Hiking boots provide an interface for walking in challenging environments, typically equipped with a shaft to provide ankle joint stability in rough terrains. Currently it is unclear if the ankle joint is stabilized to an extent that protects against ankle injuries, and if so, to what degree this added ankle stability sacrifices ankle mobility and hence decreases efficient gait propulsion. The aim of the present study was to compare the effect of shaft construction and stiffness on lower extremity kinematics and kinetics during level and step-down walking to simulate hiking conditions. Thirteen healthy males walked in one low-cut and three shafted commercially available hiking shoes with varying shaft stiffness. Lower extremity kinematics and ground reaction forces were recorded simultaneously. During level walking, ankle plantar-dorsiflexion range of motion was significantly reduced for the stiffest shaft hiking shoe compared to the low-cut shoe. A reduction in the muscle contribution to ankle joint work was found for all shafted shoes compared to the low-cut shoe. The reduced ankle joint work for the shafted shoes conversely increased eccentric knee joint work. Kinematic and kinetic differences between shoes diminished during box step-down walking. The present study shows that shaft height and stiffness can influence ankle joint range of motion, and ankle and knee joint work, with the high-shaft shoes redistributing load from the ankle to the knee joint. This may have implications for gait efficiency and increase the risk of knee joint loading or injuries.
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http://dx.doi.org/10.1016/j.jbiomech.2021.110643 | DOI Listing |
Arch Plast Surg
January 2025
Department of Plastic and Reconstructive Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Lateral ankle soft tissue defects pose challenges, especially in cases due to chronic pressure from cross-legged sitting, which usually present with a large dead space, small skin opening that often accompanies an open joint. Traditional reconstruction methods using fasciocutaneous flaps may result in donor site morbidity such as delayed wound healing or nerve injury. In this article, we present a case of diabetes-related lateral ankle defect successfully treated using adiposal layer only flap, also known as pure fat flap.
View Article and Find Full Text PDFRadiol Case Rep
March 2025
Clinical Research Development Unit of Akhtar Hospital, Shahid Beheshti University of Medical Science, Tehran, Iran.
Synovial chondromatosis (SC) is a rare, benign joint disorder characterized by cartilaginous nodule formation within the synovial membrane. While SC typically affects larger joints such as the knee and hip, ankle involvement is exceptionally uncommon, with only a few cases documented in medical literature. We present a case of a 38-year-old male who experienced a rare presentation of recurrent ankle sprains and a palpable mass, ultimately diagnosed with SC in the ankle.
View Article and Find Full Text PDFEur J Med Res
January 2025
National Center for Orthopaedics, Shanghai Sixth People's Hospital, 600 Yishan Road, Xuhui District, Shanghai, 200233, China.
Background: Scarf osteotomy is a well-established procedure for hallux valgus, yet recurrence rates range from 3.6% to 10%. Pes planus, which often coexisting with hallux valgus, is a risk factor for recurrence.
View Article and Find Full Text PDFBMC Musculoskelet Disord
January 2025
Department of Orthopaedic Surgery, Anam Hospital, Korea University College of Medicine, Seoul, 02841, Republic of Korea.
Background: Anterior cruciate ligament (ACL) injuries are one of the most common sports injuries, accounting for approximately 50% of knee-related injuries. Extracorporeal shockwave therapy (ESWT), in the form of the radial (R-SWT) or focused shockwave (F-SWT), has been shown effective in treating various orthopaedic conditions. Recently, studies have investigated whether ESWT combined with standard rehabilitation may improve outcomes following anterior cruciate ligament reconstruction (ACLR).
View Article and Find Full Text PDFGait Posture
January 2025
Department of Biomechanics and Center for Research in Human Movement Variability, University of Nebraska at Omaha, Omaha, NE 68182, USA; Department of Surgery and Research Service, Nebraska-Western Iowa Veterans Affairs Medical Center, Omaha, NE 68105, USA. Electronic address:
Background: This study leverages Artificial Neural Networks (ANNs) to predict lower limb joint moments and electromyography (EMG) signals from Ground Reaction Forces (GRF), providing a novel perspective on human gait analysis. This approach aims to enhance the accessibility and affordability of biomechanical assessments using GRF data, thus eliminating the need for costly motion capture systems.
Research Question: Can ANNs use GRF data to accurately predict joint moments in the lower limbs and EMG signals?
Methods: We employed ANNs to analyze GRF data and to use them to predict joint moments (363-trials; 4-datasets) and EMG signals (63-trials; 2-datasets).
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