechanics     Volume:  46     ISSN:  1873-2380     ISO Abbreviation:  J Biomech     Publication Date:  2013 Oct 
Date Detail:
Created Date:  2013-10-07     Completed Date:  2014-04-30     Revised Date:  2014-10-21    
Medline Journal Info:
Nlm Unique ID:  0157375     Medline TA:  J Biomech     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2578-85     Citation Subset:  IM    
Copyright Information:
© 2013 Elsevier Ltd. All rights reserved.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Ankle* / pathology,  physiopathology
Biomechanical Phenomena
Female
Foot Injuries* / diagnosis,  pathology,  physiopathology
Forefoot, Human* / pathology,  physiopathology
Humans
Male
Middle Aged
Models, Biological*
Motion*
Neuromuscular Diseases* / diagnosis,  pathology,  physiopathology
Grant Support
ID/Acronym/Agency:
5R03HD050532-02/HD/NICHD NIH HHS; R03 HD050532/HD/NICHD NIH HHS
Comments/Corrections

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