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Shod wear and foot alignment in clinical gait analysis
Institution:1. The Royal Children’s Hospital, Melbourne, Australia;2. The Murdoch Childrens Research Institute, Australia;3. The University of Melbourne, School of Engineering, Australia;1. La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, La Trobe University, Melbourne, Victoria, 3086, Australia;2. Discipline of Podiatry, School of Allied Health, La Trobe University, Melbourne, Victoria, 3086, Australia;3. Musculoskeletal Research Center, Isfahan University of Medical Sciences, Isfahan, Iran;4. Health Sciences Research Centre, University of Salford, Greater Manchester, United Kingdom;5. National Ageing Research Institute, Melbourne, Victoria, 3050, Australia;1. Department of Information Engineering, Università Politecnica delle Marche, Ancona, Italy;2. Department of Electronics and Telecommunications, Politecnico di Torino, Torino, Italy;3. Rehabilitation Unit, S. Croce Hospital, A.S.L. TO5, Moncalieri (TO), Torino, Italy;1. Three-dimensional Motion Analysis Room, Aichi Prefectural Mikawa Aoitori Medical and Rehabilitation Center for Developmental Disabilities, Okazaki 444-0002, Japan;2. Department of Integrated Health Sciences, Graduate School of Medicine, Nagoya University, Nagoya 461-8673, Japan;3. Department of Pediatrics, Aichi Prefectural Mikawa Aoitori Medical and Rehabilitation Center for Developmental Disabilities, Okazaki 444-0002, Japan;4. Graduate School of Clinical Education & The Center for the Study of Child Development, Institute for Education, Mukogawa Women’s University, Nishinomiya 663-8558, Japan;5. Department of Orthopedic Surgery, Aichi Prefectural Mikawa Aoitori Medical and Rehabilitation Center for Developmental Disabilities, Okazaki 444-0002, Japan;6. Department of Pediatrics, Nagoya University Graduate School of Medicine, Nagoya 466-8550, Japan;7. Department of Developmental Disability Medicine, Nagoya University Graduate School of Medicine, Nagoya 466-8550, Japan;1. School of Health & Society, The University of Salford, UK;2. The Murdoch Children’s Research Institute, Melbourne, Australia
Abstract:Sagittal plane alignment of the foot presents challenges when the subject wears shoes during gait analysis. Typically, visual alignment is performed by positioning two markers, the heel and toe markers, aligned with the foot within the shoe. Alternatively, software alignment is possible when the sole of the shoe lies parallel to the ground, and the change in the shoe’s sole thickness is measured and entered as a parameter. The aim of this technical note was to evaluate the accuracy of visual and software foot alignment during shod gait analysis. We calculated the static standing ankle angles of 8 participants (mean age: 8.7 years, SD: 2.9 years) wearing bilateral solid ankle foot orthoses (BSAFOs) with and without shoes using the visual and software alignment methods. All participants were able to stand with flat feet in both static trials and the ankle angles obtained in BSAFOs without shoes was considered the reference. We showed that the current implementation of software alignment introduces a bias towards more ankle dorsiflexion, mean = 3°, SD = 3.4°, p = 0.006, and proposed an adjusted software alignment method. We found no statistical differences using visual alignment and adjusted software alignment between the shoe and shoeless conditions, p = 0.19 for both. Visual alignment or adjusted software alignment are advised to represent foot alignment accurately.
Keywords:Foot  Gait  Kinematics
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